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Producing people: Industrial ideals ...

Robins, Cynthia Suzanne.

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Producing people: Industrial ideals and staff experience in a state-operated mental hospital.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Producing people: Industrial ideals and staff experience in a state-operated mental hospital./
Author:	Robins, Cynthia Suzanne.
Description:	215 p.
Notes:	Source: Dissertation Abstracts International, Volume: 55-05, Section: B, page: 1797.
Contained By:	Dissertation Abstracts International55-05B.
Subject:	Anthropology, Cultural. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9425686

Producing people: Industrial ideals and staff experience in a state-operated mental hospital.
Robins, Cynthia Suzanne.

Producing people: Industrial ideals and staff experience in a state-operated mental hospital. - 215 p.

Source: Dissertation Abstracts International, Volume: 55-05, Section: B, page: 1797.

Thesis (Ph.D.)--University of Virginia, 1994.

This dissertation, based on participant observation research in both public and private mental health facilities, offers a cultural-symbolic account of a state-funded, in-patient psychiatric facility. My focus is on understanding the wide, perhaps uncrossable, chasm that existed between the hospital's ambitious objectives and the starker reality of its day-to-day operation. More specifically, hospital employees stated the goal of the facility to be the successful treatment of mental illness, such that patients could return to their communities as "normal" members of society. The reality of the hospital system, however, was not so idyllic. Many staff members viewed their patients' conditions as "chronic" and therefore "untreatable," a disheartening view that was only reinforced by high recidivism rates for those patients who were discharged, and decades-long hospital stays for those who were not.Subjects--Topical Terms:

735016
Anthropology, Cultural.

Producing people: Industrial ideals and staff experience in a state-operated mental hospital.
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035 $a (UMI)AAI9425686
035 $a AAI9425686
040 $a UMI $c UMI
100 1 $a Robins, Cynthia Suzanne. $3 1670394
245 1 0 $a Producing people: Industrial ideals and staff experience in a state-operated mental hospital.
300 $a 215 p.
500 $a Source: Dissertation Abstracts International, Volume: 55-05, Section: B, page: 1797.
502 $a Thesis (Ph.D.)--University of Virginia, 1994.
520 $a This dissertation, based on participant observation research in both public and private mental health facilities, offers a cultural-symbolic account of a state-funded, in-patient psychiatric facility. My focus is on understanding the wide, perhaps uncrossable, chasm that existed between the hospital's ambitious objectives and the starker reality of its day-to-day operation. More specifically, hospital employees stated the goal of the facility to be the successful treatment of mental illness, such that patients could return to their communities as "normal" members of society. The reality of the hospital system, however, was not so idyllic. Many staff members viewed their patients' conditions as "chronic" and therefore "untreatable," a disheartening view that was only reinforced by high recidivism rates for those patients who were discharged, and decades-long hospital stays for those who were not.
520 $a My analysis of this gap between cultural ideal and cultural reality will ultimately present the hospital as a production-oriented facility that was in the business of generating "healthy" persons. From this perspective, the ideal/real split derives from the hospital's failure to turn out its promised "product." In presenting the hospital as a factory, I draw heavily on the industrial metaphors that I discovered to organize the hospital's operation, including such terms as "patient management," "staff productivity," and "progress notes". In addition, patients were perceived by staff members to be "flowing" or "circulating" through the hospital and--ideally, at least--back into the community. Fluid metaphors for exchange not only underlie the American economic system (e.g., "trickle-down economics," "cash flow," "liquid assets"), but also have been noted in cross-cultural ethnographic accounts (see, for example, Taylor 1992). In light of the emphasis placed on this "flowing" model of exchange, I argue that one of the fundamental "things" that should have been circulating through this system, but whose absence staff members regarded as negatively impacting patient flow, was the concept of "respect". I conclude with an analysis of the cultural meaning of "respect" and the significance of its absence in this particular venue of American culture.
590 $a School code: 0246.
650 4 $a Anthropology, Cultural. $3 735016
650 4 $a Health Sciences, Mental Health. $3 1017693
690 $a 0326
690 $a 0347
710 2 $a University of Virginia. $3 645578
773 0 $t Dissertation Abstracts International $g 55-05B.
790 $a 0246
791 $a Ph.D.
792 $a 1994
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9425686