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Related Experiment Videos

Arson: an unforeseen sequela of deinstitutionalization.

J Geller

    The American Journal of Psychiatry
    |April 1, 1984
    PubMed
    Summary

    Deinstitutionalization

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    Area of Science:

    • Forensic Psychology
    • Psychiatric Epidemiology
    • Criminology

    Background:

    • The deinstitutionalization movement shifted psychiatric care from state hospitals to community-based services.
    • This transition raised questions about its impact on patient behavior, specifically pathological fire setting.

    Purpose of the Study:

    • To investigate whether the shift to community-based mental health services influenced the nature or function of pathological fire setting.
    • To explore the motivations behind arson among individuals utilizing public sector mental health services.

    Main Methods:

    • Analysis of hospital admissions precipitated by arson over a 200-day period.
    • Examination of data from 14 patients accounting for 16 admissions and 17 fires.

    Main Results:

    • Fires were set by mental health service consumers to signal a desire for relocation.
    • Communicative arson by psychiatric patients has led to significant property damage, injuries, and fatalities.

    Conclusions:

    • Pathological fire setting can serve as a communication method for psychiatric patients expressing needs related to their treatment environment.
    • Arson incidents have contributed to negative public perception and backlash against community-based mental health care alternatives.

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