M.Cur. / The problem of relapsed psychiatric patients is global, it is high in rural areas where services are not readily available. Lack of knowledge of psychiatric conditions and the management by family of patients play a part in psychiatric patients relapsing. Families reject their family members (patients) when they are in hospital, for what they did when their illness started. Some patients assaulted people, stripped naked in the street. The family then disassociate themselves from the patient because of that behaviour. Studies have indicated that the following reduce the rate of relapse of psychiatric patients: • psycho-education for families regarding the causes of mental illness and its management; and • active involvement of families of patients in the treatment plan of these patients. The researcher’s interest was triggered by the high rate of psychiatric patient relapses in the institution where she works. The researcher decided to investigate the experiences of patients who have relapsed. An investigation was done whereby an explorative, descriptive, contextual and qualitative design was used to find out what the experiences of patients are who have relapsed. Phenomenological interviews were done with seven participants who were purposively selected. Permission was first obtained from the gatekeepers and participants. Thereafter, a pilot study was done with one patient who met the selection criteria for the study. This was done to help the researcher to discover the strong and weak points of the research and to make corrections where necessary. Following Guba’s model (Krefting, 1991:214-222) strategies ensured trustworthiness. Data analysis was done following Tesch’s method of data analysis (Creswell, 1994:154-156). The results showed that patients’ basic needs are neglected in some areas. Emotional dimensions of participants were not catered for by health workers, which resulted in participants getting frustrated and angry. After the data analysis guidelines for psychiatric nurses were described to assist psychiatric patients to mobilise their resources. Recommendations were made regarding the application of the results of the study in psychiatric education, nursing practice and research and for family members. It was concluded that the questions of the study were answered and the objectives were achieved.

No description available.

It was proposed that the optimal matching of psychotherapy approach to selected patient characteristics results in improved treatment outcome. Three patient dimensions were identified as contributing specific predictive power in determining the effectiveness of several types of treatment: symptom complexity, style of psychological defense, and reactance potential. Symptom complexity level was held relatively constant by studying a sample of psychiatric inpatients, who were admitted to a teaching hospital for short-term care and treated in individual psychotherapy by psychiatric residents and psychology interns. Patient defensive style was assessed in terms of an internalization/externalization ratio, derived from patient MMPI scores, and was hypothesized to differentially affect outcome depending on the degree of patient-therapist match in terms of an internalized versus externalized focus of therapeutic approach. Patient reactance potential was assessed by the Control Wanted subscale of the FIRO-B, and was hypothesized to be optimally matched by varying levels of therapy directiveness. Therapeutic approach was assessed by scores on the Theoretical Orientation Questionnaire. Outcome was assessed by three independent sources: therapist discharge ratings of global improvement, pre- and posttreatment patient ratings on a standardized symptom index, and nurses' ratings of ward behavior at the beginning and end of treatment. These measures constituted the dependent variables in a series of multiple regression analyses, which also included a number of patient background and collateral treatment variables as potential predictors. Results indicated that, after accounting for pretreatment levels of disturbance, the match between patient defensive style and internal/external focus of therapeutic approach was a significant predictor of treatment outcome. The degree of patient-therapist match on this dimension accounted for 9% and 8% of the variability in posttreatment measures of patient symptomatology and ward behavior, respectively. Matching with respect to patient reactance potential and therapy directiveness was not seen to affect outcome, and no effects due to matching were observed for therapists' ratings. Results are discussed in terms of validity and reliability of the ratings, problems in assessment from the different vantage points of patient/therapist/observer, and biases deriving from the use of self-report instruments.

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Thesis (M.S.)--Florida State University, 2004. / Advisor: Dr. Ellen Berler, Florida State University, College of Arts and Sciences, Dept. of Psychology. Title and description from dissertation home page (viewed Sept. 28, 2004). Includes bibliographical references.

Thesis (Ph. D.)--Virginia Commonwealth University, 2009. / Prepared for: Dept. of Psychology. Bibliography: leaves 39 - 43. Also available online via the Internet.

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M.A. / Die doel van die verhandeling is om bydaende faktore wat aanleiding gee tot psigiatriese terugval vas te stel om sodoende aanbevelings te maak wat op die bevindinge gegrond is om diegene wie met psigiatriese pasiente werk te help . Deur middel van hierdie verhandeling is ‘ n poging aangewend om antwoorde tot die volgende vrae te verkry : • Wat is die persepsies van gesinne teenoor ‘n terugval van hul naasbestaandes ? • Wat word deur gesinne as ‘n vernamme bydraende faktor tot terugval beskou? • Wat is die gevolge van her-toelating op die gesin? • Wat is die algemene gevolge van institusionalisering op die pasient? Nie-waarskynlike steekproeftrekking vir die projek is gebruik. ‘m Onderhoudskedule is gebruik om data in te samel. Onderhoude is met twaalf respondente gevoer en hul antwoorde is aangebied en ontleed. Deur middel van hierdie ondersoek is vasgestel dat die oorgroter meerderheid pasiente pas nie so goed aan by die huis as in die gestig nie. In alle waarskynlikheid ‘n rede vir hierdie toedrag van sake is dat hulle hul voorskrif vir medikasie nakom nie. Hierdie nie-gehoorsaamheid deur pasiente lei daartoe tot die siening deur ‘n toenemende aantal gesinne dat hospitalisasie die geskikste plek is vir pasiente, met ontslag as nie-wenslik beskou. Tydens hierdie navorsingsprojek is vasgestel dat alle respondente nie voorberei is om te werk met geestessiektes nie. Hierdie probleem het daartoe aanleiding gegee tot ‘n mislukte integrasie proses aangesien pasiente nie terug na hulle gesinne en gemeenskappe teruggeplaas kon wees nie. Hierdie probleem het ‘n negatiewe aanslag op staatsbeleid om weg te doen met die institusionalisering van pasiente. / Prof. Mitchell