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October 1963

Psychiatric Inpatients at a Teaching Hospital: An Inquiry Into Reasons for Admission and Factors Promoting Clinical Change

Arch Gen Psychiatry. 1963;9(4):384-389. doi:10.1001/archpsyc.1963.01720160074009

All the reasons for which a person requests admission or is sent to a psychiatric hospital are not readily apparent, and many factors affecting his clinical course for better or worse may never be discovered. Ignorance of these matters on the part of patient and psychiatrist works to the disadvantage of both and leads to misconceptions about why people stay sick or get well. Those involved in the teaching of psychiatric residents and nurses have a special responsibility to see that those in training examine the meaning of psychiatric hospitalization in the context of their patients' lives. It is important to avoid belief in comfortable myths, for example the following one, often espoused by residents who believe prematurely in the healing power of words: "Mrs. Smith was seen in psychotherapy an hour a day and developed a great deal of insight