التفاصيل البيبلوغرافية
| العنوان: |
Chapter 8: Staff models and practice. |
| المؤلفون: |
Baldwin, Dana M., Edgar, Iain R., Russell, Andrew |
| المصدر: |
Anthropology of Welfare; 1998, p133-155, 23p |
| مصطلحات موضوعية: |
INSTITUTIONAL care, MENTAL health personnel & patient, CLUBS, AUTONOMY (Psychology), MENTAL health personnel, PEOPLE with mental illness |
| مصطلحات جغرافية: |
UNITED States |
| مستخلص: |
This chapter seeks to demonstrate the importance of taking analytical account of the institutional or organizational level of analysis when examining staff-client interactions in the U.S. Not only do the staff of Clubhouse, a social club for former mental patients, attempt clients' symptoms and deficits, they also aim to rehabilitate them by engaging them in a normalizing non-medical environment. Productive work activities are emphasized and self-determination is encouraged. Meanwhile, Harbor House staff have had to struggle with the issue of how to maintain the Clubhouse framework while at the same time making sure that clients with a range of different psychiatric disorders receive treatment appropriate to their needs. The rehabilitation aims of the Clubhouse appear best suited to the needs of individuals whose schizophrenia has stabilized, not individuals with personality disorders. Because there was little staff consensus about what was expected of border-line clients in the context of the Clubhouse, staff often disagreed over how to deal with them. These disagreements often arose because of aversive emotional reactions of the staff towards borderline clients, coupled with unresolved tensions over the place of work in the programme. These disagreements exposed latent tensions or cleavages in the ideology and structure of the programme. |
| قاعدة البيانات: |
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