Читать книгу Rainforest Asylum - Sara Ashencaen Crabtree - Страница 12

The final section of this chapter seeks to assist the reader in their navigation of the text. Accordingly, Chapter Two focuses upon the use of ethnographic methodology and methods underpinning this study. The logistics of field work are additionally discussed in respect to the crucial forging of relationships with participants, and finally, ethical considerations in fieldwork.

Chapter Three critically scopes the literature devoted to the historical background of evolving psychiatric services in the West, colonial territories in the Indian subcontinent and elsewhere, and subsequently Malaya and Borneo.

The findings of the study commence in Chapter Four, by locating Hospital Tranquillity within a historical, geographical, social and cultural context. Following this, a discussion of the routines, rituals and the socialisation process of life in the ward environment is offered.

Chapter Five concentrates on the hierarchical socialisation of individuals and relationships between patients. This concludes with an examination of the nature and utilisation of patient labour structured on stereotypical gender divisions.

In Chapter Six methods of patient control are reviewed, such as treatment programmes that include electro-convulsive therapy. The chapter concludes with a ‘service user’ view of how medication is used at the hospital.

Subsequently Chapter Seven considers how women patients are subject to stringent control in terms of freedom of movement consistent with patriarchal stereotypic notions of gender and mental illness.

The following chapters are devoted to issues of staffing. The conditions of work at the hospital are considered in Chapter Eight, where professional practice and career opportunities are viewed against a backdrop of the national policy debate on service delivery. In Chapter Nine, staff strategies of control and containment of patients are explored, along with staff perceptions of risk and violence in working with psychiatric patients.

Finally, Chapter Ten draws the findings together in a concluding discussion.