Modernization of Dutch psychiatry 19602000

1
Modernization of Dutch psychiatry 1960-2000

• Ruud Abma

2
Clinical practice ?1960?

• Psychopharmaca
• Psychotherapy
• Growth and specialization
• Trends
• Asylum ? psychiatric hospital
• Identity problem psychiatry medical or human
  science?

3
Academic psychiatry ?1975?

• 3 models
• Clinical psychodynamic theories experience
• Social psychiatry mental health politics
• Biological psychiatry research
• New subdisciplines
• peaceful coexistence?

4
Radical humanism ?1975?

• Targets
• Total institutions
• Medical authority
• Biological determinism
• Sociological turn identification with
  psychiatric patients

5
Rationalization ? 1990 ?

• Planning and control of mental health care
• ? epidemiology
• Standardization of discourse
• ? DSM als lingua franca
• Evidence-based practice
• ? decline of psychodynamic approach
• Decade of the brain
• ? psychiatry as a science
• Client as customer
• ? Focus on patientsrights

6
Trends 1960-2000

• clinical practice ?? biological science
• psychiatric hospital ?? ambulant treatment
• professional autonomy ?? new managerialism
• personal competence ?? protocollization
• ? Industrialization of psychiatry?