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The influence of a therapeutic community on psychiatric disorder

✍ Scribed by R. Julian Hafner; Gwili Holme

Publisher: John Wiley and Sons
Year: 1996
Tongue: English
Weight: 585 KB
Volume: 52
Category: Article
ISSN: 0021-9762
DOI: 10.1002/(sici)1097-4679(199607)52:4<461::aid-jclp12>3.0.co;2-e

No coin nor oath required. For personal study only.

✦ Synopsis

Forty-eight residents of a therapeutic community took part in a prospective study aimed at assessing overall outcome and which components of the program were most helpful. All subjects had a DSM-111-R axis I1 diagnosis, usually borderline personality disorder (N = 34). As well, subjects had a mean of 1.3 axis I diagnoses, underlining the seventy of their psychiatric disorders. Significant symptom reduction on the Brief Symptom Inventory occurred at discharge after a mean stay of 64 days, with further significant falls at three month follow-up. These changes were paralleled in the Hostility and Direction of Hostility Questionnaire, a measure of personality. Hospital admission rates fell significantly in the year after discharge. Clients rated group therapy as the most helpful component of the program.

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