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Research in the Schizophrenic Disorders pp 113–154Cite as

The Management of Schizophrenia in the Community

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Abstract

The title of this paper requires explanation. In the early part of the nineteenth century, such care as people with schizophrenia received was given “in the community,” not in hospital. Attitudes toward institutional and community psychiatry have changed over the years. The first psychiatric hospitals were set up, both in Britain and in the United States, in reaction against the appalling conditions of “community care” then prevailing [12,22]. They were small, with a high turnover, and in the best of them the staff fostered a family atmosphere, with emphasis on moral treatment, the ideals of which were not altogether dissimilar to those fashionable during the past 20 years, and took pride in the fact that they used no methods of physical restraint. Since then, the balance of advantage to the patient, of receiving care inside hospital compared with receiving care outside it, has swung both ways, but it has never been an absolutely clear-cut decision as to which was preferable; there has always been something to be said on both sides. The psychiatric hospitals, in both our countries, went through a prolonged period in which patients experienced pauperism, neglect, institutionalism, restraint, and occasionally cruelty.

Keywords

  • Schizophrenic Patient
  • Vocational Rehabilitation
  • Social Withdrawal
  • Mental Hospital
  • Psychosocial Aspect

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Authors
  1. John K. Wing M.D., Ph.D.
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Editors and Affiliations

  1. Department of Psychiatry, New York University Medical Center, New York, New York, USA

    Robert Cancro M.D.

  2. The Fund for the Behavioral Sciences, Miami, Florida, USA

    Stanley R. Dean M.D.

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Wing, J.K. (1985). The Management of Schizophrenia in the Community. In: Cancro, R., Dean, S.R. (eds) Research in the Schizophrenic Disorders. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-6338-5_4

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  • DOI: https://doi.org/10.1007/978-94-011-6338-5_4

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