The thesis as a whole aims to demonstrate that the socialization model, presented in Chapter VIII, is an appropriate model for use in analysing mental hospital practices and that the classificatory schema based on it is appropriate for describing the processes at work in these practices. The classificatory schema itself takes into account (a) culturally embedded criteria for assessing patient behaviour and patterns of construing, (b) culturally embedded means of 'shaping' patient behaviour and patterns of construing, (c) culturally embedded forms of ambiguity latently presented in the appraising and shaping of patient behaviour and patterns of construing and (d) the potential ways in which this ambiguity can interfere with the process of patient resocialisation itself. The model serves to focus attention on two existential problems which members of staff face in committing themselves to their institutional roles: that of disclosing therapeutic rationale to patients and that of embodying this rationale in concrete commitments to patients.

A Dissertation Submitted to the Faculty of Medicine University of the Witwatersrand, Johannesburg for the Degree of Master of Medicine (Community Health) / The extremely complex fragmentation of health services in the greater South Africa has lead to confusion, duplication and uncoordinated planning. This study assesses the hospital component of the health services in one discrete geographical area where service responsibilities are particularly complex. Each of the hospitals identified within the study area was visited and, after a short conducted tour, detailed information was obtained on a standard questionnaire during interviews with senior hospital personnel. Final detail was obtained by inspection of various functional components in each hospital. Proposals regarding the process of regionalising the hospital services in a future post-apartheid era (when political boundaries, particularly homeland boundaries, have disappeared and the health services can be rationalised under a unified health authority) are made. The major finding is that, while some expansion is needed, the existing facilities can be reorganised into a functional complex at minimal cost and limited disruption of services. / AC 2018

Thesis (M.S.)--Boston University

Thesis (M.S.)--Boston University

Thesis (M.S.)--Boston University

Thesis (Ed.D.)--Boston University

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No description available.

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