Comprehensive Psychosocial Treatment

Beyond Traditional Psychotherapy
  • Gordon L. Paul


A psychosocial orientation to assessment and treatment of people called schizophrenics is shared by nearly all participants of this conference—more for some than for others. For me, the “psycho” component of “psychosocial orientation” reflects assumptions that the particular excesses or deficits in cognitive and ideational, emotional, or motoric behavior of focus are those that are traditionally referred to as psychological, rather than physical or biological. Similarly, the “social” component reflects the importance of the social environment as the context in which: (a) most of the relevant activity occurs, (b) the appropriateness or inappropriateness of functioning is defined, and (c) changes in conditions may be expected to produce changes in behavior. From a psychosocial orientation, nearly any clinical intervention outside of surgery, shock, and chemotherapy could be considered “psychotherapeutic.”


Residential Treatment Maladaptive Behavior Cognitive Distortion Mental Patient Bizarre Behavior 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Ozarin LD, Redick RW, Taube CA: A quarter century of psychiatric care, 1950–1974: A statistical review. Hosp Commun Psychiatry 27:515–519, 1976.Google Scholar
  2. 2.
    Paul GL, Lentz RJ: Psychosocial Treatment of Chronic Mental Patients: Milieu versus Social-learning Programs. Cambridge, Harvard University Press, 1977.Google Scholar
  3. 3.
    Paul GL: Experimental-behavioral approaches to schizophrenia, in Cancro R, Fox N, Shapiro L (eds): Strategic Intervention in Schizophrenia: Current Developments in Treatment. New York, Behavioral Publications, 1974, pp 187–200.Google Scholar
  4. 4.
    Spitzer RL, Andreasen NC, Endicott J: Schizophrenia and other psychotic disorders in DSM-III. Schizophr Bull 4:489–511, 1978.PubMedGoogle Scholar
  5. 5.
    Hagen RL: Behavioral therapies and the treatment of schizophrenia. Schizophr Bull 13:70–96, 1975.PubMedGoogle Scholar
  6. 6.
    Paul GL: Chronic mental patient: Current status—future directions. Psychol Bull 71:81–94, 1969.PubMedCrossRefGoogle Scholar
  7. 7.
    Strauss JS, Carpenter WT: The prognosis of schizophrenia: Rationale for a multidimensional concept. Schizophr Bull 4:56–67, 1978.PubMedGoogle Scholar
  8. 8.
    Beels CC: Social networks, the family, and the psychiatric patient: Introduction to the issue. Schizophr Bull 4:512–521, 1978.PubMedGoogle Scholar
  9. 9.
    Paul GL: Social competence and the institutionalized mental patient, in Smye M, Wine J (eds): Identification and Enhancement of Social Competence. New York, Guilford Press, in press.Google Scholar
  10. 10.
    Paul GL: The implementation of effective treatment programs for chronic mental patients: Obstacles and recommendations, in Talbott JA (ed): The Chronic Mental Patient. Washington, DC, American Psychiatric Association, 1978, pp 99–127.Google Scholar
  11. 11.
    Paul GL, Power CT, Engel KL, et al: The Time-Sample Behavioral Check-list Observer Manual, in Paul GL (ed): Observational Assessment Instrumentation for Institutional Research and Treatment. Cambridge, Harvard University Press, in press.Google Scholar
  12. 12.
    Lorr M, Klett CJ, Cave R: Higher level psychotic syndromes. J Abnorm Psychol 72:74–77, 1967.PubMedCrossRefGoogle Scholar
  13. 13.
    Fiske DW: Strategies for Personality Research. San Francisco, Jossey-Bass, 1978.Google Scholar
  14. 14.
    Paul GL (ed): Observational Assessment Instrumentation for Institutional Research and Treatment. Cambridge, Harvard University Press, in preparation.Google Scholar
  15. 15.
    Paden RC, Himelstein HC, Paul GL: Video-tape vs. verbal feedback in the modification of meal behavior of chronic mental patients. J Consult Clin Psychol 42:623, 1974.PubMedCrossRefGoogle Scholar
  16. 16.
    Mariotto MJ: The interaction of person and situation effects for chronic mental patients: A two year follow-up. J Abnorm Psychol, in press.Google Scholar
  17. 17.
    Mariotto MJ, Paul GL: Persons versus situations in the real-life functioning of chronically institutionalized mental patients. J Abnorm Psychol 84:483–493, 1975.PubMedCrossRefGoogle Scholar
  18. 18.
    Paul GL, Bernstein DA: Anxiety and Clinical Problems: Treatment by Systematic Desensitization and Related Techniques. New York, General Learning Press, 1973.Google Scholar

Copyright information

© Plenum Publishing Corporation 1980

Authors and Affiliations

  • Gordon L. Paul
    • 1
  1. 1.Psychology DepartmentUniversity of HoustonHoustonUSA

Personalised recommendations