Asylum To Community

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From Asylum to Community

Author : Gerald N. Grob
Publisher : Princeton University Press
ISBN 13 : 1400862302
Total Pages : 433 pages
Book Rating : 4.4/5 (8 download)

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Book Synopsis From Asylum to Community by : Gerald N. Grob

Download or read book From Asylum to Community written by Gerald N. Grob and published by Princeton University Press. This book was released on 2014-07-14 with total page 433 pages. Available in PDF, EPUB and Kindle. Book excerpt: The distinguished historian of medicine Gerald Grob analyzes the post-World War II policy shift that moved many severely mentally ill patients from large state hospitals to nursing homes, families, and subsidized hotel rooms--and also, most disastrously, to the streets. On the eve of the war, public mental hospitals were the chief element in the American mental health system. Responsible for providing both treatment and care and supported by major portions of state budgets, they employed more than two-thirds of the members of the American Psychiatric Association and cared for nearly 98 percent of all institutionalized patients. This study shows how the consensus for such a program vanished, creating social problems that tragically intensified the sometimes unavoidable devastation of mental illness. Examining changes in mental health care between 1940 and 1970, Grob shows that community psychiatric and psychological services grew rapidly, while new treatments enabled many patients to lead normal lives. Acute services for the severely ill were expanded, and public hospitals, relieved of caring for large numbers of chronic or aged patients, developed into more active treatment centers. But since the main goal of the new policies was to serve a broad population, many of the most seriously ill were set adrift without even the basic necessities of life. By revealing the sources of the euphemistically designated policy of "community care," Grob points to sorely needed alternatives. Originally published in 1991. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.

Basaglia's International Legacy: From Asylum to Community

Author : Tom Burns
Publisher : Oxford University Press
ISBN 13 : 0192577778
Total Pages : 401 pages
Book Rating : 4.1/5 (925 download)

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Book Synopsis Basaglia's International Legacy: From Asylum to Community by : Tom Burns

Download or read book Basaglia's International Legacy: From Asylum to Community written by Tom Burns and published by Oxford University Press. This book was released on 2020-05-28 with total page 401 pages. Available in PDF, EPUB and Kindle. Book excerpt: Franco Basaglia (1924-1980) was an Italian psychiatrist and activist who proposed the dismantling of psychiatric hospitals and pioneered new ideas about mental health and its treatment. Basaglia was also one of the principal proponents of Italy's Law 180, which effectively closed down large mental hospitals in Italy. His ideas and his disciples have had a decisive influence in the move away from institutional care in many parts of the world, particularly in continental Europe and South America. However, Basaglia is strikingly absent from the literature in Germanic and Anglophone psychiatry. Most of the literature about Basaglia in the last 40 years has been published by his followers and supporters and has often been largely positive, with little exploration of differing responses or possible limitations of his model. Basaglia's International Legacy: From Asylum to Community provides an overview of current thinking and the international influence of Franco Basaglia. This resource draws on the combined knowledge of clinicians, policy makers, historians, and social scientists, including a handful of Basaglia's collaborators. It provides an in-depth understanding and critical analysis of the various applications of his thinking worldwide. Organised into three broad sections, chapters examine Basaglia's work and influence in Italy; in the 'Basaglian' countries of Europe and South America; and in those countries where his influence has either been rejected or significantly modified. The Editors bring together the contributions and draw out the important messages (both positive and negative) for current clinical practice and development within international mental health services.

Asylums

Author : Erving Goffman
Publisher : Routledge
ISBN 13 : 1351327747
Total Pages : 426 pages
Book Rating : 4.3/5 (513 download)

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Book Synopsis Asylums by : Erving Goffman

Download or read book Asylums written by Erving Goffman and published by Routledge. This book was released on 2017-09-08 with total page 426 pages. Available in PDF, EPUB and Kindle. Book excerpt: A total institution is defined by Goffman as a place of residence and work where a large number of like-situated, individuals, cut off from the wider society for an appreciable period of time, together lead an enclosed, formally administered round of life. Prisons serve as a clear example, providing we appreciate that what is prison-like about prisons is found in institutions whose members have broken no laws. This volume deals with total institutions in general and, mental hospitals, in particular. The main focus is, on the world of the inmate, not the world of the staff. A chief concern is to develop a sociological version of the structure of the self. Each of the essays in this book were intended to focus on the same issue--the inmate's situation in an institutional context. Each chapter approaches the central issue from a different vantage point, each introduction drawing upon a different source in sociology and having little direct relation to the other chapters. This method of presenting material may be irksome, but it allows the reader to pursue the main theme of each paper analytically and comparatively past the point that would be allowable in chapters of an integrated book. If sociological concepts are to be treated with affection, each must be traced back to where it best applies, followed from there wherever it seems to lead, and pressed to disclose the rest of its family.

Beyond the Asylum

Author : Claire E. Edington
Publisher : Cornell University Press
ISBN 13 : 150173394X
Total Pages : 310 pages
Book Rating : 4.5/5 (17 download)

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Book Synopsis Beyond the Asylum by : Claire E. Edington

Download or read book Beyond the Asylum written by Claire E. Edington and published by Cornell University Press. This book was released on 2019-04-15 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a must-read for any specialist in the history of colonial and post-colonial psychiatry, as well as a fantastic case study for those interested in the social history of European colonialism more generally.― Choice Claire Edington's fascinating look at psychiatric care in French colonial Vietnam challenges our notion of the colonial asylum as a closed setting, run by experts with unchallenged authority, from which patients rarely left. She shows instead a society in which Vietnamese communities and families actively participated in psychiatric decision-making in ways that strengthened the power of the colonial state, even as they also forced French experts to engage with local understandings of, and practices around, insanity. Beyond the Asylum reveals how psychiatrists, colonial authorities, and the Vietnamese public debated both what it meant to be abnormal, as well as normal enough to return to social life, throughout the early twentieth century. Straddling the fields of colonial history, Southeast Asian studies and the history of medicine, Beyond the Asylum shifts our perspective from the institution itself to its relationship with the world beyond its walls. This world included not only psychiatrists and their patients, but also prosecutors and parents, neighbors and spirit mediums, as well as the police and local press. How each group interacted with the mentally ill, with each other, and sometimes in opposition to each other, helped decide the fate of those both in and outside the colonial asylum.

Colonizing Madness

Author : Jacqueline Leckie
Publisher : University of Hawaii Press
ISBN 13 : 0824881907
Total Pages : 296 pages
Book Rating : 4.8/5 (248 download)

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Book Synopsis Colonizing Madness by : Jacqueline Leckie

Download or read book Colonizing Madness written by Jacqueline Leckie and published by University of Hawaii Press. This book was released on 2019-12-31 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: In Colonizing Madness Jacqueline Leckie tells a forgotten story of silence, suffering, and transgressions in the colonial Pacific. It offers new insights into a history of Fiji by entering the Pacific Islands’ most enduring psychiatric institution—St Giles Psychiatric Hospital—established as Fiji’s Public Lunatic Asylum in 1884. Her nuanced study reveals a microcosm of Fiji’s indigenous, migrant, and colonial communities and examines how individuals and communities lived with the label of madness in an ethnically complex island society. Tracking longitudinal change from the 1880s to the present in the construction and treatment of mental disorder in Fiji, the book emphasizes the colonization of madness across and within the divides of culture, ethnicity, religion, gender, economics, and power. Colonization of madness in Fiji was forged by the entanglement of colonial institutions and cultures that reflected tensions and prejudices within homes, villages, workplaces, and churches. Mental despair was equally an outcome of the destruction and displacement wrought by migration and colonialism. Madness was further cast within the wider world of colonial psychiatry, Western biomedicine, and asylum building. One of the chapters explores medical discourse and diagnoses within colonial worlds and practices. The “community within” the asylum is a feature in Leckie’s study, with attention to patient agency to show how those labeled insane resisted diagnoses of their minds, confinement, and constraints—ranging from straitjackets to electric shock treatments to drug therapies. She argues that madness in colonial Fiji reflects dynamics between the asylum and the community, and that “reading” asylum archives sheds new light on race/ethnicity, gender, and power in colonial Fiji. Exploring the meaning of madness in Fiji, the author does not shy away from asking controversial questions about how Pacific cultures define normality and abnormality and also how communities respond. Carefully researched and clearly written, Colonizing Madness offers an engaging narrative, a superb example of an intersectional history with a broad appeal to understanding global developments in mental health. Her theses address the contradictions of current efforts to discard the asylum model and to make mental health a reality for all in postcolonial societies.

The Last Asylum

Author : Barbara Taylor
Publisher : University of Chicago Press
ISBN 13 : 022627392X
Total Pages : 316 pages
Book Rating : 4.2/5 (262 download)

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Book Synopsis The Last Asylum by : Barbara Taylor

Download or read book The Last Asylum written by Barbara Taylor and published by University of Chicago Press. This book was released on 2015-04-15 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the late 1970s, Barbara Taylor, then an acclaimed young historian, began to suffer from severe anxiety. In the years that followed, Taylor's world contracted around her illness. Eventually, she was admitted to what had once been England's largest psychiatric institutions, the infamous Friern Mental Hospital in London

Sanctuary and Asylum

Author : Linda Rabben
Publisher : University of Washington Press
ISBN 13 : 0295999144
Total Pages : 352 pages
Book Rating : 4.2/5 (959 download)

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Book Synopsis Sanctuary and Asylum by : Linda Rabben

Download or read book Sanctuary and Asylum written by Linda Rabben and published by University of Washington Press. This book was released on 2016-09-01 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: The practice of sanctuary—giving refuge to the threatened, vulnerable stranger—may be universal among humans. From primate populations to ancient religious traditions to the modern legal institution of asylum, anthropologist Linda Rabben explores the long history of sanctuary and analyzes modern asylum policies in North America, Europe, and elsewhere, contrasting them with the role that courageous individuals and organizations have played in offering refuge to survivors of torture, persecution, and discrimination. Rabben gives close attention to the mid-2010s refugee crisis in Europe and to Central Americans seeking asylum in the United States. This wide-ranging, timely, and carefully documented account draws on Rabben’s experiences as a human rights advocate as well as her training as an anthropologist. Sanctuary and Asylum will help citizens, professionals, and policy makers take informed and compassionate action. A Capell Family Book

Identities on Trial in the United States

Author : ChorSwang Ngin
Publisher : Rowman & Littlefield
ISBN 13 : 1498574742
Total Pages : 267 pages
Book Rating : 4.4/5 (985 download)

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Book Synopsis Identities on Trial in the United States by : ChorSwang Ngin

Download or read book Identities on Trial in the United States written by ChorSwang Ngin and published by Rowman & Littlefield. This book was released on 2018-08-15 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt: ChorSwang Ngin radically shifts the asylum-seeking narrative by focusing on rarely heard stories of persecution and escape from China and southeast Asia. Identities on Trial in the United States weaves together the cases of a tortured student from a Myanmar prison, an apostate of Islam, several victims of ethnic and sexual violence from Indonesia, and the escape of men and women from China’s draconian one-child policy, among others. Joann Yeh, an immigration attorney and contributor to this work, examines asylum seeking in a Mandarin-speaking Californian community and discuss the failure of the United States' quasi-judicial immigration system, highlighting "asylum lawfare" in courtroom dramas and arguing for an anthropological advantage in asylum preparation. This book is an essential text for policy makers, students, lawyers, activists, and those engaged with migration studies seeking a more just asylum outcome.

Asylum Medicine

Author : Katherine C. McKenzie
Publisher : Springer Nature
ISBN 13 : 3030815803
Total Pages : 250 pages
Book Rating : 4.0/5 (38 download)

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Book Synopsis Asylum Medicine by : Katherine C. McKenzie

Download or read book Asylum Medicine written by Katherine C. McKenzie and published by Springer Nature. This book was released on 2021-12-02 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Asylum medicine, a field encompassing medical forensic evaluations of asylum seekers, is an emerging discipline in healthcare. In a time of record global displacement due to human rights violations, conflict and persecution, interest in the medical and psychological evaluation of individuals subjected to torture and other ill-treatment is high. Health professionals are uniquely qualified to use their skills to make contributions to a group of vulnerable individuals fleeing danger and death in their home countries. Health professionals involved in asylum medicine perform medical and psychological forensic evaluations of asylum seekers. Their educational background prepares them to examine and describe physical and emotional scars related to trauma, and further training allows them to assess these scars in the context of persecution, describe them in a medical-legal affidavit and support these findings with testimony. Providers of asylum medicine are often involved in advocacy, as many governments become increasingly hostile to asylum seekers. Books on human rights exist, but there is no authoritative text of asylum medicine. This book presents a comprehensive overview of asylum medicine, with emphasis on the historical and legal background of asylum law, best practices for performing asylum examinations, challenges of examining detained asylum seekers, education of trainees and advocacy. Written by experts in the field, Asylum Medicine: A Clinician's Guide is a first of its kind resource for health care providers who practice asylum medicine.

The Confinement of the Insane

Author : Roy Porter
Publisher : Cambridge University Press
ISBN 13 : 9780521802062
Total Pages : 392 pages
Book Rating : 4.8/5 (2 download)

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Book Synopsis The Confinement of the Insane by : Roy Porter

Download or read book The Confinement of the Insane written by Roy Porter and published by Cambridge University Press. This book was released on 2003-08-07 with total page 392 pages. Available in PDF, EPUB and Kindle. Book excerpt: This collection of essays explores the development of the lunatic asylum, and the concept of confinement for those considered insane, in different national contexts over the nineteenth and twentieth centuries. Leading scholars in the field of medical history have contributed extensive primary research through individual case studies in the context of the legal, social, economic, and political situations of thirteen different countries. The book represents the first truly international history of the mental hospital, and is, therefore, a landmark comparative study in the history of medicine.

Colorization

Author : Wil Haygood
Publisher : Knopf
ISBN 13 : 0525656871
Total Pages : 473 pages
Book Rating : 4.5/5 (256 download)

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Book Synopsis Colorization by : Wil Haygood

Download or read book Colorization written by Wil Haygood and published by Knopf. This book was released on 2021-10-19 with total page 473 pages. Available in PDF, EPUB and Kindle. Book excerpt: A NEW YORK TIMES CRITICS' TOP BOOK OF THE YEAR • BOOKLISTS' EDITOR'S CHOICE • ONE OF NPR'S BEST BOOK OF THE YEAR “At once a film book, a history book, and a civil rights book.… Without a doubt, not only the very best film book [but] also one of the best books of the year in any genre. An absolutely essential read.” —Shondaland This unprecedented history of Black cinema examines 100 years of Black movies—from Gone with the Wind to Blaxploitation films to Black Panther—using the struggles and triumphs of the artists, and the films themselves, as a prism to explore Black culture, civil rights, and racism in America. From the acclaimed author of The Butler and Showdown. Beginning in 1915 with D. W. Griffith's The Birth of a Nation—which glorified the Ku Klux Klan and became Hollywood's first blockbuster—Wil Haygood gives us an incisive, fascinating, little-known history, spanning more than a century, of Black artists in the film business, on-screen and behind the scenes. He makes clear the effects of changing social realities and events on the business of making movies and on what was represented on the screen: from Jim Crow and segregation to white flight and interracial relationships, from the assassination of Malcolm X, to the O. J. Simpson trial, to the Black Lives Matter movement. He considers the films themselves—including Imitation of Life, Gone with the Wind, Porgy and Bess, the Blaxploitation films of the seventies, Do The Right Thing, 12 Years a Slave, and Black Panther. And he brings to new light the careers and significance of a wide range of historic and contemporary figures: Hattie McDaniel, Sidney Poitier, Berry Gordy, Alex Haley, Spike Lee, Billy Dee Willliams, Richard Pryor, Halle Berry, Ava DuVernay, and Jordan Peele, among many others. An important, timely book, Colorization gives us both an unprecedented history of Black cinema and a groundbreaking perspective on racism in modern America.

Closing The Asylum

Author : Peter Barham
Publisher :
ISBN 13 : 9781899209217
Total Pages : 238 pages
Book Rating : 4.2/5 (92 download)

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Book Synopsis Closing The Asylum by : Peter Barham

Download or read book Closing The Asylum written by Peter Barham and published by . This book was released on 2020-12 with total page 238 pages. Available in PDF, EPUB and Kindle. Book excerpt: Closing The Asylum: The Mental Patient in Modern Society. The Covid-19 pandemic has affected the mental health of almost everyone, but it has impacted most severely on disadvantaged groups such as people with severe mental health problems, throwing pre-existing inequalities into sharper and starker relief. Though they had mostly all been closed by the turn of the century, the passing of the old Victorian asylums is still a matter of enduring controversy. In this acclaimed book, first published almost thirty years ago, Peter Barham examines the changing fortunes of mental patients in the era of the asylum and after. He demonstrates powerfully that the closure of mental hospitals cannot meet the real needs of people with severe mental health problems without a profound rethinking of the role, rights and status of the former mental patient in society. In a prologue to this new edition, he highlights the ironies of a post-asylum present afflicted by welfare minimalism, widespread deprivation and impoverishment, and a dramatic increase in the use of coercion and constraint in the delivery of mental health care. Closing the Asylum sets the scene for understanding how the experience of being treated as second class citizens has come about, and the author's forceful warnings of the dangers in the current mental health scene are highly germane to any consideration of what must change in our society after Covid. Veteran mental health survivor and campaigner Peter Campbell also contributes a preface in which he examines the passing of the asylums, and their after-life, in the light of his own experience.

Out of the Madhouse

Author : Margaret Leggatt
Publisher : Australian Scholarly Publishing
ISBN 13 : 1925984265
Total Pages : 303 pages
Book Rating : 4.9/5 (259 download)

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Book Synopsis Out of the Madhouse by : Margaret Leggatt

Download or read book Out of the Madhouse written by Margaret Leggatt and published by Australian Scholarly Publishing. This book was released on 2021-01-29 with total page 303 pages. Available in PDF, EPUB and Kindle. Book excerpt: 2020 Victorian Community History Award Winner Larundel Psychiatric Hospital was ‘the madhouse on the edge of town’ – until the 1990s, a Melbourne cultural icon shrouded in mystery in the outer suburb of Bundoora. What was it really like inside this madhouse? This story takes us into the heart of Larundel through the voices of former inmates and staff, exposing the best and worst aspects of the mental institutions of the times. It shows the shifts in psychiatric treatments, the social forces at play, and changes driving mental health policy. It explores what de-institutionalisation and ‘care in the community’ actually meant for those suffering mental illness, as well as for those treating, and caring for them. What did we lose with Larundel’s closure in 1999 and the move to acute psychiatric wards in general hospitals? The notion of asylum? Is the more recent notion of ‘recovery’ a hopeful signpost towards a brave new world for mental health? The authors are Sandy Jeffs, a former inmate of Larundel, who became an advocate for her ‘mad’ comrades and is now a poet of distinction; and Margaret Leggatt, sociologist, occupational therapist and activist for the friends and families of mentally ill people. ‘A significant and lively contribution to the history of mental health services in Australia, offering vital insights for the progress we must work for.’ – Jack Heath, CEO, SANE Australia

Mental Health Practice with Immigrant and Refugee Youth

Author : Beverley Heidi Ellis
Publisher : Concise Guides on Trauma Care
ISBN 13 : 9781433831492
Total Pages : 0 pages
Book Rating : 4.8/5 (314 download)

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Book Synopsis Mental Health Practice with Immigrant and Refugee Youth by : Beverley Heidi Ellis

Download or read book Mental Health Practice with Immigrant and Refugee Youth written by Beverley Heidi Ellis and published by Concise Guides on Trauma Care. This book was released on 2019-11 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a framework to guide mental health providers who work with refugees and immigrants. Nearly 70 million people today are refugees or forcibly-displaced migrants. More than half of them are children suffering from the effects of dislocation and violence. The authors describe the unique needs and challenges of serving these populations, and offer concrete steps for providing evidence-based, culturally-responsive care. Using the socioecological model, the authors conceptualize the developing child as living within concentric circles that include family, school, neighborhood, and society, embedded within a cultural context. Mental health providers identify and provide targeted support to combat disruptions within any or all of these ecological layers. Chapters examine the complex ways in which culture impacts the refugee experience, barriers to engagement in mental health practice and strategies for overcoming them, assessment, collaborative and integrated mental health interventions, and efforts to increase resilience in children, families, and communities. The book is an essential guide for mental health providers, and all who seek to help children in need.

Public Health Aspects of Mental Health Among Migrants and Refugees

Author : Centers of Disease Control
Publisher : Health Evidence Network Synthe
ISBN 13 : 9789289051651
Total Pages : 0 pages
Book Rating : 4.0/5 (516 download)

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Book Synopsis Public Health Aspects of Mental Health Among Migrants and Refugees by : Centers of Disease Control

Download or read book Public Health Aspects of Mental Health Among Migrants and Refugees written by Centers of Disease Control and published by Health Evidence Network Synthe. This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The increasing number of refugees, asylum seekers, and irregular migrants poses a challenge for mental health services in Europe. This review found that these groups are exposed to risk factors for mental disorders before, during, and after migration. The prevalence of psychotic, mood, and substance-use disorders in these groups varies but overall resembles that in the host populations. Refugees and asylum seekers, however, have higher rates of post-traumatic stress disorder. Poor socioeconomic conditions are associated with increased rates of depression five years after resettlement. Refugees, asylum seekers, and irregular migrants encounter barriers to accessing mental health care. Good practice for mental health care includes promoting social integration, developing outreach services, coordinating health care, providing information on entitlements and available services, and training professionals to work with these groups. These actions require resources and organizational flexibility.

The Ungrateful Refugee

Author : Dina Nayeri
Publisher : Canongate Books
ISBN 13 : 1786893479
Total Pages : 307 pages
Book Rating : 4.7/5 (868 download)

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Book Synopsis The Ungrateful Refugee by : Dina Nayeri

Download or read book The Ungrateful Refugee written by Dina Nayeri and published by Canongate Books. This book was released on 2019-05-30 with total page 307 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'A vital book for our times' ROBERT MACFARLANE 'Unflinching, complex, provocative' NIKESH SHUKLA 'A work of astonishing, insistent importance' Observer Aged eight, Dina Nayeri fled Iran along with her mother and brother, and lived in the crumbling shell of an Italian hotel-turned-refugee camp. Eventually she was granted asylum in America. Now, Nayeri weaves together her own vivid story with those of other asylum seekers in recent years. In these pages, women gather to prepare the noodles that remind them of home, a closeted queer man tries to make his case truthfully as he seeks asylum and a translator attempts to help new arrivals present their stories to officials. Surprising and provocative, The Ungrateful Refugee recalibrates the conversation around the refugee experience. Here are the real human stories of what it is like to be forced to flee your home, and to journey across borders in the hope of starting afresh.

Asylum on the Hill

Author : Katherine Ziff
Publisher :
ISBN 13 : 9780821423417
Total Pages : 0 pages
Book Rating : 4.4/5 (234 download)

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Book Synopsis Asylum on the Hill by : Katherine Ziff

Download or read book Asylum on the Hill written by Katherine Ziff and published by . This book was released on 2018-07-31 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Asylum on the Hill is the story of a great American experiment in psychiatry, a revolution in care for those with mental illness, as seen through the example of the Athens Lunatic Asylum. Built in southeast Ohio after the Civil War, the asylum embodied the nineteenth-century "gold standard" specifications of moral treatment. Stories of patients and their families, politicians, caregivers, and community illustrate how a village in the coalfields of the Hocking River valley responded to a national movement to provide compassionate care based on a curative landscape, exposure to the arts, outdoor exercise, useful occupation, and personal attention from a physician. Katherine Ziff's compelling presentation of America's nineteenth-century asylum movement shows how the Athens Lunatic Asylum accommodated political, economic, community, family, and individual needs and left an architectural legacy that has been uniquely renovated and repurposed. Incorporating rare photos, letters, maps, and records, Asylum on the Hill is a fascinating glimpse into psychiatric history.