July 1963

Democracy and Rehabilitation of the Mentally Ill

Author Affiliations

Staff Sociologist, Vermont State Hospital.

Arch Gen Psychiatry. 1963;9(1):1-8. doi:10.1001/archpsyc.1963.01720130003001

Introduction  In recent years a considerable interest has developed in the rehabilitation of chronic hospitalized mental patients. This interest has taken many directions and emphases. Even though many hospital programs attempt to encompass rather complete theories and practices of rehabilitation, it is possible to discern, at least operationally, some of the major areas of attention.As a result of studies which point out the nature of total institutionalization16-18,45,46 and the relationship between therapy and hospital structure,5,23,29,40-42,47 some emphasis has centered about altering social structure so as to produce a more therapeutic climate.8 Integral to this is concern for more effective inter-staff communication and interaction4,10,18,22,23,41 thereby producing not only structural changes but interpersonal ones as well.Another focus has centered on therapy wherein a variety of new approaches have been tried, each designed to aid the patient's recovery. It is impossible to discuss

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