Asylums

Special attention is focused on mental hospitals, drawing on the author's year of field work at St. Elizabeth's in Washington, D.C., one of America's most well-known institutions. It is the thesis of this book that the most important factor in forming a mental-hospital patient is the institution, not the illness, and that the patient's reactions and adjustments are those of inmates in other types of institutions as well. The first essay is a general portrait of life in a total instituion. The other three consider special aspects of this existence: the initial effects of institutionlization on the inmate's previous social relationships; the ways of adapting once in the institution; and the role of the staff in presenting to the inmate the facts of his or her situation.