A Reevaluation of Milieu Therapy for Nonchronic Schizophrenic Patients

Gunderson, John G.

doi:10.1093/schbul/6.1.64

Cited by 28 publications

(6 citation statements)

References 18 publications

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“…Hospital settings were the subject of much concern and study during the 1960s and early 1970s (Gunderson, 1980). The characteristics of various hospital milieu which appear to facilitate patient recovery may give us a lead as to the direction we should follow.…”

Section: Discussionmentioning

confidence: 99%

Return to the family and its consequence for rehospitalization among recently discharged mental patients

Blumenthal¹,

Kreisman²,

O’Connor³

1982

Psychol. Med.

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SynopsisThis study examined the contribution that living arrangements made to the rehospitalization rates of mental patients discharged to the community during the first 7 months they spent there. Over 20000 mental patients discharged from psychiatric facilities in the state of New York were categorized on the basis of the living arrangements to which they were discharged. These included living alone, parental, marital, other relatives or friends, and domiciliary settings. The sample was divided in half and results of the analysis of the first sample were replicated on the second sample. Analysis of covariance and multiple regression techniques revealed that patients discharged to marital settings were rehospitalized less than those discharged to other settings, and that there were no differences in the return rates among the remaining settings. The major predictor of rehospitalization was the number of previous hospitalizations. The implications of these findings for further research on supportive as well as stressful parameters of community and family settings are discussed.

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Section: Discussionmentioning

confidence: 99%

Return to the family and its consequence for rehospitalization among recently discharged mental patients

Blumenthal¹,

Kreisman²,

O’Connor³

1982

Psychol. Med.

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“…More supportive environments also characterized milieu therapy in this period ( 10), and today specific out‐patient facilities are designed on the basis of present knowledge of the needs for severely mentally ill. Thus, recent studies on treatment environments has investigated more specialized out‐patient or residential settings providing long‐term treatment and rehabilitation in community mental health centres, day‐programmes, group homes, etc.…”

Section: Introductionmentioning

confidence: 99%

Ward atmosphere in acute psychiatric in‐patient care: patients' perceptions,ideals and satisfaction

Middelboe

Schjødt

Byrsting

et al. 2001

Acta Psychiatr Scand

127

110

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“…Given dropout rates in trials of dynamic psychotherapies for psychosis decades ago (Gunderson, 1980), any potentially long-term treatment has lived under the shadow of questions about its acceptability and feasibility. To date, two randomized controlled trials of 6 and 8 months of MERIT, respectively, have demonstrated that between two-third and three-fifth of patients randomized to receive MERIT completed treatment (de Jong, van Donkersgoed, Timmerman, et al, 2018; Vohs et al, 2018).…”

Section: Evidence Supporting Meritmentioning

confidence: 99%

Metacognition and recovery in schizophrenia: From research to the development of metacognitive reflection and insight therapy

Lysaker

Kukla

Vohs

et al. 2019

Journal of Experimental Psychopathology

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Metacognition refers to a spectrum of activities which spans from noticing discrete experiences to synthesizing them into a larger sense of the self and others. Evidence suggesting that deficits in metacognition are broadly present in schizophrenia and represent a potent barrier to recovery from schizophrenia has led to increasing interest in the development of metacognitively oriented treatments. In this article, we will describe the development of one such treatment, metacognitive reflection and insight therapy (MERIT), an integrative form of psychotherapy defined by eight core elements. We will first discuss the concept of metacognition as a means to operationalize the processes which enable persons to have a sense of themselves and others available for reflection and that can then serve as the basis for effective and agentic responses to psychosocial challenges. We will then discuss methods for assessing metacognition, the development of MERIT as a treatment that targets metacognition, and how MERIT compares with other treatments. Next, we will discuss empirical support for MERIT's role in recovery including its potential to assist persons to develop their own personally meaningful sense of their challenges and then decide how to effectively respond to those challenges and manage their own recovery.

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A Reevaluation of Milieu Therapy for Nonchronic Schizophrenic Patients

Cited by 28 publications

References 18 publications

Return to the family and its consequence for rehospitalization among recently discharged mental patients

Return to the family and its consequence for rehospitalization among recently discharged mental patients

Ward atmosphere in acute psychiatric in‐patient care: patients' perceptions,ideals and satisfaction

Metacognition and recovery in schizophrenia: From research to the development of metacognitive reflection and insight therapy

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