Psychiatric Emergency Room Decision-Making, Social Control and the 'Undeserving Sick'
Опубликовано на портале: 23-03-2007
Sociology of Health and Illness.
2006.
Vol. 28.
No. 1.
P. 54-75.
Тематические разделы:
The influence of social factors on involuntary hospitalisation has been an important
and controversial area of sociological focus for many years. Traditionally, social
control theory has been used to understand disproportionate rates of involuntary
hospitalisation among marginalised and powerless groups. However, dramatic changes
in the social context of mental healthcare have necessitated a re-examination of
the role of social factors in involuntary hospitalisation. In this study 287 psychiatric
emergency room visits were examined in order to test hypotheses for understanding
social influences on disposition. Little support for the traditional social control
hypothesis was found. People from marginalised groups were not disproportionately
involuntarily hospitalised, but instead were disproportionately treated and released
from the hospital as people's social resources were used to access care rather than
to prevent hospitalisation. This study highlights the importance of the historical
relevance of our theoretical understanding of the relationship between social factors
and involuntary commitment.
Ключевые слова
involuntary commitment. mental illness social control изоляция психическая болезнь социальный контроль
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