Deinstitutionalisation and After

Post-War Psychiatry in the Western World

  • Despo Kritsotaki
  • Vicky Long
  • Matthew Smith

Part of the Mental Health in Historical Perspective book series (MHHP)

Table of contents

  1. Front Matter
    Pages i-xv
  2. Understanding Deinstitutionalisation: Culture, Ideology and Historiography

  3. Designing and Implementing Psychiatric Reform: Experiments, Opportunities and Oppositions

  4. New Conceptualisations of Therapy and Space

  5. After Deinstitutionalisation: Experiences, Challenges and Legacies

    1. Front Matter
      Pages 215-215
    2. Howard Padwa, Marcia Meldrum, Jack R. Friedman, Joel T. Braslow
      Pages 241-265
    3. Roslyn Burge
      Pages 267-287
  6. Back Matter
    Pages 289-297

About this book


The book relates the history of post-war psychiatry, focusing on deinstitutionalisation, namely the shift from asylum to community in the second part of the twentieth century.

After the Second World War, psychiatry and mental health care were reshaped by deinstitutionalisation. But what exactly was involved in this process? What were the origins of deinstitutionalisation and what did it mean to those who experienced it? What were the ramifications, both positive and negative, of such a fundamental shift in psychiatric care? Post-War Psychiatry in the Western World: Deinstitutionalisation and After seeks to answer these questions by exploring this momentous change in mental health care from 1945 to the present in a wide range of geographical settings. The book articulates a nuanced account of the history of deinstitutionalisation, highlighting the constraints and inconsistencies inherent in treating the mentally ill outside of the asylum, while seeking to inform current debates about how to help the most vulnerable members of society.


Mental Health History of Psychiatry Mental Institutions Public Policy Twentieth Century History Psychology Social Work Mental Health Community Care Outpatient Services Psychiatric Reform

Editors and affiliations

  • Despo Kritsotaki
    • 1
  • Vicky Long
    • 2
  • Matthew Smith
    • 3
  1. 1.Independent scholarAthensGreece
  2. 2.Centre for the Social History of HealthGlasgow Caledonian UniversityGlasgowUnited Kingdom
  3. 3.History of PsychiatryUniversity of StrathclydeGlasgowUnited Kingdom

Bibliographic information

  • DOI
  • Copyright Information The Editor(s) (if applicable) and The Author(s) 2016
  • Publisher Name Palgrave Macmillan, Cham
  • eBook Packages History
  • Print ISBN 978-3-319-45359-0
  • Online ISBN 978-3-319-45360-6
  • Buy this book on publisher's site