Levels of Patient Interaction on Psychiatric Wards

Six properties of the psychiatric treatment setting have been examined for their effect on the amount of patient interaction. The evidence indicates that patient interaction is greater to the extent that (1) the need for patient interaction is stressed; (2) patients and staff are rewarded for interacting with patients; (3) the patient population is not disproportionately selected from among the aged, the very severely disturbed, or individuals just admitted; (4) nonpatients mingle with patients; and (5) differences in rank and authority between staff members and patients are minimized.Implications of these findings are discussed with relation to (1) the "disease entity" conception of mental illness and (2) Goffman's hypothesis that a deep staff-inmate schism exists in the mental hospital which is an example of a "total institution."

Disease · Mental health · Mental hospital · Mental illness · Population · Psychiatric hospital · Psychiatry · Rank (graph theory) · Schism · Social relation · Sociology · Total institution · Medicine · Mental Health and Psychiatry · Mental Health Treatment and Access · Psychology · Schizophrenia research and treatment · Social Psychology

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• The Hinterland Reconsidered

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