Skip to main content
Log in

Attitudes Toward Patients

  • Published:
Journal of Psychiatric Education Aims and scope Submit manuscript

Abstract

Sixty-nine medical students completed a questionnaire on attitudes toward patients, before and after a six-week psychiatric clerkship. There was a significant increase in acceptance of biological factors in psychopathogenesis, while a high endorsement of psychodynamic factors was sustained. Students also indicated greater willingness to get close to the mental life of patients compared to a more distancing attitude before their rotations. Women were significantly more likely to be non-judgmental toward patients and to tolerate patient autonomy than males. A control group of seventeen students tested at a six-week interval with no intervening psychiatry experience showed none of these changes. Thus, scales can be developed to reliably assess attitudes toward patients and to correlate these attitudes with a variety of parameters. Implications of these data in relation to treatment ideology and clinical decision-making are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Rabkin JG: Opinions about mental illness: A review of the literature. Psychol Bull 77:153–171, 1972.

    Article  CAS  Google Scholar 

  2. Cohen J, Struening EL: Opinions about mental illness in the personnel of two large mental hospitals. J Abnorm Soc Psychol 64:349–360, 1962.

    Article  CAS  Google Scholar 

  3. Cohen J, Struening EL: Opinions about mental illness: Mental hospital occupational profiles and profile clusters. Psychol Rep 12:111–124, 1963.

    Article  Google Scholar 

  4. Nunnally JC: Popular Conceptions of Mental Health: Their Development and Change. New York, Holt, Rinehart & Winston, 1961.

    Google Scholar 

  5. Gilbert DC, Levinson DJ: “Custodialism” and “humanism” in mental hospital structure and staff ideology, in The Patient and the Mental Hospital. Edited by Greenblatt M, Levinson DJ, Williams RH. Glencoe, IL, Free Press, 1957.

    Google Scholar 

  6. Adorno TW, Frenkel-Brunswik E, Levinson DJ, et aL: The Authoritarian Personality. New York, Harper, 1950.

    Google Scholar 

  7. Ehrlich D, Sabshin M: A study of socio-therapeutically oriented psychiatrists. Am J Orthopsychiatry 34:469–486, 1964.

    Article  CAS  Google Scholar 

  8. Gelfand S, Ullman LP: Attitude changes associated with psychiatric affiliation. Nurs Res 20:200–204, 1961.

    Article  Google Scholar 

  9. Hicks JM, Spaner FE: Attitude change as a function of mental hospital experience. J Abnorm Soc Psychol 65:112–120, 1962.

    Article  Google Scholar 

  10. Johannsen WJ, Redel MC, Engel RG: Personality and attitudinal changes during psychiatric nursing affiliation. Nurs Res 13:343–345, 1964.

    Google Scholar 

  11. Holmes D: Changes in attitudes about mental illness. New York: Center for Community Research, (Mimeo) 1968.

    Google Scholar 

  12. Dixon CR: Courses on psychology and students’ attitudes toward mental illness. Psychol Rep 29:50, 1967.

    Article  CAS  Google Scholar 

  13. Markham B: Can a behavioral science course change medical students’ attitudes? J Psychiatric Educ 3:44–54, 1979.

    Google Scholar 

  14. Crow CM, Mowbray RM, Bloch S: Attitudes of mental students to mental illness. J Med Educ 45:594–599, 1970.

    CAS  PubMed  Google Scholar 

  15. O’Mahony PD: An investigation of change in medical students’ conceptualizations of psychiatric patients due to a short training course in psychiatry. J Med Educ 13:103–110, 1979.

    Article  Google Scholar 

  16. Eron LD: Effect of medical education on medical students’ attitudes. J Med Educ 30:559–566, 1955.

    CAS  Google Scholar 

  17. Becker HS, Geer B: The fate of idealism in medical school. Am Sociol Rev 23:50–56, 1958.

    Article  Google Scholar 

  18. Reinhardt AM, Gray RM: A social psychological study of attitude change in physicians. J Med Educ 47:112–117, 1972.

    CAS  PubMed  Google Scholar 

  19. Perricone PJ: Social concern in medical students: A reconsideration of the Eron assumption J Med Educ 49:541–546, 1974.

    CAS  PubMed  Google Scholar 

  20. Rezler AG: Attitude changes during medical school: A review of the literature. J Med Educ 49:1023–1030, 1974.

    CAS  PubMed  Google Scholar 

  21. Eagle PF, Marcos LR, Cancro R: Medical students’ attitudinal changes associated with the psychiatric clerkship. J Psychiatric Educ 3:180–188, 1979.

    Google Scholar 

  22. Hankoff LD, White L: A medical student view of psychiatry. J Psychiatric Educ 5:295–305, 1981.

    Google Scholar 

  23. Yager J, Lamotte K, Nielsen A, Eaton, JS: Medical students’ evaluation of psychiatry: A cross country comparison. Am J Psychiatry 139:1003–1009, 1982.

    Article  CAS  Google Scholar 

  24. Kohut H: The Analysis of The Self. New York, International Universities Press, 1971.

    Google Scholar 

  25. Goldberg A: Advances in Self Psychology. New York, International Universities Press, 1980.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Roskin, G., Carsen, M.L., Rabiner, C.J. et al. Attitudes Toward Patients. Acad Psychiatry 10, 40–49 (1986). https://doi.org/10.1007/BF03500809

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03500809

Navigation