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Partial Report

California. Legislature. Senate. Interim Committee on the Treatment of Mental Illness

Published: 1956

Total Pages: 556


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Castles of our Conscience presents a new and distinctive analysis of the role of the modern state in the shaping of policies of social control. Staples provides a theoretical framework for understanding the mechanisms of state policy-making and capacity. This framework supports an interpretation of the changing nature of institutions of social control in the United States from the beginning in the nineteenth century to the present day. A distinctive feature of the author’s approach is his critique of existing theories of the state as well as recent revisionist writing in social control. Both, he argues, have tended to either reduce the state to an instrument of class power or treat it in too ‘structuralist’ a fashion. Developing a sophisticated account of the relationship between the state and civil society he provides a history of social control policies in the United States that balances analytical concerns with historical narrative. This book will be of interest to students and professionals in sociology, politics and criminology.
The distinguished historian of medicine Gerald Grob analyzes the post-World War II policy shift that moved many severely mentally ill patients from large state hospitals to nursing homes, families, and subsidized hotel rooms--and also, most disastrously, to the streets. On the eve of the war, public mental hospitals were the chief element in the American mental health system. Responsible for providing both treatment and care and supported by major portions of state budgets, they employed more than two-thirds of the members of the American Psychiatric Association and cared for nearly 98 percent of all institutionalized patients. This study shows how the consensus for such a program vanished, creating social problems that tragically intensified the sometimes unavoidable devastation of mental illness. Examining changes in mental health care between 1940 and 1970, Grob shows that community psychiatric and psychological services grew rapidly, while new treatments enabled many patients to lead normal lives. Acute services for the severely ill were expanded, and public hospitals, relieved of caring for large numbers of chronic or aged patients, developed into more active treatment centers. But since the main goal of the new policies was to serve a broad population, many of the most seriously ill were set adrift without even the basic necessities of life. By revealing the sources of the euphemistically designated policy of "community care," Grob points to sorely needed alternatives. Originally published in 1991. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.
This book overturns the idea that psychiatric drugs work by correcting chemical imbalance and analyzes the professional, commercial and political vested interests that have shaped this view. It provides a comprehensive critique of research on drugs including antidepressants, antipsychotics and mood stabilizers.