It has long been evident to those familiar with mental illness that one very great weakness in the system of institutional care of the mentally ill lay in the fact that the patient, already retreating from reality, by reason of his admission to a hospital became even more completely isolated from community life. Because of the simplified environment, the uncomplicated routine and the lack of usual and normal contactswith outside life, the patient tended to become even more desocialized.
We may be presumptuous in undertaking to develop a psychiatric hospital as an institute of learning, but we have proceeded on the theory that fundamental progress could best be made by first regarding all psychiatric hospitals as places for education and reeducation of individual patients and that pedagogic methods under medical guidance should eventually dominate these institutions for both the acute and the chronic patients, not primarily to increase the scholastic
BURLINGAME CC, WAGNER CP. THE PSYCHIATRIC HOSPITAL AS AN INSTITUTE OF LEARNING. JAMA. 1935;105(19):1509–1512. doi:10.1001/jama.1935.02760450029006
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