PSY 034 Lecture Notes - Lecture 21: Token Economy, Agranulocytosis, Milieu Therapy
7 Dec 2020
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Treatment of schizo and other severe mental disorders. For more than of the twentieth century, most diagnosed with schizo were institutionalized in a public mental hospital. States throughout the us were even required by law to establish public mental institutions (state hospitals) for patients who could not afford private ones. B/c of overcrowding and understaffing, emphasis shifted from giving humanitarian care to keeping order. Many patients not only didn"t improve but actually developed more symptoms from being there. Physical aggressiveness loss of interest in personal appearance and functioning. Premise is that institutions cannot help patients unless they can create a social climate, or milieu, that promotes productive activity, self respect, and individual responsibility. Rewarded when they behave acceptably and are not rewarded when they behave unacceptably. 1950s revolutionized treatment for schizo; these drugs eliminate many of its symptoms and today are almost always a part of treatment.
