The Hospital Environment: Its Impact on the Patient

  • Donald S. Kornfeld
Part of the Current Topics in Mental Health book series (CTMH)

Abstract

With the growth of modern hospital technology, there has been increasing concern by physicians for the emotional impact of the hospital environment on patients. In the past, the hospital environment has been studied primarily by social scientists1-5 who have examined it as a social system. Few studies, however, have been done by physicians. This probably reflects two facts:
  1. 1.

    Members of the medical profession develop the necessary psychological defense mechanisms which allow them to work in this environment but in doing so, prevent themselves from appreciating its effect on others.

     
  2. 2.

    Physicians have not, until recently, appreciated that clinically significant reactions to the hospital environment can occur.

     

Keywords

Burning Catheter Depression Cobalt Leukemia 

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References

  1. 1.
    Brown, E. L. The use of the physical and social environment of the general hospital for therapeutic purposes. I. Newer dimensions of patient care, New York: Russell Sage Foundation, 1961.Google Scholar
  2. 2.
    Coser, R.L. Life in the ward. E. Lansing: Michigan State University Press, 1962.Google Scholar
  3. 3.
    Field, M. Patients are people. New York: Columbia University Press, 1967.Google Scholar
  4. 4.
    Friedson, E. (Ed.) The hospital in modern society New York: Free Press, 1963.Google Scholar
  5. 5.
    Dichter, E. The hospital-patient relationship. Modern Hospital 83 (1954).Google Scholar
  6. 6.
    Kaufman, M. R., Franzblau, A. M., & Kairys, D. The emotional impact of ward rounds. Journal of Mt. Sinai Hospital 23: 782–803 (1956).Google Scholar
  7. 7.
    Romano, J. Patient attitudes and behaviour in ward round teaching. Journal of the American Medical Association 117:664–667 (1941).CrossRefGoogle Scholar
  8. 8.
    Linn, L., Kahn, R., Coles, P., Cohen, J., Marshall, D., & Weinstein, E. A. Patterns of behavior disturbance following cataract extraction. American Journal of Psychiatry 110: 281–289 (1953).PubMedGoogle Scholar
  9. 9.
    Holland, J., Harris, S., Plumb, M., Tuttolomondo, A., & Yates, J. Psychological aspects of physical barrier isolation. Observation of acute leukemia patients in germ-free units. Proceedings of the International Congress of Hematology (1970).Google Scholar
  10. 10.
    McKegney, F. P. The intensive care syndrome. Connecticut Medicine 30: 633–636 (1966).PubMedGoogle Scholar
  11. 11.
    Sgroi, S., Holland, J., & Marwit, S. Psychological reactions to catastrophic illness. A comparison of patients treated in an intensive care unit and a medical ward (abstract). Psychosomatic Medicine 30: 551–552 (1968).Google Scholar
  12. 12.
    Egerton, N., & Kay, J. H. Psychological disturbances associated with open heart surgery. British Journal of Psychiatry 110: 433–439 (1964).PubMedCrossRefGoogle Scholar
  13. 13.
    Blachly, P. H., & Starr, A. Post-cardiotomy delirium. American Journal of Psychiatry 121: 371–375 (1964).Google Scholar
  14. 14.
    Kornfeld, D. S., Zimberg, S., & Malm, J. R. Psychiatric complications of open- heart surgery. New England Journal of Medicine 273: 287–282 (1965).PubMedCrossRefGoogle Scholar
  15. 15.
    Lazarus, H. R., & Hägens, J. H. Prevention of psychosis following open-heart surgery. American Journal of Psychiatry 124: 1190–1195 (1968).PubMedGoogle Scholar
  16. 16.
    Heller, S., Frank, K. A., Malm, J. R. et al. Psychiatric complications of open- heart surgery. A re-examination.New England Journal of Medicine 283: 1015–1019 (1970).PubMedCrossRefGoogle Scholar
  17. 17.
    Cheek, D. S. Unconscious perception of meaningful sounds during surgical anesthesia as revealed under hypnosis. American Journal of Clinical Hypnosis 1: 101 (1959).CrossRefGoogle Scholar
  18. 18.
    Levinson, B. W. States of awareness during general anesthesia. British Journal of Anaesthesia 37: 544 (1965).PubMedCrossRefGoogle Scholar
  19. 19.
    Winkelstein, C., Blacher, R., & Meyer, B. Psychiatric observations on surgical patients in recovery room. New York State Journal of Medicine 65: 865–870 (1965).PubMedGoogle Scholar

Copyright information

© Plenum Publishing Corporation 1977

Authors and Affiliations

  • Donald S. Kornfeld
    • 1
    • 2
  1. 1.Psychiatric Consultation Service, Columbia-Presbyterian Medical CenterNew YorkUSA
  2. 2.College of Physicians and SurgeonsNew YorkUSA

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