Community Mental Health Journal

, Volume 26, Issue 3, pp 237–244 | Cite as

The seriously mentally ill: Another perspective on treatment resistance

  • Jose M. Santiago
  • Michael R. Berren
  • Allan Beigel
  • Stephen M. Goldfinger
  • Mo Therese Hannah


There is a subpopulation of the seriously mentally ill who remain acute care recidivists, rarely becoming engaged in follow-up treatment. It has been argued that these individuals are system, rather than treatment resisters. The perceptions they have of their problems are often in conflict with staff evaluations, or with what the system has to offer. In the present study, patients who dropped out of residential care against staff's advice were compared to patients who remained in treatment. The results suggest that the greater the difference between the perceptions a patient and therapist have concerning the patient's problem, the greater the likelihood of the patient dropping out of treatment.


Public Health Health Psychology Acute Care Residential Care Treatment Resistance 
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Copyright information

© Human Sciences Press 1990

Authors and Affiliations

  • Jose M. Santiago
    • 1
    • 2
  • Michael R. Berren
    • 3
  • Allan Beigel
    • 4
  • Stephen M. Goldfinger
  • Mo Therese Hannah
    • 5
    • 6
  1. 1.College of MedicineUniversity of ArizonaUSA
  2. 2.University of ArizonaUSA
  3. 3.Department of PsychiatryUniversity of Arizona, College of MedicineUSA
  4. 4.University of ArizonaUSA
  5. 5.Department of PsychologyUniversity of ArizonaUSA
  6. 6.Department of PsychiatryKino Community HospitalTucson

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