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in society at large after 1980 or so

You are, as I recall, too young to know about times before 1980 by personal experience. I'm not sure what you are referring to here, but if you are referring to deinstitutionalization, that happened MUCH earlier, with considerable impetus from the personal experience of President Kennedy.

https://en.wikipedia.org/wiki/Deinstitutionalisation#Preside...

In the old days of Freudianism, stigma was worse and the affliction of people with mental illness was worse. (Basis of knowledge: much specific reading on these topics, including reading about the history of diagnosis and treatment of major mental disorders, and having lived through all the years mentioned in this reply.)




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