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Dependence of schizophrenic patients on elderly relatives

Published online by Cambridge University Press:  09 July 2009

Barbara C. Stevens
Affiliation:
Medical Research Council Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London

Synopsis

As part of a survey of the need for rehabilitation services in Camberwell, a representative group of 56 unemployed psychiatric patients were selected from the Camberwell Register during 1968; most of these were chronic schizophrenics, and 29, or just over half of them, were living with their parents or siblings. This paper describes a special analysis made by a medical sociologist into the problems of these 29 patients as perceived by their relatives. Assessment of the patient's handicaps and the burden felt by the family showed a dependence on parents of pensionable age which is an obstacle to rehabilitation. Patients were content, but relatives were dissatisfied and experienced considerable financial burden and symptoms of reactive anxiety and depression. The need for special services is emphasized to help the patient towards a more independent existence when the relative dies.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1972

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References

REFERENCES

Apte, R. Z. (1968). Halfway House: a new dilemma in institutional care. London School of Economics and Political Science Occasional papers on Social Administration No. 27. G. Bell: London.Google Scholar
Bennett, D. H. (1969). The day hospital. Topical Problems in Psychiatry and Neurology, 9, 418.Google Scholar
Bennett, D. H. The hospital and community care services. (In preparation.)Google Scholar
Bredemeier, H. C. (1955). The methodology of functionalism. American Sociological Review, 20, 173180.CrossRefGoogle Scholar
British Medical Journal (1970). Mental health hostels. (Leading article.) British Medical Journal, 2, 552553.CrossRefGoogle Scholar
Brown, G. W., Bone, M., Dalison, B., and Wing, J. K. (1966). Schizophrenia and Social Care. Maudsley Monograph No. 17. Oxford University Press: London.Google Scholar
Carrier, N. H. (1962). Demographic Aspects of the Ageing of the Population in Society Problems and Methods of Study, pp. 457467. Edited by Welford, A. T., Argyle, M., Glass, D. V., and Morris, J. N.. Routledge: London.Google Scholar
Carse, J., Panton, N. E., and Watt, A. (1958). A district mental health service. The Worthing Experiment. Lancet, 1, 3941.CrossRefGoogle ScholarPubMed
Committee on Local Authority and Allied Personal Social Services (1968). Report. Chaired by Seebohm, F.. Cmnd. 3703. HMSO: London.Google Scholar
Cumming, J. H., and Cumming, E. (1962). Ego and Milieu: theory and practice of environmental therapy. Atherton Press: New York.Google Scholar
Davies, G. V. (1968). Family relationships of elderly mental hospital patients. Australian and New Zealand Journal of Psychiatry, 2, 264271.CrossRefGoogle Scholar
Department of Health and Social Security (1969a). On the State of the Public Health. The Annual Report of the Chief Medical Officer for the year 1968. HMSO: London.Google Scholar
Department of Health and Social Security (1969b). Annual Report of the Department of Health and Social Security for the year 1968. Cmnd. 4100. HMSO: London.Google Scholar
Durkheim, E. (1964). The Division of Labour in Society. Translated by Simpson, G.. Free Press of Glencoe: New York.Google Scholar
Early, D. F. (1960). The Industrial Therapy Organisation (Bristol). A development of work in hospital. Lancet, 2, 754757.CrossRefGoogle Scholar
Ekdawi, M. Y., Rogers, W., Slaughter, R. S., and Bennett, D. H. (1968). A patients' record office in a mental hospital occupational programme. British Journal of Psychiatry, 114, 13051306.CrossRefGoogle Scholar
Erikson, K. T. (1957). Patient role and social uncertainty; a dilemma of the mentally ill. Psychiatry, 20, 263274.CrossRefGoogle ScholarPubMed
Erlenmeyer-Kimling, L., and Paradowski, W. (1966). Selection and schizophrenia. American Naturalist, 100, 651665.CrossRefGoogle Scholar
Erlenmeyer-Kimling, L., Rainer, J. D., and Kallmann, F. J. (1966). Current reproductive trends in schizophrenia. In Psychopathology of Schizophrenia, pp. 252276. Edited by Hoch, P. H. and Zubin, J.. Grune and Stratton: New York.Google Scholar
Essen-Möller, E. (1935). Untersuchungen über die Fruchtbarkeit gewisser Gruppen von Geisteskranken. Acta Psychiatrica et Neurologica (Kopenhagen) Suppl. VIII.Google Scholar
Freeman, H., and Farndale, J. (Eds.) (1967). New Aspects of the Mental Health Services. Pergamon Press: Oxford.Google Scholar
Freeman, H. E., and Simmons, O. G. (1959). Social class and post hospital performance levels. American Sociological Review, 24, 345351.CrossRefGoogle Scholar
General Register Office (1968). Sample Census 1966 England and Wales County Report. Greater London. HMSO: London.Google Scholar
Hailey, A., Wing, L., and Wing, J. K. (1970). Camberwell Psychiatric Case Register. Part 2: Basic data required for planning. Social Psychiatry, 5, 195202.CrossRefGoogle Scholar
Hoenig, J., and Hamilton, M. W. (1969). The Desegregation of the Mentally III. Routledge: London.Google Scholar
Jansen, E. (1970). The role of the halfway house in community mental health programs in the United Kingdom and America. American Journal of Psychiatry, 126, 14981504.CrossRefGoogle ScholarPubMed
Kay, D. W. K., Beamish, P., and Roth, M. (1964). Old age mental disorders in Newcastle upon Tyne. Part I: A study of prevalence. British Journal of Psychiatry, 110, 146158.CrossRefGoogle Scholar
Kessel, W. I. N. (1960). Psychiatric morbidity in a London general practice. British Journal of Preventive and Social Medicine, 14, 1622.Google Scholar
Lowenthal, M. F. (1964). Social isolation and mental illness in old age. American Sociological Review, 29, 5470.CrossRefGoogle Scholar
Martin, F. M., and Rehin, G. F. (1969). Towards Community Care. Problems and Policies in the Mental Health Service. P.E.P. Broadsheet 508.Google Scholar
Merton, R. K. (1957). Social Theory and Social Structure. Free Press of Glencoe: New York.Google Scholar
Ministry of Health (1963). Health and Welfare. The Development of Community Care. Cmnd. 1973. HMSO: London.Google Scholar
Ministry of Health (1966a). Health and Welfare. The Development of Community Care. Cmnd. 3022. HMSO: London.Google Scholar
Ministry of Health (1966b). Hostels for the Mentally III. L.H.A.L. 10/66.Google Scholar
New York State Department of Mental Hygiene Mental Health Research Unit (1960). A mental health survey of older people. Psychiatric Quarterly, 34, Suppl. 3475.Google Scholar
Parsons, P. L. (1963). The Health of Swansea's Old Folk. A survey of a random sample of the elderly living in their own homes. M.D. Thesis, Welsh National School of Medicine.Google Scholar
Parsons, T. (1951). Illness and the role of the physician: a sociological perspective. American Journal of Ortho-psychiatry, 21, 452460.CrossRefGoogle ScholarPubMed
P.E.P. (1966). Trends in Psychogeriatric Care, Vol. 32, No. 497.Google Scholar
Pilkington, F. (1966). The Plymouth Mental Health Service. Milbank Memorial Fund Quarterly, 44, No. 1, Part 2, 3756.CrossRefGoogle ScholarPubMed
Post, F. (1968). Psychological aspects of geriatrics. Post-graduate Medical Journal, 44, 307318.CrossRefGoogle ScholarPubMed
Rutter, M., and Brown, G. W. (1966). The reliability and validity of measures of family life and relationships in families containing a psychiatric patient. Social Psychiatry 1, 3853.CrossRefGoogle Scholar
Sainsbury, P., Costain, W. R., and Grad, J. (1965). The effects of community service on the referral and admission rates of elderly psychiatric patients, pp. 2337. In World Psychiatric Association. Psychiatric Disorders in the Aged. Report of a symposium held at the Royal College of Physicians, London. Geigy: Manchester.Google Scholar
Simmel, G. (1955). Conflict, pp. 1516. Translated by Wolff, K. H.. Free Press of Glencoe: New York.Google Scholar
Spitzer, S. P., Swanson, R. M., and Lehr, R. K. (1969). Audience reactions and careers of psychiatric patients. Family Process, 8, 159181.CrossRefGoogle Scholar
Spitzer, S. P., Morgan, P. A., and Swanson, R. M. (1971). Determinants of the psychiatric patient career: Family reaction patterns and social work intervention. Social Service Review, 45, 7485.CrossRefGoogle Scholar
Stevens, B. C. (1969a). Impact of community orientated psychiatry on the marriage and fertility of psychotic women. British Medical Journal, 4, 2224.CrossRefGoogle ScholarPubMed
Stevens, B. C. (1969b). Marriage and Fertility of Women Suffering from Schizophrenia or Affective Disorders. Maudsley Monograph No. 19. Oxford University Press: London.Google ScholarPubMed
Stevens, B. C. (1969c). Probability of marriage and fertility of women suffering from schizophrenia and affective disorders. Population Studies, 23, 435454.CrossRefGoogle ScholarPubMed
Stevens, B. C. (1970). Frequency of separation and divorce among women aged 16–49 suffering from schizophrenia and affective disorders. Acta Psychiatrica Scandinavica 46, 136150.CrossRefGoogle ScholarPubMed
Stevens, B. C. (1971). The role of the sociologist in a psychiatric day hospital. (In preparation.)Google Scholar
Stevens, B. C. (1971). Marital problems of chronic schizophrenics. (In preparation.)Google Scholar
Strauss, A., Schatzman, L., Bucher, R., Ehrlich, D., and Sabshin, M. (1964). Psychiatric Ideologies and Institutions. Free Press of Glencoe: New York.Google Scholar
Townsend, P., and Wedderburn, D. (1965). The Aged in the Welfare State. London School of Economics and Political Science Occasional Papers in Social Administration No. 14. G. Bell: London.Google Scholar
Tunstall, J. (1966). Old and Alone. A sociological study of old people. Routledge: London.Google Scholar
Wing, J. K. (1966a). Social and psychological changes in a rehabilitation unit. Social Psychiatry, 1, 2128.CrossRefGoogle Scholar
Wing, J. K. (1966b). Evaluating community care for schizophrenic patients in the United Kingdom. In Community Psychiatry. Edited by Roberts, L. M., Halleck, S. L., and Loeb, M. B.. The University of Wisconsin Press: Madison, Wisc.Google Scholar
Wing, J. K. (1967b). Social therapy of schizophrenia. Socialmedicinsk Tidskrift, 2, 7279.Google Scholar
Wing, J. K. (1967c). The concept of handicap in psychiatry. International Journal of Psychiatry, 3, 243247.Google ScholarPubMed
Wing, J. K. (1970). Unemployment among chronic psychotic patients in Camberwell: their need for rehabilitation. Proceedings of the Royal Society of Medicine, 63, 13291332.CrossRefGoogle ScholarPubMed
Wing, J. K., Bennett, D. H., and Denham, J. (1964). The industrial rehabilitation of long stay schizophrenic patients. Medical Research Council Memorandum No. 42. HMSO: London.Google Scholar
Wing, J. K., Birley, J. L. T., Cooper, J. E., Graham, P., and Isaacs, A. D. (1967). Reliability of a procedure for measuring and classifying ‘Present Psychiatric State’. British Journal of Psychiatry, 113, 499515.CrossRefGoogle ScholarPubMed
Wing, J. K., and Bransby, E. R. (Eds.) (1970). Psychiatric Case Registers. Department of Health and Social Security Statistical Report Series, No. 8. HMSO: London.Google Scholar
Wing, J. K., and Brown, G. W. (1970). Institutionalism and Schizophrenia. Cambridge University Press: London.CrossRefGoogle Scholar
Wing, L., Wing, J. K., Hailey, A., Bahn, A. K., Smith, H. E., and Baldwin, J. A. (1967). The use of psychiatric services in three urban areas in an international case register study. Social Psychiatry, 2, 158167.CrossRefGoogle Scholar