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The British Journal of Psychiatry (1965) 111: 947-954. doi: 10.1192/bjp.111.479.947
© 1965 The Royal College of Psychiatrists
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The Therapeutic Community—Concept, Practice and Future

D. H. CLARK M.A., M.B., Ch.B., M.R.C.P.E., D.P.M.1

1 Medical Superintendant, Fulbourn Hospital, Cambridge

The concept of the therapeutic community has emerged in the last twenty years in British and American psychiatry. The history of the idea is related and some of its definitions. The therapeutic community approach of open doors, full activity, increased freedom and responsibility for patients has had widespread effects throughout British institutional psychiatry; the therapeutic community proper, a small, face-to-face intensive treatment organization with social restructuring and role blurring for staff and patients has been less widely accepted. The Mental Health Research Fund has supported work and research at Fulbourn Hospital in both areas; some of the results are described. Future developments are discussed.




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Copyright © 1965 The Royal College of Psychiatrists.