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In-Patient Psychotherapy at the Cassel Hospital

  • J. D. Denford (a1)
Extract

Admission to hospital for psychotherapy facilitates communication with patients and allows more ways of influencing them than do conventional out-patient situations. Small and large groups can be added to individual interviews, and living together allows the development of many potentially therapeutic relationships with other patients and staff. This additional influence can be ignored. If it is assumed to be an integral part of treatment and organised rationally, the whole hospital becomes its instrument; psychotherapists, nurses, patients, domestic staff and administrators can be seen to be subordinate to that whole, and their traditional activities, attitudes to each other, and theories, are inevitably modified. Traditional boundaries between the roles of different workers become blurred, while how they get on with each other has important consequences for patients, so that their separate roles and functions must be clearly defined.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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1. James, O. & Wilson, A. (1981) A theoretical basis for therapeutic community work. Unpublished presentation to Cassel Hospital staff.
2. James, O. (1984) The role of the nurse–therapist relationship in the therapeutic community. International Review of Psychoanalysis, 11, 151160.
3. Barnes, E. (ed.) (1968) Psychosocial Nursing. London: Tavistock.
4. Biggs, V. (1980) Inpatients' view of the Cassel experience. Paper read at the Cassel Hospital Jubilee Conference.
5. Denford, J., Schachter, J., Temple, N., Kind, P. & Rosser, R. (1983) Selection and outcome in inpatient psychotherapy. British Journal of Medical Psychology, 56, 225243.
6. Kernberg, O. (1976) Towards an integrative theory of hospital treatment. In Object–Relations Theory and Clinical Psychoanalysis, New York: Aronson.
7. Rayner, E. & Hahn, H. (1964) A follow-up of Cassel patients. Unpublished presentation to Hospital staff.
8. Lanham, W. R. (1979) Psychotropic drug prescription to neurotic patients after discharge from a drug-free hospital. M.Sc. dissertation, University of Surrey.
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BJPsych Bulletin
  • ISSN: 0140-0789
  • EISSN: 2514-9954
  • URL: /core/journals/bjpsych-bulletin
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In-Patient Psychotherapy at the Cassel Hospital

  • J. D. Denford (a1)
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