Summary
Patients and staff differ markedly in their goals for inpatient treatment. Staff regard insight as the most important goal for therapy; patients rate insight as their last choice. Despite a considerable amount of social press on the patient, this disagreement persists throughout the patients' hospitalization. Patients change their outward behavior but hold to their original ideologies regarding treatment goals.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Dimsdale, J.: Goals of therapy on psychiatric inpatient units. Social Psychiatry 10, 1–7 (1975)
Newcomb, T., Turner, R., Converse, P.: Social psychology, New York: Holt, Rinehart & Winston 1965
Murray, H.: Explorations in Personality. London: Oxford University Press 1938
Festinger, L.: A Theory of Cognitive Disonance. Stanford U. Press 1957
Lifton, Robert, J.: Thought Reform and The Psychology of Totalism: A Study of Brain- washing in China. Pub., W. W. Norton & Co., 1961
Rapaport, R.: Community and Doctor: New Perspectives in a Therapeutic Community, London: Tavistock Publication 1960
Levinson, D., Gallacher, E.: Patienthood in the Mental Hospital. Boston: Houghton Mifflin 1964
Almond, R., Keniston, K., Boltax, S.: Milieu therapeutic process. Archives of General Psychiatry 21, 431 (1969)
Ellsworth: Patient and staff perceptions of relatively effective and ineffective psychiatric treatment programs. Unpublished manuscript. Roseburg Veterans Hospital (1965). Roseburg, Oregon
Kellam, S., Shmelzer, J., Berman, A.: Variation in the atmosphere of psychiatric wards. Archives of General Psychiatry 14, 561 (1966)
Moos, R.: Houts, R.: Assessment of the social atmosphere of psychiatric wards. Journal of Abnormal Psychology 73, 595 (1968)
Kiresuk, T., Sherman, R.: Goal attainment scaling. Community Mental Health Journal 4, 443–453 (1968)
Stannard, D.: Ideological conflict on a psychiatric ward. Psychiatry 36, 143–156 (1973)
Polak, P.: Patterns of discord. Archives of General Psychiatry 23, 277–283 (1970)
Hornstra, R., Lubin, B., Lewis, R., Willis, B.: Worlds apart: Patients and professionals. Archives General Psychiatry 27, 553–557 (1972)
Goin, M., Yamamoto, J., Silverman, J.: Therapy congruent with class linked expectations. Archives of General Psychiatry 13, 133 (1965)
Overall, B., Aronson, H.: Expectation of psychotherapy: Patients of lower social economic classes. American Journal of Orthopsychiatry 33, 421–430 (1963)
Borghi, J.: Premature termination of psychotherapy and patient — therapist expectations. American Journal of Psychotherapy 22, 460–473 (1968)
Lazare, A., Wassermann, L., Harford, T.: Patient requests in a walk-In clinic. Comprehensive Psychiatry 16, 467–477 (1975)
Shershow, John: Disestablishing a therapeutic community. Paper presented at the American Psychiatric Association Meeting (May, 1976)
Dimsdale, J., Klerman, G., Shershow, J.: Conflict in treatment goals between patient and staff. To be published
Astrachan, B., Harrower, M., Flynn, H.: The experimental introduction of values into a psychiatric setting, Comprehensive Psychiatry 10, 181–189 (1969)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Dimsdale, J.E., Shershow, J.C., Klerman, G.L. et al. Social press and its influence on psychiatric treatment goals. Soc Psychiatry 13, 153–157 (1978). https://doi.org/10.1007/BF00579329
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00579329