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Our Most Troubling MadnessCase Studies in Schizophrenia Across Cultures$
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T.M. Luhrmann and Jocelyn Marrow

Print publication date: 2016

Print ISBN-13: 9780520291089

Published to California Scholarship Online: May 2017

DOI: 10.1525/california/9780520291089.001.0001

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The Culture of the Institutional Circuit in the United States

The Culture of the Institutional Circuit in the United States

Chapter:
(p.153) Case 10 The Culture of the Institutional Circuit in the United States
Source:
Our Most Troubling Madness
Author(s):

T. M. Luhrmann

Publisher:
University of California Press
DOI:10.1525/california/9780520291089.003.0011

To many people in society who struggle with schizophrenia, the mental health system in the United States delivers care that is disgraceful. This is not, it should be said, the care that the health system in some sense ‘intends’ to deliver. Yet care-as-usual has become an “institutional circuit” of prison, shelter, hospital, and transitional housing which is notable mostly for the degree to which people opt out of services. This chapter describes the institutional circuit and the culture that develops on the street, in which to assert that one is “crazy” is seen as asserting weakness and vulnerability in a difficult world—and so many people chose to reject care associated with psychiatric illness.

Keywords:   United States, Chicago, Homelessness, The institutional circuit, Schizophrenia, Mental health system

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