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The Social Context of Psychiatric Rehabilitation in China

Published online by Cambridge University Press:  06 August 2018

Veronica Pearson*
Affiliation:
University of Hong Kong
Michael R. Phillips
Affiliation:
Shashi City Veterans Psychiatric Hospital, PRC, and Harvard Medical School, USA
*
Dr V. Pearson, Department of Social Work and Social Administration, University of Hong Kong, Pokfulam Road, Hong Kong

Extract

A Western psychiatrist visiting a ward, out-patient department, or sheltered workshop in China would find much that was familiar, not only in terms of clinical syndromes and medication usage but also in the paucity of resources, problems with administrative hierarchies, and lack of status accorded by medical colleagues to psychiatry. Chinese psychiatric patients able to converse with their Western counterparts would discover that they shared much of the experience in common: stigma, problems with employment, and difficulties in finding a marital partner. Patients' relatives from East and West, likewise, would be able to recite a litany of similar concerns and complaints: the need for guidance and advice in handling disturbed behaviour at home, the gossip of neighbours, and the fear of another relapse.

Type
I. The Chinese Setting for Rehabilitation Services
Copyright
Copyright © 1994 The Royal College of Psychiatrists 

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References

Anthony, W. A. & Liberman, R. P. (1986) The practice of psychiatric rehabilitation: historical, conceptual and research base. Schizophrenia Bulletin, 12, 542559.CrossRefGoogle ScholarPubMed
Barton, R. (1959) Institutional Neurosis. Bristol: John Wright.Google Scholar
Bennett, D. (1991) The historical development of rehabilitation services. In Theory and Practice of Psychiatric Rehabilitation (2nd edn) (eds F. Watts & D. Bennett), pp. 1542. Chichester: John Wiley.Google Scholar
Bueber, M. (1992) Letter from China (No. 1). Archives of Psychiatric Nursing, 6, 6164.CrossRefGoogle ScholarPubMed
Bueber, M. (1993) Letter from China (No. 3). Archives of Psychiatric Nursing, 7, 249253.CrossRefGoogle ScholarPubMed
Chan, C. L. W. & Chow, N. W. S. (1992) More Welfare After Economic Reform? Welfare Development in the People's Republic of China. Hong Kong: Centre for Urban Planning and Environmental Management.Google Scholar
Chin, R. & Chin, A. L. (1969) Psychological Research in Communist China, 1949–1966. Cambridge, Massachusetts: MIT Press.Google Scholar
China Daily (1992) Medical cost reforms (19 June, p. 3).Google Scholar
Goffman, E. (1961) Asylums. London: Penguin.Google Scholar
Gu, X. Y., Bloom, G., Tang, S. L., et al (1993) Financing health care in rural China: preliminary report of a nationwide study. Social Science and Medicine, 36, 385391.Google ScholarPubMed
Henderson, G. (1990) Increased inequality in health care. In Chinese Society on the Eve of Tiananmen: The Impact of Reform (eds Davis D. & Vogel E.), pp. 263282. Cambridge, Massachusetts: Harvard University Press.CrossRefGoogle Scholar
Hillier, S. (1988) Health and medicine in the 1980s. In Reforming the Revolution: China In Transition (eds Benewick R. & Wingrove P.), pp. 149160. London: Macmillan.CrossRefGoogle Scholar
Hillier, S. & Jewell, J. M. (1983) Health Care and Traditional Chinese Medicine In China, 1800–1982. London: Routledge & Kegan Paul.Google Scholar
Hsiao, W. (1984) Transformation of health care in China. New England Journal of Medicine, 310, 932936.CrossRefGoogle ScholarPubMed
Huang, C. & Cao, Y. (1992) Go into business health sector told. China Daily (26 June, p. 3).Google Scholar
Kleinman, A. (1986) Social Origins of Distress and Disease; Depression, Neurasthenia and Pain in Modern China. New Haven: Yale University Press.Google Scholar
Leff, J. (1993) The rehabilitation of long term psychiatric patients in the community. In Psychiatric Rehabilitation: The Asian Experience (eds Pearson V., N. Rhind L. Barker, et al), pp. 6680. Hong Kong: Centre for Social Sciences Research, University of Hong Kong.Google Scholar
Lin, T. Y. & Eisenberg, L. (1985) Mental Health Planning for One Billion People. Vancouver: University of British Columbia Press.Google Scholar
Lucas, A. (1982) Chinese Medical Modernization; Comparative Policy Continuities, 1930s–1980s. New York: Praeger.Google Scholar
Lyman, R. S. (1939) Neuropsychiatry in China. Peking: Henri Vetch.Google Scholar
Ministry of Public Health (1993) China Health Statistics Annual (In Chinese). Beijing: People's Health Publishing House.Google Scholar
Nagaswami, V. (1993) The influence of explanatory models of mental disorders on concepts and practice of psychosocial rehabilitation. In Psychiatric Rehabilitation: The Asian Experience (eds Pearson V., Rhind N., Barker L., et al), pp. 4865. Hong Kong: Centre for Social Sciences Research, University of Hong Kong.Google Scholar
Pearson, V. (1989) Making a virtue of necessity: hospital and community psychiatric care in China. International Social Work, 32, 5363.CrossRefGoogle Scholar
Pearson, V. (1991) Mental Illness In The People's Republic: An Exploratory Study of Chinese Experience. PhD thesis, University of York, UK.Google Scholar
Pearson, V. (1992) Community and culture: a Chinese model of care for the mentally ill. International Journal of Social Psychiatry, 38, 163178.CrossRefGoogle ScholarPubMed
Pearson, V. & Phillips, M. R. (1994) Psychiatric social work and socialism: problems and prospects in China. Social Work, 39, 280287.Google Scholar
Perring, C., Twigg, J. & Aitken, K. (1990) Families Caring for People Diagnosed as Mentally Ill: The Literature Re-examined. London: HMSO.Google Scholar
Phillips, M. R. (1993) Strategies used by Chinese families coping with schizophrenia. In Chinese Families in the Post-Mao Era (eds Davis D. & Harrell S.), pp. 277306. Berkeley and Los Angeles: University of California Press.Google Scholar
Phillips, M. R. (1994) The influence of social, political, and economic factors on the evolution of mental health services in China. Working Paper No. 20, Series on International Mental & Behavioral Health. Centre for the study of Culture and Medicine, Harvard University.Google Scholar
Phillips, M. R., Xiong, W. & Zhao, Z. A. (1990) Issues Related to the Use of Assessment Instruments for Negative and Positive Psychiatric Symptoms (in Chinese). Hubei: Science and Technology Press.Google Scholar
Pilling, S. (1991) Rehabilitation and Community Care. London: Routledge.Google Scholar
Psychological Medicine Research Centre of the West China University of Medical Sciences (1990) National Listing of the Treatment, Educational, and Research Institutions for Mental Health (in Chinese). Chengdu: Sichuan Psychological Association.Google Scholar
Shepherd, G. (1991) Psychiatric rehabilitation for the 1990s. In Theory and Practice of Psychiatric Rehabilitation, (2nd edn) (eds Watts F. H. & Bennett D. H.), pp. xiiixlviii. Chichester: John Wiley.Google Scholar
State Council (1992) Work Programme for Disabled Persons During the Period of the 8th Five-Year National Development Plan (1991–1995). Beijing: Huaxia.Google Scholar
State Statistical Bureau of the People's Republic of China (1992) Statistical communique on national economic and social development in 1991. China Daily (Business Week) (8–14 March, p. 4).Google Scholar
Torrey, E. F. (1988) Surviving Schizophrenia: A Family Manual (3rd edn). New York: Harper & Row.Google Scholar
Wansborough, S. N. (1981) The place of work in rehabilitation. In Handbook of Psychiatric Rehabilitation Practice (eds Wing J. & Morris B.), pp. 7994. Oxford: Oxford University Press.Google Scholar
Watts, F. N. & Bennett, D. H. (1991) Introduction: the concept of rehabilitation. In Theory and Practice of Psychiatric Rehabilitation (2nd edn) (eds Watts F. N. & Bennett D. H.), pp. 314. Chichester: John Wiley.Google Scholar
Wing, J. & Brown, G. (1971) Institutionalism and Schizophrenia: A Comparative Study of Three Mental Hospitals 1960–68. Cambridge: Cambridge University Press.Google Scholar
Wing, J. & Brown, G. & Morris, B. (1981) Clinical basis of rehabilitation. In Handbook of Psychiatric Rehabilitation Practice (eds Wing J. & Morris B.), pp. 316. Oxford: Oxford University Press.Google Scholar
Wong, L. (1990) Rehabilitation services in China: policy and outcomes. Asian Journal of Public Administration, 12, 196213.CrossRefGoogle Scholar
Wong, L. (1992) Social Welfare Under Chinese Socialism – A Case Study of the Ministry of Civil Affairs. PhD thesis, London School of Economics, UK.Google Scholar
Wong, L. (1994) Privatisation of social welfare in post-Mao China. Asian Survey, 34, 307325.CrossRefGoogle Scholar
Xiong, W., Phillips, M. R., Hu, X., et al (1994) Family-based intervention for schizophrenic patients in China: a randomised controlled trial. British Journal of Psychiatry, 165, 239247.CrossRefGoogle Scholar
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