Article ID: CBB109132105

How did mental health become so biomedical? The progressive erosion of social determinants in historical psychiatric admission registers (2021)

unapi

This paper explores the historical developments of admission registers of psychiatric asylums and hospitals in England and Wales between 1845 and 1950, with illustrative examples (principally from the archives of the Rainhill Asylum, UK). Standardized admission registers have been mandatory elements of the mental health legislative framework since 1845, and procedural changes illustrate the development from what, today, we would characterize as a predominantly psychosocial understanding of mental health problems towards primarily biomedical explanations. Over time, emphasis shifts from the social determinants of admission to an asylum to the diagnosis of an illness requiring treatment in hospital. We discuss the implications of this progressive historical diminution of the social determinants of mental health for current debates in mental health care.

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http://data.isiscb.org/isis/citation/CBB109132105/

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Authors & Contributors
Gregory, Ian N.
Henneberg, Jordi Martí
Michael, Pamela F.
Hirst, David
Miller, Edgar
Slijkhuis, Jessica
Journals
History of Psychiatry
Social History of Medicine
Social Science History
Journal of the History of Medicine and Allied Sciences
Bulletin of the History of Medicine
Journal of Global History
Publishers
University of Rochester Press
Scrimgeour Yorkshire
Boydell & Brewer
Palgrave Macmillan
Concepts
Mental disorders and diseases
Psychiatric hospitals
Medicine and society
Psychiatry
Public health
Therapeutic practice; therapy; treatment
People
Robb, Barbara
Toulouse, Edouard
Time Periods
19th century
20th century, early
20th century
20th century, late
21st century
Places
England
Wales
Scotland
Ireland
Great Britain
London (England)
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