P1: GXB Psychiatric Quarterly [psaq] ph163-psaq-454353 November 26, 2002 12:27 Style ﬁle version June 4th, 2002 ° C Psychiatric Quarterly, Vol. 74, No. 2, Summer 2003 ( 2003) Special Section Sanctuary Principles and Practice in Clinical Settings INTRODUCTION Paula G. Panzer, M.D. and Sandra L. Bloom, M.D. Guest Editors The ﬁve papers in this collection of articles represent a collaborative effort to bring the wisdom of social psychiatry and its concern with context and meaning back into a more central position in the ongoing conversation about what it takes to bring about real change. For several decades, the knowledge about what it means to be part of a therapeutic milieu has been marginalized. The words “therapeutic milieu” are still batted around, usually on treatment plans, but an increasingly smaller number of people actually know what a rigorous and demanding prac- tice it is to create and maintain a truly “therapeutic” milieu. Many of the concepts referred to in these articles are not new. The tenets of good milieu management stretch back more than a century, even back to the Moral Treatment ﬁrst practiced in the 18th century. Systems theory gave birth to the community psychiatry movement of the 1960’s.
Psychiatric Quarterly – Springer Journals
Published: Oct 21, 2004
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