Erving Goffman's <i>Asylums</i> 50 years on

Suibhne, Seamus Mac

doi:10.1192/bjp.bp.109.077172

Cited by 24 publications

(17 citation statements)

References 5 publications

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“…Our lower incidence rates may indicate that only a small proportion of people with anxiety and panic disorders seen in primary care have the problem identified and recorded in their health care record, which suggests either under detection or reluctance to disclose or document anxiety disorders in this setting. Previous work has suggested that few people with milder symptoms of anxiety, such as those with mixed anxiety and depressive disorder, seek help from their GP for these symptoms, although they are attending on a regular basis for other reasons [25]. Community incidence rates of anxiety disorders from screening using psychiatric diagnostic interviews in large population surveys are more similar to the incidence rates found in our study, although with different sub-groups included, for example varying from 11.1/1000PYAR including anxiety and mixed affective disorders [26] to 1.57% for anxiety disorders including panic, phobias and generalised anxiety [9].…”

Section: Discussionmentioning

confidence: 99%

Recent Trends in the Incidence of Anxiety Diagnoses and Symptoms in Primary Care

et al. 2012

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BackgroundAnxiety is common, with significant morbidity, but little is known about presentations and recording of anxiety diagnoses and symptoms in primary care. This study aimed to determine trends in incidence and socio-demographic variation in General Practitioner (GP) recorded diagnoses of anxiety, mixed anxiety/depression, panic and anxiety symptoms.Methodology/Principal FindingsAnnual incidence rates of anxiety diagnoses and symptoms were calculated from 361 UK general practices contributing to The Health Improvement Network (THIN) database between 1998 and 2008, adjusted for year of diagnosis, gender, age, and deprivation. Incidence of GP recorded anxiety diagnosis fell from 7.9 to 4.9/1000PYAR from 1998 to 2008, while incidence of anxiety symptoms rose from 3.9 to 5.8/1000PYAR. Incidence of mixed anxiety/depression fell from 4.0 to 2.2/1000PYAR, and incidence of panic disorder fell from 0.9/1000PYAR in 1998 to 0.5/1000PYAR in 2008. All these entries were approximately twice as common in women and more common in deprived areas. GP-recorded anxiety diagnoses, symptoms and mixed anxiety/depression were commonest aged 45–64 years, whilst panic disorder/attacks were more common in those 16–44 years. GPs predominately use broad non-specific codes to record anxiety problems in the UK.Conclusions/SignificanceGP recording of anxiety diagnoses has fallen whilst recording of anxiety symptoms has increased over time. The incidence of GP recorded diagnoses of anxiety diagnoses was lower than in screened populations in primary care. The reasons for this apparent under-recording and whether it represents under-detection in those being seen, a reluctance to report anxiety to their GP, or a reluctance amongst GPs to label people with anxiety requires investigation.

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Section: Discussionmentioning

confidence: 99%

Recent Trends in the Incidence of Anxiety Diagnoses and Symptoms in Primary Care

et al. 2012

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“…Asylum is a work that facilitated the development of contemporary, communityorientated mental health practices or the process of deinstitutionalisation (Adlam et al 2012;Suibhne 2011). Goffman's polemics favour the humanisation of a dehumanised group of people.…”

Section: The Total Institution Theorymentioning

confidence: 99%

Medical Sociology in Africa

Amzat¹,

Razum²

2014

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“…Here Goffman's concept of institutionalisation is draw to explore the erosion of autonomy in the day care setting. Goffman [20] explained that total institutions such as large commercial, industrial, or educational establishments differ where the provision of human needs are organised for the masses [20]. A day care centre does not reflect a total institution as such because the elders return home at night.…”

Section: Losing Autonomymentioning

confidence: 99%

“…Nonetheless, the day care centre shares some features with total institutions. There existed "house rules" that an individual was expected to conform to following admission [20]. Here the older participants participated in group life, could not leave without permission and were expected to engage in daily activities that were carried out in a group and were tightly regulated by staff.…”

Section: Losing Autonomymentioning

confidence: 99%

“…Losing autonomy within the day care facilities was first emphasised by the older participants; but after a long stay in the day care what Goffman [20] called "disculturation" occurred, where the elders reached some level of acceptance. However, this is not to say that the elders simply accepted or adapted to the lack of autonomy.…”

Section: Could Eat What I Wanted To Eat or Go Out To Buy What I Likmentioning

confidence: 99%

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Reconstructing Identity of Older People in Using Day Care Services in Taiwan: A Grounded Theory Study

Chiu¹,

Windsor²

2015

Int J Nurs Clin Pract

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Adult day care centers provide a means whereby frail or disabled older people can remain living at home particularly when their family care-givers engage in waged work. In Taiwan, adult day care services appear to meet the cultural needs of both older people and their families for whom filial care is vital. Little research attention has been paid to the use of day care services in Taiwan, the uptake rate of which is low. This grounded theory study explored the ways in which older people and family care-givers construct meanings around the use of day care services in Taiwan.The research methodology drew on the theoretical tenets of symbolic interactionism and methods were informed by the grounded theory. In-depth interviews with 30 participants were undertaken. Reconstructing identity in a shifting world is the core category of the study and reflects a process of reframing whereby older people came to new definitions of social responsibility and independence within the context of the day care center. The implications of the findings is that the older people, rather than seeking to be relieved of social responsibilities, worked very hard to frame and reframe a social role. Rather than letting the institutions undermine or disrupt their identity, the older people worked to actively negotiate and redefine the meaning of self. Thus, although reluctant to come to use the services at the outset, they found a way to manage their lives independently. Social roles and responsibilities as older parents were retained. This study explored the process of meaning construction of day care use and the ways in which this process entailed a reconstruction of the identities of the participants. The evidence from this study underlines the importance of recognizing and acknowledging subjectively conceived identities as work that older people undertake, when in care, to render their lives meaningful.

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Erving Goffman's Asylums 50 years on

Cited by 24 publications

References 5 publications

Recent Trends in the Incidence of Anxiety Diagnoses and Symptoms in Primary Care

Recent Trends in the Incidence of Anxiety Diagnoses and Symptoms in Primary Care

Medical Sociology in Africa

Reconstructing Identity of Older People in Using Day Care Services in Taiwan: A Grounded Theory Study

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