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Mental Hospital Organization and Staff Evaluation of Patients
MARK LEFTON, Ph.D.;
SIMON DINITZ, Ph.D.;
BENJAMIN PASAMANICK, M.D.
AMA Arch Gen Psychiatry 1960;2(4):462-467.
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The study reported in this paper derives from an earlier investigation of the discrepancies in real, perceived, and ideal decision-making influence among the professional clinical personnel on five wards of a mental hospital.2 The findings in that study clearly indicated that the manner in which staff members viewed their participation in the decisions made concerning patient care and treatment was a function of two distinct organizational features of the hospital considered. It was found that, although staff personnel tended to view their participation as that of members of professional groups rather than of private operatives, these perceptions were significantly modified by the situational context in which they worked (i.e., the ward). It was found, for example, that discrepancies between perceived and desired decision-making influence were inversely and significantly related to the officially prescribed authority hierarchy (e.g., psychiatrists indicated the least, while the occupational
. . . [Full Text PDF of this Article]
Author Affiliations
Columbus, Ohio
Footnotes
Submitted for publication Nov. 13, 1959.
This research is being undertaken by the Research Division of the Columbus Psychiatric Institute and Hospital and is supported by a grant (M-2940) from the National Institute of Mental Health.
For a concise summary of this point of view, see Greenblatt et al.1
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