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Problems in the Therapeutic Community

Published Online:https://doi.org/10.1176/ajp.128.4.492

The author discusses the following problems encountered in attempting to establish a milieu treatment program for acute psychiatric patients: tyring to set up a ward culture in the midst of frequent admissions and discharges; the patients' inability to handle the principles of democracy and permissiveness; the spreading of problems encountered by one patient group to another patient group; and the blurring of staff roles.

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