Views on the Patient’s View

  • Anne Rogers
  • David Pilgrim
  • Ron Lacey
Part of the Issues in Mental Health book series (IMH)


There has been a growing acceptance over the last few years that health care, like other human services, should be subject to evaluation. It has been suggested this should not only involve measuring medical outcomes, or economic efficiency, but also whether services are socially acceptable.1 It is this latter aspect, together with the experience of mental health problems, which is the concern of this book. Our central question is this: to what extent are mental health services acceptable to the people who use them? Before going on to address this question in the following chapters, we need to set the scene by putting our study into a wider context of research on the ‘patient’s view’. Some of this, particularly about psychiatric patients, has reflected professional interests and has failed to take the critical implications of users of services seriously. Let us start by reviewing briefly research on non-psychiatric patients.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Doll, R., ‘Monitoring the National Health Service’, Proceedings of the Royal Society of Medicine, 66 (1973), pp. 729–40Google Scholar
  2. 2.
    Locker, D. and Dunt, D., ‘Theoretical and Methodological Issues in Sociological Studies of Consumer Satisfaction with Medical Care’, Social Science and Medicine, 12, 4 (1978), pp. 283–92.Google Scholar
  3. 3.
    Calnan, M., ‘Lay Evaluation of Medicine and Medical Practice: Report of a Pilot Study’, International Journal of Health Services, 18, 2 (1988), pp. 311–23.CrossRefGoogle Scholar
  4. 4.
    Sharma, U., ‘Using Alternative Therapies’ Abbott, P. and Payne, G. (eds), in New Directions in the Sociology of Health, (Lander: Falmer Press, 1990).Google Scholar
  5. 5.
    London: Her Majesty’s Stationary Office (HMSO), 1990.Google Scholar
  6. 6.
    Helman, C., ‘“Feed a Cold, Starve a Fever” — Folk Models of Infection in an English Suburban Community’, Culture, Medicine and Psychiatry, 2, 2 (1978), pp. 107–37.CrossRefGoogle Scholar
  7. 7.
    Medical Research Council, Research into Schizophrenia: Report of the Schizophrenia and Allied Conditions Committee to the Neurosciences Board (London, 1988).Google Scholar
  8. 8.
    Wooton, B., Social Science and Social Pathology (London: George Allen & Unwin, 1959).Google Scholar
  9. 9.
    Rogers, A. and Pilgrim, D., ‘Pulling Down Churches: Accounting for the British Mental Health User’s Movement’, Sociology of Health and Illness, 13, 2 (June 1991), pp. 129–48.CrossRefGoogle Scholar
  10. 10.
    See, for example, Hall, J. and Dornan, M., ‘What Patients Like about their Medical Care and How Often they are asked: A Meta-Analysis of the Satisfaction Literature, Social Science and Medicine, 27, 9 (1988) pp. 935–9.CrossRefGoogle Scholar
  11. 11.
    Mills, E., Living with Mental Illness (London: Institute of Community Studies/Routledge & Kegan Paul, 1962).Google Scholar
  12. 12.
    Jones, K., book review in Sociological Review, 8 (1962), pp. 343–4.Google Scholar
  13. 13.
    Davidhazar, D., and Wehlage, D., ‘Can the Client with Chronic Schizophrenia Consent to Nursing Research?’ Journal of Advanced Nursing, 9 (1984), pp. 381–90.CrossRefGoogle Scholar
  14. 14.
    Lebow, J., ‘Consumer Satisfaction with Mental Health Treatment’, Psychological Bulletin, 91, 2 (1982), pp. 244–59.CrossRefGoogle Scholar
  15. 15.
    Mental Health Act Commission, London, 2nd Biennial Report (1988).Google Scholar
  16. 16.
    Jeffrey, R., ‘Normal Rubbish: Deviant Patients in Casualty Departments’, Sociology of Health and Illness, 1 (1979), pp. 90–107.CrossRefGoogle Scholar
  17. 17.
    Hoenig, J. and Hamilton, M., The Desegregation of the Mentally Ill (London: Routledge & Kegan Paul, 1969).Google Scholar
  18. 18.
    Furnham, A., ‘Lay Conceptions of Neuroticism’, Personal and Individual Difference, 5, 1 (1984), pp. 95–103CrossRefGoogle Scholar
  19. 19.
    Teasdale, K., ‘Stigma and Psychiatric Day Care’, Journal of Advanced Nursing, 12 (1987), pp. 339–46.CrossRefGoogle Scholar
  20. 20.
    McIntyre, K., Farrell, M. and David, A., ‘What do Psychiatric Inpatients Really Want?’ British Medical Journal, 298 (21 January 1989), pp. 159–60.CrossRefGoogle Scholar
  21. 21.
    Mayer, J. and Timms, N., The Client Speaks (London: Routledge & Kegan Paul, 1970).Google Scholar
  22. 22.
    Bean, P., Compulsory Admissions to Mental Hospitals (Chichester: Wiley, 1980).Google Scholar
  23. 23.
    Beresford, P. and Croft, S., Whose Welfare?: Private Care or Public Service (Brighton: Lewis Cohen Urban Studies, 1986).Google Scholar
  24. 24.
    Barham, P. and Hayward, R., From the Mental Patient to the Person (London: Routledge and Kegan Paul, 1991).CrossRefGoogle Scholar
  25. 25.
    Community Psychiatric Nurses’ Association, The Patient’s Case (London, 1989).Google Scholar
  26. 26.
    Islington Mental Health Forum, Fit for Consumption? Mental Health Users’ Views of Treatment in Islington (London, 1989).Google Scholar
  27. 27.
    A more detailed methodological account of the research is provided in the methodological appendix.Google Scholar

Copyright information

© Anne Rogers, David Pilgrim and Ron Lacey 1993

Authors and Affiliations

  • Anne Rogers
  • David Pilgrim
  • Ron Lacey

There are no affiliations available

Personalised recommendations