Intensive Hospital Treatment Of Severe Psychiatric Disorders

Gagliano, Theodore E.; Forizs, L

doi:10.1176/ps.18.3.74

Cited by 3 publications

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“…Some communities started to rely on private facilities for day hospitals, guidance centers, youth clinics, half-way houses and outpatient services (183)(184)(185). Others thought the major role of the private psychiatric hospital should be long term, intensive, reconstructive psychotherapy (186,187). Some hospitals continued research and charitable work through foundations they had started in previous decades, e.g., Menninger Clinic (Menninger Foundation, 1941) and High Point Hospital (Gralnick Foundation, 1951).…”

Section: 'Smentioning

confidence: 99%

A History of Private Psychiatric Hospitals in the USA: From Start to Almost Finished

Geller

2006

Psychiatr Q

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There has been no comprehensive history of the scope and roles of private psychiatric hospitals in the USA. This paper documents the origins, functions, support, and contributions of private psychiatric hospitals from their beginnings in the eighteenth century through 2003. An interesting feature of nineteenth century psychiatry was the interplay between private and public institutions which reveals a pattern of the public purchase of private beds that is conceptually much like what we have today. From the early twentieth century through 1970, advancements in somatic treatments, new ways of using the hospital milieu, the introduction of antipsychotic medications, the shift from institution-based to noninstitution-based loci of acute and long-term treatment and care, the beginnings of day hospitals and a shortage of psychiatrists and nurses, all impacted upon the private psychiatric hospital. While the private psychiatric hospitals expanded in number and in responsibilities during these decades, at the end of the 1960's their future was a matter of serious debate. A comprehension of the history of the private psychiatric hospital since 1970 is based on an understanding of the impact of for-profit hospital chains, managed care, the privatization of traditionally public services, the requirement for "treatment in the least restrictive alternative," further erosion of the use of any form of inpatient treatment, and an overall decrease in expenditures for mental health services. The future of the private psychiatric hospital may well be based on its ability both to maintain its traditional, patient-centered approach and to create innovative, effective, efficient, novel systems of care and treatment.

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Section: 'Smentioning

confidence: 99%

A History of Private Psychiatric Hospitals in the USA: From Start to Almost Finished

Geller

2006

Psychiatr Q

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Democratization in the Mental Hospital as a Therapeutic Vehicle

Bierenbroodspot¹

1972

Psychother Psychosom

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Psychotherapy as such has two aspects, a reality (here-and-now) aspect and a transference (distortion-of-reality) aspect, which, in the clinical setting, should be distinguished even more clearly than is done in individual therapy. The reality aspect, crystallized in the process of decision-making, is made more explicit when democratization (a process of delegation of power and responsibility) is introduced into the mental hospital. Problems concerning various types of resistance to democratization (descended from patients, staff or the clinical setting per se) are further discussed.

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Transference Relation to the Hospital

Eck¹

1972

Psychother Psychosom

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In this communication will be discussed the transference aspects ot the patient’s relation to the hospital. This will first be differentiated from the transference relation to the different persons in the hospital. Early ‘oral’ aspects, expressing themselves in an attitude of demanding dependency and a low frustration level for separation-like experiences, are of great importance. These transference relations may be hidden behind a behaviour that seems to have more connection with higher levels of development. The structure of the hospital administration is often indicated as the main way to counteract these regressive tendencies. Administrative and structural measures should be accompanied by psychothera-peutic interpretation of the transference aspects.

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Intensive Hospital Treatment Of Severe Psychiatric Disorders

Cited by 3 publications

References 0 publications

A History of Private Psychiatric Hospitals in the USA: From Start to Almost Finished

A History of Private Psychiatric Hospitals in the USA: From Start to Almost Finished

Democratization in the Mental Hospital as a Therapeutic Vehicle

Transference Relation to the Hospital

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