This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

SHEPPARD G. KELLAM, MD; JACK DURELL, MD; RICHARD I. SHADER, MD

Arch Gen Psychiatry. 1966;14(2):190-202.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

IN THE LAST several years, particularly since the publication of The Mental Hospital, by Stanton and Schwartz, there has been an increased interest in studying the ways in which various aspects of the sociocultural field of the psychiatric ward are related to the clinical course of mentally ill patients. This paper is a report of further studies of the relationship between the attitudinal climate of the ward and the clinical course of patients.

Stanton and Schwartz, Caudill, Tudor, and others have indicated that staff conflicts concerning organizational hierarchy, status, and power can cause covert tension.^1-3 These authors have concluded that such tension at times appears to cause exacerbations of disturbed behavior in patients. Caudill has observed the occurrence of "ground swells" of health or illness on wards and has suggested that a source of such group exacerbations of illness might rest in the . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO; BETHESDA, MD; BOSTON

From the Woodlawn Mental Health Center, Chicago, the University of Illinois College of Medicine, and the National Institute of Mental Health, Bethesda, Md (Dr. Kellam); the Section on Psychiatry, Laboratory of Clinical Science, Clinical Investigations, National Institute of Mental Health, Bethesda, Md (Dr. Durell); and Harvard Medical School and the Massachusetts Mental Health Center, Boston (Dr. Shader). This study was carried out while the authors were members of the Section of Psychiatry, Laboratory of Clinical Science, Clinical Investigations, National Institute of Mental Health.

Footnotes
Submitted for publication June 2, 1965.

Reprint requests to 841 E 63rd St, Chicago 60637 (Dr. Kellam).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?