• During long-term illness the community relationships of a patient tend to melt away. The patient develops an abnormal dependence on the hospital, or on a physician, or on some other single mainstay. Three case histories are given to illustrate this principle.
Too close a relationship with a single person develops in the patient some resentment. Invalidism or abnormal dependency should be treated at its source. The dependency should be spread over several people. Churches, societies, and various other types of organizations and institutions help the patient to find and foster the new strengths within himself that eventually must bear his entire weight.
Smith RP. ENVIRONMENTAL SUPPORT IN LONG-TERM ILLNESSPRACTICAL MANAGEMENT AND PREVENTION OF INVALIDISM. JAMA. 1956;161(9):836–839. doi:10.1001/jama.1956.02970090062012
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