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25 of 60 people found the following review helpful:
1.0 out of 5 stars
yes, ok, hmm - NO!!!, 14 Sep 2003
I'm an undergraduate sociologist, who unfortunatly had to read this book for his exams. If you have any choice in the matter I say leave it alone. Now.Goffman... He is a marvel. He must have written the book for himself, as it's certainly not accesible to anyone else. I think the questions of identity that severe mental illness raises are both profound and interesting. Goffman chooses to pursue them ily, concentrating on his own theories, and forcing his observations (when he bothers to make them) to fit. Sadly, like many sociologists, Goffman feels the need to make grandiose proclaimations such as "patients thought such-and-such" then follow them up not with detailed accounts, not with carefully calculated statistics, not with patient testimonies... but with nothing. His central themes are simply ideas that he's dreamed up, based on little or nothing. The points he makes that do have a basis are almost always overly simplistic. For example, he talks of most patients being incarcerated for life. At the time this was written over 80% of patients under the age of 60 were discharged within five years. He talks of the terrible conditions in the asylums. This is partly true - but was it really due to the doctors attempting to exert their despotic control over the general populace, or was it that due to burgeoning numbers of people being commited, doctors had up to 500 patients each to cope with and little in the way of therapeutic treatment? Throughout runs the underlying assumption that there is no such thing as mental illness - that it is created by society. I wonder what he thinks neurosyphilis is? The disease has been known for hundreds of years, as have the characteristic brain lesions the treponema spirochaetes cause. What about Korsakoff psychosis, or schizophrenia? Above all is the complete failure to realise that there is no difference between the brain (and it's biology), and the mind (and it's psycholgy). Psychology is simply very complex biology we don't yet understand - biology that is influenced by our experiences however. Overall, I found Goffman's refusal to accept that biology has anything to with mental health deeply annoying, and illustrative of a mind that had formed it's conclusions without even looking at the reality. Again, like his book on the self, avoid this. Try Edward Shorter's excellent A History of Psychiatry instead for a genuinely informed opinion.
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