Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-25T19:58:02.608Z Has data issue: false hasContentIssue false

The Patient's Primary Group

Published online by Cambridge University Press:  29 January 2018

Scott Henderson
Affiliation:
National Health and Medical Research Council, Social Psychiatry Research Unit, Australian National University, PO Box 4, Canberra, ACT 2600, Australia
Paul Duncan-Jones
Affiliation:
National Health and Medical Research Council, Social Psychiatry Research Unit, Australian National University, PO Box 4, Canberra, ACT 2600, Australia
Helen McAuley
Affiliation:
National Health and Medical Research Council, Social Psychiatry Research Unit, Australian National University, PO Box 4, Canberra, ACT 2600, Australia
Karen Ritchie
Affiliation:
National Health and Medical Research Council, Social Psychiatry Research Unit, Australian National University, PO Box 4, Canberra, ACT 2600, Australia

Abstract

The size and utilization of the primary group (those with whom one has interaction and commitment) was examined in 50 patients with non-psychotic psychiatric disorder and 50 matched controls. The hypotheses tested were that the patients would have a smaller size of primary group, less contact with its members and an inferior affective quality of interaction with it; and that this deficiency would be most marked in transactions with the principal attachment figure. Patients were found to spend the same amount of time as normals with their primary group, but proportionately more of that time was affectively unpleasant. They had fewer good friends and fewer contacts with persons outside the household. They had fewer attachment figures, almost one half of them reporting that either they had only one, or that they had had no recent contact with those alternatives that did exist. The majority of patients considered that their principal attachment figures gave them insufficient support. The complexity of interpreting these data is discussed.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1978 

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

Bates, A. P. & Babchuk, N. (1961) The primary group: a reappraisal. Sociology Quarterly, 2, 181–91.CrossRefGoogle Scholar
Bem, Daryl J. & Allen, Andrea (1974) On predicting some of the people some of the time: the search for cross-situational consistencies in behavior. Psychological Review, 81, 506–20.CrossRefGoogle Scholar
Bowlby, John (1969) Attachment and Loss, Vol. 1: Attachment. London: Hogarth Press.Google Scholar
Bowlby, John (1973) Attachment and Loss, Vol. 2: Separation, Anxiety and Anger. London: Hogarth Press.Google Scholar
Broom, L. & Selznick, P. (1973) Sociology, p 132. New York: Harper & Row Google Scholar
Brown, George W., Bhrolcháin, Márie Ní & Harris, Tirril (1975) Social class and psychiatric disturbance among women in an urban population. Sociology, 9, 225–54.Google Scholar
Caplan, G. (1964) Principles of Preventive Psychiatry. London: Tavistock Publications.Google Scholar
Caplan, G. (1974) Support Systems and Community Mental Health. New York: Behavioral Publications.Google Scholar
Cassel, J. (1976) The contribution of the social environment to host resistance. American Journal of Epidemiology, 104, 107–23.Google Scholar
Cooley, C. H. (1909) Social Organisation: A Study of the Larger Mind, p 23. New York: C. Scribner's Sons CrossRefGoogle Scholar
Faris, E. (1932) The primary group: essence and accident. American Journal of Sociology, 38, 4150.Google Scholar
Foulds, G. A. (1965) Personality and Personal Illness. London: Tavistock Publications.Google Scholar
Goldberg, D. P. (1972) The Detection of Psychiatric Illness by Questionnaire. London: Oxford University Press.Google Scholar
Goldberg, D. P. & Blackwell, B. (1970) Psychiatric illness in general practice: a detailed study using a new method of case identification. British Medical Journal, ii, 439–43.Google Scholar
Goldberg, D. P. Rickels, K., Downing, R. & Hesbacher, P. (1976) A comparison of two psychiatric screening tests. British Journal of Psychiatry, 129, 61–7.Google Scholar
Hamburg, David A. (1968) Evolution of emotional responses: evidence from recent research on non-human primates. Science and Psychoanalysis, 12, 3954.Google Scholar
Henderson, A. S. (1974) Care-eliciting behavior in man. Journal of Nervous and Mental Disease, 159, 172–81.Google Scholar
Henderson, Scott (1977) The social network, support and neurosis. British Journal of Psychiatry, 131, 185–91.Google Scholar
Holmes, T. H. & Rahe, R. H. (1967) The social readjustment rating scale. Journal of Psychosomatic Research, 11, 213–18.CrossRefGoogle ScholarPubMed
Hunt, , McVicar, J. (1965) Traditional personality theory in the light of recent evidence. American Scientist, 53, 8096.Google ScholarPubMed
Kreitman, N., Collins, Joyce, Nelson, Barbara & Troop, Jane (1970) Neurosis and marital interaction: I. Personality and symptoms. British Journal of Psychiatry, 117, 3346.Google Scholar
Litwak, E. & Szelenyi, I. (1969) Primary group structures and their functions: kin, neighbors and friends. American Sociological Review, 34, 465–81.Google Scholar
Mitchell, , Clyde, J. (1969) The concept and use of social networks. In Social Networks in Urban Situations (ed. Clyde Mitchell, J.). Manchester: Manchester University Press Google Scholar
Nelson, Barbara, Collins, Joyce, Kreitman, Norman & Troop, Jane (1970) Neurosis and marital interaction: II. Time sharing and social activity. British Journal of Psychiatry, 117, 4758.Google Scholar
Paykel, Eugene S., Prusoff, Brigitte A. & Uhlenhuth, E. H. (1971) Scaling of life events. Archives of General Psychiatry, 25, 340–7.CrossRefGoogle ScholarPubMed
Post, F. (1962) The social orbit of psychiatric patients. Journal of Mental Science, 108, 759–71.Google Scholar
Siegel, S. (1956) Nonparametric Statistics for the Behavioral Sciences. New York: McGraw Hill.Google Scholar
Tennant, Christopher & Andrews, Gavin (1976) A scale to measure the stress of life events. Australian and New Zealand Journal of Psychiatry, 10, 2732.CrossRefGoogle ScholarPubMed
Washburn, S. L. (ed.) (1961) The Social Life of Early Man. Chicago: Aldine.Google Scholar
Weiss, R. S. (1969) The fund of sociability. Trans-Action, 6, 3643.Google Scholar
Weiss, R. S. (1974) The provisions of social relationships. In Doing Unto Others (ed. Rubin, Z.). Englewood Cliffs, New Jersey: Prentice Hall Google Scholar
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.