HLTHAGE 2GG3 Lecture Notes - Lecture 10: Erving Goffman, Moral Treatment, Total Institution
6 Jan 2020
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Belief in isolation of hospitals, rigid scheduling, curative power of institutions. Other goals (no restraint, programing) failed due to lack of funding, personnel. 1960 - large sized cities, half a million us citizens in long term health care. Mid-1950s ethnography of psych institutions coin "total institution" in asylums. Tight schedules, little autonomy, privacy, at whims of authority. Patients are to wake at 6am, 7am they will begin cleaning etc. , In these instutions staff had a disproportionate degree of power. Power as being credited on certain kinds of arbitrariness. This power meant hat staff could not excessive control but do so after. So intense that exerting the power because of their position. He suggested that the only way a person could get out of institutions is to submit. Mortification of the self - individuals past lives scrubbed clean, only institutional identity.
