Taking Over the Asylum

Barnes, Marian; Bowl, Ric

doi:10.1007/978-0-230-80188-2

Cited by 110 publications

(18 citation statements)

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“…By contrast, male nursing staff carry the title of ‘medical assistant’ (MA) and frequently prescribe medication. Here the medical training of medical assistants, being men, reflects the dominant view that it is men who largely occupy the elite profession of medicine, and the training of medical assistants conforms to that stereotype, in some contrast to the situation in Britain (Barnes & Bowl 2001, p. 60). Accordingly, at the hospital selected medical assistants and doctors work alongside each other in the outpatient clinic examining, prescribing and admitting patients, with the doctors assessing new and/or complicated cases.…”

Section: Resultsmentioning

confidence: 99%

Asylum blues: staff attitudes towards psychiatric nursing in Sarawak, East Malaysia

Crabtree

2003

Psychiatric Ment Health Nurs

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This paper draws upon findings from an ethnographic study of psychiatric service users in a psychiatric institution in Sarawak, East Malaysia. Findings focus primarily on the accounts of nursing staff in relation to attitudes towards psychiatric work and patients. These indicate that despite a rhetoric of decentralized services, a custodial 'asylum' model continues to influence the care of patients at many levels. Negative professional attitudes towards patients lead to issues of both moral and physical containment. However, an associated attitude of stigma and prejudice towards mental illness impacts upon how attractive a career in psychiatric nursing is perceived to be by respondents, subject to gender differentials.

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Section: Resultsmentioning

confidence: 99%

Asylum blues: staff attitudes towards psychiatric nursing in Sarawak, East Malaysia

Crabtree

2003

Psychiatric Ment Health Nurs

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“…Alladin, 1993;Lago & Thompson, 1996;Lau, 2003;WebbJohnson & Nadirshaw, 1993). Much of this unease relates to the eurocentrism of mainstream models, the biased interpretations they permit (due to their conceptual frameworks) and the consequential inadequacies they afford for use with minority ethnic service users (Barnes & Bowl, 2001;Lokare, 1992;Patel, 1992;Patel et al, 2000;Ridley, 1995).…”

Section: Towards Alternative Psychological Models Of Mental Healthmentioning

confidence: 95%

“…Chief amongst these has been a general unease from the Black community about the profession's genuine ability to allay concerns about the lack of cultural sensitivity afforded to minority ethnic groups and expectations from services that they should conform to practices that may be in disagreement with these (Aitken, 1998;Barnes & Bowl, 2001;Harworth, 1998;Lau, 2003;Maitra & Miller, 2003;Pfeffer, 1998;Sashidharan, 2003).…”

Section: The Influence Of Cultural Factors On Service Uptakementioning

confidence: 97%

Clinical psychology service provision and ethnic diversity within the UK: a review of the literature

Williams

Turpin

Hardy

2006

Clin Psychology and Psychoth

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There is substantial evidence to suggest that clinical psychology services are failing to meet the psychological and clinical needs of people from minority ethnic groups. This paper reviews current knowledge and understanding of factors that may be contributing to this, by examining the diversity of clinical psychology service provisions for minority ethnic groups in the United Kingdom (UK). Research that focuses on the poor utilization of clinical psychology services by minority ethnic groups is identified, and this is related to the limitations offered by mainstream psychological services. References to developments from abroad are also included where they enhance understanding of the current situation affecting minority ethnic groups in the UK. The findings show that minority ethnic groups are generally marginalized and excluded from mainstream clinical psychology services on a number of different levels. These are often influenced by referral conventions, professional misunderstandings of psychological distress and an over-reliance on ethnocentric and eurocentric conceptual frameworks. Cultural factors are also implicated. This review illustrates that the profession needs to be more considerate in its provision of services for minority ethnic users and indelible steps taken to increase the accessibility and credibility of clinical psychology services to Black and other minority ethnic groups.

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“…As Barnes and Bowl (2001) demonstrate, a growing ''survivor'' movement has increasingly challenged traditional views of mental illness, pioneering user-led alternatives to statutory services, campaigning for social and political change, and working to challenge stereotypes and discriminatory attitudes. While this movement has had only limited impact (due to the factors set out above), it has had some influence upon practice and policy in the protocols governing care in the community, conditions in acute inpatient services, patient confidentiality, and so on.…”

Section: Enclaves and Information Rejection By The Mental Health Servmentioning

confidence: 98%

Incremental change without policy learning: Explaining information rejection in English mental health services

Glasby

Lester

2007

Journal of Comparative Policy Analysis: Research and Practice

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Taking Over the Asylum

Cited by 110 publications

References 0 publications

Asylum blues: staff attitudes towards psychiatric nursing in Sarawak, East Malaysia

Asylum blues: staff attitudes towards psychiatric nursing in Sarawak, East Malaysia

Clinical psychology service provision and ethnic diversity within the UK: a review of the literature

Incremental change without policy learning: Explaining information rejection in English mental health services

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