No access

Article

Published Online: October 1954

TECHNIQUES IN THE VOCATIONAL REHABILITATION OF CHRONICALLY UNEMPLOYED PSYCHIATRIC PATIENTS

IAN STEVENSON and THAIS MORRIS FISHERAuthors Info & Affiliations

Publication: American Journal of Psychiatry

Volume 111, Number 4

https://doi.org/10.1176/ajp.111.4.289

Get Access

Abstract

1. An approach to the vocational rehabilitation of chronically unemployed psychiatric patients is described, consisting of a collaborative effort between a psychiatrist and a social worker.

2. Twenty of 25 patients returned to work and have remained working steadily for 6 months or longer. The average number of interviews before a return to work was 10; thus no great expenditure of time was involved.

3. Diagnostic category, age, duration of illness, and duration of unemployment did not influence the results. Lack of education and training, excessive dependency, and lack of supportive family relationships were handicaps, but not insuperable obstacles to rehabilitation.

4. Significant techniques and factors in successful cases were:

(a) Preliminary clarification of the patient's physical condition with appropriate treatment or reassurance and explanations.

(b) Adequate working through of the primary psychological problems.

(d) Generous support and reassurance from the social worker during the period of return to work.

(e) Increase of economic pressure by planned termination of public assistance.

(f) Attention to selection of jobs suitable to the patients' psychological needs.

(g) Continuous therapist-patient relationships.

Get full access to this article

View all available purchase options and get full access to this article.

Get Access

Information & Authors

Information

Published In

American Journal of Psychiatry

Volume 111 • Number 4 • October 1954

Pages: 289 - 300

PubMed: 13197592

History

Published in print: October 1954

Published online: 1 April 2006

Authors

Details

IAN STEVENSON

View all articles by this author

THAIS MORRIS FISHER

View all articles by this author

The Department of Neuropsychiatry, Louisiana State University, School of Medicine, New Orleans, Louisiana.

Program supervisor of Psychiatric Social Work, Clinical Center, National Institutes of Mental Health, Bethesda, Md.

Metrics & Citations

Metrics

Citations

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.

Format	RIS (ProCite, Reference Manager) EndNote BibTex Medlars RefWorks
Direct importt
Citation style
Style

Copy to clipboard
Tips for downloading citations

View Options

Login options

Already a subscriber? Access your subscription through your login credentials or your institution for full access to this article.

Personal login Institutional Login Open Athens login

Purchase Options

Purchase this article to access the full text.

PPV Articles - American Journal of Psychiatry

Not a subscriber?

Subscribe Now / Learn More

PsychiatryOnline subscription options offer access to the DSM-5-TR^® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

TECHNIQUES IN THE VOCATIONAL REHABILITATION OF CHRONICALLY UNEMPLOYED PSYCHIATRIC PATIENTS

Abstract

Get full access to this article