DeepDyve eBooks - Social psychiatry in action: A therapeutic community.

Social psychiatry and the problem of patient management in the mental hospital.

Wilmer, Harry A.

Pages: 3 –21

New methods of patient management must obviously be found that will narrow the gap between staff requirements and supply by increasing the effectiveness of the existing staff. One such method is the therapeutic community technique of social psychiatry, which, by bringing the patients into...

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The Oakland Admission Ward and its society.

Wilmer, Harry A.

Pages: 22 –39

The admission ward at Oakland was a 34-bed locked ward. The building itself was a frame structure of the temporary type that was rapidly built for military use early in World War II. In contrast to a few elaborate mental hospitals it was a poor, poor cousin. But it always seemed an adequate...

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The staff.

Wilmer, Harry A.

Pages: 40 –71

The primary goal of the Oakland therapeutic community program was not to "cure" patients or symptoms, though on occasion discernible symptomatic improvement occurred; the goal was patient management through a process of acculturation which would lead the patients to accept their status as...

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Requested interviews and special treatment.

Wilmer, Harry A.

Pages: 72 –90

A simple routine procedure was established in the therapeutic community by which patients could arrange for individual interviews. We posted on the bulletin board a sheet of paper headed as follows: "Any patient who wishes to see the doctor, please sign below. You will be taken in order as time...

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Medication: Barbiturates and ataractic or "tranquilizing" drugs.

Wilmer, Harry A.

Pages: 91 –118

The effects of the barbiturates have long been scientifically understood, and our policy on them was simply one of putting into practice existing knowledge. Our use of these drugs was negligible. The effects of the ataractic drugs, unlike those of the barbiturates, are not yet fully understood....

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The seclusion room.

Wilmer, Harry A.

Pages: 119 –149

During the three months that I had observed the admission ward as Officer of the Day prior to assuming responsibility for it, I learned that the two seclusion rooms on the ward were in almost constant use, night and day, and I often heard patients yelling and pounding on the doors of these small...

LitStream

Examples of community meetings.

Wilmer, Harry A.

Pages: 150 –180

The first community meeting ever held on the ward dealt with minor annoyances arising out of the hospital situation. The opening communication, from a patient who had been in the service for a long time, was the complaint that there was no coffee hour and that no coffee could be had except at odd...

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Further examples of community meetings.

Wilmer, Harry A.

Pages: 181 –220

This chapter discusses further examples of community meetings, detailing how the community dealt with psychotic delusions. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

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Further examples of community meetings.

Wilmer, Harry A.

Pages: 221 –251

This chapter discusses further examples of community meetings, detailing officers and other men. The following meetings were focused particularly on an officer, Lieutenant Brewster, who was suffering from a moderately severe paranoid schizophrenic reaction. But a secondary drama was also played...

LitStream

Community meetings: Some characteristic situations and techniques.

Wilmer, Harry A.

Pages: 252 –292

Certain types of situations recurred so frequently in the community meetings that we inevitably developed extensive observations on them and, I believe, some practical skill in dealing with them. In the following pages I shall present some of our experiences. Since, as in life itself, we learned...

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Social psychiatry in action: A therapeutic community.

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Social psychiatry in action: A therapeutic community.

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