0
ARTICLE |

PSYCHIATRIC THERAPEUTIC COMMUNITY IN A NAVAL HOSPITAL

Harry A. Wilmer, MC
JAMA. 1958;166(12):1445-1453. doi:10.1001/jama.1958.02990120037008.
Text Size: A A A
Published online

A usable and effective way of managing acutely disturbed patients in an admissions ward is described. It consisted in developing a therapeutic community in which it was the role of the patient not to be sick, but to function as near to the norms of society as possible. The control of aggressive behaviour was carried out largely through the patients themselves. During the 10-month period of the experiment, 939 men were admitted for an arbitrary period of 10 days before being transferred to other psychiatric wards. The program included especially a 45-minute discussion period for staff and patients led by a psychiatrist after the morning sick call, six days a week, followed by a staff meeting. There were systematic arrangements for individual conferences of patients with doctors. Seclusion rooms, whose antitherapeutic effects reach out beyond the isolated patient himself to the therapeutic community as a whole, were not used. While the value of this program as a therapeutic procedure was not established under the conditions of the experiment, its value as a type of ward administration was demonstrated. It helped to fill the gap of staff shortages and opened up new possibilities for treatment.

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();