deinstitutionalisation as a machine, as a diagram colombo

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    Total institutions are not dead,

    they just smell funny.

    Vito Flaker

    Faculty for Social Work

    University of Ljubljana

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    Total institution is an

    assemblage.

    The deinstitutionalisation of the medieval monasteries,

    courts and leprosaria gave birth to a new general totalinstitution (Great Closure),

    social margin, indirect charity and caring professionswere invented.

    The fall of the Bastille - yet another

    deinstitutionalisation rebirth of of special institutions (prisons, lunatic asylums,

    workhouses, borstals etc.),

    efficient in discipline

    providing a simulacrumstatus of the contractual individual. Discontinuity of the labels and destinies.

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    Abstract machine

    escapes history; it is an abstract machine (Deleuze, Guattari,1980),

    appearing in different forms in different historic epochs anddifferent social environments.

    re-enacting the blueprint, abstract scheme, assembling of themachine from various historical matters (power) and assemblingvarious expressions of human destinies.

    an ideal type: no concrete institution has all the features of thetotal institution and none of its features is characteristic only forthe total institutions (Goffman,1961)

    Although abstract it is very real, the total institution is a social fact(Castel, 1989).

    aggiornamento of the total institution, its ability to rise likePhoenix from the ashes (Castel, 1976)

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    Components

    Enclosed space One explanation (illness) A lot of people in one place

    Gap between the staff and inmates Guardian power[1] Processing of the people Central plan

    [1] The staff take care of inmates, decide ontheir behalf.

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    Atributes

    Total life is contained in its totality, everything is taken care of byothers.

    Anti-household there is no familiarity, even the housework isdelegated to the special services.

    Homogeneous create a mass of uniformed individuals, marked byone dominant characteristic (e.g. mental illness, crime)

    Artificial people are not there because of friendship, kinship,common interests, their relationships are artificial and unavoidable.

    Non-verbal although ideology is an important part of the totalinstitution it is mainly regulated by non-verbal signs and rules (space,procedures, gazes, sitting orders, departments, medications, etc.).

    Punitive life in a total institution is based on the reward andpunishment giving or taking privileges.

    Intensealthough the inmates experienced it as a loss of time, theexperience is remembered as intense and important.

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    Social functions

    Containing the people not to wander

    around.

    Producing the deviant careers if you

    have not been in the bin you are not a real

    loony.

    Creating of the professional powerif we

    can not reach an agreement you can still

    be sent to the bin.

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    Deinstitutionalisation as a

    machine, as a diagram:

    Polemic

    Programmatic

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    Aim and target Attack, critique and

    demolition

    Programme, inventions

    and innovation

    Space and movement Closing, containment of

    population

    Opening, enabling

    movements

    Type of programmes Hard core of institutions

    Community programmes foronly easy cases

    Programmes for hard

    cases

    Relationship to total

    institution

    Complementarymutual

    reinforcement

    Alternativenegate total

    institution

    Relationship between the

    users and professionals

    Dependence and oppression

    of users

    Empowerment and inclusion

    Social body Special body Connecting to other parts of

    the social

    Table: deinstitutionalising machine

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    Aim and target Attack, critique anddemolition

    Programme, inventionsand innovation

    Function of staff Custodian, tutoring,

    guarding, patronising role of

    professionals

    Role of an advocate

    Other people Segregation Inclusion of different actors

    Type of reasoning Deductive Inductive

    Subjective Guilt Value of unique experience

    Organisation of experience Individualism,

    standardisation, isolation

    New spaces of collective

    freedom (camps, networks,

    total communities).

    Table: deinstitutionalising machine cont.

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    Normalisation (social role

    valorisation) Choices they can make

    Relationships they form

    Scope ofparticipation in decision making

    Degree ofmixingwith other people

    Possibilities forpersonal growth

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    Real Choices

    How much we control our lives? Can we make choices?

    Labelled and devalued people are often seen as not being able to

    make choices. The consequence is that they have little or no choice.So they have limited opportunities and experiences. Therefore,

    little or no success when choosing. This leads to low self-esteem.

    If the choices are enabled and the support in choosing and

    understanding choice is given, a person is seen as competent andable to cooperate. He has opportunities for diverse experience.

    Self-esteem grows with successful choices. Experience and

    capabilities to choose should increase it and therefore also the

    choices we make.

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    Good Relationships

    People need to be respected. Love, respect, regard for

    intimacy and sexuality, sharing, closeness, friendship,

    taking ones time when needed, empathy and

    consideration are vitally important. It means that

    people can rely on you, know you, because they are

    your friends, lovers.

    When relationships are not good, we notice distance,

    coldness, disgust or disdain. Only partial role is beingoffered not the whole person. Pity and control

    dominate; one is just a member of some group, not a

    person.

    Respect Friendship Love

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    Participation

    Participation is measure of power and

    citizenship. It is way of implementing

    rights. People can be treated as objects,but also consulted, represented. They can

    manage services or even own them.

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    Mixing

    Integration is of vital importance. It enables people to learn new

    skills, extend the experience and provide a role model.

    There is internal segregation of the staff and inmates (segregated

    facilities, segregated activities etc.) and there is externalsegregation or apartheid. Services can encourage or discourage

    use of external, ordinary facilities (going to public libraries,

    evening classes, places of culture or commerce, etc.)

    Membership in reputable community organization, visiting valued

    spaces, use of ordinary transport (cars, taxis, buses), and visits ofnot paid, valued people make a person more valued. Use of the

    segregated facilities, residing in an asylum, being driven in an

    official vehicle additionally stigmatises a person and makes him or

    her devalued.

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    Personal development

    Services can make people feel welcome and important.

    They can encourage them to develop or give off the

    impression that this is futile. They can provide means

    of intimacy or denude most of the aspects of life. Peoplecan be treated as individuals or they can be herded and

    regimented.

    People can be labelled negatively:

    Sick, childish, dependent, thief, subnormal, stupid,

    ugly, vile:

    Or regarded positively

    A lover, wise, citizen, student, talented, friend, worker,

    tenant.