This paper describes the spontaneous rise of an indigenous asylum for the chronic mentally ill, called Lung Hwa Tang (The Hall of Dragon Metamorphoses), in contemporary Taiwan. Sociocultural factors relevant to the asylum, including the roles played by Chinese families and the current situation of mental health care in Taiwanese communities, are discussed. Despite its detrimental effect on patients, this asylum stands for an alternative mental health care system in the folk sector; it reflects a great demand from the communities for access to modern mental health services, the development of which have been very slow and inadequate in the past four decades in this rapidly developing country.
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Alldridge, P. 1979 Hospitals, Madhouses and Asylums: Cycles in the Care of the Insane. British Journal of Psychiatry 134:321–333.
Bell, L.V. 1980 Treating the Mentally Ill: From Colonial Times to the Present. New York: Praeger Publishers.
Chen, C.C., J.K. Wen, and L.Y. Chang 1985 The Descriptive Study of A Temple-like Indigenous Mental Asylum in Southern Taiwan: II. The Patients: Demographic and clinical Data, Psychopathology and Social Function, and Short-term Outcome. Bulletin of Chinese Society of Neurology and Psychiatry 11(2):25–39.
Chiu, M.L. 1981 Insanity in Imperial China: A Legal Case Study. In Normal and Abnormal Behavior in Chinese Culture, A. Kleinman, T.Y. Lin, eds., pp. 75–94. Dordrecht, Holland: Reidel.
Foley, H.A., and S.S. Sharfstein 1983 Madness and Government: Who Cares for the Mentally Ill. Washington: American Psychiatric Press.
Foucault, M. 1965 Madness and Civilization: A History of Insanity in the Age of Reason. New York: Vintage.
Goffman, K. 1961 Asylums: Essays on the Social Situation of Mental Patients and Other Inmates. New York: Doubleday & Company, Inc.
Hafner, H. 1985 Changing Patterns of Mental Health Care. Acta Psychiatrica Scandinavia 71:151–164.
Higginbotham, H.N. 1984 Third World Challenge to Psychiatry: Culture Accommodation and Mental Health Care. Honolulu, East-West Center: University of Hawaii Press.
Jones, W.L. 1983 Ministering to Minds Diseased: A History of Psychiatric Treatment. London: William Heinemann Medical Books Ltd.
Kleinman, A. 1980 Patients and Healers in the Context of Culture. Berkeley: University of California Press.
Kleinman, A. 1987 Concepts and A Model for the Comparison of Medical Systems as Cultural Systems. Social Science & Medicine 12:85–93.
Leslie C. 1980 Medical Pluralism in World Perspective. Social Science & Medicine 1413:191–195.
Lin, T.Y. 1961 Evolution of mental health programme in Taiwan. American Journal of Psychiatry 117:961–971.
Lin, T., and M.C. Lin 1978 Service Delivery Issue in Asian North-American Communities. American Journal of Psychiatry 135(4):454–456.
Lin, T. 1981 Love, Denial and Rejection. In Normal and Abnormal Behavior in Chinese Culture. A. Kleinman and T. Lin, eds. Dordrecht, Holland: Reidel.
Lin, T., K. Tardiff, G. Donetz, and W. Goresky 1978 Ethnicity and Patterns of Help-seeking. Culture, Medicine and Psychiatry 2(1):3–14.
Lipton, G.L. 1983 Politics of Mental Health: Circles or Spirals. Australian and New Zealand Journal of Psychiatry 17:50–56.
Munakata, T. 1986 Sociocultural Background of the Mental Health System in Japan. Culture, Medicine and Psychiatry 10:351–365.
Needham, J. 1970 Clerks and Craftsman in China and the West. Cambridge: Cambridge University Press.
Warner, R. 1985 Recovery from Schizophrenia: Psychiatry and Political Economy. London: Routledge and Kegan Paul.
Wen, J.K., L.Y. Chang, and C.C. Chen 1985a The Descriptive Study of a Temple-like Indigenous Mental Asylum in Southern Taiwan: I. The Institution: Background and Characteristics of Its Rehabilitation Model. Bulletin of Chinese Society of Neurology and Psychiatry 11(2):15–24.
Wen, J.K., L.Y. Chang, and C.C. Chen 1985b The Descriptive Study of A Temple-like Indigenous Mental Asylum in Southern Taiwan: III. The Families: Analysis of Their Help-seeking Behavior. Bulletin of Chinese Society of Neurology and Psychiatry 11(2):40–50.
Wen, J.K. 1986 Institutionalism, Drugs, and Schizophrenia: A Comparative Study between Two Contrastive Asylums. Bulletin of Chinese Society of Neurology and Psychiatry 11(2):42–59.
Wen, J.K. 1987 The Possible Factors Exempting Chronic Schizophrenics from Institutionalized Care. Chinese Journal of Mental Health 3(1):56–67.
Wong, K.G. 1950 A Short History of Psychiatry and Mental Hygiene in China. Chinese Medical Journal 68:44–48.
Yeh, E.K. 1983 The Chronic Mental Patients: The Most Neglected Group — Problems and Recommendations. Bulletin of Chinese Society of Neurology and Psychiatry 9(1):1–16.
Yeh, E.K. 1985 Sociocultural Changes and Prevalence of Mental Disorders in Taiwan. In Chinese Culture and Mental Health, pp. 265–286, W.S. Tseng and D.Y.H. Wu, eds. Orlando: Academic Press.
Yeh, E.K. 1987 The Problems of Mental Health Care in Taiwan. Chinese Journal of Mental Health 3(1):5–8.
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Wen, J. The hall of dragon metamorphoses: A unique, indigenous asylum for chronic mental patients in Taiwan. Cult Med Psych 14, 1–19 (1990). https://doi.org/10.1007/BF00046702
- Health Care
- Mental Health
- Health Service
- Health Care System
- Detrimental Effect