Read e-book online Institutional Neurosis PDF

By Russell Barton

ISBN-10: 1483213633

ISBN-13: 9781483213637

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Aged 36 years, had been in hospital for seven years. She had become incontinent and careless of her appearance. For most of the day she sat dribbling and spitting, hunched up in a chair. Intensive doses of reserpine administered over some weeks had little effect. When she was given new clothes, moved to another ward, and the sister and nurses began showing increased concern about her she improved and has now lost all her unpleasant habits. It may be 54 objected that doctors, nurses, and visitors communicate their attitude to the patients' appearance without words.

It is helpful for many people to make a new venture in the company of someone they know. It seems likely that once the ice has been broken further attendance will be less of an ordeal. Apart from visits home the patient needs to be encouraged to write letters to relatives regularly. Notepaper, pens, and ink need to be offered and a regular time set aside for letter writing. Public telephones for outgoing calls are useful since the nurse can often persuade visitors to go to a pre-arranged number to take a telephone call from a patient at a given time.

Other doctors may find a case-load of 200 patients so overwhelming that they despair. Pratt (1948) wrote: "A conversation illustrating this point took place at lunch at one hospital—a definitely inferior institution with manifold problems and a heavy patient load per physician. One of the younger doctors, recently arrived from a neurosis centre, unguardedly remarked that at the latter institution he had only had fifty patients in his charge, but he found that he had done much more work there than in his present position, where he was looking after over three hundred patients.

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Institutional Neurosis by Russell Barton

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Categories: Physical Medicine Rehabilitation