Recovery of patients during periods of supposed neglect

Goldberg, Arnold; Rubin, Bernard

doi:10.1111/j.2044-8341.1964.tb01993.x

Cited by 8 publications

(2 citation statements)

References 25 publications

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“…Although this is not a feature of properly constituted TC milieu treatments, several of the programmes that adopted some TC principles in the 1950s, 1960s and 1970s emphasised permissiveness at the expense of boundaries and containment. So Goldberg et al identified five patients who deteriorated in such a milieu but recovered rapidly when transferred to state hospitals that had a more custodial or neglectful approach (Goldberg and Rubin, 1964). They postulated that the lack of therapeutic intent (benign neglect) and substandard conditions combined to motivate patients to recover.…”

Section: The Differences Between Tc Milieu Treatment and Tcmentioning

confidence: 99%

Milieu approaches and other adaptations of therapeutic community method: past and future

Pearce

Haigh

2017

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Purpose. The paper provides an overview of the application of therapeutic community (TC) method in non-TC environments. Approach. Milieu treatment is defined and differentiated from TC 'proper'. Literature is reviewed covering attempts to use TC methods in inpatient wards, across hospitals, and more recently in the criminal justice system and more widely through the enabling environments initiative. Findings. It is unclear whether TC milieu treatments proved helpful in acute ward environments in their heyday in the 1950s, 60s and 70s, in particular those involving people suffering from acute psychosis, and the changing landscape of psychiatric provision may make further investigation difficult. The reasons for this, and for the difficulties reaching a firm conclusion, are outlined. In contrast, TC milieu interventions appear to be demonstrating usefulness more recently in less mixed populations without the implementation of full TC 'proper'. Limitations. Much of the original research is old and the methodology poor, which limits the conclusions that can be drawn. Practical implications. Recent innovations pick up in a more accessible way principles of therapeutic communities that can inform and improve care in a variety of contexts. They are sufficiently well defined to lend themselves to research, which should now be a priority.

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Section: The Differences Between Tc Milieu Treatment and Tcmentioning

confidence: 99%

Milieu approaches and other adaptations of therapeutic community method: past and future

Pearce

Haigh

2017

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show abstract

“…Similarly, psychoanalytic theory that for years dominated training in North American schools of psychiatry and social work has a poor record in both prognosis and treatment (American Psychological Association, 1953; Bergin, 1966;Cross, 1964;Eysenck, 1966;Goldberg and Rubin, 1964;Hoch, 1948;Levitt, 1957;Schwitzgebel, 1967;Stollak et al, 1966;. This is not to say that Freud and his disciples have told no truths (Fisher and Greenberg, 1977;Pribram and Gill, 1976).…”

Section: Reassessmentmentioning

confidence: 99%