Under the most severe forms of “institutionalization” (the term itself is diagnostic), such as prisons, asylums for the mentally ill, orphanages, workhouses for the poor, concentration camps, and old-age homes, there arises a personality disorder sometimes called “institutional neurosis.” It is a direct result of long-term institutionalization itself. Those suffering from it are apathetic, take no initiative, display a general loss of interest in their surroundings, make no plans, and lack spontaneity. Because they are cooperative and give no trouble, such institutional subjects may be seen by
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