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defending the self in a total institution staff prompting and patient burlesque捍卫自我的总机构工作人员提示和病人滑稽.pdf

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defending the self in a total institution staff prompting and patient burlesque捍卫自我的总机构工作人员提示和病人滑稽

Sociology Mind 2012. Vol.2, No.4, 465-476 Published Online October 2012 in SciRes (http://www.SciRP.org/journal/sm) /10.4236/sm.2012.24060 Defending the Self in a Total Institution: Staff Prompting * and Patient Burlesque Karen Bettez Halnon Sociology, Pennsylvania State University, Abington, USA Email: Kbh4@ Received August 18th th th , 2012; revised September 19 , 2012; accepted September 28 , 2012 This paper offers an analysis of forms of social interaction between direct care staff and patient members of a state institution for the “Mentally Retarded” (MR) and dually-diagnosed (MR with a mental disorder diagnosis) located in the northeastern United States. This work’s significance is that it updates and ex- tends Erving Goffman’s (1961) classic study of the underlife of total institutions. It does so by delineating a sub-type of secondary adjustment to total institutions, termed ancillary adjustment. Ancillary adjust- ment is defined as performances of patient role that undercut the institution ’s official prescription for pa- tient identity toward normalizing direct staff member identity. It is shown how ancillary adjustment arose as an unintended consequence of the institutional