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Review by William Caudill - Asylums Essays On The Social Situation of Mental Patients and Other Inmates. by ErvingGoffman
Review by William Caudill - Asylums Essays On The Social Situation of Mental Patients and Other Inmates. by ErvingGoffman
Review by William Caudill - Asylums Essays On The Social Situation of Mental Patients and Other Inmates. by ErvingGoffman
by Erving
Goffman
Review by: William Caudill
American Journal of Sociology, Vol. 68, No. 3, Studies on Formal Organization (Nov., 1962),
pp. 366-369
Published by: The University of Chicago Press
Stable URL: http://www.jstor.org/stable/2774235 .
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366
University of Minnesota
BOOK REVIEWS
medical-service model for characterizing the
relation of professional psychiatric staff and
patients within the context of the mental hospital. The book as a whole provides a full
treatment of Goffman's analysis of the mental hospital and of his use of it as one illustrative case in the development of the concept of total institutions and of a set of ideas
concerning the structure of the self.
Goffman gathered the material for his essays
during a year of observational study at St.
Elizabeths Hospital. He self-consciously restricted the bulk of his observations to patients, and he says: "To describe the patient's
situation faithfully is necessarily to present
a partisan view" (pp. ix-x). The reader is
thereby warned that the description of life in
the hospital is through the patient's eyes as
seen by Goffman, but the analytical and theoretical ideas arising from the descriptive materials are adequately shorn of this limitation
on perspective and stand clear by themselves.
Perhaps in the future the other role groups in
the hospital will be found by their Goffman.
Two central themes run throughout the
book-the concept of total institutions and
the structure of the self. Of these two, the
presentation of total institutions is clearer,
while the ideas about the self seem to me to
be ambiguous and in need of further clarification.
Goffman defines a total institution 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" (p. xiii). In
addition to mental hospitals, examples of total
institutions are prisons, army barracks, ships,
boarding schools, and monasteries.
The process by which an individual comes
to enter a total institution is discussed by
Goffman for mental hospitals in his second essay under the concept of career contingencies.
The concept is apt because, as Goffman points
out, "in the degree that the 'mentally ill' outside hospitals numerically approach or surpass those inside hospitals, one could say that
mental patients distinctively suffer not from
mental illness, but from contingencies" (p.
135). There follows a sharply written description (esp. pp. 140-41) of how a person can be
stripped of his rights and liberties without
quite knowing this is happening, and end up
367
368
dividual employing methods to keep some distance, some elbow room, between himself and
that with which others assumehe should be identified.
. . . Perhapswe should further complicatethe
construct by elevating these qualificationsto a
central place, initially definingthe individual,for
sociologicalpurposes,as a stance-takingentity, a
somethingthat takes up a positionsomewherebetween identification with an organization and
oppositionto it, and is ready at the slightestpressure to regain its balanceby shifting its involvement in either direction.It is thus against something that the self can emerge....
I have argued
BOOK REVIEWS
It would be possible to understand such a
proliferation of descriptive comparisons in
terms of human outrage on the part of an
observer initially working in a large mental
hospital, but, in Goffman's presentation, there
seems to be something more implied-a general view of society and the self.
369