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Aspects of Outcome in a Therapeutic Community Setting

How Patients are Seen by Themselves and Others

Published online by Cambridge University Press:  29 January 2018

D. H. W. Kennard ,
W. R. L. Clemmey  and
B. M. Mandelbrote
D. H. W. Kennard
Affiliation:
Littlemore Hospital, Oxford
W. R. L. Clemmey
Affiliation:
Bethlem Royal & Maudsley Hospitals, London; Littlemore Hospital, Oxford
B. M. Mandelbrote
Affiliation:
Littlemore Hospital, Oxford; University of Oxford
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Summary

How patients are seen by themselves and others close to them may influence the process of re-integration in the community after discharge. In a study in a psychiatric admission unit employing a therapeutic community approach, patients who sought little or no contact with the unit after discharge saw themselves, and were seen by others, as less ‘pleasant’ but less ‘ill’ than those who continued more regular contact. Perceptions were measured with the semantic differential technique. Patients' social class and household position were found to have a marked effect on the level of contact and on its association with how patients were seen. Diagnosis did not appear to influence hospital contact.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 130 , Issue 5 , May 1977 , pp. 475 - 480
Copyright
Copyright © Royal College of Psychiatrists, 1977 

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References

Brown, G. W., Birley, J. L. T. & Wing, J. K. (1972) Influence of family life on the course of schizophrenic disorders: a replication. British Journal of Psychiatry, 121, 241–58.Google Scholar
Clark, D. H. (1965) The therapeutic community—concept, practice and future. British Journal of Psychiatry, 111, 947–54.Google Scholar
Clemmey, R., Kennard, D. & Mandelbrote, B. (1975) The assessment of social breakdown in newly admitted psychiatric patients. British Journal of Psychiatry, 127, 417–31.Google Scholar
Goffman, E. (1961) Asylums. Garden City: Doubleday.Google Scholar
Gruenberg, E. M. (1967) The social breakdown syndrome—some origins. American Journal of Psychiatry, 123, 1481–9.Google Scholar
Hollingshead, A. B. & Redlich, F. C. (1958) Social Class and Mental Illness. New York: Wiley.Google Scholar
Kennard, D. (1974) The newly admitted psychiatric patient as seen by self and others. British Journal of Medical Psychology, 47, 27–41.Google Scholar
Kennard, D. Identifying dimensions of perceived patient change some problems in the use of factor analysis. British Journal of Medical Psychology. In press.Google Scholar
Kennard, D. & Clemmey, R. (1976) Psychiatric patients as seen by self and others: an exploration of change in a therapeutic community setting. British Journal of Medical Psychology, 49, 35–53.Google Scholar
Mandelbrote, B. M. (1965) The use of psychodynamic and sociodynamic principles in the treatment of psychotics. Comprehensive Psychiatry, 6, 381–7.Google Scholar
Scott, D. (1973) The treatment barrier. British Journal of Medical Psychology, 46, 45–68.Google Scholar
Sugarman, B. (1968) The Phoenix Unit: alliance against illness. New Society. London: New Science Publications.Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symtomatology. London: Cambridge University Press.Google Scholar
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