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The Natural History of Behavioural Symptoms among Severely and Profoundly Mentally Retarded Patients

Published online by Cambridge University Press:  29 January 2018

A. H. Reid*
Affiliation:
Dundee Psychiatric Services, Royal Dundee Liff Hospital, By Dundee, DD2 5NF
B. R. Ballinger
Affiliation:
Dundee Psychiatric Services, Royal Dundee Liff Hospital, By Dundee, DD2 5NF
B. B. Heather
Affiliation:
Department of Psychiatry, Ninewells Hospital and Medical School, University of Dundee, Dundee, DDI 9SY
S. J. Melvin
Affiliation:
Department of Psychiatry, Ninewells Hospital and Medical School, University of Dundee, Dundee, DD1 9SY
*
Correspondence

Summary

In a study of the evolution of behavioural symptoms in severely and profoundly mentally retarded adults in hospital over a period of six years, items of abnormal behaviour were found to be remarkably persistent. There is a high prevalence rate of psychiatric disorder in this population, when this disorder is defined in a widely descriptive sense. A substantially improved living environment, and increased staff-patient ratios, are prerequisites for improving disturbed behaviour in these patients.

Type
Research Article
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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References

Ballinger, B. R., Armstrong, J., Presly, A. S. & Reid, A. H. (1975) Use of a standardized psychiatric interview in mentally handicapped patients. British Journal of Psychiatry, 127, 540–4.Google Scholar
Ballinger, B. R. & Reid, A. H. (1977) Psychiatric disorder in an adult training centre and a hospital for the mentally handicapped. Psychological Medicine, 7, 525–8.Google Scholar
Coid, J., Allolio, B. & Rees, L. H. (1983) Raised plasma metenkephalin levels in patients who habitually mutilate themselves. Lancet, 2, 545–6.Google Scholar
Corbett, J. A. (1975) Aversion for the treatment of self injurious behaviour. Journal of Mental Deficiency Research, 19, 7995.Google Scholar
Crome, L. & Stern, J. (1972) Pathology of Mental Retardation. Edinburgh: Churchill Livingstone.Google Scholar
D.H.S.S. (1978) Report of the Committee of Inquiry into Normansfield Hospital. London: H.M.S.O. Google Scholar
Goldberg, D. P., Cooper, B., Eastwood, M. R., Kedward, H. B. & Shepherd, M. (1970) A standardized psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine, 24, 1823.Google Scholar
Goodall, E. & Corbett, J. (1982) Relationships between sensory stimulation and stereotyped behaviour in severely mentally retarded patients. Journal of Mental Deficiency Research, 26, 163–75.Google Scholar
Gunn, J. & Fenton, G. W. (1969) Epilepsy in prisons: a diagnostic survey. British Medical Journal, iv, 326–8.Google Scholar
King, R. D., Raynes, N. V. & Tizard, J. (1971) Patterns of Residential Care: Sociological Studies in Institutions for Handicapped Children. London: Routledge and Kegan Paul.Google Scholar
Morris, P. (1969) Put Away: a Sociological Study in Institutions for the Mentally Retarded. London: Routledge and Kegan Paul.Google Scholar
Oswin, M. (1978) Children Living in Long-Stay Hospitals. Spastics International Medical Publications Research Monography No. 5. London: Heinemann Medical.Google Scholar
Reid, A. H., Ballinger, B. R. & Heather, B. B. (1978) Behavioural syndromes identified by cluster analysis in a sample of 100 severely and profoundly retarded adults. Psychological Medicine, 8, 399412.Google Scholar
Richards, B. W. (1969) Age trends in mental deficiency institutions. Journal of Mental Deficiency Research, 13, 171183.Google Scholar
Rutter, M. & Graham, P. (1968) The reliability and validity of the psychiatric assessment of the child. I. Interview with the child. British Journal of Psychiatry, 114, 563–79.Google Scholar
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