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‘Neurosis' and the Personal Social Environment: The Effects of a Time-Limited Course of Intensive Day Care

  • A. C. P. Sims (a1), D. H. Heard (a1), C. E. Rowe (a1), M. M. P. Gill (a1) and V. Maddock (a1)...

Abstract

The Interview Schedule for Social Interactions (ISSI) was used to assess the social environment of 65 British inner-city patients suffering from severe neurotic disorder; all patients were offered a 12-week course of intensive day treatment with an educational and psychodynamic basis. Compared with a general population in Canberra, the neurosis sufferers had lower (morbid) scores on the ISSI for the extent and quality of their social relationships. Of the 34 subjects who completed treatment and attended for the post-treatment investigation, 21 attained a PSE score below the level for ‘caseness'. Twenty-five subjects who attended for follow-up at 18–24 months had improved significantly on all four of the standard ISSI measures, although they had not done so immediately after treatment. This suggests that although symptoms may improve at the time of treatment, social relationships improve only over several months.

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Academic Unit of Psychiatry, St James's University Hospital, Leeds LS9 7TF

References

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Ainsworth, M. D., Blehar, M. C., Waters, E., et al (1978) Patterns of Attachment: A Psychological Study of the Strange Situation. New Jersey: Lawrence Erlbaum.
Belsky, J. & Nezworski, T. (1988) Clinical Implications of Attachment. New Jersey: Lawrence Erlbaum.
Benum, K., Anstorp, T., Dalgard, O. S., et al (1987) Social network stimulation. Health promotion in a high risk group of middle-aged women. Acta Psychiatrica Scandinavica (suppl. 337), 3341.
Bowlby, J. (1982) Attachment and Loss, Vol. 1, Attachment (2nd edn). London: Hogarth Press.
Brown, G. W. & Harris, T. (1978) Social Origins of Depression: A Study of Psychiatric Disorder in Women. London: Tavistock Press.
Candy, J., Balfour, F. H. G., Cawley, R. H., et al (1972) A feasibility study for a controlled trial of formal psychotherapy. Psychological Medicine, 2, 345362.
Costello, C. G. (1992) Research in symptoms versus research in syndromes. Arguments in favour of allocating more research time to study of symptoms. British Journal of Psychiatry, 160, 304308.
Gelder, M. G. (1986) Neurosis: another tough old word. British Medical Journal, 292, 972973.
Henderson, S., Byrne, D. G. & Duncan-Jones, P. (1981) Neurosis and the Social Environment. Sydney: Academic Press.
Newby, D., Lake, B. & Sims, A. (1987) Tuke House: initial experience of a new community service for neurotic illness. Bulletin of the Royal College of Psychiatrists, 11, 269271.
Parker, G. & Barnett, B. (1987) A test of the social support hypothesis. British Journal of Psychiatry, 150, 7277.
Parkes, C. M. (1986) Bereavement: Studies in Grief in Adult Life (2nd edn). London: Tavistock Press.
Parkes, C. M., Stevenson-Hinde, J. & Marris, P., (eds) (1991) Attachment Across the Life Cycle. London: Tavistock/Routledge.
Raphael, B. (1984) The Anatomy of Bereavement. London: Hutchinson.
Rodgers, B. (1990) Adult affective disorder and early environment. British Journal of Psychiatry, 157, 539550.
Sims, A. C. P. (1985) Neurotic illness: conserving a threatened concept. British Journal of Clinical Pharmacology, 19, 915.
Sims, A. C. P. (1992) Neuroses and personality disorders: editorial overview. Current Opinion in Psychiatry, 5, 2.
Sims, A. C. P. & Prior, M. P. (1978) The pattern of mortality in severe neuroses. British Journal of Psychiatry, 133, 299305.
Tyrer, P. (1985) Neurosis divisible? Lancet, 1, 685688.
Vaux, A. (1988) Social Support: Theory, Research and Intervention. New York: Praeger.
Weiss, R. S. (1982) Attachment in adult life. In The Place of Attachment in Human Behaviour (eds Parkes, C. M. & Stevenson-Hinde, J.). London: Tavistock Press.
Wilkinson, G. (1991) Epidemiology of neuroses, psychiatry and primary care. Current Opinion in Psychiatry, 4, 242244.
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) Measurement and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.
Wing, J. K., Mann, S. A., Leff, J. P., et al (1978) The concept of a ‘case’ in psychiatric population surveys. Psychological Medicine, 8, 203217.
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD-9). Geneva: WHO.
World Health Organization (1992) The ICD-10 Classification of Mental and Behavioural Disorders. Geneva: WHO.

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‘Neurosis' and the Personal Social Environment: The Effects of a Time-Limited Course of Intensive Day Care

  • A. C. P. Sims (a1), D. H. Heard (a1), C. E. Rowe (a1), M. M. P. Gill (a1) and V. Maddock (a1)...

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‘Neurosis' and the Personal Social Environment: The Effects of a Time-Limited Course of Intensive Day Care

  • A. C. P. Sims (a1), D. H. Heard (a1), C. E. Rowe (a1), M. M. P. Gill (a1) and V. Maddock (a1)...
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