A sociocultural analysis of the resistances of working-class fathers treated in a child psychiatric clinic.

Bell, Norman W.; Trieschman, Albert E.; Vogel, Ezra F.

doi:10.1111/j.1939-0025.1961.tb02136.x

Cited by 8 publications

(11 citation statements)

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“…While such techniques are regarded by many as unorthodox, dangerous and/or unnecessary, I believe a case can be made that there are instances in which therapy fails unless the therapist can understand and involve himself into the fabric of meanings and the network of relationships the patient knows as natural (4).…”

Section: Discussionmentioning

confidence: 99%

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Extended Family Relations of Disturbed and Well Families

Bell

1962

Family Process

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Section: Discussionmentioning

confidence: 99%

“…Such reformulations involve a shift away from the view that mental illness is a characteristic of an individual toward the view that disturbance in one member is a symptom of the functioning of the whole family. Concomitantly, different therapeutic approaches to families as groups (3) or to individuals (4) as family members have been developed.…”

mentioning

confidence: 99%

Extended Family Relations of Disturbed and Well Families

Bell

1962

Family Process

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“…Families, for their part, have conceptions of their rights of access to various categories of personnel, from ward attendants to the superintendent, and even political and governmental figures superior to the hospital superintendent. 4. Closely related to rights of access is the exchange of in f ormation.…”

Section: The Social Structure Of Family and Hospitalmentioning

confidence: 99%

“…Others may like to talk but the psychiatrist can find little focus to the stories told. To the psychiatrist the activity seems to be idle chatter, the serious work of understanding the patient and why he is sick is not getting done.4 4 Ward personnel may find the relatives pleasant and even interesting but learn little about the patient. At this stage the family may redefine them as persons &dquo;trying to get help for themselves&dquo;, but the need is never clear, and any suggestion of its leads to confused retreat.…”

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confidence: 99%

Family-Hospital Relationships in a State Hospital Setting

Bell¹,

Zucker

1969

Int J Soc Psychiatry

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THE mental hospital, like the school, is an institution with a double clientele.Patients are the direct and immediate consumers, but the patient's family and the community are also involved and influence the patient's view of himself and what is expected of the hospital. Traditionally, mental hospitals have focused upon the direct consumer and been organized for his care, custody, and treatment. Being thus oriented inwards, the hospital tends to develop a special subculture' and to see many of its problems as emanating from and revolving about the patient. The indirect consumers then assume less importance. At times a disjunction of family and patient has been promoted. Currently the trend is to bring about a closer, co-operative relationship between family and hospital. The assumption is that this may be brought about simply because the mental hospital organization considers it to be desirable. This assumption is, we think, a product of the hospital's inward orientation, and is not in accord with the realities of the complex process of practices that occurs when one family member is transferred to the care of a bureaucratic organization.In general (at least in the state hospital setting where these observations were made) the relationship of the hospital and families is marked by distance, dissatisfaction, and mutual misunderstanding. Families tend to perceive the hospital as a difficult organization to deal with, one which frustrates families' rights, requests, and needs. Individual personnel may be respected on the basis of personal characteristics but many are seen as incompetent or malevolent. For hospital personnel, the problems that families present are felt to be reflections of more or less static attributes of the families, intimately related to their having produced a mentally-ill member. It is not uncommon to hear statements about the peculiarities of families, and jokes about the wrong family member being in the hospital. This paper springs from doubts that patterns as pervasive and enduring as these can be completely explained in terms of personal, psychological flaws of either party involved. Our point of view is that the family and the hospital are differently-organized systems with unique internal processes. The hospitalization of an individual gives them a member in common and initiates a relationship between them. This paper attempts to describe the conceptions each has of how the relationship should be structured and the incompatibility of these conceptions. As each works through its tasks in its characteristic ways different problems become salient for each party to the relationship. This paper is devoted to an examination of the relationship as a process occurring through time. We shall attempt to delineate the outcomes which occur and account for them in terms of at NORTH DAKOTA STATE UNIV LIB on May 28, 2015 isp.sagepub.com Downloaded from

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“…The difficulties encountered in engaging the cooperation and participation of the father in the treatment process have often been noted (9,10,11) and some of the causes for these difficulties systematically enumerated ( 2). One of the widely accepted ways of helping to overcome this resistance of the father to treatment is to get him involved at the earliest possible stage of treatment -usually the intake procedure ( 8).…”

mentioning

confidence: 98%