"The purpose of this study was to ascertain whether there were differences between a sample of 93 reopened cases at the Leon County Mental Health Clinic in Tallahassee, Florida, during a two-year period, and a sample of 100 cases-not-reopened during that period of time. The period used in the selection of cases was from July 1, 1955 through June 30, 1957. A schedule of eighteen items was utilized to gather information from 193 case records. The comparison of the two samples was done by an analysis of the information thus obtained"--Introduction. / Typescript. / "May, 1958." / "Submitted to the Graduate Council of Florida State University in partial fulfillment of the requirements for the degree of Master of Social Work." / Advisor: Vernon Fox, Professor Directing Study. / Includes bibliographical references.

Thesis (M.S.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / 2031-01-01

Thesis (M.S.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / 2031-01-01

Thesis (M.S.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / 2031-01-01

This dissertation looks beyond the asylum to consider the development of psychiatry in French Indochina as the product of everyday exchanges between lay people and experts. Drawing on archival research conducted over two years in Vietnam and France - including hundreds of patient case files - I trace the movements of patients in and out of asylums and between prisons, poor houses, youth reformatories, hospitals and family homes. Together, these individual patient itineraries challenge our notion of the colonial asylum as a closed setting where patients rarely left, run by experts who enjoyed broad and unquestioned authority. Instead, they reveal how ideas about what it meant to be abnormal, as well as normal enough to return to social life, were debated between psychiatrists, colonial authorities and the public throughout the early decades of twentieth century. By examining the dynamics of patient movements in and out of psychiatric care, this study shifts our perspective from the asylum itself to its relationship with the world beyond its walls. Colonial scholars have focused on the way psychiatry provided a new scientific discourse of racial difference and how it figured within a wider biopolitics of colonial rule. However the social histories of the asylums themselves, and how they functioned within colonial political systems, remain little explored. I argue that by situating the history of psychiatry within the local dynamics of colonial rule, the asylum emerges as less of a blunt instrument for the control and medicalization of colonial society than as a valuable historical site for reframing narratives of colonial repression and resistance.

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This thesis is about developing a recovery ethos for psychiatric services in New Zealand. The argument of the thesis is that currently a procedural ethos is dominant in psychiatric services in New Zealand, based on eclectic ways of facilitating recovery. Recovery from mental illness, is based on the criteria of symptom reduction and functioning and can be further refined to have a client and professional perspective. Rather than using an eclectic approach to facilitating recovery the thesis argues for a pluralistic approach, where the virtues, the relationship with professionals, client narrative and the psychiatric community become central to decision making, rather than principle based procedures. The thesis is an argued, applied philosophical thesis in terms of methodology. The scope of the thesis is psychiatric services and the focus is broadly ethical decision making. There are three main divisions to the thesis. Part 1 is concerned with clarification of the main terms used in the thesis. This involves exploring the historical background to the concept of recovery, clarifying the concept of recovery itself and providing an argument for giving greater prominence to the term mental illness over the term mental disorder. Part 2 identifies the main problem of the thesis, namely the procedural ethos, and the problems it is causing clients suffering from mental illness in facilitating their recovery. Part 3 shows what is involved in developing a recovery ethos for psychiatric services in New Zealand.

This research investigated the experiences and practices of mental health registered nurses working within an acute mental health facility. The research explored the workplace environment and sought to gain a greater understanding of the elements that contribute to a safe and healthy workplace setting.The research methodology utilised a critical feminist framework. Thirteen women participants were involved in the research project including myself as a research participant. All participants were employed in an acute mental health facility in New South Wales. Four research methods were incorporated into the study these were focus groups, individual interviews, reflective journaling and creative expression and journaling. The study revealed a diverse range of opinion on nursing culture and profession, linking individual experience with group connectiveness, value and belonging.The findings of this research demonstrated that the women’s experience and practices as registered nurses working in mental health care were influenced directly by the management of the health service organisation and the operational leadership within the mental health facility. The data revealed five themes, these were: stress and mental health nursing practice, coping with violence, professional development, the spirit of nursing and the therapeutic relationship.Overall there were numerous links between the women’s experiences as nurses and their relationships with their colleagues, patients and the community. The results exposed professional pressures and inherent tensions within mental health nursing and highlighted an urgency to review a current health care structureThe study identified environmental factors that impacted upon the workplace and revealed a dichotomy between the nurses’ perception of care and their ability to provide it. The research raised disquiet regarding violence and aggression, inadequate career structure, recruitment, retention and education. Jutxaposed to this, the research identified collegial friendship, spirituality and stress management as contributing factors to a safe and healthy workplace. Finally, the notions of teamwork, diversity and creativity were found to be intrinsically linked to job satisfaction and client outcome.