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January 1966

Sociopsychological Aspects of Psychiatric TreatmentA Report of Treatment in Three Voluntary Hospitals

Author Affiliations

NEW YORK; ST. Louis; Bethesda, MD
From the Department of Experimental Psychiatry, Hillside Hospital, Glen Oaks, Long Island, NY 1959-1962. Currently at the Department of Psychiatry, University of Chicago, Chicago (Dr. Kahn); the Department of Psychiatry at the Missouri Institute of Psychiatry, University of Missouri School of Medicine, St. Louis (Dr. Fink); and the National Institute of Mental Health, Bethesda, Md (Dr. Siegel).

Arch Gen Psychiatry. 1966;14(1):20-25. doi:10.1001/archpsyc.1966.01730070022002

IN THEIR STUDIES of the New Haven psychiatric patient population, Hollingshead and Redlich reported significant relationships between an individual's position in the social-class structure and the incidence of treated illness, types of diagnosed disorders, and kinds and duration of psychiatric treatment administered.1 The influence of the economic status of the patient on the availability of treating personnel, however, was not excluded.

Studies of the role of social factors in the treatment of hospitalized patients independent of their financial status and the availability of treatments were undertaken at Hillside Hospital in 1957. In this hospital, a variety of treatment modes, including individual psychotherapy, pharmacotherapy, and convulsive therapies were available to all patients regardless of their ability to pay. In our surveys2,3 we observed that patients hospitalized for the shortest periods were older, had less education, and were more often of foreign birth. These older, lesseducated patients were predominantly treated

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