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Psychiatry: past and present

People with a psychiatric disorder now have the opportunity to get good help with their problem. This is very normal in our time. However, this has not always been the case. In the past, these people were treated very poorly, they were simply put outside the gates of the city where they had to sort it out. Left to their own devices.

History

In the 12th century, psychiatry was mainly viewed from an ecclesiastical point of view. If people showed deviant behavior, they were possessed by Satan. These people were banished from society and thrown outside the city gates. People with deviant behavior were called fools and fools at that time.

In the 15th century, psychiatry was still viewed from an ecclesiastical point of view. If you showed normal behavior you were a good Christian. If you were not a good Christian then you were seen as a witch and burned at the stake. For people who thought differently, there was a home for fools and fools. These fools and fools were chained to the wall with chains. They were lucky if they were fed and were barely cared for. It was very dirty there and you can imagine that there were all kinds of diseases. The first madhouse was built in 1442, the Willem Arntz House in Utrecht. Psychiatry is starting to change.

Philipe Pinel changed the name from madness to madness in 1794. Pinel thought that you could also let the dolls run free instead of chaining them.

In the 19th century there was a shift from an ecclesiastical position to a medical position on psychiatry. In 1841 there was a law on the insane for the first time in the Netherlands and the first insane asylum was established in Sandvoort. From that time on, the medical world made progress in psychiatry. There were many doctors who did research and became psychiatrists.

In the 1950s there was a psychiatric revolution as medication was prescribed to psychiatric patients for the first time. Before the 1950s, it was thought that someone behaved differently because of the person themselves, focusing on the individual. After the 1950s it was concluded that society and society are pathogenic factors. The so-called social psychiatry.

In the 1950s and 1960s there was a counter-movement. The ‘anti-psychiatry’. In short, the freedom-joy movement. A lot of attention is paid to everything around the client. His family, friends, acquaintances, youth, friends, etc. Many therapies emerge from this time, such as systems therapy and family/relationship therapy. There is a new way of thinking about psychiatry. The social model.

Nowadays

Psychiatry has become a very broad concept. There are different types of medication, many different approaches and forms of treatment and care. People with psychiatric complaints can be helped in various places:

  • Riagg: a mental health institution
  • PAAZ: psychiatric department of general hospital
  • APZ: general psychiatric hospital
  • RIBW: regional institution for sheltered housing.