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History of Schizophrenia Care

  • Oliver Freudenreich
Chapter
Part of the Current Clinical Psychiatry book series (CCPSY)

Abstract

A look back at our discipline’s history is needed to understand our current institutions and systems of care since they were not created de novo but represent the product of many decisions that we collectively made in very particular historical contexts. I am going to emphasize the asylum era, the community psychiatry movement, the group of antipsychiatrists, and the disgraceful role that psychiatry played in Nazi Germany. A historical perspective will allow us to set priorities for a redesign of mental health that provides equitable and high-quality care. Professionalism demands our active engagement in advocating for humane care for all people with serious mental illness.

Keywords

History of psychiatry Asylum psychiatry Community psychiatry Antipsychiatry Correctional psychiatry Penrose hypothesis Bureaucracy Weber Nazi Germany Eugenics Aktion T4 Professionalism Humanism 

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Additional Resources

    Books

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    3. Shorter E. A history of psychiatry: from the era of the asylum to the age of Prozac. New York: John Wiley & Sons, Inc; 1997. – A well-organized and logical history of psychiatry that includes the origins of asylum psychiatry, the asylum era itself, and subsequent social reforms and attempts to establish a more scientifically-based biological psychiatry.Google Scholar

    Articles

    1. Freudenreich O, Kontos N. “Professionalism, physicianhood, and psychiatric practice”: conceptualizing and implementing a senior psychiatry resident seminar in reflective and inspired doctoring. Psychosomatics. 2019;60:246–54. – Summary of a course on professionalism that I taught together with my friend and colleague for ten years.CrossRefGoogle Scholar
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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Oliver Freudenreich
    • 1
  1. 1.Department of PsychiatryMassachusetts General HospitalBostonUSA

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