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A Study of Long-Term Patients Attending a General Hospital Psychiatric Department

  • I. Pilowsky (a1) and J. D. Stirland (a2)

Extract

During the past ten years much attention has been paid to the question of chronicity in mental hospital patients. At the same time there has been a trend towards establishing units (often attached to general hospitals) for short-stay in-patient and possibly day-patient care. In these units, where the emphasis is on outpatient treatment, it is soon apparent to the psychiatrists staffing them that they, too, have to cope with a population of chronic patients. They tend, however, to be outpatients rather than in-patients, and are probably better described as “long-term”. Heasman (1962) gave a graphic description of this problem in the non-psychiatric outpatient department and compared it to that of the “institutional neurosis” as described by Barton (1959). The purpose of this paper is to describe the situation in a Teaching Hospital Department of Psychiatry attached to a general hospital.

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References

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1. Barton, R. (1959). Institutional Neurosis. Bristol: John Wright & Sons.
2. Gehring, E. W. (1932). “Painful women”. Maine med. J., 23, 139143.
3. Hall, P. (1962). A Clinical Investigation into the So-called “Suburban Neurosis”. Ph.D. Thesis, University of Sheffield.
4. Hall, J. and Jones, D. C. (1950). “Social grading of occupations”. Brit. J. Sociol., 1, 3155.
5. Heasman, G. A. (1962). “The patient, the doctor and the hospital”. Lancet, ii, 5962.
6. Sheldon, A. (1964). “An evaluation of psychiatric after-care”. Brit. J. Psychiat., 110, 662667.

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A Study of Long-Term Patients Attending a General Hospital Psychiatric Department

  • I. Pilowsky (a1) and J. D. Stirland (a2)
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