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July 1963

Psychotherapy in Psychiatric Hospitals: A Proposed Model for Psychiatrist-Nurse-Patient Interaction

Arch Gen Psychiatry. 1963;9(1):53-63. doi:10.1001/archpsyc.1963.01720130055006

Introduction  Many aspects of the psychiatric patient's experience in the hospital can have a psychotherapeutic effect, by planned or fortuitous contact. In this paper, we are concerned with the possibilities of planned facilitation of the psychotherapeutic effectiveness of contact with other personnel than the patient's psychiatrist. In recent years, efforts have been made to enhance the therapeutic contribution of the total hospital situation. There has been much interest in the question of the therapeutic milieu with emphasis on social factors which impede or facilitate the treatment process.1-5 The approach we present is related to "milieu therapy." It can be discussed, better, however, as a systematic stepping back from the socially oriented milieu approach in order to individualize for the patient's particular psychopathology, psychodynamics, therapeutic requirements, and therapeutic course in the hospital.The therapeutic potential of other personnel has been utilized by psychiatrists for many