Word: patient
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Dates: during 1960-1969
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Nobody leaves as a result of case-aide work. They leave as a result of getting some help in leaving. They might not have gotten this without case-aide simply because they're lost in a mob of 300 people. The patient has to get himself to the point of leaying, but frequently he cannot do this on his own. At least five out of the about 25 adult patients who have been seen by case-aide workers in the past three years have gone to halfway houses, or gotten out and gotten jobs. This is usually the result...
...martinet in this regard: You do make a contract with your patient, and you have a sem-i professional relationship, insofar as you have a commitment. I also very much believe in activism--in getting the case-aide and patient to talk to the doctors, in discussing getting medication lowered if the patient thinks it's too high; in relating to the ward personnel, the nurses and attendants, and trying to learn from them even if one does not take everything they say at face value...
...feel put down or put himself down to the supervisor. If not, the group will split and form loyalties. This is where professionalism comes in--here, and in answering questions like "What is the effect of electroshock?" or "What does this drug do?" or "I want to get my patient out; who should I contact...
...leader and the supervisor get together frequently enough, the group will cohere. If there is any competition among group members, it spurs them to try different ways of helping their patients. Problems do come up when one member tries to dominate the group by endlessly bringing up his patient...
...other hand, brute honesty is not particularly indicated; this is not an Ibsen's Wild Duck situation. You listen to something and you try to respond more or less the way you feel, within the bounds of judgment. You don't tell the patient, "We won't talk about that because I'm scared." What you might say is, "That's kind of a frightening idea." He may be frightened...