November 1968

The Value System of a Milieu Therapy Unit

Author Affiliations

New Haven, Conn
From the Department of Psychiatry, Yale University School of Medicine, New Haven, Conn. Dr. Almond is now at the Adult Psychiatry Branch, Natinal Institute of Mental Health, Bethesda, Md. Dr. Boltax is now at the Child Study Center, Yale University School of Medicine, New Haven, Conn.

Arch Gen Psychiatry. 1968;19(5):545-561. doi:10.1001/archpsyc.1968.01740110033005

THIS paper reports the first part of a study of therapeutic values in a milieu therapy unit. We deal here with the exploration and measurement of those shared beliefs and values which make up the "hospital culture." Later reports will deal with value change during patients' hospitalizations, and the relations of value change to variables such as outcome of treatment.

The patient-in-the-psychiatric-hospital has been the focus of increasingly intense interest during the past two decades. Clinicians and administrators have explored a variety of approaches to the hospitalized patient beginning with "total-push," and going on to include milieu therapy, therapeutic community, patient government, and a variety of unnamed enrichments and innovations in hospital treatment. In the past ten years there has been widespread acceptance and utilization of such approaches in psychiatric inpatient facilities, especially in general hospital wards, university-affiliated services,

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