both
parents were dead.
within
the
Dublin
trainees and course
for
Indeed many siblings,
area, maintained very
although
little
living
contact with
this has obvious implications for trainees (and of .
.
psychiatric patients generally) as the
trainee gets .
,
older and parents die.
T h e trend of f m i l y contact does appear to .
indicate
. .
to
,
,
that the responsibility for maintaining contact is seen
lie mainly with parents and while the
.
.,
patient
a
.
is obviously . ...~ ,
accepted
as
create
a member of his or her
their
natal
family,
as siblings
own fanily units long term patients appear
to
be
largely excluded from these units and more and more responsibility thus lies with the institution.
Although
the figure for regular f m i l y contact
relatively family
high,
member
this usually involved a hospital
and
only
a minority
(20%)of
as
is,
stated,
visit
by
a
trainees uisited ,.
relatives
in
their homes regularly with the figure for
staying
overnight (15%) even smaller. In terms of the institutionalisation of
hospital
confined
as
the more
the patient's world the more he or she is removed
comnunity
norms
maintaining exmined
patients this is an important finding
and the greater the likelihood of
hospital in
hospitalisation
or
non-comnunity
the context of
these
of
the
norms.
relatively
trainees the
from
adopting When
long
inherent
this
and
is
years
of
danger
of
institutionalisation is obvious.
In
terms of non-fmily visits the pattern w a s one
from
such sources of contact.
from
outside
Only 1%
of
isolation
of trainees had a friend
the hospital who visited them or who
they
visited
,