Contingent Control and Wild Moments: Conducting Psychiatric Evaluations in the Home

Abstract

When social control and social service workers go into the field, into the “native habitat” of some problem, a variety of tacit structures and controls that mark office work with its standardized documents and formal meetings are weakened or absent entirely. As a result, compared to office settings, social control work in field settings tends to become open, contingent, unpredictable, and on occasion even wild. This article provides a strategic case study of the distinctive features of social control decision-making in the field, drawing on observations of field work by psychiatric emergency teams (PET) from the 1970s. PET typically went to the homes of psychiatrically-troubled persons in order to conduct evaluations for involuntary mental hospitalization. This article will analyze the varied, situationally-sensitive practices these workers adopted to evaluate such patients in their own homes.

Keywords

• clientization
• field psychiatry
• frontline decision-making
• social control
• home visits