General Psychiatric Hospital Research Articles

Disposition of first admissions to a private psychiatric hospital, 1920-1951.

Four Groups of patients, each consisting of 1,000 consecutive first admissions to the Pennsylvania Hospital, have been followed for 5 years from the time of their first admission to a psychiatric hospital. The sample covers a span of more than 30 years in general psychiatric hospital experience in a large metropolitan area on the east coast. Tables show a decrease in death rates and in number of patients continuously hospitalized, with a relatively constant suicide rate. There has been a somewhat uniform readmission rate, but a tendency toward shorter duration of first admissions. The readmission and chronicity rates for the functional psychoses have been decreasing. Among the more important factors influencing the mortality rates are the introduction of more specific therapies for paresis in the late 1920's, chemotherapy in the late 1930's, antibiotics in the mid-1940's, and constantly improving standards of nursing and ancillary care throughout the whole period. Duration of stay has been influenced by changing policies regarding discharge, the use of somatic therapies, and increasing emphasis on the hospital as a therapeutic milieu. These factors favoring earlier discharge have not resulted in an increased readmission rate; on the contrary, the readmission rate for the functional psychoses has been lowered. When the total sample of patients is considered, fewer are dying in the 5 year period, more are leaving the hospital sooner, and about the same percentage is returning as in the early 1920's.

The role of the administrative psychiatrist in intensive psychotherapy in a mental hospital.

1. Intensive psychotherapy can be integrated into the therapeutic armamentarium of a general psychiatric hospital which is not committed to a specific treatment method. 2. The utilization of a second psychiatrist is necessary. This psychiatrist is the administrator, the coordinator, and the reality-interpreter. 3. He must be flexible, experienced, good at communication, and constantly scrutinizing his own attitudes toward the patient and the others involved.

THE GENERAL HOSPITAL PSYCHIATRIC UNIT

Back to table of contents Previous article Next article ArticleNo AccessTHE GENERAL HOSPITAL PSYCHIATRIC UNITSome Questions Raised by W.H.O. Technical Report 73DANIEL BLAINDANIEL BLAINSearch for more papers by this authorPublished Online:1 Apr 2006https://doi.org/10.1176/ps.7.4.18AboutSectionsPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack Citations ShareShare onFacebookTwitterLinked InEmail "THE GENERAL HOSPITAL PSYCHIATRIC UNIT ." Psychiatric Services, 7(4), pp. 18–19 Access content To read the fulltext, please use one of the options below to sign in or purchase access. Personal login Institutional Login Sign in via OpenAthens Purchase Save for later Item saved, go to cart PPV Articles - Psychiatric Services $35.00 Add to cart PPV Articles - Psychiatric Services Checkout Please login/register if you wish to pair your device and check access availability. Not a subscriber? Subscribe Now / Learn More PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development. Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.). FiguresReferencesCited byDetailsCited byNone Volume 7Issue 4 April 1956Pages 18-19 Metrics PDF download History Published online 1 April 2006 Published in print 1 April 1956

Psicogênese e determinação pericial da periculosidade

Estuda o A. neste trabalho a psicogênese e determinação pericial da periculosidade. Refere-se inicialmente aos novos rumos da perícia psiquiátrico-criminal que, além de considerar os problemas concernentes à questão da responsabilidade, terá que estudar o da periculosidade dos delinquentes da reincidência delituosa. Julga que este assunto entra de pleno direito no âmbito pericial psiquiátrico, não sendo admissível que a determinação da periculosidade seja unicamente função do Juiz e prescinda de provas técnicas nos Hospitais Psiquiátricos gerais, para conhecimento da potenculosidade, que não exige apenas a determinação da doença psíquica, pré-delituosa. Estuda as causas sociais e individuais de periculosidade, dentendo-se particularmente na questão da desorganisação e liberação dos instintos e nas reações anormais da personalidade, dentro do conceito de predisposição e incidência. Passa a considerar o diagnóstico geral da periculosidade, que não exige apenas a determinação da doença psíquica, mas, principalmente, o conhecimento exato dos fatores que integram a personalidade. Considera, para o diagnóstico, os motivos e circunstâncias dos crimes, na integração do chamado "valor sintomático do delito". Passa em revista as várias fórmulas e perfis psicológicos para verificação da periculosidade. Estuda a "presunção da periculosidade", dentro da orientação do Código Penal Brasileiro, em suas relações com a psicopatologia. Enumera e estuda, por fim, as formas legais e clínicas da periculosidade, dentro dos imperativos da defesa social.