Word: bierer
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...modern Joshua who wants the walls to come tumbling down has preached his doctrine more than 120 times in the last three months to hundreds of U.S. and Canadian psychiatrists and mental health workers. Many of his hearers sputtered, "You don't really mean it!" But Dr. Bierer does. He seriously proposes the wiping out of most of the present mental hospitals, and certainly the big ones where patients are kept round the clock for months and years (though the number of patients in hospitals has been dropping since...
...Western countries, mental hospitals are big and numerous-yet crowded beyond capacity; they cost too much-yet cannot get enough psychiatrists to staff them. The solution to these paradoxes, says British Psychiatrist Joshua Bierer: tear down most of the hospitals...
Night Shift. Since 1946, Austrian-born Dr. Bierer has been running the Marlborough Day Hospital in London. Patients come, unsupervised, by public transportation, for a 7½-hour day, and return home at night. Then the night shift comes on: patients who have daytime jobs, and especially those whose family situations have had a major part in their illness. Dr. Bierer will soon open his "shift hospital" for weekend stays as well...
...Runwell in Essex, Dr. Bierer directs a "therapeutic community" of about 20 houses with 40 to 100 patients. He says: "To lock people up. one needs more rather than less staff; to keep people in chains, one needs other people to keep them clean. It is much less expensive to let them walk about and work and clean the place up for themselves. It is much less expensive to run day hospitals, workshops and hostels than to lock people...