Abstract:
:Care in the community for insane people today is more a matter of expert provision than communal support. In consequence, although they are no longer confined to hospital, mentally ill people largely remain marginalised in a society that does not have the resources, nor often the inclination, to take responsibility for their care. The experience of insane people in medieval England seems to have been of a different order, as shown by a particularly well documented case dating from 1383. From the late 13th century congenital idiots were protected by law. Care of lunatics, by contrast, was primarily the responsibility of the family. However, where the family could not or was unwilling to provide, provision was made by the crown. Through the instrument of the inquisition, the diagnosis and social circumstances of each case were determined by commissioners in consultation with a local jury and all interested parties, including the subject himself or herself. The best interests of the subject remained a prime concern, and the settlement that was ordained was tried and enforced in law. The process was confined to those with real or personal estate, but it encompassed poor as well as rich and proved, through the close identity of the local community with the process, to be a sophisticated and effective mechanism for maintaining and sustaining insane people. Unlike today, care in the community was a communal activity that ensured a truly public provision for those who could not look after themselves.
journal_name
BMJjournal_title
BMJ (Clinical research ed.)authors
Roffe D,Roffe Cdoi
10.1136/bmj.311.7021.1708subject
Has Abstractpub_date
1995-12-23 00:00:00pages
1708-12issue
7021eissn
0959-8138issn
1756-1833journal_volume
311pub_type
历史文章,杂志文章abstract:OBJECTIVE:To determine the prevalence of asthma in cohorts of Finnish young men in the period 1926-89. DESIGN:A retrospective analysis using reports and statistics of Finnish defence forces. SETTING:Call up examinations of candidates for military conscription and examination of conscripts discharged because of poor h...
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更新日期:2013-07-23 00:00:00
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更新日期:2010-12-21 00:00:00
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pub_type: 杂志文章,meta分析,评审
doi:10.1136/bmj.f3706
更新日期:2013-06-27 00:00:00
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更新日期:1997-03-22 00:00:00
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更新日期:2006-07-15 00:00:00
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更新日期:2019-10-04 00:00:00
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更新日期:2005-09-10 00:00:00
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更新日期:1996-01-06 00:00:00
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更新日期:2012-07-18 00:00:00
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更新日期:1988-11-05 00:00:00
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更新日期:2000-12-02 00:00:00
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pub_type: 杂志文章
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更新日期:1988-09-24 00:00:00
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更新日期:2016-02-24 00:00:00
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更新日期:2013-09-02 00:00:00
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更新日期:2017-08-30 00:00:00
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更新日期:2010-06-16 00:00:00
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更新日期:1996-03-02 00:00:00
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更新日期:1998-11-14 00:00:00
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更新日期:2012-05-15 00:00:00
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更新日期:2013-05-13 00:00:00
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更新日期:2002-11-09 00:00:00
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更新日期:2010-03-23 00:00:00
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更新日期:1996-02-24 00:00:00