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"Does being in here mean there is something wrong with me"?

S J Lally1

  • 1St. Elizabeths Hospital, Washington, DC 20032.

Schizophrenia Bulletin
|January 1, 1989
PubMed
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This study explores how psychiatric hospital stays impact patient self-image from the patient

Area of Science:

  • Psychiatry
  • Sociology
  • Psychology

Background:

  • Existing literature on psychiatric hospitalization's effect on self-image primarily focuses on institutional perspectives.
  • The patient's subjective experience and role in this transformative process remain underexplored.

Purpose of the Study:

  • To investigate the patient's perspective on how psychiatric hospitals influence self-image.
  • To identify key variables and developmental stages in the patient's adoption of the 'patient role'.

Main Methods:

  • Employed a mixed-methods approach, integrating qualitative and quantitative data.
  • Analyzed patient experiences to understand the process of self-image alteration within psychiatric settings.

Main Results:

Related Experiment Videos

  • Frequency and duration of psychiatric hospitalization, alongside a history of hallucinations, significantly predict patient role engulfment.
  • Engulfment in the patient role is a developmental sequence marked by transitional events (e.g., hallucinations, income changes, readmissions).
  • Patients navigate these stages by adapting beliefs and definitions to maintain a positive self-concept.

Conclusions:

  • Patient role engulfment is a dynamic process influenced by exposure to psychiatric care and personal history.
  • Transitional events act as catalysts, driving shifts in self-perception and role adoption.
  • The underlying motivation appears to be the patient's need to preserve a sense of competence.