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Introduction

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Abstract

It seems that substantial changes are taking place in the mental illness services. ‘Community care’ has been a rallying cry for several decades. Large mental hospitals decrease in size and some close. Community psychiatric nursing develops as a profession. District General Hospital psychiatric units open in large numbers. Hostels and day centres open in many towns. The professional literature buzzes with terms like ‘empowerment’ and ‘advocacy’. Long-neglected psychiatric patients have suddenly been magicked into service consumers, presumably active participants in service development. It seems that mental illness services are shaken by major changes at every level.

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References

  1. Susan Clayton, ‘Patient Participation: An Underdeveloped Concept’, Journal of the Royal Society of Health (1988).Google Scholar
  2. Anthony M. Graziano, ‘Clinical Innovation and Mental Health Power Structure: A Social Case History’, Paper presented at the meeting of the Eastern (USA) Psychological Association, Washington D.C. (April 1968) p. 2.Google Scholar
  3. Ivan Illich, Medical Nemesis — The Expropriation of Health (Calder & Boyars, 1975).Google Scholar
  4. Ian Kennedy, The Unmasking of Medicine (Allen & Unwin, 1981) p. 108.Google Scholar

Copyright information

© David Brandon 1991

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