Some Problems in Milieu Treatment of the Chronic Older Mental Patient

Bok, Marcia

doi:10.1093/geront/11.2_part_1.141

Cited by 10 publications

(3 citation statements)

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“…Nursing homes restricted patients most, and permitted little normal behavior within them or with the outside world. Bok (1971), reporting on the same study, showed that placement into one type of setting rather than another was often as dependent on availability of place and of funds as on the staffs view of patient needs. Blenkner (1968) wrote that "the flow of care of the aged follows the public dollar," and in 1964 Gottesman warned that changes in federal regulations would move the elderly mentally ill from mental hospitals into nursing homes.…”

Section: Institutional Treatmentmentioning

confidence: 98%

“…But active patients were likely to have been active as hospital workers prior to entering the study. Patients who worked off their wards and were "out of sight" were not likely to be released (Bok, 1971 ) . Finally, patients were more likely to be released if they had shorter hospitalizations and if they had a family member who had shown even slight interest in them.…”

Section: Institutional Treatmentmentioning

confidence: 99%

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Psychosocial treatment of the aged.

Gottesman¹,

Quarterman²,

Cohn³

1973

The Psychology of Adult Development and Aging.

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Many older persons have complaints or engage in behaviors that may be symptomatic of breakdown either in the individual or in his social system or in both. Such indices of dysfunction occur in many who never break down, and, in fact, this group of older people far exceeds the few who experience severe mental and behavioral disturbances. The problems of these individuals are real and as appropriate a treatment target as those of people who are severely upset. For example, the usual social cry is to eliminate poverty because it leads to stress, which in turn leads to mental breakdown. A more valid argument is to eliminate poverty because it leads to problems whether or not breakdown follows.In dealing with behavior, traditional psychology and psychological treatments have addmsed themselves either to a person's biological capabilities or to his attitudes. Even where some psychologists have emphasized the multiple causation of behavior, they have treated the individual rather than his world and have viewed problems as either situationally or historically determind, rather than from a developmental perspective.Psychology must now begin to go beyond man into his world. The new necessity of treating the aged has added a developmental dimension to intervention techniques. In this chapter, we will discuss Leonard E. Gottesman received his PhD in personality and psychopathology from the University of Chicago in 1959. He is currently a senior research psychologist at the Philadelphia Geriatric Center, and also serves as President of the Division of Adult Development and Aging of the American Psychological Association. His major research interest centers on the social/ psychological treatment of the aged.

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Section: Institutional Treatmentmentioning

confidence: 98%

Section: Institutional Treatmentmentioning

confidence: 99%

Psychosocial treatment of the aged.

Gottesman¹,

Quarterman²,

Cohn³

1973

The Psychology of Adult Development and Aging.

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show abstract

“…Milieu treatment methods have recently gained attention for their potential to rehabilitate long-term institutionalized geriatric patients (e.g., Bok, 1971;Gottesman, 1973;Gottesman, Quarterman, & Cohn, 1973). Their findings have been generally accepted -An improved milieu is more conducive to positive therapeutic change than impoverished custodial care settings.…”

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confidence: 99%

Geriatric patients who improve in token economy and general milieu treatment programs: A multivariate analysis.

Mishara¹

1978

Journal of Consulting and Clinical Psychology

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Chronic geriatric mental hospital patients were randomly assigned to token economy and general milieu programs. In each program, staff received the same amount of training, and the physical environments were identical. Results showed significant decreases over 6 months on both wards in frequency of bizarre and unusual behaviors. Incontinence decreased immediately after transfer to the treatment wards, and there were changes over 6 months in the amount of staff care given to patients. Multiple discriminant analyses indicated that in each ward different constellations of pretreatment characteristics discriminated between patients who improved and those who did not improve in the frequency of bizarre and unusual behaviors. In the token economy, improved patients can be characterized as less "institutionalized," in better physical condition, and actively exhibiting their troubles. In the general milieu, improved patients can be discriminated by less responsiveness to an interviewer. Results are interpreted in view of the different characteristics of each program.

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Other Approaches to Therapy

Storandt¹

1978

The Clinical Psychology of Aging

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Some Problems in Milieu Treatment of the Chronic Older Mental Patient

Cited by 10 publications

References 0 publications

Psychosocial treatment of the aged.

Psychosocial treatment of the aged.

Geriatric patients who improve in token economy and general milieu treatment programs: A multivariate analysis.

Other Approaches to Therapy

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