Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-22T08:53:47.786Z Has data issue: false hasContentIssue false

The Functions of Asylum

Published online by Cambridge University Press:  02 January 2018

J. K. Wing*
Affiliation:
Research Unit, Royal College of Psychiatrists, 17 Belgrave Square, London SW1X 8PG

Abstract

Many of the functions of large psychiatric hospitals were those of asylum. As the structure of services has changed and the role of the large hospital has diminished, the necessity to continue to cover their functions has tended to be forgotten, partly because it has been thought that, even at best, they were purely protective. Such a point of view cannot be sustained. The functions of asylum have always been both refuge and recuperation. ‘Community care’ will come to deserve the odium now attached to the worst practices of former times if the tradition of asylum practised in the best of the large hospitals is not (with appropriate modification) acknowledged, properly placed in the psychiatric curriculum, and given high priority in service planning.

Type
Papers
Copyright
Copyright © The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abrams, P. (1978) Community care. Some research problems and priorities. In Social Care Research (eds J. Barnes & C. Connelly). London: Bedford Square Press.Google Scholar
Abrams, P. & McCulloch, A. (1976) Communes, Sociology and Society. London: Cambridge University Press.Google Scholar
Brown, G. W., Bone, M., Dalison, B., et al (1966) Schizophrenia and Social Care. London: Oxford University Press.Google Scholar
Burrell, J. (1985) The Psychiatric Hospital as a New Community. London: Burrell-Foley Associates.Google Scholar
Conolly, J. (1830) The Indications of Insanity. London: Taylor.CrossRefGoogle Scholar
Republished with introduction by Hunter, R. and Macalpine, I. (1964). London: Dawsons.Google Scholar
Freeman, H. (ed.) (1965) Psychiatric Hospital Care. London: Baillière, Tindall & Cassel.Google Scholar
Freeman, H. & Farndale, J. (eds) (1963) Trends in the Mental Health Services. Oxford: Pergamon Press.Google Scholar
Garety, P. A., Afele, H. K. & Isaacs, A. D. (1988) A hostel-ward for new long-stay patients. Bulletin of the Royal College of Psychiatrists, 12, 183187.Google Scholar
Goffman, E. (1961) On the character of total institutions. In Asylums, ch. 1. Harmondsworth: Penguin.Google Scholar
Griffiths, R. (1988) Community Care, Agenda for Action. A report to the Secretary of State for Social Services. London: HMSO.Google Scholar
Hall, P. & Brockington, I. F. (eds) (1990) The Closure of Mental Hospitals. London: Gaskell.Google Scholar
Hyde, C., Bridges, K., Goldberg, D., et al (1987) The evaluation of a hostel ward. British Journal of Psychiatry, 151, 805812.Google Scholar
Jones, K. (1972) A History of the Mental Health Services. London: Routledge & Kegan Paul.Google Scholar
Parry-Jones, W. Ll. (1988) Asylum for the mentally ill in historical perspective. Bulletin of the Royal College of Psychiatrists, 12, 407410.Google Scholar
Pinel, P. (1806) A Treatise on Insanity (trans. Davis, D. D.). Sheffield: Cadell and Davies.Google Scholar
Powell, E. (1961) Address to National Society for Mental Health. In Emerging Patterns for the Mental Health Services and the Public. London: NAMH.Google Scholar
Powell, E. (1989) In conversation with Enoch Powell. Bulletin of the Royal College of Psychiatrists, 12, 402406.Google Scholar
Robertson, G. (1981) The Provision of Inpatient Facilities for the Mentally Ill. A paper to assist NHS planners. London: DHSS. (Unpublished).Google Scholar
Scull, A. (1989) Social Order/Mental Disorder. Anglo-American Psychiatry in Historical Perspective. London: Routledge.Google Scholar
Social Services Committee, House of Commons (1985) Community Care with Special Reference to Adult Mentally Ill and Mentally Handicapped. Second report of the Committee. London: HMSO.Google Scholar
South East Thames Regional Health Authority (1988) Mental Illness Services. The Need for a Haven. Bexhill: SETRHA.Google Scholar
Titmuss, R. M. (1959) Community care as a challenge. The Times, 12 May.Google Scholar
Torrey, E. F. (1988) Nowhere to Go. New York: Harper & Row.Google Scholar
Wing, J. K. (1986) The cycle of planning and evaluation. In The Provision of Mental Health Services in Britain. The Way Ahead (eds G. Wilkinson & H. Freeman). London: Gaskell.Google Scholar
Wing, J. K. (1990) Meeting the needs of people with psychiatric disorders. Social Psychiatry, 25, 28.Google Scholar
Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia. Cambridge: Cambridge University Press.Google Scholar
Wing, J. K. & Furlong, R. (1986) A HAVEN for the severely disabled within the context of a comprehensive psychiatric community service. British Journal of Psychiatry, 149, 449457.CrossRefGoogle ScholarPubMed
Wooff, K., Goldberg, D. P. & Fryers, T. (1986) Patients in receipt of community psychiatric nursing care in Salford, 1976–1982. Psychological Medicine, 16, 407414.Google Scholar
Wykes, T. (1982) A hostel ward for ‘new’ long stay patients. An evaluative study of a ward in a house. In Long-Term Community Care. Experience in a London Borough (ed J. K. Wing). Psychological Medicine (suppl.), 4145.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.