摘要:

AbstractThere has been interest in recent years in the relationship between marital distress and psychopathology. It has been rare, however, for investigators to follow patients after their release from the hospital and observe the course of their marital relationships. The present study included patients meeting criteria for three DSM III DISORDERS (MAjor depressive, bipolar, and schizophrenic) and a normal control sample, all of whom are participants in an ongoing longitudinal study of children at risk for psychopathology (Stony Brook High‐Risk Project; Weintraub&Neale, 1984). Marital Adjustment Test (MAT; Locke&Wallace, 1959) scores were collected on patients at entry into the project (Phase I) and at a three year follow‐up (Phase II). Course of marriage was defined as negative if the couple's marital adjustment was rated as poor at Phase II or resulted in divorce or separation at Phase II. It was found that only the depressed group differed from the normal group in having significantly worse course of marital relationship; 84% of the depressive couples showed a “negative” course of marital change over time. However, all three patient groups had significantly higher rates of divorce by Phase II. MAT scores at Phase I successfully predicted course of marital relationship for all diagnostic groups. Implications for aftercare of psychiatric inpatients are di

ISSN:1072-0847    

DOI:10.1002/bin.2360010402

出版商:John Wiley&Sons, Ltd    

年代:1986

数据来源: WILEY

摘要:

AbstractA specialized residential unit was assembled at a state residential facility for mentally retarded residents in order to provide services for individuals who lacked functional speech but who were capable of learning manual signs. Program development focused on four areas. First, a routine was designed to engage residents in functional training activities throughout the day. Second, opportunities to teach signed verbal behavior within all components of the routine were identified. Third, structured training sessions were developed to augment training within normal daily living activities. Fourth, multiple staff training strategies were initiated. Initial outcome data indicate that signing skills of both staff and residents improved.

ISSN:1072-0847    

DOI:10.1002/bin.2360010403

出版商:John Wiley&Sons, Ltd    

年代:1986

数据来源: WILEY

摘要:

AbstractPatients on a behaviorally‐oriented inpatient psychiatric unit were asked to rate their perceptions of treatment outcome and the value of 16 program components in producing that outcome. Significant correlations were found between perceived outcome and positive evaluations of the overall behavioral treatment plan, individual meetings with nursing staff, individual meetings with team psychologists, assertion group training, and daily group therapy. Patients perceived individual meetings with the nursing staff to be the single most valuable program component among those related to favorable outcome. Implications for the increased utilization of nursing staff during a time of dwindling resources for mental health are discusse

ISSN:1072-0847    

DOI:10.1002/bin.2360010404

出版商:John Wiley&Sons, Ltd    

年代:1986

数据来源: WILEY

摘要:

AbstractThis study evaluated the relative efficacy of long (1 minute) and short (15 seconds) durations of negative practice for reducing self‐stimulatory leg pounding of a traumatically brain‐injured adult. In individual social skill training classes, long negative practice and short negative practice were administered concurrently in an alternating treatments design. Generalization of treatment effects outside of training sessions was assessed during the client's lunch period. The results revealed that both durations of negative practice were equally effective in reducing leg pounding during training sessions. However, the effects of training did not generalize to settings in which the practice contingency was not enforced. Pounding was more frequent and negative practice somewhat less effective during periods of high social stimulat

ISSN:1072-0847    

DOI:10.1002/bin.2360010405

出版商:John Wiley&Sons, Ltd    

年代:1986

数据来源: WILEY

摘要:

AbstractThe Acute Care Treatment Services (ACTS) Program at Anna Mental Health and Developmental Center in Anna, Illinois, offers a unique, homelike environment for many of the institution's acute recipients. The relaxed, natural environment (i.e., pleasant cottages free from the disturbing behaviors often displayed by chronically mentally ill recipients) aims to stabilize acute recipients, expedite their return to the community, and reduce the likelihood of their later rehospitalization by linking them with necessary community mental health resources. Chisquare analyses demonstrated significantly fewer subsequent hospitalizations for ACTS recipients after their second readmission than that of statewide comparison groups. The viability of treating acute mental illness in a natural setting on an institution's grounds is discussed.

ISSN:1072-0847    

DOI:10.1002/bin.2360010406

出版商:John Wiley&Sons, Ltd    

年代:1986

数据来源: WILEY

ISSN:1072-0847    

DOI:10.1002/bin.2360010401

出版商:John Wiley&Sons, Ltd    

年代:1986

数据来源: WILEY