Three research assistants developed 2-week-long relationships with 15 patients with schizophrenia hospitalized at an inpatient psychiatric facility. Research assistants were assigned to no more than six patients during any one 2-week period. At the beginning and end of each 2-week relationship period, interactions between research assistants and patients were videotaped, and research assistants' negative and positive responses to patients were measured. Interaction partners' negative responses to patients increased over time. There were stable individual differences among patients in the degree to which they were liked by the research assistants and in how frequently research assistants made negative comments about patients. There were individual differences among research assistants in the degree to which they responded positively to patients. Patient strangeness and lack of pleasant conversational content were associated with the negative responses of research assistants.
Previous research has found that caregiver attitudes are associated with the course of illness of seriously mentally ill (SMI) persons. This study examined whether variation in caregiver attitudes could be accounted for by (a) staff caregivers and/or (b) SMI persons. Group home staff were asked to describe each SMI group home resident and to describe the relationship they had with each resident. We recorded the number of positive and negative statements made by each staff member about each resident's character, behaviors, and the interactions staff had with them. Overall, the variation in positive staff statements about group home residents was significantly accounted for by the residents. In general, the variation in negative staff statements was significantly accounted for by staff. However, the variation in negative staff statements about the character of residents was accounted for by both staff and residents.
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