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[Psychiatric establishments--an institutional defense system--II].

W Leuschner

    Psychiatrische Praxis
    |September 1, 1985
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    Summary
    This summary is machine-generated.

    Psychiatric hospital structures, after abandoning rigid treatments, evolved into pathological group processes. These institutions primarily serve as defense mechanisms against psychotic entanglement, reflecting institutionalized defense strategies.

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    Area of Science:

    • Psychiatry
    • Sociology
    • Institutional Psychology

    Background:

    • Sociopsychiatric experiments led to the abandonment of rigid treatment structures in psychiatric hospitals.
    • This shift released trends towards group processes among patients and staff, aiming to reshape the institution.
    • These dynamics were interpreted as a reenactment of family conflicts and induced tensions with the parent institution.

    Purpose of the Study:

    • To analyze the institutional dynamics and organizational changes in psychiatric hospitals following the relaxation of rigid treatment structures.
    • To understand the emergence of compromise formations between bureaucracy and psychotherapy within the medical personnel.
    • To explore the role of psychiatric hospitals as institutions serving defense mechanisms against psychotic entanglement.

    Main Methods:

    • Observational analysis of institutional changes and group processes.
    • Interpretation of organizational trends as psychological defense mechanisms.
    • Examination of the conflict within medical personnel leading to structural compromises.

    Main Results:

    • The abandonment of rigid structures initiated pathological group processes involving patients and staff.
    • A compromise emerged between protective bureaucratization and institutional psychotherapy, driven by medical personnel conflicts.
    • Psychiatric hospitals function predominantly as defense mechanisms against psychotic entanglement, exhibiting petrified institutionalized defenses.

    Conclusions:

    • Psychiatric hospitals, in their institutional capacity, primarily serve as defense mechanisms against psychotic entanglement.
    • The observed organizational structures are largely products of institutionalized defense, often obscuring their original functions.
    • Understanding these defense mechanisms is crucial for analyzing psychiatric institutional behavior and reform.