Word: grouped
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Dates: during 1960-1969
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This is not necessarily true. Cases may be incurable--in fact I don't think we cure anybody, we get them well enough to manage in the world. Nevertheless, you struggle through that, and the group begins to need support from the advisor and the day leader. Up comes exams about this time or a few weeks later; there is an interruption, and unless the case-aides keep contact with their patients, you find that the patients do reject the case-aides...
...this point the case-aides need to have explained to them that they are important, that the patients have been rejecting them, lying to them, or whatever. And about this time a depressed mood settles over the group. They have discovered that they're not going to fix the patients in 12 or 16 or 18 visits once a week. Here the group really comes to grips with itself. Is it going to be a group? Is it going to survive this realization, this destruction? How meaningful is it? Why did they get into this thing? It's a difficult...
...because now they've finally gotten to know their patients and what this stuff means--not analytically, but in terms of interpersonal relationships. And then it's almost time to stop. We have to work through the termination, and we get a genuine depression in each member of the group, as well as in the over-all group. They have to realize that it is up to the patient to retain whatever they've done...
...GROUP discussions, they bring up their own feelings, something different from their own problems. I only recall one instance when we got into some individual past history. This one episode related to dealing with feelings about death, and this brought up a piece of personal history which was very useful because it caused the other group members to express their feelings freely. But we got right back on to the patients...
...against a system that has become top-heavy, monolithic, under-financed and therefore incapable of dealing with the problems that are involved in getting patients out. The new Commissioner of Mental Health, Dr. Greenblatt, is and has been very supportive of case-aide work. He really is moving this group, attempting to get patients out into the community and to get community people to work with the patients, to get them placed, and so forth. The case-aide program has been anticipating these efforts for several years...