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Conceptions Of Madness In The Middle Ages

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ABSTRACT

Nowadays, the psychiatric hospital architecture is going through a restructuration and reformulation process to follow the group of therapeutic changes. This essay approaches the important relation between user and environment, highlighting the studies related to the Environmental Psychology in the conception or reformulation of the hospital facilities dedicated to mental health. In the end, it specifies general principles related to psychiatric hospital facilities and designs guidelines for specific environment of large use by patients, consisting of wards, courtyards and spaces for the practice of therapeutic activities. It is expected to promote quality improvements for these environments and thus, benefits to the physical and …show more content…

Madness was often seen as a moral issue, either a punishment for sin or a test of faith and character. Christian theology endorsed various therapies, including fasting and prayer for those separated from God and exorcism of those possessed by the devil. The care of lunatics was primarily the responsibility of the family. In England, if the family were unable or unwilling, an assessment was made by crown representatives in consultation with a local jury and all interested parties, including the subject himself or herself.
A certain number of mentally unstable the dangerous ones, were locked up in prisons. This was seen as necessary to be able to maintain the public order. There was a certain fear that the dangerous lunatics could harm the community, and that their madness could somehow spread. Prisons and other places of isolated imprisonment were the most common solutions that medieval society had to deal with aggressive, mentally unstable people.
FROM THE REINASSANCE TO THE FRENCH REVOLUTION / MODERN …show more content…

They used to say at the time that these places were a ‘place to die’.
Towards the end of the 18th century, a moral treatment movement developed, that implemented more humane, psychosocial and personalized approaches.
The creation of asylums is based on two assumptions: isolation, which removes the patient from his environment, and the moral treatment, which gives the alienist the power to exercise his influence over the disturbed mind.
The term ‘psychiatry’ only emerged in the nineteenth century, when ‘madness’ was then categorized as an illness and it was realized that removing these people from society was no longer enough and these people actually needed to be studied and treated by medicine.
The success of moral treatment had cast doubt on the approach of medics, and many had opposed it, but by the mid-19th century many supported it but argued that the mad also often had physical/organic problems, so that both approaches were

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