Cargando…

Why are the results of milieu therapy for schizophrenic patients contradictory? An analysis based on four empirical studies.

The results of milieu therapy with psychotic patients have been highly conflicting because of unrecognized differences among the wards investigated. Our own research indicates that for psychotic patients in short- and intermediate-term wards: A beneficial milieu has a low perceived level of anger an...

Descripción completa

Detalles Bibliográficos
Autores principales: Vaglum, P., Friis, S., Karterud, S.
Formato: Texto
Lenguaje:English
Publicado: Yale Journal of Biology and Medicine 1985
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2589909/
https://www.ncbi.nlm.nih.gov/pubmed/4049916
_version_ 1782161210042482688
author Vaglum, P.
Friis, S.
Karterud, S.
author_facet Vaglum, P.
Friis, S.
Karterud, S.
author_sort Vaglum, P.
collection PubMed
description The results of milieu therapy with psychotic patients have been highly conflicting because of unrecognized differences among the wards investigated. Our own research indicates that for psychotic patients in short- and intermediate-term wards: A beneficial milieu has a low perceived level of anger and aggression and a high level of support, practical orientation, and order and organization. Confronting group therapy is detrimental and individually oriented milieu therapy beneficial. Community groups may become anti-therapeutic pseudo-groups. Extensive use of confrontational groups may contribute to a detrimental ward atmosphere. A high mean age of patients may contribute to a favorable low level of aggression. A high percentage of psychotic patients, a high number of patients, and a high staff turnover may lead to a detrimental atmosphere. On this basis we tried to change the milieu on a 26-bed therapeutic community ward which proved to have pseudo-groups and a detrimental ward atmosphere. The amount of compulsory group activities was reduced, the groups made more task-oriented, the amount of individually oriented milieu therapy increased, and the number of beds reduced. At re-evaluation the ward atmosphere had improved considerably.
format Text
id pubmed-2589909
institution National Center for Biotechnology Information
language English
publishDate 1985
publisher Yale Journal of Biology and Medicine
record_format MEDLINE/PubMed
spelling pubmed-25899092008-11-28 Why are the results of milieu therapy for schizophrenic patients contradictory? An analysis based on four empirical studies. Vaglum, P. Friis, S. Karterud, S. Yale J Biol Med Research Article The results of milieu therapy with psychotic patients have been highly conflicting because of unrecognized differences among the wards investigated. Our own research indicates that for psychotic patients in short- and intermediate-term wards: A beneficial milieu has a low perceived level of anger and aggression and a high level of support, practical orientation, and order and organization. Confronting group therapy is detrimental and individually oriented milieu therapy beneficial. Community groups may become anti-therapeutic pseudo-groups. Extensive use of confrontational groups may contribute to a detrimental ward atmosphere. A high mean age of patients may contribute to a favorable low level of aggression. A high percentage of psychotic patients, a high number of patients, and a high staff turnover may lead to a detrimental atmosphere. On this basis we tried to change the milieu on a 26-bed therapeutic community ward which proved to have pseudo-groups and a detrimental ward atmosphere. The amount of compulsory group activities was reduced, the groups made more task-oriented, the amount of individually oriented milieu therapy increased, and the number of beds reduced. At re-evaluation the ward atmosphere had improved considerably. Yale Journal of Biology and Medicine 1985 /pmc/articles/PMC2589909/ /pubmed/4049916 Text en
spellingShingle Research Article
Vaglum, P.
Friis, S.
Karterud, S.
Why are the results of milieu therapy for schizophrenic patients contradictory? An analysis based on four empirical studies.
title Why are the results of milieu therapy for schizophrenic patients contradictory? An analysis based on four empirical studies.
title_full Why are the results of milieu therapy for schizophrenic patients contradictory? An analysis based on four empirical studies.
title_fullStr Why are the results of milieu therapy for schizophrenic patients contradictory? An analysis based on four empirical studies.
title_full_unstemmed Why are the results of milieu therapy for schizophrenic patients contradictory? An analysis based on four empirical studies.
title_short Why are the results of milieu therapy for schizophrenic patients contradictory? An analysis based on four empirical studies.
title_sort why are the results of milieu therapy for schizophrenic patients contradictory? an analysis based on four empirical studies.
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2589909/
https://www.ncbi.nlm.nih.gov/pubmed/4049916
work_keys_str_mv AT vaglump whyaretheresultsofmilieutherapyforschizophrenicpatientscontradictoryananalysisbasedonfourempiricalstudies
AT friiss whyaretheresultsofmilieutherapyforschizophrenicpatientscontradictoryananalysisbasedonfourempiricalstudies
AT karteruds whyaretheresultsofmilieutherapyforschizophrenicpatientscontradictoryananalysisbasedonfourempiricalstudies