One issue may also be that it is in the interest of in-patient psychiatric institutions to hold the people they have.
The dynamic may be thus: a person ill enough to require in-patient care makes it into one of the few beds; the person stabilizes, but doesn’t want to go back to the stresses of street life and the tyranny of command halluc…
One issue may also be that it is in the interest of in-patient psychiatric institutions to hold the people they have.
The dynamic may be thus: a person ill enough to require in-patient care makes it into one of the few beds; the person stabilizes, but doesn’t want to go back to the stresses of street life and the tyranny of command hallucinations, so the person perhaps plays up their symptoms; and here’s the key, the staff has an interest in keeping stable people they know and is able to get along with the others in the facility instead of bringing in someone new, and is thus willing to endorse the person’s self-report of their symptoms.
One issue may also be that it is in the interest of in-patient psychiatric institutions to hold the people they have.
The dynamic may be thus: a person ill enough to require in-patient care makes it into one of the few beds; the person stabilizes, but doesn’t want to go back to the stresses of street life and the tyranny of command hallucinations, so the person perhaps plays up their symptoms; and here’s the key, the staff has an interest in keeping stable people they know and is able to get along with the others in the facility instead of bringing in someone new, and is thus willing to endorse the person’s self-report of their symptoms.
I think I would do the same in their shoes.