Skip to main content
Log in

Vicissitudes of institutional resistance to change as exemplified in a paraprofessional training program

  • Psychiatric Administration
  • Published:
Psychiatric Quarterly Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Barton, W. E.: Administration in Psychiatry. Charles C. Thomas, Springfield, Ill. 1962.

    Google Scholar 

  2. Greenblatt, M.; Sharaf, M. R., and Stone, E. M.: Dynamics of Institutional Change. University of Pittsburgh Press, 1971.

  3. Dillon, C.: Staff stress when a public agency changes. Psychiat. Ann., 3: 42–60, 1973.

    Google Scholar 

  4. Berlin, I. N.: Resistance to change in mental health professionals. Am. J. Orthopsychiat., 39: 109–115, 1969.

    PubMed  Google Scholar 

  5. Coch, L., and French, J. R. P.: Overcoming resistance to change. Human Relations, 1: 512–532, 1948.

    Google Scholar 

  6. Wolff, K. H. (ed.): The sociology of George Simmel. The Free Press (Macmillan Co.), Glencoe, Ill., 1950.

    Google Scholar 

  7. Ishiyama, T., and Grover, L.: The phenomenon of resistance to change in a large psychiatric institution.Psychiat. Quart., (Suppl.) 34: 1–11, 1960.

    PubMed  Google Scholar 

  8. 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.

    Google Scholar 

  9. Felton, G. S.: New roles for new professional mental health workers. Community Ment. Health J. (in press).

  10. Felton, G. S.: New training emphasis for mental health workers. Hosp. Commun. Psychiat. (in press).

  11. Kaplan, H. M., and Blain, D.: Organizational obstacles to change in a large mental hospital. Am. J. Psychiat., 126: 1107–1114, 1970.

    PubMed  Google Scholar 

  12. 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.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

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

Reprints 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

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01562156

Keywords

Navigation