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Related Experiment Videos

Sending the patient home

T Nadelson

    Psychotherapy and Psychosomatics
    |January 1, 1978
    PubMed
    Summary

    Disorganized behavior in hospitalized patients can be distressing. This study suggests that returning patients home to a familiar environment may improve their psychological functioning, offering an alternative to prolonged hospital stays.

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    Area of Science:

    • Psychiatry
    • Neuroscience
    • Medical Psychology

    Background:

    • Hospitalization for medical illness can lead to significant psychological distress and disorganized behavior in some patients.
    • This altered mental state causes anxiety for families and challenges for medical staff, often leading to extended hospital stays.
    • Current approaches focus on prolonged hospitalization to manage disturbed mental functioning, but an alternative may exist.

    Purpose of the Study:

    • To propose an alternative therapeutic approach for patients exhibiting disorganized behavior during medical hospitalization.
    • To challenge the conventional practice of extending hospital stays solely for psychological stabilization.
    • To introduce a model explaining the interaction between brain/mind regulatory mechanisms and environmental factors during illness.

    Main Methods:

    • Conceptual analysis and presentation of a theoretical model.
    • Examination of the impact of the hospital environment versus a familiar home environment on psychological functioning.
    • Consideration of internal regulatory mechanisms of the brain and the role of environmental cues.

    Main Results:

    • The study posits that a familiar home environment may promote improved psychological functioning compared to the hospital milieu.
    • The proposed model highlights the interplay between the brain's internal regulation and external environmental stimuli.
    • Lack of familiar orienting cues in the hospital setting may contribute to disorganized behavior.

    Conclusions:

    • Disorganized mental functioning during medical illness may be alleviated by returning patients to their familiar home environment.
    • The hospital environment, with its unfamiliarity, can potentially exacerbate psychological distress.
    • A shift in therapeutic strategy towards utilizing familiar environments could enhance patient recovery and well-being.

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