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Abstract

This paper considers the problem of putting ideology into practice. The radical idea of the therapeutic community within psychiatry in the 1950s never became completely translated into action. This ideal-real discrepancy is explored for a major therapeutic community established in the 1950s, Henderson Hospital, and a comparison is made between staff and patient treatment values and their evaluation of the helpfulness of actual group practice over an 18-year period. It was hypothesized that the gap between values and practice would widen under the impact of informal social processes, distorting the transfer of ideology into practice. The results confirm this hypothesis, which is explicated by reference to the generation of group norms and informal social processes, such as leadership "careers. "

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References

AHRENFELDT, R. H. Psychiatry in the British Army in the Second World War. London: Routledge & Kegan Paul , 1958.

BELKNAP, I. Human problems of a state mental hospital. New York: McGraw-Hill , 1956.

BERGIN, A. E. In A. E. Bergin & S. L. Garfield (Eds.), Handbook of psychotherapy and behaviour change. J. Wiley , 1971.

BION, W. R. Experiences in groups. Tavistock Publications , 1961.

BROWN, G. W. , & WING, J. K. A comprehensive clinical and social survey of three mental hospitals. Sociological Review Monograph No. 5, 1962.

CLARK, A. W. , & YEOMANS, N. T. Fraser House: Theory, practice and evaluation of a therapeutic community. New York: Springer , 1969.

CLARKE, R. V. G. , & CORNISH, D. B. The controlled trial in institutional research. London: H.M.S.O. , 1972.

CLARKE, R. V. G. , & SINCLAIR, I. Towards more effective treatment evaluation. First Criminological Colloquium, Council of Europe , 1973.

D.H.S.S. Circular HM (61)69.

10.

DOOB, L. W. The behaviour of attitudes . Psychological Review, 1947, 54.

11.

DUNHAM, W. , & WEINBERG, S. K. The culture of the state mental hospital. Detroit: Wayne State University Press , 1960.

12.

EDELSON, M. Sociotherapy and psychotherapy. Chicago: University of Chicago Press , 1970.

13.

FISHBEIN, M. A behaviour theory approach to the relations between beliefs about an object and the attitude toward an object. In M. Fishbein (Ed.), Readings in attitude theory. New York: Wiley , 1967.

14.

FISHBEIN, M. Attitudes and prediction of behaviour. In K. Thomas (Ed.), Attitudes and behaviour. Penguin , 1971a.

15.

FISHBEIN, M. The search for attitudinal-behavioural consistency. In J. Cohen (Ed.), Behavioural science foundations of consumer behaviour. Free Press , 1971b.

16.

JONES, K. , & SIDEBOTTOM, R. Mental hospital at work. London: Routledge & Kegan Paul , 1962.

17.

JONES, K. A history of the mental health services. London: Routledge & Kegan Paul , 1972.

18.

JONES, M. Social psychiatry. Tavistock Publications , 1952.

19.

JONES, M. Beyond the therapeutic community. Yale University Press , 1968.

20.

KRAUPL-TAYLOR, F. A history of group and administrative therapy in Britain . British Journal of Medical Psychology, 1958, 31.

21.

LASSWELL, H. D. , & RUBENSTEIN, R. The sharing of power in a psychiatric hospital. Yale University Press , 1966.

22.

MAIN, T. F. The hospital as a therapeutic institution . Bulletin of the Menninger Clinic, 1946, 10.

23.

MERTON, R. K. Social theory and social structure. New York: Free Press , 1968.

24.

MORRICE, J. K. Myth and the democratic process . British Journal of Medical Psychology, 1972, 10.

25.

MULKAY, M. J. The social process of innovation. New York: MacMillan , 1972.

26.

PAUL, G. L. Strategy of outcome research in psychotherapy . Journal of Consultant Psychology, 1967, 13 (2).

27.

RAPOPORT, R. N. Community as doctor. Tavistock Publications , 1960.

28.

ROETHLISBERGER, F. J. , & DICKSON, W. J. Management and the worker. Harvard University Press , 1939.

29.

STANTON A. , & SCHWARTZ, M. The mental hospital. New York: Basic Books , 1954.

30.

STOTLAND, E. , & KOBLER, A. L. Life and death of a mental hospital. Seattle: University of Washington Press , 1965.

31.

ULLMAN, L. P. Institution and outcome. Pergamon Press , 1967.

32.

WHITELY, J. S. Correspondence . British Journal of Psychiatry, 1968, 114.

33.

WHITELY, J. S. Dealing with deviants. Hogarth Press , 1973.

34.

WING, J. K. , & HAILEY, A. M. Evaluating a community psychiatric service. Oxford University press , 1972.

Values and Practice in the Therapeutic Community

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