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The Pseudotherapeutic Community: An Examination of Antitherapeutic Forces on Psychiatric Units

Published Online:https://doi.org/10.1176/ps.25.5.315

If a psychiatric unit is to be effectively therapeutic, its staff must avoid the pitfalls that can turn it into a pseudotherapeutic community. The authors define a pseudotherapeutic community as a psychiatric unit that subscribes to a particular treatment philosophy, but covertly functions in ways contradictory to the expressed belief. They describe the major characteristics of such a unit and give examples showing how the antitherapeutic forces are activated and maintained.

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