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By Ann Hill Beuf

It is a moment version of Ann Hill Beuf's admirable e-book concerning the social state of affairs of hospitalized young ones in twentieth-century the US.

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Many children not yet in their teens embarked on their own to fight in the Holy Land on the Children's Crusade. Childhood was, then, quite short, lasting about six years. By six, family, church, and economy welcomed the child to full participation in their workings. 4 Certainly no detailed Piagetian stages of cognitive development existed, nor were there theories of psychosocial growth comparable to those of Freud and Erikson. The times may well have been hard for children. Adults did not give them the special treatment and Page 4 tolerance that we have come to associate with agespecific needs, but the times also granted a humanity and self-determination to children over six that our society denies them.

5 The first major effect of industrialization on the family was the separation of familial and economic roles. An industrial economy involves a central work-place to which the employee travels to earn money (thus eliminating exchange and barter as forms of economic dealing). Home, on the other hand, becomes the place to which the worker returns for rest, companionship, and emotional satisfaction. As the bureaucratization and depersonalization of labor increase, home becomes the one arena in which the worker can exert authority over others.

This process involves training prior to hospitalization, and training within the hospital itself. It involves direct teaching and unconscious communicationsboth verbal and nonverbal. As we shall see, much of what passes for socialization to the patient role at best prepares the child for only one or two facets of what we have shown to be a many-faceted role and at worst is inauthentic, a duping of the child, communicating an entirely false notion of what is entailed in the role of patient. Page 25 two Socialization for patienting Page 26 The handling of many human needs by the bureaucratic organization of whole blocks of people whether or not this is a necessary or effective means of social organization in the circumstances is the key fact of total institutions.

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