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“Recommended for anyone who has ever paused to consider the brutalising effects of some of our sealed-door ‘caring’ worlds.” —Paul Sayer, Nursing Standard“In the tradition of Studs Terkel.” —Andrew Rutherford, Criminal Justice and the Pursuit of Decency“Dr. Glouberman has done us a good turn in making us look at the contemporary version of the Inferno.” —Times Literary Supplement“Powerful … a strong re-indictment of our outmoded methods of long-term care.” —Health Services JournalIn Keepers, noted medical ethicist and patients’ rights advocate Sholom Glouberman draws on a series of interviews with workers at various types of “total” institutions—nursing homes, prisons, hospitals for children with severe disabilities, psychiatric hospitals, and long-stay hospitals—to paint a vivid picture of life within the walls of such facilities. Those interviewed tell of their struggles to deal with bureaucracy, insufficient resources, burn-out, sexism, prejudice, and the patients and prisoners themselves, while at the same time trying to adequately respond to the needs of the “kept.” Each chapter opens with a brief section by Dr. Glouberman that puts the interview in context. The result is a rare and fascinating look behind the closed doors of total institutions.This edition of Keepers is a revised version of the first edition published in 1990.“The short stories in this book are based on experiences that I had some years ago—they are derived from actual meetings with people who worked in total institutions. I visited a cross section of long-stay institutions in many towns and provinces across the country, including everything from maximum security prisons to hospitals for children with severe disabilities. I taped long interviews with about 60 people who worked in them. Although the interviews were carefully transcribed, they were rele
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