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In the first comprehensive one-volume history of the treatment of the mentally ill, the foremost historian in the field compellingly recounts our various attempts to solve this ever-present dilemma from colonial times to the present.
Gerald Grob charts the growth of mental hospitals in response to the escalating numbers of the severely and persistently mentally ill and the deterioration of these hospitals under the pressure of too many patients and too few resources. Mounting criticism of psychiatric techniques such as shock therapies, drugs, and lobotomies and of mental institutions as inhumane places led to a new emphasis on community care and treatment. While some patients benefited from the new community policies, they were ineffective for many mentally ill substance abusers. Grob’s definitive history points the way to new solutions. It is at once an indispensable reference and a call for a humane and balanced policy in the future.
- Sales Rank: #819651 in eBooks
- Published on: 1994-02-21
- Released on: 1994-02-21
- Format: Kindle eBook
From Publishers Weekly
A large proportion of today's mentally ill homeless are substance abusers, according to Rutgers University professor of history Grob in this comprehensive study which will be of interest to specialists. He outlines a "cyclical pattern" of mental health care "that has alternated between enthusiastic optimism and fatalistic pessimism." Grob traces the growth of psychiatry as a medical specialty along with changes in public policy and social attitudes. In colonial times families and communities cared for their "lunaticks"; with 19th-century urbanization, hospitals began assuming responsibility for the mentally ill, torn between custodial and therapeutic duties. Grob records a post-WW II trend toward de-institutionalization and treatment in outpatient or community centers staffed by psychiatrists trained in psychoneurology and a range of therapies, including electric shock, analysis and medication. Today, the author notes, general hospitals and local clinics, overloaded by both the chronically ill and substance-abuse cases, can assure little continuity of care. Illustrations not seen by PW.
Copyright 1994 Reed Business Information, Inc.
From Library Journal
Grob (history of medicine, Rutgers Univ.) chronicles the treatment of the mentally ill in America from the Colonial period to the present. This care has passed from the hands of families and local communities to asylums and finally to today's decentralized psychiatric system. Grob asserts that the emergence of a young adult chronic population has had an adverse effect on our current system of care, and he urges changes to meet the different disorders and needs of this group. Although his book is intended for a general audience, Grob's prose does not lend itself to this purpose. Still, since there are so few monographs on this subject, larger libraries may wish to purchase this work.
- January Adams, ODSI Research Lib., Raritan, N.J.
Copyright 1994 Reed Business Information, Inc.
From Booklist
Besides covering the changes in attitude toward and the treatment of the mentally ill in the U.S., Grob shows how psychiatry has progressed from a close relationship with asylums to essentially a private-office practice. Moreover, he clearly sets forth the birth and development of the Association of Medical Superintendents of American Institutions for the Insane (parent of the American Psychiatric Association) and related organizations, as well as of such lay groups as the National Committee for Mental Hygiene and the Joint Commission on Mental Illness and Health. He limns the gradual change during the twentieth century from the mental hospitalization of the elderly to providing surrogate homes for them, and he places fads in psychiatry (dynamic, biological, etc.) in their historical contexts. Smoothly written and well documented, this is another example of Grob's gift for scholarly yet readable work in this important field. William Beatty
Most helpful customer reviews
1 of 1 people found the following review helpful.
Good read about our Country's mental health system
By Chris Hurlbut
Great book about our Mental Health system, good read for anybody looking to gain insight into our system...
1 of 33 people found the following review helpful.
Stop Making Functioning Citizenry deal with public mental health! Psychotics everywhere!
By Amazon Customer
In spite of the info, a case to definitely reopen the asylums!
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