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Asylums revisited

R Peele, P V Luisada, M J Lucas

The American Journal of Psychiatry

|October 1, 1977

Summary

This summary is machine-generated.

Researchers revisited Erving Goffman's work on institutionalization and secondary adjustments. They found these phenomena persist but question if secondary adjustments always follow institutionalization, suggesting it may benefit some patients.

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Area of Science:

Sociology
Social Psychology
Mental Health Studies

Background:

Revisiting Erving Goffman's seminal work "Asylum".
Examining phenomena of institutionalization and secondary adjustment at Saint Elizabeths Hospital 20 years later.

Purpose of the Study:

To determine the continued presence of institutionalization and secondary adjustment.
To question the direct causal link between institutionalization and secondary adjustment.
To challenge the automatic condemnation of institutionalization.

Main Methods:

Qualitative re-examination of Goffman's concepts in a contemporary setting.
Observational and analytical approach to social phenomena within an institution.

Main Results:

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Both institutionalization and secondary adjustment phenomena were observed.
Evidence suggests secondary adjustments do not invariably follow institutionalization.
Doubt cast on the automatic negative perception of institutionalization.

Conclusions:

Institutionalization and secondary adjustment remain relevant sociological concepts.
The relationship between institutionalization and secondary adjustment requires nuanced understanding.
Institutionalization may be a beneficial or preferred approach for certain patient populations.