Document Detail

Moral therapy and the problem of morale.
MedLine Citation:
PMID:  320884     Owner:  NLM     Status:  MEDLINE    
The author reviews the history of moral therapy and the lessons and warnings it holds for modern psychiatry. Custodial management replaced moral therapy in this country in the late 1800s because of inadequate manpower and fiscal resources, a lack of charismatic leaders, the increasing lack of control over admissions and discharge, and other factors. One "solution" to the unacceptable conditions of custodial care was an increased faith in science and technology; humanistic medical science became scientism, and patients suffered. Morale is essential to the provision of moral therapy, and the increasing emphasis on somatic therapies has strained the union of morale and moral treatment. The author believes that the profession can reaffirm its identity and distinguish itself through the appropriate provision of humane, psychosocial care--the essence of moral therapy.
L Sederer
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Publication Detail:
Type:  Historical Article; Journal Article    
Journal Detail:
Title:  The American journal of psychiatry     Volume:  134     ISSN:  0002-953X     ISO Abbreviation:  Am J Psychiatry     Publication Date:  1977 Mar 
Date Detail:
Created Date:  1977-04-15     Completed Date:  1977-04-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370512     Medline TA:  Am J Psychiatry     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  267-72     Citation Subset:  AIM; IM; Q    
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MeSH Terms
Attitude of Health Personnel
History, 18th Century
History, 19th Century
History, 20th Century
Hospitals, Psychiatric / history
Mental Disorders / therapy*
Psychiatry / history*
Psychotherapy / history
Quality of Health Care
Social Conditions
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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