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MARVIN I. HERZ, MD; HAROLD WILENSKY, PhD; ANN EARLE, BS

Arch Gen Psychiatry. 1966;14(3):270-276.

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

THERE IS a significant trend in hospital psychiatry toward a "therapeutic community" or "milieu" approach influenced in large part by the works of Jones,¹ Wilmer,² Stanton and Schwartz,³ and Caudill.⁴ On the one hand many state hospitals are moving away from a purely custodial approach, and on the other hand intensive treatment centers are becoming aware that an exclusive preoccupation with individual psychotherapy sessions does not take into account other important interactions in the patient's life. The patient in a hospital is part of a social system and it is incumbent upon the psychiatrist to influence this system to facilitate therapeutic interactions. The staff on psychiatric wards has extensive contacts with patients and patients with each other. Spontaneous interaction in itself may be helpful, but a planned approach to social factors is potentially more beneficial.

Schwartz⁵ has stated that a . . . [Full Text PDF of this Article]

Author Affiliations
NEW YORK

From the Columbia University College of Physicians and Surgeons (Dr. Herz); City College of the City of New York (Dr. Wilensky); and Montefiore Hospital (A. Earle).

Footnotes
Submitted for publication Oct 21, 1965.

Resource paper read before the American Psychiatric Association Meeting, May 1965, New York.

Reprint requests to 722 W 168th St, New York 10032 (Dr. Herz).

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