Abstract
A brief outline of the classical psychiatric hospital as a custodial, total, and closed institution is offered against the background of changing conceptions of mental illness, developed after the establishment of psychiatry as a medical specialty at the end of the eighteenth and beginning of the twentieth century. The historical development shows a trajectory fraught with ethical dilemmas associated with an ethics of coercion and control. The psychiatric hospital as a place of confinement and therapeutic milieu has lost much of its medical justification. The ethics of personal, interpersonal, and institutional relations is emphasized.
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Further Reading
Sadock, B. J., Sadock, V. A., & Ruiz, P. (Eds.). (2009). Kaplan and Sadock’s comprehensive textbook of psychiatry. Philadelphia: Lippincott, Williams & Wilkins.
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Lolas, F. (2015). Mental Illness and Institutionalization. In: ten Have, H. (eds) Encyclopedia of Global Bioethics. Springer, Cham. https://doi.org/10.1007/978-3-319-05544-2_291-1
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DOI: https://doi.org/10.1007/978-3-319-05544-2_291-1
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