I . No barriers between all spheres of individuals' lives—working, playing, eating and sleeping
· Human being tends to work, play and sleep in different places with different persons under different authorities and without any overarching plan.
· Each step, what we are doing, is in the immediate attendance of a large group of others, all of whom are treated similarly and must to do the same things jointly. Autonomy or freedom to pursue own interests, make own decision is denied.
II. Bureaucratic organization of human groups
· Needs are handled in an impersonal and bureaucratic manner. Typically, patient is excluded from knowledge of the decisions about his life and health
· Staff makes sure that everyone did what was planned. All phases of the daily activities are closely planned, with one activity leading into the next planned activity. This succession of activities is imposed upon people from above.
III. Division between the staff and the residents
· It’s not good, healthy situation. This contributes to the creation of two worlds: small group with authority, which have total control over a group of people who doesn’t have the same rights and opportunities as normal people.
· Stereotypical hostility – us verus them. Them are ill and madness, worse them us.
· What is normal in the outside world, does not have to be normal in a psychiatric hospital. Privilege may be to use a certain amount of sugar to tea or possibility to write a letter to the family.
· Completely lack of subjectivity of contacts
· Laws of life must be broken.
IV. The residents adaptive techniques
· 1. Regression : Lack of interest, not pay attention to others. This regression is known in psychiatric institutions
· 2. Rebellion: Patient is aggressive, he doesn’t have to do what the staff wants. He doesn’t cooperate. It can be conscious provocation too.
· 3. Colonization: Identification tot inst. as a whole. Man tries to build a stable and safe existence. He’s thinking is good to live inside in stitution. He doesn’t fell tension between normal world outside and inside total institution. He is like at home and that creates quarelling from companions.
· 4. Conversion : Man is suborditas the staff. He belives their values for his. It is disciplined
· 5. Cold calculation: combination of different techniques, depending on person, whom he is talking or situation. He behave differently among friends, or while in the presence of the staff.
So what we see, conditones in the total institution, are difficult for human personality and social life. That starts self-mortification, what will be described by Sylwia.
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