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Presents an analysis of life in 'total institutions' - closed worlds like prisons, army camps, boarding schools, nursing homes and mental hospitals. This book focuses on the relationship between the inmate and the institution, how the setting affects the person and how the person can deal with life on the inside.
Based on his participant observation field work (he was employed as a physical therapist's assistant under a grant from the National Institute of Mental Health at a mental institution in Washington, D.C.), Goffman details his theory of the "total institution" (principally in the example he gives, as the title of the book indicates, mental institutions) and the process by which it takes efforts to maintain predictable and regular behavior on the part of both "guard" and "captor," suggesting that many of the features of such institutions serve the ritual function of ensuring that both classes of people know their function and social role, in other words of "institutionalising" them. Goffman concludes that adjusting the inmates to their role has at least as much importance as "curing" them. In the essay "Notes on the Tinkering Trades," Goffman concluded that the "medicalization" of mental illness and the various treatment modalities are offshoots of the 19th century and the Industrial Revolution and that the so-called "medical model" for treating patients was a variation on the way trades- and craftsmen of the late 19th century repaired clocks and other mechanical objects: in the confines of a shop or store, contents and routine of which remained a mystery to the customer.
The book comprises four free-standing essays On the Characteristics of Total Institutions, The Moral Career of the Mental Patient, The Underlife of a Public Institution and The Medical Model and Mental Hospitalization.