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Published Online:https://doi.org/10.1176/ajp.127.4.451

The authors describe a research project in milieu therapy that employed the suspension of all planned group and activity programs. A two-week period of regular observations to establish baseline data was followed by a two-week experimental period and a final observation period when the program had been restored. Contrary to expectations, the patients did not withdraw or decompensate: They assumed responsibility and leadership in organizing their own activities and initiated more contacts with staff. The reactions of nurses and patients to the project as a learning experience are described.

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