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The Effectiveness of Three Milieus

Charles Wenar, PhD; B. A. Ruttenberg, MD; M. L. Dratman, MD; Enid G. Wolf, MEd

Arch Gen Psychiatry. 1967;17(1):26-35.

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

THIS ARTICLE reports the relative effectiveness of three contrasting milieus in changing the behavior of autistic children as measured by a behavior rating scale. The first setting (I) is a large, long established state institution which primarily offers custodial care; the second (II) is a large, modern state institution with both a school and a therapeutic program involving a variety of planned activities; the third (III) is a small, psychoanalytically oriented day-care unit which emphasizes the emotional relationship between staff and children.

The evaluation of autism and of therapeutic milieus will be discussed first; then the finding concerning the relative therapeutic effectiveness of the three settings will be presented; and, finally, the results will be used to make some general inferences concerning the nature of change in autim.

Evaluation of Autism

To date there is no published report of psychotherapy with autistic children which is objective in its evaluation, which comprehensively assesses the multiple pathologies which comprise autism, and which systematically compares different psychotherapeutic approaches. The clinical literature contains detailed descriptive accounts of special psychotherapeutic techniques usually involving only a small number of children.^1-4 . . . [Full Text PDF of this Article]

Author Affiliations
Columbus, Ohio; Philadelphia; Winchester, Mass

From the Department of Psychology, Ohio State University, Columbus (Dr. Wenar), and the Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia (Drs. Ruttenberg and Dratman).

Footnotes
Submitted for publication Jan 26, 1967.

Reprint requests to Ohio State University, 1945 N High St, Columbus, Ohio 43210 (Dr. Wenar).

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