Profiles of Difficult Psychiatric Hospital Patients

Colson, Donald B.; Allen, Jon G.; Coyne, Lolafaye; Deering, David; Jehl, Nancy; Kearns, William D.; Spohn, Herbert

doi:10.1176/ps.37.7.720

Cited by 18 publications

(21 citation statements)

References 9 publications

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“…It is of considerable interest to note the similarities between the results of the present study and those of Colson et al (1986). In their study of difficult psychiatric patients, Colson et al had one cluster of "Pansymptomatic" patients who were rated highest in treatment difficulty and who exhibited a multiplicity of problems.…”

Section: Discussionsupporting

confidence: 71%

An empirical approach to classification and treatment planning for psychiatric inpatients

Harris

Rice

1990

J. Clin. Psychol.

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Treatment efforts for psychiatric patients traditionally are organized according to diagnosis, length of stay, age, and level of management difficulty. The current study, prompted by an attempt to reorganize services for 178 patients at a regional psychiatric hospital, examined the incidence of 72 problems exhibited either in the community prior to admission or within the institution. Factor and cluster analyses were used to identify clinically important subgroups of patients. Implications of the results for institutional organization also are discussed.

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Section: Discussionsupporting

confidence: 71%

An empirical approach to classification and treatment planning for psychiatric inpatients

Harris

Rice

1990

J. Clin. Psychol.

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“…Although clinical authors have often identified the patient's diagnosis as an important influence on a staff member's feelings, empirical research does not, on the whole, support this idea (Colson et al , 1986;Holmqvist & Armelius, 1996). In a comparison of the influences of the patient's psychiatric diagnosis and the patient's self-reported self-image as measured by the SASB (Benjamin, 1974(Benjamin, , 1996, the patient's selfimage was found to contribute twice as much to the staff member's feelings toward the patient as did the diagnosis (Holmqvist, 1998).…”

mentioning

confidence: 99%

Staff members’ feelings toward psychiatric patients related to their own and the patient's self‐image and gender

Armelius

Holmqvist

2003

Scandinavian J Psychology

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The relation between staff members' feelings toward a patient and their own and the patient's self-image in different gender combination groups was studied. Staff at 16 psychiatric treatment homes for patients with severe psychopathology reported their feelings toward their patients on a number of occasions. At the start of treatment, both staff members and patients rated their self-images using the Structural Analysis of Social Behavior (SASB). Male staff seemed less influenced by the patient, with their feelings relating mainly to aspects of their own self-image, while the feelings of the female staff were more related to the patient's self-image. The patient's diagnosis was less important for a staff member's feelings than that member's self-image. Generally, the relation between feelings and self-image was stronger for negative feelings. The results point to the importance of understanding more about the influence of staff members' self-structure on their negative feelings toward their patients and how this relates to both the staff member's and patient's gender.

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“…Comme réactions émotionnelles de la victime, Colson et al (1986) mentionnent le développement d'une perception négative du bénéficiaire agresseur. Roper et Anderson (1991) signalent le contre-transfert, attitude qui consiste à vouloir s'éloigner du bénéficiaire et à dénier son potentiel de dangerosité ou, à l'opposé, à exagérer le caractère agressif de son comportement et, par conséquent, à utiliser abusivement les moyens de contrôle externes.…”

Section: Effets Des Agressionsunclassified

Les agressions en milieu psychiatrique. Vécu et perceptions des intervenants du Pavillon Roland-Saucier du Complexe hospitalier de la Sagamie

Ntetu¹,

Fortin²,

Bergeron³

et al. 2006

smq

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Profiles of Difficult Psychiatric Hospital Patients

Cited by 18 publications

References 9 publications

An empirical approach to classification and treatment planning for psychiatric inpatients

An empirical approach to classification and treatment planning for psychiatric inpatients

Staff members’ feelings toward psychiatric patients related to their own and the patient's self‐image and gender

Les agressions en milieu psychiatrique. Vécu et perceptions des intervenants du Pavillon Roland-Saucier du Complexe hospitalier de la Sagamie

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