Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-17T14:53:36.508Z Has data issue: false hasContentIssue false
  • English
  • Français

Rehabilitation of chronic psychotic patients

Published online by Cambridge University Press:  09 July 2009

R. David Griffiths
R. David Griffiths
Affiliation:
Department of Psychology, and the Social Psychiatry Research Unit, Institute of Psychiatry, London University
Get access Rights & Permissions [Opens in a new window]

Sysnopsis

This investigation was concerned with the description, treatment, and follow-up of a group of patients selected by age (18–55 years), diagnosis (psychotic), and the presence of work problems (unemployed for more than 12 months). The patients were of below average intelligence, and substantial numbers were characterized by low drive to return to work, unrealistic attitudes, a lack of self-confidence, and adverse attitudes towards the existence and extent of handicap. An evaluative and experimental study subsequently indicated that a rehabilitation programme was unsuccessful in changing attitudes and returning patients to industrial roles in the community. Aspects of outcome such as work status were predicted by earlier assessments of motivation, self-confidence, and patients' view of the presence and extent of handicap; outcome was not predicted by the initial assessments of work level, length of unemployment, intellectual level, and the realism of attitudes.

Type
Research Article
Information
Psychological Medicine , Volume 4 , Issue 3 , August 1974 , pp. 316 - 325
Copyright
Copyright © Cambridge University Press 1974

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Bennett, D. H. (1972). Principles underlying a new rehabilitation workshop. In Evaluating a Community Psychiatric Service. The Camberwell Register, 1964–71, pp. 275–282. Edited by Wing, J. K. and Hailey, A. M.. Oxford University Press: London.Google Scholar
Cochrane, A. L. (1972). Effectiveness and Efficiency. Random Reflections on Health Services. Nuffield Provincial Hospitals Trust: London.Google Scholar
Department of Health and Social Security (1969). A Pilot Survey of Patients Attending Day Hospitals. Statistical Report Series No. 7. HMSO: London.Google Scholar
Fairweather, G. W., Sanders, D. H., Maynard, H., Cressler, D. L., and Bleck, D. S. (1969). Community Life for the Mentally Ill. An Alternative to Institutional Care. Aldine: Chicago.Google Scholar
Ghiselli, E. E., and Brown, C. W. (1948). The effectiveness of intelligence tests in the selection of workers. Journal of Applied Psychology, 32, 575–580.CrossRefGoogle Scholar
Griffiths, R. D. P. (1972). Experimental, Descriptive and Correlational Investigations of the Social and Industrial Rehabilitation of Psychiatric Patients. Unpublished Ph.D. thesis: University of London.Google Scholar
Griffiths, R. D. P., Hodgson, R., and Hallam, R. (1974). Structured interview for the assessment of work-related attitudes in psychiatric patients. Psychological Medicine, 4, 326–333.Google Scholar
Hamilton, V. (1963). I.Q. changes in chronic schizophrenia. British Journal of Psychiatry, 109, 642–648.Google Scholar
Hewitt, M. (1949). The unemployed disabled man. Lancet, 2, 523–526.CrossRefGoogle ScholarPubMed
Maxwell, A. E. (1960). Obtaining factor scores on the Wechsler Adult Intelligence Scale. Journal of Mental Science, 106, 1060–1062.Google Scholar
Maxwell, A. E. (1961). Analysing Qualitative Data. Methuen: London.Google Scholar
O'Connor, N., and Tizard, J. (1951). Predicting the occupational adequacy of certified mental defectives. Occupational Psychology, 25, 205–211.Google Scholar
Stevens, B. C. (1972). Dependence of schizophrenic patients on elderly relatives. Psychological Medicine, 2, 17–32.Google Scholar
Taylor, F. R. (1963). The general aptitude test battery as predictor of vocational readjustment by psychiatric patients. Journal of Clinical Psychology, 19, 130.Google Scholar
Wing, J. K. (1966). Social and psychological changes in a rehabilitation unit. Social Psychiatry, 1, 21–28.Google Scholar
Wing, J. K. (1967). Social therapy of schizophrenia. Socialmed icinsk Tidskrif: 2, 72–79.Google Scholar
Wing, J. K. (1970). Unemployment among chronic psychotic patients in Camberwell: their need for rehabilitation. Proceedings of the Royal Society of Medicine, 63, 1329–1332.Google Scholar
Wing, J. K. (1972). The Camberwell Register and the development of evaluative research. In Evaluating a Community Psychiatric Service. The Camberwell Register 1964–71, pp. 3–9. Edited by Wing, J. K. and Hailey, A. M.. Oxford University Press: London.Google Scholar
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., and Brown, G. W. (1970). Institutionalism and Schizophrenia. Cambridge University Press: London.CrossRefGoogle Scholar
Wing, L., Wing, J. K., Stevens, B., and Griffiths, D. (1972). An epidemiological and experimental evaluation of industrial rehabilitation of chronic psychotic patients in the community. In Evaluating a Community Psychiatric Service. The Camberwell Register, 1964–71, pp. 283–308. Edited by Wing, J. K. and Hailey, A. M.. Oxford University Press: London.Google Scholar