Mental Hospital Ward Research Articles

Fostering Open Communication About Sexual Concerns in a Mental Hospital

Homosexual acting out by young patients on a mental hospital ward prompted the staff to plan a sex education program that would provide basic information on human sexuality and foster more open communication about sexual concerns. However, anxiety over who should conduct it pointed up the need for such a program for staff. Two seminars were subsequently held, the first for staff, the second for patients. The seminars helped reduce anxiety about human sexuality, and enabled staff to deal more comfortably with sexual problems on the ward, They also demonstrated that an open, frank group approach can be handled by patients and by a staff without any expertise in sex education or group work.

473. A sociopsychiatric nursing approach to intervention in a problem of mutual withdrawal on a mental hospital ward

473. A sociopsychiatric nursing approach to intervention in a problem of mutual withdrawal on a mental hospital ward

A sociopsychiatric nursing approach to intervention in a problem of mutual withdrawal on a mental hospital ward.

(1952). A Sociopsychiatric Nursing Approach to Intervention in a Problem of Mutual Withdrawal on a Mental Hospital Ward. Psychiatry: Vol. 15, No. 2, pp. 193-217.

MULTIPLE TRANSMISSIBLE DRUG RESISTANCE IN AN OUTBREAK OF SHIGELLA FLEXNERI INFECTION

During an outbreak of infection with Summary Shigella flexneri type 2a in a mentalhospital ward, strains of this organism were isolated with eight different patterns of sensitivity to antimicrobial drugs, from strains sensitive to all the agents tested, to one resistant to six different drugs. All the strains showing multiple drug resistance were able to transfer at least part of their resistance to sensitive Escherichia coli K12 in mixed culture, and genetic analysis showed that it was necessary to invoke the presence of at least three different transmissible resistance factors in this population to explain the patterns of resistance transfer observed. Treatment of such outbreaks should take into account the resistance to drugs of the fæcal flora of the patients.

The measurement and reinforcement of behavior of psychotics.

An attempt was made to strengthen behaviors of psychotics by applying operant reinforcement principles in a mental hospital ward. The behaviors studied were necessary and/or useful for the patient to function in the hospital environment. Reinforcement consisted of the opportunity to engage in activities that had a high level of occurrence when freely allowed. Tokens were used as conditioned reinforcers to bridge the delay between behavior and reinforcement. Emphasis was placed on objective definition and quantification of the responses and reinforcers and upon programming and recording procedures. Standardizing the objective criteria permitted ward attendants to administer the program. The procedures were found to be effective in maintaining the desired adaptive behaviors for as long as the procedures were in effect. In a series of six experiments, reinforced behaviors were considerably reduced when the reinforcement procedure was discontinued; the adaptive behaviors increased immediately when the reinforcement procedure was re-introduced.

GENERALIZED PARESIS IN A 15-YEAR-OLD GIRL.

GENERALIZED paresis of insane and late manifestations of congenital syphilis were at one time relatively common clinical problems. Today remaining handful of patients with generalized paresis inhabit back wards of state mental hospitals, and congenital syphilis is seen infrequently in newborns and almost never as late onset form of disease. With discovery of penicillin, and subsequent relative decline in number of cases of syphilis being seen by private practitioner, there has been a tendency to omit serological test for syphilis from routine prenatal examination. In past few years syphilis has been on increase, particularly in 15- to 25-year-age group—the early reproductive years. It is by reputation the great imitator, and unless suspected and looked for, it will be missed. The occurrence of late-onset congenital syphilis manifesting itself as generalized paresis is a rare situation. This

PSYCHIATRIC ROLES AND THEIR MEANING.

Analysis of patterns of meaning ascribed to social positions in real‐life situations is important but difficult. The Semantic Differential technique provides the flexibility and meaningfulness which other tests lack, and its use is demonstrated in the results obtained from eleven nurses with specialized experience in a mental hospital ward.

PSYCHOTIC MOTHERS AND THEIR CHILDREN. II. PSYCHOLOGICAL STUDIES OF MOTHERS CARING FOR THEIR INFANTS AND YOUNG CHILDREN IN A PSYCHIATRIC HOSPITAL.

For more than three years the Massachusetts Mental Health Center has included in its treatment program the opportunity for psychotic women to care for their infants and young children in the hospital. The present paper reports on the relationship between psychological studies of 12 such mothers and psychiatric ratings of the therapeutic usefulness of admission. At Cassel Hospital in England, in 1948, emotionally disturbed mothers were first given the opportunity to care for their infants and children on an adult mental hospital ward. Douglas reported in 1956 2 that mothers with postpartum psychotic reactions admitted under this program were not likely to relapse after discharge. On the basis of his extensive experience at Cassel Hospital, Main 6 concludes that it is also beneficial for mothers with neurotic depression to have their children with them throughout their hospitalization. Since our first joint admission, 20

WEIGHT CHANGE DURING AND AFTER HOSPITAL TREATMENT.

<h3>Introduction</h3> Several studies in recent years^1-6have demonstrated that many hospitalized psychotic patients taking phenothiazine drugs gain weight rather rapidly; this results in there being a high percentage of overweight patients in mental hospitals. Planansky¹concludes that "it is clear that the introduction of tranquilizing treatment on a mass scale has brought an entirely new problem into the wards of mental hospitals—obesity on a mass scale." Investigations of the VA Cooperative Studies in Psychiatry have clearly demonstrated consistent weight gain by hospitalized patients taking various phenothiazine drugs.^2,3,4The most widely used phenothiazine in mental hospitals, chloropromazine, caused the largest weight gains; individual gains with this drug averaged about seven or eight pounds in the first three months for groups of hospitalized psychotic patients.³ My colleagues and I⁵have found that functionally psychotic patients taking phenothiazines at

The effect of clopenthixol on chronic psychiatric patients.

In our clinical trial with 20 male chronic patients on a mental hospital ward, clopenthixol appeared to have observable antipsychotic properties with relatively little toxicity. The observation that this drug was therapeutically effective in certain chronic sohizaphrenic patients where previous treatments had failed is in accordance with the findings of other clinical investigators and suggests that clopenthixol may deserve a place among the clinically used antipsychotic compounds.

Mental hospital ward attendants' work attitudes and their work experience in "front" or "back" wards.

(1963). Mental Hospital Ward Attendants' Work Attitudes and their Work Experience in “Front” or “Back” Wards. The Journal of General Psychology: Vol. 68, No. 1, pp. 173-180.

Perceptual orientation and role performance of staff members in a mental hospital ward.

Perceptual orientation and role performance of staff members in a mental hospital ward.

Controlled Trial of Prochlorperazine (“Stemetil”) in Schizophrenia

Since Delay, Deniker and Harl (1952) first reported favourably on the use of chlorpromazine in disturbed psychotic patients the extended use of pheno thiazines has contributed to the transformed atmosphere in mental hospital wards. There is still some doubt as to the precise mechanism of action of the phenothiazines. The blocking of arousal responses to afferent stimulation in animals following chlorpromazine has been fully demonstrated (Bradley and Hance, 1955, 1957). The production in man of a “parkinsoniansyndrome” by chlorpromazine and later phenothiazines has been taken as evidence of drug activity as a basal ganglion level (Kruse, 1957). More recent work suggests that chlorpromazine may act by depressing the collateral inflow into the reticular formation from the afferent pathways rather than the brain stem activating system itself (Key and Bradley, 1958).

The reactions of a nonpatient to a stay on a mental hospital ward.

The reactions of a nonpatient to a stay on a mental hospital ward.

3105 精神病院における患者の生活 : 病院の建築計画に関する研究(計画)

3105 精神病院における患者の生活 : 病院の建築計画に関する研究(計画)

The relation of staff consensus to patient disturbance on mental hospital wards

In 1949 Stanton and Schwartz first published their hypothesis that episodes of disagreement among staff tend to precipitate and maintain episodes of increased pathological excitement, dissociation, withdrawal, incontinence, or otherwise disturbed behavior among hospitalized mental patients, and that resolution of the disagreement is regularly followed by reduction of such disturbances.1 Dissociation, for instance, is described as reflection of, and a mode of participation in, a social field which itself is seriously split. . 2 Stanton and Schwartz expressed this hypothesis in several forms, however, leaving its parameters somewhat uncertain; they did not rigidly specify the kinds of disturbance, the types of patients, and the processes of agreement and disagreement to which the hypothesis might apply. More particularly, the patients

Rating of patients by mental hospital ward attendants

Rating of patients by mental hospital ward attendants

Demonstration of a Peculiar Odor in the Sweat of Schizophrenic Patients

Many have commented upon the strange odor that pervades the back wards of mental hospitals.^1-6A few have maintained that “there is an odour peculiar to the insane, which is not met with in ordinary hospitals for the sick, however dirty they may be.”⁷This unusual “odor” seems to be especially intense in the room where insulin therapy is given, and the odor appears to come from the skin of the patients, particularly those catatonic patients with greasiness of the skin. Among the symptoms of catatonia a recent textbook lists a “peculiar odour of the patient’s sweat which is difficult to describe.”⁸A recent article mentions “four patients, who for years had a skunk-like odor, which no amount of bathing changed,”⁹and these patients were all catatonic schizophrenics.¹⁰If there is a unique “odor” in the apocrine sweat or in the sebaceous

Neurological and Psychiatric Nursing: Problems for psychiatric nurses in playing a new role on a mental hospital ward, in The Patient and the Mental Hospital: Contributions of Research in the Science of Social Behavior

Neurological and Psychiatric Nursing: Problems for psychiatric nurses in playing a new role on a mental hospital ward, in The Patient and the Mental Hospital: Contributions of Research in the Science of Social Behavior

The Relation of Staff Consensus to Patient Disturbance on Mental Hospital Wards

In 1949 Stanton and Schwartz first published their hypothesis that episodes of disagreement among staff tend to precipitate and maintain episodes of increased pathological excitement, dissociation, withdrawal, incontinence, or otherwise disturbed behavior among hospitalized mental patients, and that resolution of the disagreement is regularly followed by reduction of such disturbances.1 Dissociation, for instance, is described as reflection of, and a mode of participation in, a social field which itself is seriously split. . 2 Stanton and Schwartz expressed this hypothesis in several forms, however, leaving its parameters somewhat uncertain; they did not rigidly specify the kinds of disturbance, the types of patients, and the processes of agreement and disagreement to which the hypothesis might apply. More particularly, the patients