[思想史和精神病学改革:意大利,英国和德国]
Thomas Becker1, Stefan Weinmann2,3, Uta Gühne4
1Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Leipzig, Leipzig, Germany.
概括
这项研究比较了意大利,英国和德国的心理健康改革. 意大利意大利意大利意大利意大利意大利
科学领域:
- 思想的历史 思想的历史
- 社会结构 社会结构
- 心理健康改革是什么意思
背景情况:
- 社会结构和主流思想影响心理健康改革.
- 意大利,英国和德国精神卫生改革轨迹的比较分析.
研究的目的:
- 检查三个欧洲国家的心理健康改革的历史发展和哲学基础.
- 确定关键的意识形态影响及其对改革成果的影响.
主要方法:
- 对知识传统和政策文件的历史分析.
- 比较的案例研究方法专注于意大利,英国和德国.
- 考察哲学影响 (萨特尔,福柯,现象学,格拉姆西) 和社会学批评 (戈夫曼).
主要成果:
- 意大利的改革强调人权和社会包容,与激进的机构批评和社区关怀.
- 英国的改革侧重于社区护理,基于证据的服务和患者权利,受到实证主义和制度批评的影响.
- 在1975年精神病学调查的指导下,德国的改革显示了社区转型的延迟,以及对大型机构的持续依赖,以及最近的综合护理模式.
结论:
- 心理健康改革是由不同的国家历史,哲学思想和社会结构塑造的.
- 意大利提供了一个令人印象深刻的,基于权利的社区护理改革模式. 英国表现出对社区护理和基于证据的实践的长期承诺.
- 德国的改革进程较慢,突出了从机构向社区精神卫生保健转型的挑战.
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