Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
Am J Psychiatry 1957;114:344-350.
View Author and Article Information

The Spring Grove State Hospital, Baltimore 28, Md.

text A A A
PDF of the full text article.

For five months a staff group of psychiatrist, social worker, nurse and vocational counsellor worked closely with a group of 72 male patients, about 75% of whom had been hospitalized more than 5 years but who were currently able to maintain, with little supervision, a minimal social level of adjustment at least. The patients had recently been transferred from old buildings to a modern convalescent cottage. Twenty-six patients, who might otherwise have stayed indefinitely, did leave but others—or a total of 55 patients of the 72—actually were no longer receiving any active benefit from hospitalization. A differentiation seemed pertinent between chronicity of the illness itself and social chronicity in which the individual becomes adapted to a routine level of social functioning below his actual capacity. The culture of the state hospital seems to invite chronicity in the latter sense.The study indicates some of the threads in this pattern—often implicit rather than explicit. Chief among them is perhaps the old conception of the state hospital's function to give shelter indefinitely to those for whom no obviously better plan is available in the community and who are not motivated to try.The study suggests a concept of hospitalization limited to the continuing appropriateness of that service in terms of treatment and/or protection and some of the administrative means by which the social adjustment of the patient might then be stimulated to keep pace with the expectation of future plans to live outside.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).




CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe

Web of Science® Times Cited: 3

Related Content
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 33.  >
DSM-5™ Clinical Cases > Chapter 5.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 22.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 22.  >
DSM-5™ Clinical Cases > Chapter 2.  >
Psychiatric News
PubMed Articles