In this study, through the description of the course of psychiatric hospitals, we seek the clarification of all spatial and social evolution by removing the mentally ill person from their social environment and the confinement in the asylum, until their reintroduction in community housing treatment facilities. Specifically, in the first chapter is introduced the principle of institutionalization and the creation of asylumin the light of Michel Foucault and the Salpetriere hospital in Paris. The second chapter refers to the practice of psychoanalysis, as it was introduced by Sigmund Freud, who gave to it the spatial dimension to the so-called "couch" or "sofa psychoanalysis", while in the third chapter, by presenting the care for the community, which are indisputably so far the most effective treatment methods, is mentioned the work of Maxwell Jones and the Menninger Foundation in Kansas, as a model structure of community care. In the last chapter, is analyzed the movement of antipsychiatry, as David Cooper and Ronald Laing conceived and expressed its meaning, but also the Avenue Day Center in London as a spatial proportion and illustration of the concepts which were introduced and negotiated by the above psychiatrists.