Thesis (doctoral)--Universität, Bielfeld, 2000. / Includes bibliographical references (p. 478-506) and index.

Thesis (Psy. D.)--Wheaton College Graduate School, Wheaton, IL, 2003. / Abstract. Includes bibliographical references (leaves 37-38).

Thesis (PhD--History)--University of Auckland, 2007.

This thesis examines the cultural and social history of Cardiff City Mental Hospital during the tenure of its first medical superintendent, Dr Edwin Goodall. When the hospital opened in 1908 the asylum movement was at a low point with numbers increasing and recovery rates falling. In spite of this Cardiff's new asylum opened with a spirit of great optimism and a belief that cures for mental disorders were possible. Two primary sources, previously undiscovered, are analysed. The first, the Medical Superintendent Letter Books, are examined and enable insights into the relationship between Dr Goodall and staff within the hospital, society beyond the hospital gates, the Commissioners for Lunacy and Board of Control, the Visiting Committee and the Board of Guardians for Cardiff. The second, the King Edward VII Hospital outpatient notes, give information about the foundation of an innovative approach to mental health care in the period outside of the confines of an asylum. The thesis examines the hospital from a number of perspectives: The relationship between the institution and Cardiff as a city; the role of the medical superintendent; the research conducted and gender relations among patients and staff. It is found that the hospital played a role in Cardiff's portrayal of itself as the Welsh metropolis and was surrounded by a semipermeable membrane allowing passage in both directions between itself and the local community. The role of the superintendent is discovered to have been one of negotiation and compromise rather than of authority. The research played little role in patient treatment yet was lauded by contemporaries but mostly lost to future generations. New light is shone on gender in terms of diagnosis of insanity and on the relationships between male and female staff. The thesis lays bare the culture of the institution in the early twentieth century and adds much to our knowledge of care of the mentally disordered in this period.

M.A. (Clinical Psychology) / The focus of this study centres on the dynamics of psychiatric female acute locked ward. The aim of the thesis is to offer an additional view of a psychiatric locked ward,with the potential of opening new avenues of functioning or change. A systemic theoretical model is utilised in an attempt to reach such an understanding/perspective. The casestudy method was adopted which involved clinical observation by an intern clinical psychologist. The thesis demonstrated that individual behaviour and/or interaction between individuals on a psychiatric locked ward may be further related to the context or unit as a whole. In other words, understanding/perception may be extended to a further level of interpretation, namely, at a systemic or feedback of feedback level.

Master of Public Health - MPH / This thesis aimed to explore systematic health service problems that are related to frequent readmission of persons suffering from severe mental illnesses to Valkenberg Hospital. Reduction of acute and chronic beds in the Associated Psychiatric Hospitals, Western Cape over the past decade has led to increasing pressure for beds and rapid inpatient turnover, many of these inpatients being "revolving door" patients. Integration of mental health service into general health services, an intrinsic part of the comprehensive primary health care approach in South Africa, is supposed to make mental health care more accessible the public, therefore research into why patients are being frequently readmitted at secondary specialist level is indicated. / South Africa

This study makes a definitive survey of the social services made available to mental patients at the Crease Clinic of Psychological Medicine during the year of 1953. The purpose of the survey was to describe as clearly as possible the actual social services provided by social caseworkers to patients undergoing short-term treatment at a mental hospital. In order to analyze the nature of typical social casework help, it was necessary to define the specific components making up services to the mentally ill and their families. Since there is apparently no available standard, a special classification of services was devised for the present study. This was achieved by visualizing the social needs of the patient and his family as he moves through his period of hospitalization, from admission to discharge. A questionnaire listing these services was prepared, and was answered by the patients’ social workers. The patients studied were by people selected by a routine sampling procedure. An examination of the casework help to the patients revealed that 25 out of 64, and 29 of their families, received help through face-to-face interviews with the social worker. All the patients were helped through diagnostic planning at ward rounds, and 44 were further assisted through a therapeutic use of social resources by the social worker. The specific services to the patients and the specific services to the relatives were shown to be similar in frequency. In both instances most of the services were aimed at helping people with their discomforts in social relationships. In conclusion, the study points out some of the problems in the screening of patients for social casework help, including the difficulty of giving effective service with insufficient staff. Also emphasized is the necessity for social agencies to facilitate research through standardization of recording, because of the need for further development in quantitative and analytical evaluation of services which are not clearly understood by the general public, and even by some professional people. / Arts, Faculty of / Social Work, School of / Graduate

In 1960, the Home for the Aged, an institution of the Province of British Columbia, underwent an official name change to Valleyview Hospital. The change in name indicated a change in the philosophy toward the treatment of the aged mentally ill person. This change can be equated with new knowledge about the physical, psychological and social aspects of aging. Formerly the program and the goal were related to custodial care; now, the program and the goal are related to treatment which will result in the aged mentally ill patient returning to a living arrangement in the community that is most appropriate to his needs. This study, cites the problems of aged people in this province, with particular reference to problems of mental illness. The process of admission to hospital, treatment programs and discharge procedures, particularly as they relate to the work of the Social Service Department, are described. Against this background of procedures, the particular criteria for discharge and rehabilitation planning, as related to the hospital and to the resources available in the community are examined. Particular patient groups are noted in relationship to the particular resource required to receive them back into community. The study reveals that, although, using hospital criteria for discharge, a large number of patients could be appropriately rehabilitated, but sufficient community resources, including family care, boarding and nursing homes, are lacking for such patients. Furthermore, community attitudes towards the aged mentally ill person have not changed to meet the new philosophy about their treatment in Valleyview Hospital. Since correspondence revealed that Valleyview Hospital is unique amongst mental hospitals for the aged on this continent, the study was of necessity a pilot one, and is primarily descriptive. However, the questionnaire method was used to gather data about existing living accommodation available to discharged patients. Finally, the study offers some suggestions for improvement and expansion of community resources, and of legislation concerning them which, if carried out, would ensure, to a greater extent, that the philosophy of treatment and rehabilitation, rather than custodial care, could be translated into practice. / Arts, Faculty of / Social Work, School of / Moorhouse, Clayton Herbert Todd; Starak, Igor / Graduate

Thesis (M.S.)--Boston University / A panel of speakers from several hospital services including; psychiatry, nursing and social service, who speak on the work of the psychiatric hospital has just completed its tenth year of community education in and around Greater Boston, under the auspices of the Massachusetts MentalHealth Center. The purpose of this study is now to seek some index of its effectiveness, to consider how the findings may serve as a gP.ide to practice for the panel itself and for other programs in the mental health education field, and to recommend areas for further study.

In 1897 John Sibbald, Commissioner in Lunacy for Scotland, stated that ‘the construction of an asylum is a more interesting subject of study for the general reader than might be supposed.’ This thesis traces the development of the public asylum in Scotland from 1781 to 1930. By placing the institution in its wider social context it provides more than a historical account, exploring how the buildings functioned as well as giving an architectural analysis based on date, plan and style. Here the architecture represents more, and provides a physical expression of successive stages of public philanthropy and legislative changes during what was arguably one of the most rapidly evolving stages of history. At a time when few medical treatments were available, public asylum buildings created truly therapeutic environments, which allowed the mentally ill to live in relative peace and security. The thesis explores how public asylums in Scotland introduced the segregation or ‘classification’ of patients into separate needs-based groups under a system known as Moral Treatment. It focuses particularly on the evolving plan forms of these institutions from the earliest radial, prison-like structures to their development into self-sustaining village-style colonies and shows how the plan reflects new attitudes to treatment. While many have disappeared, the surviving Victorian and Edwardian mega-structures lie as haunting reminders of a largely forgotten era in Scottish psychiatry. Only a few of the original buildings are still in use today as specialist units, out-patient centres, and administrative offices for Scotland’s Health Boards. Others have been redeveloped as universities or luxury housing schemes, making use of the good-quality buildings and landscaping. Whatever their current use, public asylums stand today as an outward sign of the awakening of the Scottish people to the plight of the mentally ill in the nineteenth and early twentieth centuries.