Abstract
Development of a new paraprofessional training program, in a large psychiatric hospital, afforded the opportunity to study institutional resistance to change in detail.
In addition to the varieties of resistance and their methods of production, resistance was examined in relation to the variables of project phase, self-awareness, degree of emotional investment, agency interdependency conflicts and counter-resistances. Creating a new, potentially encroaching discipline in mental health was the major threat perceived by personnel.
While resistance encountered during program development is a formidable obstacle, it is also an essential concomitant to significant change and can be utilized to enhance its productivity.
Similar content being viewed by others
References
Barton, W. E.: Administration in Psychiatry. Charles C. Thomas, Springfield, Ill. 1962.
Greenblatt, M.; Sharaf, M. R., and Stone, E. M.: Dynamics of Institutional Change. University of Pittsburgh Press, 1971.
Dillon, C.: Staff stress when a public agency changes. Psychiat. Ann., 3: 42–60, 1973.
Berlin, I. N.: Resistance to change in mental health professionals. Am. J. Orthopsychiat., 39: 109–115, 1969.
Coch, L., and French, J. R. P.: Overcoming resistance to change. Human Relations, 1: 512–532, 1948.
Wolff, K. H. (ed.): The sociology of George Simmel. The Free Press (Macmillan Co.), Glencoe, Ill., 1950.
Ishiyama, T., and Grover, L.: The phenomenon of resistance to change in a large psychiatric institution.Psychiat. Quart., (Suppl.) 34: 1–11, 1960.
Felton, G. S.; Wallach, H. F., and Gallo, C. G.: An experimental program for training new professionals as patient advocate, treatment integrator, and longitudinal therapist. Newsletter for Research in Psychology, 14: 1–4, 1972.
Felton, G. S.: New roles for new professional mental health workers. Community Ment. Health J. (in press).
Felton, G. S.: New training emphasis for mental health workers. Hosp. Commun. Psychiat. (in press).
Kaplan, H. M., and Blain, D.: Organizational obstacles to change in a large mental hospital. Am. J. Psychiat., 126: 1107–1114, 1970.
Cumming, J., and Cumming, E.: Social equilibrium and social change in the large mental hospital. In: The Patient and the Mental Hospital. M. Greenblatt, D. Levison, and R. Williams, editors. The Free Press (Macmillan Co.). Glencoe, Ill. 1957.
Author information
Authors and Affiliations
Additional information
At the time of this training program, Dr. Wallach was Chief of Allied Health Services Education, Brentwood Veterans Administration Hospital, Los Angeles, California, and Clinical Assistant Professor of Psychiatry, University of California School of Medicine, Los Angeles, California.
Rights and permissions
About this article
Cite this article
Wallach, H.F. Vicissitudes of institutional resistance to change as exemplified in a paraprofessional training program. Psych Quar 48, 327–335 (1974). https://doi.org/10.1007/BF01562156
Issue Date:
DOI: https://doi.org/10.1007/BF01562156