Ideological Conflict on a Psychiatric Ward<sup>†</sup>

Dl, Stannard

doi:10.1080/00332747.1973.11023752

Cited by 8 publications

(3 citation statements)

References 2 publications

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“…paraprofessional roles. (Stannard 1973 and' Marlow concur with this finding, saying that the importance of parental in-.…”

Section: 14mentioning

confidence: 65%

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Residential treatment of emotionally disturbed adolescents

Sutherland

2000

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New York City's Bellevue Hospital. (Nichtern 1968, p. 1 ]5) The movement toward all-adolescent, wards in treatment hospitals was slow enoug~ that seven teen years 'Iat~r when Hi Iiside Hospital establ ished its girls' Pavillion in 1954, it was still consider~d. "one of the first.~' (Nichtern 1968, p. ] 31) ,hJ Oregon, as late as 1965,. none of the state hospitals had, a program for children or' adolescents. This was true even though state hospitals i~ Oregon had admitted seventy-two children under fifteen years of age in the fiscal year 1962-J963 • (Taylor 1965~ p. 79) , CHARACTERISTICS OF RESIDENTIAL TREATMENT ,There appears to be no one clear definition of what a residential treat ment center is or does although "residential treatment" is popular among child caring centers' as a self-description. Maluccio and Marlow conclude that it could generally be defined as "a total therapeutic program for children whose .' emotional probl~ms preclude treatment'in the community on an outpatient basis. " (1972, p. 232) They found that a residential treatment center generally included, the following:,. Structure or planned and controlled living. Group I iving and individuation. 'dentificati~n through opportunities for significant relationships. Child-staff interaction. Integration and ioint planning an~r evaluation of the child's treatment plan by all staf~. (Maluccio &,Marlow 1972, p. 232) &::II.

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“…paraprofessional roles. (Stannard 1973 and' Marlow concur with this finding, saying that the importance of parental in-.…”

Section: 14mentioning

confidence: 65%

“…Those' locating the "illness" in the resident are likely to develop a different philosophy and to behave differently than those emphasizing a sick environment. (Stannard 1973) ira.…”

Section: Methodsmentioning

confidence: 99%

Residential treatment of emotionally disturbed adolescents

Sutherland

2000

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“…is .. not a homogeneous one with regard to attitudes and attribution, but represents at least three distinct subgroups, one or more of which may not find group meetings helpful (Moos, 1967;Trauer, 1977). Similarly, several studies have demonstrated disagreement betwen staff and patients with regard to beliefs about what activities are most and least helpful, as well as disagreements within subgroups of staff themselves (Polak, 1970;Hornstra e f al., 1972;Leonard, 1973;Stannard, 1973;Dimsdale, 1975;Dimsdale et al, 1979).…”

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confidence: 99%

In‐patient community meetings: Problems and purposes

Kisch¹,

Kroll²,

Gross

et al. 1981

British Journal of Medical Psychology

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The role of the in-patient community meeting is discussed in relation to the general difficulty of attributing specific effectiveness to any type of therapeutic activity on an in-patient service. Close scrutiny of such units demonstrates that staff and patients are composed of several heterogeneous subgroups, not all of whom share common attitudes and values or benefit from similar activities. Within this framework the major problems as well as functions of the community meeting are discussed. Specific questions which await investigation with clinical research are elaborated.One of the present legacies of the evolution of the therapeutic communities of the 1950s into the therapeutic milieus of the 1960s and beyond is the large-group or community meeting as an integral part of psychiatric ward structure and functioning. The community meeting has persisted over two decades despite major changes in philosophy and focus of in-patient psychiatry, changes characterized by greatly decreased lengths of stay, a relative return to a more sophisticated medical model, and greater emphasis on crisis intervention and use of medication as well as decreased emphasis on insight-oriented therapies. Common sense, clinical experience and research studies converge in the opinion that ward atmosphere, milieu activities and the overall ' therapeutic' experience for patients are correlated in some meaningful fashion, although the close linkage of specific milieu activities to therapeutic outcome is hard to demonstrate (Hall & Pill, 1975). Studies have been more successful in relating milieu difficulties to detrimental patient care (Stanton

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Invisibility and selective avoidance: Gender and ethnicity in psychiatry and psychiatric nursing staff interaction

Kavanagh

1991

Cult Med Psych

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This research-based article analyzes institutionalized inequity and discrimination in the forms of sexism and racism within a large, busy, contemporary medical center's Department of Psychiatry. Within that context, issues of control and mechanisms of avoidance served to perpetuate contradictions inherent in what professes to be a psychologically therapeutic and empowering milieu. Despite cognizance of the roles that culture and gender play in care and treatment of patients, psychiatric and mental health professionals at "Central" tended to avoid critical examination of their own and co-workers' ethnicity and gender as those characteristics influenced life experiences, occupational roles and statuses, and hierarchical relationships.

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Ideological Conflict on a Psychiatric Ward^†

Cited by 8 publications

References 2 publications

Residential treatment of emotionally disturbed adolescents

Residential treatment of emotionally disturbed adolescents

In‐patient community meetings: Problems and purposes

Invisibility and selective avoidance: Gender and ethnicity in psychiatry and psychiatric nursing staff interaction

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Ideological Conflict on a Psychiatric Ward†

Cited by 8 publications

References 2 publications

Residential treatment of emotionally disturbed adolescents

Residential treatment of emotionally disturbed adolescents

In‐patient community meetings: Problems and purposes

Invisibility and selective avoidance: Gender and ethnicity in psychiatry and psychiatric nursing staff interaction

Contact Info

Product

Resources

About

Ideological Conflict on a Psychiatric Ward^†