Milieu Therapy

Summary of Article The interdisciplinary clinical approach to inpatient psychiatric treatment known as milieu therapy, while still widely used, requires modification if it is to remain an effective treatment approach in the contemporary period. Milieu therapy evolved during periods of economic and social conditions significantly different from those prevailing in the 1990s. Among the more significant of the changes in psychiatric treatment wrought by changes in the economic ad social environments is the trend toward shortstay inpatient treatment. This article suggests that, to remain a viable treatment approach, milieu therapy must embrace transformed treatment goals. As an example, crisis intervention and symptom stabilization might be sought in lieu of lasting personality change.

As a future nurse, the information presented in this article is important to me because it illustrates how the role of the psychiatric nurse may be expected to change in relation to milieu therapy. In the earlier concept of milieu therapy, the role of the nurse was expected, in most instances, to be supportive but noninterpretative. In the transformed concept of milieu therapy, nurses with advanced training are expected to serve as individual and family psychotherapists in shortstay inpatient settings and, importantly, in posthospitalization outpatient followup care. The role of the nurse, thus, is transformed

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it is not this availability and access that provide the primary motivation for such abuse. Rather, the primary motivation for such abuse of chemical substances lies in the reaction by the professional nurse to phenomena present in her or his working environment. ARTICLE SUMMARIZED AND EVALUATED Naegle, M. A. (1991). Impaired nursing practice: Evolution of a professional issue. Imprint, 38(4), 6970. ARTICLE SUMMARY AND CRITIQUE: MANAGING AGGRESSIVE BEHAVIOR Summary of Article The problem investigated in the study reported in the article concerned the links between factors assumed to be associated with maladaptive motherchild relationships and the aggressive behaviors of children involved in such relationships. A major concept that guided the study was maternal adaptive parenting, which was defined as attitudes and behaviors of the mother that support and enhance the physical and emotional development of the child. Maladaptive maternal parenting, by contrast, led to behavioral problems, particularly aggressive behaviors, on the part of children. Child behavior was defined as specific measures of altruism, extraversion, intellectual competence, hyperactivity, antisocial (particularly aggressive) behavior,
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Approximate Word count = 1227
Approximate Pages = 5 (250 words per page)

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