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88-590: Bootham Park Hospital was a psychiatric hospital , located in the Bootham district of York , England. It was managed by the Tees, Esk and Wear Valleys NHS Foundation Trust . The main building is a Grade I listed building . In 1772, Robert Hay Drummond , the Archbishop of York , decided along with "twenty-four Yorkshire gentlemen" to establish an asylum, to be known as the "County Lunatic Asylum, York". A committee

176-418: A 20-article series entitled "The Middle Eastern Question", written by Sir Ignatius Valentine Chirol . During this series, Sir Ignatius expanded the definition of Middle East to include "those regions of Asia which extend to the borders of India or command the approaches to India." After the series ended in 1903, The Times removed quotation marks from subsequent uses of the term. Until World War II , it

264-568: A controlled environment due to their psychiatric condition. Patients may choose voluntary commitment , but those deemed to pose a significant danger to themselves or others may be subject to involuntary commitment and treatment . In general hospitals, psychiatric wards or units serve a similar purpose. Modern psychiatric hospitals have evolved from the older concept of lunatic asylums , shifting focus from mere containment and restraint to evidence-based treatments that aim to help patients function in society. With successive waves of reform, and

352-795: A hot, arid climate, especially in the Arabian and Egyptian regions. Several major rivers provide irrigation to support agriculture in limited areas here, such as the Nile Delta in Egypt, the Tigris and Euphrates watersheds of Mesopotamia , and the basin of the Jordan River that spans most of the Levant. These regions are collectively known as the Fertile Crescent , and comprise

440-513: A number of institutions specializing only in the treatment of juveniles, particularly when dealing with drug abuse, self-harm, eating disorders, anxiety, depression or other mental illnesses. In the United Kingdom, long-term care facilities are now being replaced with smaller secure units, some within hospitals. Modern buildings, modern security, and being locally situated to help with reintegration into society once medication has stabilized

528-445: A resident physician . At the beginning of the 19th century there were a few thousand people housed in a variety of disparate institutions throughout England, but by 1900 that figure had grown to about 100,000. This growth coincided with the growth of alienism , later known as psychiatry, as a medical specialism. The treatment of inmates in early lunatic asylums was sometimes very brutal and focused on containment and restraint. In

616-595: A strategically, economically, politically, culturally, and religiously sensitive area. The region is one of the regions where agriculture was independently discovered, and from the Middle East it was spread, during the Neolithic, to different regions of the world such as Europe, the Indus Valley and Eastern Africa. Prior to the formation of civilizations, advanced cultures formed all over the Middle East during

704-527: A time, though this practice still is periodically employed in the United States , India , Japan , and other countries. Modern psychiatric hospitals evolved from, and eventually replaced, the older lunatic asylum. Their development also entails the rise of organized institutional psychiatry . Hospitals known as bimaristans were built in the Middle East in the early ninth century; the first

792-808: A vital role in the Middle East, and they represent 40.5% of Lebanon, where the Lebanese president , half of the cabinet, and half of the parliament follow one of the various Lebanese Christian rites. There are also important minority religions like the Baháʼí Faith , Yarsanism , Yazidism , Zoroastrianism , Mandaeism , Druze , and Shabakism , and in ancient times the region was home to Mesopotamian religions , Canaanite religions , Manichaeism , Mithraism and various monotheist gnostic sects. The six top languages, in terms of numbers of speakers, are Arabic , Persian , Turkish , Kurdish , Modern Hebrew and Greek . About 20 minority languages are also spoken in

880-493: Is Aramaic and its dialects are spoken mainly by Assyrians and Mandaeans , with Western Aramaic still spoken in two villages near Damascus, Syria. There is also an Oasis Berber -speaking community in Egypt where the language is also known as Siwa . It is a non-Semitic Afro-Asiatic sister language. Persian is the second most spoken language. While it is primarily spoken in Iran and some border areas in neighbouring countries,

968-612: Is far less risk of patients harming themselves or others. In Dublin , the Central Mental Hospital performs a similar function. Community hospitals across the United States regularly discharge mental health patients, who are then typically referred to out-patient treatment and therapy. A study of community hospital discharge data from 2003 to 2011, however, found that mental health hospitalizations had increased for both children and adults. Compared to other hospital utilization, mental health discharges for children were

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1056-529: Is more and more common in press texts translated from English sources, albeit having a distinct meaning). In the four Slavic languages, Russian Ближний Восток or Blizhniy Vostok , Bulgarian Близкия Изток , Polish Bliski Wschód or Croatian Bliski istok (terms meaning Near East are the only appropriate ones for the region. However, some European languages do have "Middle East" equivalents, such as French Moyen-Orient , Swedish Mellanöstern , Spanish Oriente Medio or Medio Oriente , Greek

1144-646: Is present in areas in neighboring countries. It is a member of the Turkic languages , which have their origins in East Asia. Another Turkic language, Azerbaijani , is spoken by Azerbaijanis in Iran. The fourth-most widely spoken language, Kurdish , is spoken in the countries of Iran, Iraq, Syria and Turkey, Sorani Kurdish is the second official language in Iraq (instated after the 2005 constitution) after Arabic. Hebrew

1232-429: Is the official language of Israel , with Arabic given a special status after the 2018 Basic law lowered its status from an official language prior to 2018. Hebrew is spoken and used by over 80% of Israel's population, the other 20% using Arabic. Modern Hebrew only began being spoken in the 20th century after being revived in the late 19th century by Elizer Ben-Yehuda (Elizer Perlman) and European Jewish settlers, with

1320-474: Is used by a source in a story. Mideast is also acceptable, but Middle East is preferred. European languages have adopted terms similar to Near East and Middle East . Since these are based on a relative description, the meanings depend on the country and are generally different from the English terms. In German the term Naher Osten (Near East) is still in common use (nowadays the term Mittlerer Osten

1408-557: Is widely known for his comprehensive critique of the use and abuse of the mental hospital system in Madness and Civilization . He argued that Tuke and Pinel's asylum was a symbolic recreation of the condition of a child under a bourgeois family. It was a microcosm symbolizing the massive structures of bourgeois society and its values: relations of Family–Children (paternal authority), Fault–Punishment (immediate justice), Madness–Disorder (social and moral order). Erving Goffman coined

1496-643: Is Μέση Ανατολή ( Mesi Anatoli ), and Italian Medio Oriente . Perhaps because of the political influence of the United States and Europe, and the prominence of Western press, the Arabic equivalent of Middle East (Arabic: الشرق الأوسط ash-Sharq al-Awsaṭ ) has become standard usage in the mainstream Arabic press. It comprises the same meaning as the term "Middle East" in North American and Western European usage. The designation, Mashriq , also from

1584-842: The Arabian Peninsula ( Magan , Sheba , Ubar ). The Near East was first largely unified under the Neo Assyrian Empire , then the Achaemenid Empire followed later by the Macedonian Empire and after this to some degree by the Iranian empires (namely the Parthian and Sassanid Empires ), the Roman Empire and Byzantine Empire . The region served as the intellectual and economic center of

1672-532: The Central Powers , was defeated by the British Empire and their allies and partitioned into a number of separate nations, initially under British and French Mandates . Other defining events in this transformation included the establishment of Israel in 1948 and the eventual departure of European powers, notably Britain and France by the end of the 1960s. They were supplanted in some part by

1760-663: The Home Secretary can, under various sections of the Mental Health Act, order the detention of offenders in a psychiatric hospital, but the term "criminally insane" is no longer legally or medically recognized. Secure psychiatric units exist in all regions of the UK for this purpose; in addition, there are a few specialist hospitals which offer treatment with high levels of security. These facilities are divided into three main categories: High, Medium and Low Secure. Although

1848-535: The Indian Ocean and the Mediterranean Sea (see also: Indo-Mediterranean ). It is the birthplace and spiritual center of religions such as Christianity , Islam , Judaism , Manichaeism , Yezidi , Druze , Yarsan , and Mandeanism , and in Iran, Mithraism , Zoroastrianism , Manicheanism , and the Baháʼí Faith . Throughout its history the Middle East has been a major center of world affairs;

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1936-693: The International Organization for Migration , there are 13 million first-generation migrants from Arab nations in the world, of which 5.8 reside in other Arab countries. Expatriates from Arab countries contribute to the circulation of financial and human capital in the region and thus significantly promote regional development. In 2009 Arab countries received a total of US$ 35.1 billion in remittance in-flows and remittances sent to Jordan , Egypt and Lebanon from other Arab countries are 40 to 190 per cent higher than trade revenues between these and other Arab countries. In Somalia ,

2024-1173: The Isle of Man , and the Channel Islands , medium and low secure units exist but high secure units on the UK mainland are used for patients who qualify for the treatment under the Out of Area (Off-Island Placements) Referrals provision of the Mental Health Act 1983 . Among the three unit types, medium secure facilities are the most prevalent in the UK. As of 2009, there were 27 women-only units in England. Irish units include those at prisons in Portlaise, Castelrea, and Cork. Psychiatrist Thomas Szasz in Hungary has argued that psychiatric hospitals are like prisons unlike other kinds of hospitals, and that psychiatrists who coerce people (into treatment or involuntary commitment) function as judges and jailers, not physicians. Historian Michel Foucault

2112-664: The Maghreb and the Sudan . The term the " Greater Middle East " also includes parts of East Africa , Mauritania , Afghanistan , Pakistan , and sometimes the South Caucasus and Central Asia . The term "Middle East" may have originated in the 1850s in the British India Office . However, it became more widely known when United States naval strategist Alfred Thayer Mahan used the term in 1902 to "designate

2200-665: The Near East , Fertile Crescent , and Levant . These are geographical concepts, which refer to large sections of the modern-day Middle East, with the Near East being the closest to the Middle East in its geographical meaning. Due to it primarily being Arabic speaking, the Maghreb region of North Africa is sometimes included. The countries of the South Caucasus  – Armenia , Azerbaijan , and Georgia  – are occasionally included in definitions of

2288-581: The Sassanid Empire . However, it would be the later Islamic Caliphates of the Middle Ages , or Islamic Golden Age which began with the Islamic conquest of the region in the 7th century AD, that would first unify the entire Middle East as a distinct region and create the dominant Islamic Arab ethnic identity that largely (but not exclusively) persists today. The 4 caliphates that dominated

2376-787: The Somali Civil War has greatly increased the size of the Somali diaspora , as many of the best educated Somalis left for Middle Eastern countries as well as Europe and North America . Non-Arab Middle Eastern countries such as Turkey , Israel and Iran are also subject to important migration dynamics. A fair proportion of those migrating from Arab nations are from ethnic and religious minorities facing persecution and are not necessarily ethnic Arabs, Iranians or Turks. Large numbers of Kurds , Jews , Assyrians , Greeks and Armenians as well as many Mandeans have left nations such as Iraq, Iran, Syria and Turkey for these reasons during

2464-509: The South Caucasus . It also includes all of Egypt (not just the Sinai ) and all of Turkey (including East Thrace ). Most Middle Eastern countries (13 out of 18) are part of the Arab world . The most populous countries in the region are Egypt, Turkey, and Iran, while Saudi Arabia is the largest Middle Eastern country by area. The history of the Middle East dates back to ancient times , and it

2552-472: The Stone Age . The search for agricultural lands by agriculturalists, and pastoral lands by herdsmen meant different migrations took place within the region and shaped its ethnic and demographic makeup. The Middle East is widely and most famously known as the cradle of civilization . The world's earliest civilizations, Mesopotamia ( Sumer , Akkad , Assyria and Babylonia ), ancient Egypt and Kish in

2640-571: The United Kingdom and western European nations in the early 20th century as a replacement of the term Near East (both were in contrast to the Far East ). The term "Middle East" has led to some confusion over its changing definitions. Since the late 20th century, it has been criticized as being too Eurocentric . The region includes the vast majority of the territories included in the closely associated definition of West Asia , but without

2728-491: The first native Hebrew speaker being born in 1882. Greek is one of the two official languages of Cyprus , and the country's main language. Small communities of Greek speakers exist all around the Middle East; until the 20th century it was also widely spoken in Asia Minor (being the second most spoken language there, after Turkish) and Egypt. During the antiquity, Ancient Greek was the lingua franca for many areas of

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2816-458: The mental patient liberation movement . There are several different types of modern psychiatric hospitals, but all of them house people with mental illnesses of varying severity. In the United Kingdom , both crisis admissions and medium-term care are usually provided on acute admissions wards. Juvenile or youth wards in psychiatric hospitals or psychiatric wards are set aside for children or youth with mental illness. Long-term care facilities have

2904-500: The 1973 academic investigation by Rosenhan and other similar experiments , several journalists have been willingly admitted to hospitals in order to conduct undercover journalism . These include: Middle East The Middle East (term originally coined in English language) is a geopolitical region encompassing the Arabian Peninsula , the Levant , Turkey , Egypt , Iran , and Iraq . The term came into widespread usage by

2992-597: The 36 beds from Bootham Park Hospital. Outpatient clinics also reopened in February 2016. In April 2020 the hospital was being considered as a location where additional beds could be provided during the COVID-19 pandemic . Psychiatric hospital Psychiatric hospitals vary considerably in size and classification. Some specialize in short-term or outpatient therapy for low-risk patients , while others provide long-term care for individuals requiring routine assistance or

3080-490: The Arabian Peninsula in particular have benefitted economically from petroleum exports. Because of the arid climate and dependence on the fossil fuel industry, the Middle East is both a major contributor to climate change and a region that is expected to be severely adversely affected by it. Other concepts of the region exist, including the broader Middle East and North Africa (MENA), which includes states of

3168-645: The Arabic root for East , also denotes a variously defined region around the Levant , the eastern part of the Arabic-speaking world (as opposed to the Maghreb , the western part). Even though the term originated in the West, countries of the Middle East that use languages other than Arabic also use that term in translation. For instance, the Persian equivalent for Middle East is خاورمیانه ( Khāvar-e miyāneh ),

3256-690: The Gulf was the most important passage for Britain to control in order to keep the Russians from advancing towards British India . Mahan first used the term in his article "The Persian Gulf and International Relations", published in September 1902 in the National Review , a British journal. The Middle East, if I may adopt a term which I have not seen, will some day need its Malta , as well as its Gibraltar ; it does not follow that either will be in

3344-587: The Hebrew is המזרח התיכון ( hamizrach hatikhon ), and the Turkish is Orta Doğu. Traditionally included within the Middle East are Arabia , Asia Minor , East Thrace , Egypt , Iran , the Levant , Mesopotamia , and the Socotra Archipelago . The region includes 17 UN -recognized countries and one British Overseas Territory . Various concepts are often paralleled to the Middle East, most notably

3432-531: The Levant, all originated in the Fertile Crescent and Nile Valley regions of the ancient Near East. These were followed by the Hittite , Greek , Hurrian and Urartian civilisations of Asia Minor ; Elam , Persia and Median civilizations in Iran , as well as the civilizations of the Levant (such as Ebla , Mari , Nagar , Ugarit , Canaan , Aramea , Mitanni , Phoenicia and Israel ) and

3520-980: The Middle East for more than 600 years were the Rashidun Caliphate , the Umayyad caliphate , the Abbasid caliphate and the Fatimid caliphate . Additionally, the Mongols would come to dominate the region, the Kingdom of Armenia would incorporate parts of the region to their domain, the Seljuks would rule the region and spread Turko-Persian culture, and the Franks would found the Crusader states that would stand for roughly two centuries. Josiah Russell estimates

3608-463: The Middle East. " Greater Middle East " is a political term coined by the second Bush administration in the first decade of the 21st century to denote various countries, pertaining to the Muslim world , specifically Afghanistan , Iran , Pakistan , and Turkey . Various Central Asian countries are sometimes also included. The Middle East lies at the juncture of Africa and Eurasia and of

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3696-671: The Middle East. Arabic, with all its dialects, is the most widely spoken language in the Middle East, with Literary Arabic being official in all North African and in most West Asian countries. Arabic dialects are also spoken in some adjacent areas in neighbouring Middle Eastern non-Arab countries. It is a member of the Semitic branch of the Afro-Asiatic languages. Several Modern South Arabian languages such as Mehri and Soqotri are also spoken in Yemen and Oman. Another Semitic language

3784-520: The Middle East. For the period between the 1970s and 1990s, the Arab states of the Persian Gulf in particular provided a rich source of employment for workers from Egypt, Yemen and the countries of the Levant, while Europe had attracted young workers from North African countries due both to proximity and the legacy of colonial ties between France and the majority of North African states." According to

3872-447: The Persian Gulf. Naval force has the quality of mobility which carries with it the privilege of temporary absences; but it needs to find on every scene of operation established bases of refit, of supply, and in case of disaster, of security. The British Navy should have the facility to concentrate in force if occasion arise, about Aden , India, and the Persian Gulf. Mahan's article was reprinted in The Times and followed in October by

3960-400: The Roman Empire and played an exceptionally important role due to its periphery on the Sassanid Empire . Thus, the Romans stationed up to five or six of their legions in the region for the sole purpose of defending it from Sassanid and Bedouin raids and invasions. From the 4th century CE onwards, the Middle East became the center of the two main powers at the time, the Byzantine Empire and

4048-440: The aggression of some of the patients. In Western Europe , the first idea and set up for a proper mental hospital entered through Spain . A member of the Mercedarian Order named Juan Gilaberto Jofré traveled frequently to Islamic countries and observed several institutions that confined the insane. He proposed the founding of an institution exclusive for "sick people who had to be treated by doctors", something very modern for

4136-414: The area between Arabia and India". During this time the British and Russian empires were vying for influence in Central Asia , a rivalry that would become known as the Great Game . Mahan realized not only the strategic importance of the region, but also of its center, the Persian Gulf . He labeled the area surrounding the Persian Gulf as the Middle East. He said that, beyond Egypt's Suez Canal ,

4224-496: The building. The hospital was closed on 1 October 2015, having been declared unfit for purpose. On the same day Tees, Esk and Wear Valleys NHS Foundation Trust replaced Leeds and York Partnership NHS Foundation Trust as the provider of most mental health services in York. Patients were transferred suddenly to other premises, some quite distant. An independent report commissioned by City of York Council from John Ransford concluded: A smaller 24-bedded unit opened in 2016 replacing

4312-502: The classificiation of the African country, Egypt, among those counted in the Middle East challenges the usefulness of using such terms. The description Middle has also led to some confusion over changing definitions. Before the First World War , "Near East" was used in English to refer to the Balkans and the Ottoman Empire , while "Middle East" referred to the Caucasus , Persia , and Arabian lands, and sometimes Afghanistan , India and others. In contrast, " Far East " referred to

4400-697: The condition are often features of such units. Examples of this include the Three Bridges Unit at St Bernard's Hospital in West London and the John Munroe Hospital in Staffordshire . These units have the goal of treatment and rehabilitation to allow for transition back into society within a short time-frame, usually lasting two or three years. Not all patients' treatment meets this criterion, however, leading larger hospitals to retain this role. These hospitals provide stabilization and rehabilitation for those who are actively experiencing uncontrolled symptoms of mental disorders such as depression, bipolar disorders, eating disorders, and so on. One type of institution for

4488-462: The core of what historians had long referred to as the cradle of civilization (multiple regions of the world have since been classified as also having developed independent, original civilizations). Conversely, the Levantine coast and most of Turkey have relatively temperate climates typical of the Mediterranean , with dry summers and cool, wet winters. Most of the countries that border the Persian Gulf have vast reserves of petroleum . Monarchs of

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4576-420: The countries of East Asia (e.g. China , Japan , and Korea ). With the collapse of the Ottoman Empire in 1918, "Near East" largely fell out of common use in English, while "Middle East" came to be applied to the emerging independent countries of the Islamic world . However, the usage "Near East" was retained by a variety of academic disciplines, including archaeology and ancient history . In their usage,

4664-455: The country is one of the region's largest and most populous. It belongs to the Indo-Iranian branch of the family of Indo-European languages . Other Western Iranic languages spoken in the region include Achomi , Daylami , Kurdish dialects, Semmani , Lurish , amongst many others. The close third-most widely spoken language, Turkish , is largely confined to Turkey, which is also one of the region's largest and most populous countries, but it

4752-421: The death of Hannah Mills , who was a Quaker , led the local Quaker community to found a new asylum known as The Retreat in 1790. The asylum became Bootham Park Hospital in 1904 and it joined the National Health Service in 1948. In late September 2015 the hospital building was declared unfit by the Care Quality Commission , and ordered to close by the end of the month. Staff were given 5 days' notice to close

4840-425: The difficulty of distinguishing sane patients from insane patients. Franco Basaglia , a leading psychiatrist who inspired and planned the psychiatric reform in Italy , also defined the mental hospital as an oppressive, locked, and total institution in which prison-like, punitive rules are applied, in order to gradually eliminate its own contents. Patients, doctors and nurses are all subjected (at different levels) to

4928-546: The economy of the Western world [...] Within this contextual framework, the United States sought to divert the Arab world from Soviet influence. Throughout the 20th and 21st centuries, the region has experienced both periods of relative peace and tolerance and periods of conflict particularly between Sunnis and Shiites . Arabs constitute the largest ethnic group in the Middle East, followed by various Iranian peoples and then by Turkic peoples ( Turkish , Azeris , Syrian Turkmen , and Iraqi Turkmen ). Native ethnic groups of

5016-399: The focus in these units is to make life as normal as possible for patients while continuing treatment to the point where they can be discharged. However, patients are usually still not allowed to hold their own medications in their rooms because of the risk of an impulsive overdose. While some open units are physically unlocked, other open units still use locked entrances and exits, depending on

5104-545: The fore in the 1960s has opposed many of the practices, conditions, or existence of mental hospitals; due to the extreme conditions in them. The psychiatric consumer/survivor movement has often objected to or campaigned against conditions in mental hospitals or their use, voluntarily or involuntarily. The mental patient liberation movement emphatically opposes involuntary treatment but it generally does not object to any psychiatric treatments that are consensual, provided that both parties can withdraw consent at any time. Alongside

5192-667: The goal of treatment and rehabilitation within a short time-frame (two or three years). Another institution for the mentally ill is a community-based halfway house . In the United States, there are high acuity and low acuity crisis facilities (or Crisis Stabilization Units). High acuity crisis stabilization units serve individuals who are actively suicidal, violent, or intoxicated. Low acuity crisis facilities include peer respites, social detoxes, and other programs to serve individuals who are not actively suicidal/violent. Open psychiatric units are not as secure as crisis stabilization units. They are not used for acutely suicidal people; instead,

5280-410: The highest in the world, and the international oil cartel OPEC is dominated by Middle Eastern countries. During the Cold War, the Middle East was a theater of ideological struggle between the two superpowers and their allies: NATO and the United States on one side, and the Soviet Union and Warsaw Pact on the other, as they competed to influence regional allies. Besides the political reasons there

5368-413: The introduction of effective evidence-based treatments, most modern psychiatric hospitals emphasize treatment, usually including a combination of psychiatric medications and psychotherapy , that assist patients in functioning in the outside world. Many countries have prohibited the use of physical restraints on patients, which includes tying psychiatric patients to their beds for days or even months at

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5456-429: The introduction of effective evidence-based treatments, modern psychiatric hospitals provide a primary emphasis on treatment; and further, they attempt—where possible—to help patients control their own lives in the outside world with the use of a combination of psychiatric drugs and psychotherapy . These treatments can be involuntary. Involuntary treatments are among the many psychiatric practices which are questioned by

5544-454: The last century. In Iran, many religious minorities such as Christians , Baháʼís , Jews and Zoroastrians have left since the Islamic Revolution of 1979 . The Middle East is very diverse when it comes to religions , many of which originated there. Islam is the largest religion in the Middle East, but other faiths that originated there, such as Judaism and Christianity , are also well represented. Christian communities have played

5632-410: The late 19th and early 20th centuries, psychiatric institutions ceased using terms such as "madness", "lunacy" or "insanity", which assumed a unitary psychosis, and began instead splitting into numerous mental diseases, including catatonia, melancholia, and dementia praecox, which is now known as schizophrenia . In 1961, sociologist Erving Goffman described a theory of the " total institution " and

5720-459: The late 20th century, scholars and journalists from the region, such as journalist Louay Khraish and historian Hassan Hanafi have criticized the use of "Middle East" as a Eurocentric and colonialist term. The Associated Press Stylebook of 2004 says that Near East formerly referred to the farther west countries while Middle East referred to the eastern ones, but that now they are synonymous. It instructs: Use Middle East unless Near East

5808-462: The lowest while the most rapidly increasing hospitalizations were for adults under 64. Some units have been opened to provide therapeutically enhanced Treatment, a subcategory to the three main hospital unit types. In the UK, high secure hospitals exist, including Ashworth Hospital in Merseyside , Broadmoor Hospital in Crowthorne , Rampton Secure Hospital in Retford , and the State Hospital in Carstairs , Scotland . In Northern Ireland ,

5896-425: The many 'pauper lunatics'. Nine counties first applied, the first public asylum opening in 1812 in Nottinghamshire . In 1828, the newly appointed Commissioners in Lunacy were empowered to license and supervise private asylums. The Lunacy Act 1845 made the construction of asylums in every county compulsory with regular inspections on behalf of the Home Secretary , and required asylums to have written regulations and

5984-416: The mental institution may be used for the incarceration of political prisoners as a form of punishment. One notable historical example was the use of punitive psychiatry in the Soviet Union and China . Like the former Soviet Union and China, Belarus also has used punitive psychiatry toward political opponents and critics of current government in modern times. In the United Kingdom, criminal courts or

6072-415: The mentally ill is a community-based halfway house . These facilities provide assisted living for an extended period of time for patients with mental illnesses, and they often aid in the transition to self-sufficiency. These institutions are considered to be one of the most important parts of a mental health system by many psychiatrists , although some localities lack sufficient funding. In some countries,

6160-463: The phrase "Maximum Secure" is often used in the media, there is no such classification. "Local Secure" is a common misnomer for Low Secure units, as patients are often detained there by local criminal courts for psychiatric assessment before sentencing. Run by the National Health Service , these facilities which provide psychiatric assessments can also provide treatment and accommodation in a safe hospital environment which prevents absconding. Thus there

6248-399: The population of what he calls "Islamic territory" as roughly 12.5 million in 1000 – Anatolia 8 million, Syria 2 million, and Egypt 1.5 million. From the 16th century onward, the Middle East came to be dominated, once again, by two main powers: the Ottoman Empire and the Safavid dynasty . The modern Middle East began after World War I , when the Ottoman Empire, which was allied with

6336-443: The process by which it takes efforts to maintain predictable and regular behavior on the part of both "guard" and "captor", suggesting that many of the features of such institutions serve the ritual function of ensuring that both classes of people know their function and social role , in other words of " institutionalizing " them. Asylums as a key text in the development of deinstitutionalization . With successive waves of reform and

6424-662: The region include, in addition to Arabs, Arameans , Assyrians , Baloch , Berbers , Copts , Druze , Greek Cypriots , Jews , Kurds , Lurs , Mandaeans , Persians , Samaritans , Shabaks , Tats , and Zazas . European ethnic groups that form a diaspora in the region include Albanians , Bosniaks , Circassians (including Kabardians ), Crimean Tatars , Greeks , Franco-Levantines , Italo-Levantines , and Iraqi Turkmens . Among other migrant populations are Chinese , Filipinos , Indians , Indonesians , Pakistanis , Pashtuns , Romani , and Afro-Arabs . "Migration has always provided an important vent for labor market pressures in

6512-534: The rising influence of the United States from the 1970s onwards. In the 20th century, the region's significant stocks of crude oil gave it new strategic and economic importance. Mass production of oil began around 1945, with Saudi Arabia, Iran, Kuwait, Iraq, and the United Arab Emirates having large quantities of oil. Estimated oil reserves , especially in Saudi Arabia and Iran, are some of

6600-456: The same process of institutionalism. American psychiatrist Loren Mosher noticed that the psychiatric institution itself gave him master classes in the art of the "total institution": labeling, unnecessary dependency, the induction and perpetuation of powerlessness, the degradation ceremony , authoritarianism, and the primacy of institutional needs over the patients, whom it was ostensibly there to serve. The anti-psychiatry movement coming to

6688-570: The term " total institution " for mental hospitals and similar places which took over and confined a person's whole life. Goffman placed psychiatric hospitals in the same category as concentration camps , prisons , military organizations, orphanages , and monasteries. In his book Asylums Goffman describes how the institutionalisation process socialises people into the role of a good patient, someone "dull, harmless and inconspicuous"; in turn, it reinforces notions of chronicity in severe mental illness. The Rosenhan experiment of 1973 demonstrated

6776-467: The term describes an area identical to the term Middle East , which is not used by these disciplines (see ancient Near East ). The first official use of the term "Middle East" by the United States government was in the 1957 Eisenhower Doctrine , which pertained to the Suez Crisis . Secretary of State John Foster Dulles defined the Middle East as "the area lying between and including Libya on

6864-459: The time. The foundation was carried out in 1409 thanks to several wealthy men from Valencia who contributed funds for its completion. It was considered the first institution in the world at that time specialized in the treatment of mental illnesses. Later on, physicians, including Philippe Pinel at Bicêtre Hospital in France and William Tuke at York Retreat in England, began to advocate for

6952-482: The type of patients admitted. Another type of psychiatric hospital is medium term, which provides care lasting several weeks. Most drugs used for psychiatric purposes take several weeks to take effect, and the main purpose of these hospitals is to monitor the patient for the first few weeks of therapy to ensure the treatment is effective. Juvenile wards are sections of psychiatric hospitals or psychiatric wards set aside for children with mental illness. However, there are

7040-649: The viewing of mental illness as a disorder that required compassionate treatment that would aid in the rehabilitation of the victim. In the Western world, the arrival of institutionalisation as a solution to the problem of madness was very much an advent of the nineteenth century. The first public mental asylums were established in Britain; the passing of the County Asylums Act 1808 empowered magistrates to build rate-supported asylums in every county to house

7128-523: The west and Pakistan on the east, Syria and Iraq on the North and the Arabian peninsula to the south, plus the Sudan and Ethiopia ." In 1958, the State Department explained that the terms "Near East" and "Middle East" were interchangeable, and defined the region as including only Egypt , Syria, Israel , Lebanon , Jordan , Iraq, Saudi Arabia , Kuwait , Bahrain , and Qatar . Since

7216-585: The western Middle East and until the Muslim expansion it was widely spoken there as well. Until the late 11th century, it was also the main spoken language in Asia Minor ; after that it was gradually replaced by the Turkish language as the Anatolian Turks expanded and the local Greeks were assimilated, especially in the interior. English is one of the official languages of Akrotiri and Dhekelia. It

7304-411: Was also the "ideological conflict" between the two systems. Moreover, as Louise Fawcett argues, among many important areas of contention, or perhaps more accurately of anxiety, were, first, the desires of the superpowers to gain strategic advantage in the region, second, the fact that the region contained some two-thirds of the world's oil reserves in a context where oil was becoming increasingly vital to

7392-683: Was based in Cairo , for its military forces in the region. After that time, the term "Middle East" gained broader usage in Europe and the United States. Following World War II, for example, the Middle East Institute was founded in Washington, D.C. in 1946. The corresponding adjective is Middle Eastern and the derived noun is Middle Easterner . While non-Eurocentric terms such as "Southwest Asia" or "Swasia" have been sparsely used,

7480-622: Was built in Baghdad under the leadership of Harun al-Rashid . While not devoted solely to patients with psychiatric disorders, early psychiatric hospitals often contained wards for patients exhibiting mania or other psychological distress. Because of cultural taboos against refusing to care for one's family members, mentally ill patients would be surrendered to a bimaristan only if the patient demonstrated violence, incurable chronic illness, or some other extremely debilitating ailment. Psychological wards were typically enclosed by iron bars owing to

7568-645: Was customary to refer to areas centered around Turkey and the eastern shore of the Mediterranean as the " Near East ", while the " Far East " centered on China , India and Japan . The Middle East was then defined as the area from Mesopotamia to Burma , namely, the area between the Near East and the Far East. In the late 1930s, the British established the Middle East Command , which

7656-464: Was established, and the architect John Carr was co-opted with a pledge of 25 guineas. Carr's patron, the Marquis of Rockingham , pledged 100 guineas, and a total of £2,500 was subscribed. By July 1773, £5,000 had been promised, and Carr's scheme to accommodate 54 patients was approved on 25 August. The building was completed in 1777. Following criticism about the handling of inmates at the asylum and

7744-475: Was long considered the "cradle of civilization". The geopolitical importance of the region has been recognized and competed for during millennia. The Abrahamic religions, Judaism , Christianity , and Islam , have their origins in the Middle East. Arabs constitute the main ethnic group in the region, followed by Turks , Persians , Kurds , Azeris , Copts , Jews , Assyrians , Iraqi Turkmen , Yazidis , and Greek Cypriots . The Middle East generally has

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