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Article ID: CBB001211087

Social, Motivational, and Symptomatic Diversity: An Analysis of the Patient Population of the Phipps Psychiatric Clinic at Johns Hopkins Hospital, 1913--1917 (2012)

Canadian Bulletin of Medical History/Bulletin Canadienne d'Histoire de la Medecine
Volume: 29, no. 2
Issue: 2
Pages: 243-263

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Patients Medicine and society Psychiatric hospitals 20th century, early United States Johns Hopkins Hospital

Abstract. In the five years after the Phipps Psychiatric Clinic opened in 1913 at Johns Hopkins, its 88 beds were consistently in high demand. Exploiting the biographical information and the particularly descriptive medical narratives in the hospital records of Phipps patients, this study explores the social composition of the patient population, the various avenues by which patients were admitted, and the decision-making processes of families and communities confronting the vicissitudes of mental illness. Quantitative and qualitative analyses of all admissions between 1913 and 1917 reveal that, contrary to scholarly myth, this population was highly diverse socially, motivationally, and symptomatically. Lors des 5 années suivant l'ouverture de la Phipps Psychiatric Clinic de l'hôpital Johns Hopkins en 1913, tous ses 88 lits demeurèrent occupés. En utilisant les informations biographiques et les récits cliniques particulièrement descriptifs des dossiers médicaux des patients, cette étude explore la composition sociale des patients admis, les diverses avenues qui les y ont menées, et les décisions prises par les familles et les communautés confrontées aux maladies mentales. Une analyse quantitative et qualitative des dossiers d'admission entre 1913 et 1917 a permis de révéler que, contrairement aux idées vehiculées, la population utilisant la clinique était diversifiée socialement, symptomatiquement, et par motivation.

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