{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T13:24:19Z","timestamp":1762176259254},"reference-count":29,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2018,1,29]],"date-time":"2018-01-29T00:00:00Z","timestamp":1517184000000},"content-version":"unspecified","delay-in-days":15644,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[1975,4]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p><jats:list list-type=\"number\"><jats:list-item><jats:label>1.<\/jats:label><jats:p>The clinical functioning of the Young People's Unit, Edinburgh is described. This involves a relatively permissive, democratic \u2018milieu\u2018. Psychotherapeutic efforts are devoted to the resolution of family psychopathology and the achievement of maturational progress for the adolescent.<\/jats:p><\/jats:list-item><jats:list-item><jats:label>2.<\/jats:label><jats:p>Data on the first seventy admittions to the Unit were examined. Two-thirds of the patients were diagnosed \u2018developmental crisis\u2019; the majority of these also had a personality disorder.<\/jats:p><\/jats:list-item><jats:list-item><jats:label>3.<\/jats:label><jats:p>Assessments of family functioning showed high levels of disturbance and psychiatric morbidity among the parents. The adolescents had mutually good, positive relationships with their opposite-sexed parents, but markedly negative ones with the same-sexed parents. This was not in accordance with the usual findings in \u2018normal\u2019 families. Delinquent and impulsive patients showed uniformly negative family attitudes.<\/jats:p><\/jats:list-item><jats:list-item><jats:label>4.<\/jats:label><jats:p>A simple estimation of treatment outcome at discharge gave results comparable to those of other units, with 70 per cent of patients rated as improved. Neurotic and psychotic patients had a relatively better outcome. Tension-discharge personality disorder and a history of very disruptive or antisocial behaviour were associated with poor outcome.<\/jats:p><\/jats:list-item><jats:list-item><jats:label>5.<\/jats:label><jats:p>The poor response of very disturbed, impulsive adolescents to this type of therapeutic regime is discussed. These individuals do not appear to have sufficient personality resources and organization to benefit from this type of treatment. Emerging from this is a suggestion for an increased provision of specialized units offering containment and intensive care to the very disturbed adolescent.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p>","DOI":"10.1192\/bjp.126.4.380","type":"journal-article","created":{"date-parts":[[2008,8,12]],"date-time":"2008-08-12T22:35:43Z","timestamp":1218580543000},"page":"380-389","source":"Crossref","is-referenced-by-count":19,"title":["The First Seventy Admissions to an Adolescent Unit in Edinburgh: General Characteristics and Treatment Outcome"],"prefix":"10.1192","volume":"126","author":[{"given":"R.","family":"Framrose","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2018,1,29]]},"reference":[{"key":"S0007125000092230_ref29","doi-asserted-by":"crossref","DOI":"10.1111\/j.1468-2311.1968.tb00239.x","article-title":"The treatment of delinquents in a therapeutic community","volume":"12","author":"Whiteley","year":"1968","journal-title":"Howard Journal"},{"key":"S0007125000092230_ref28","volume-title":"Psychological Disturbance in Adolescence","author":"Weiner","year":"1970"},{"key":"S0007125000092230_ref27","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1965.tb02150.x"},{"key":"S0007125000092230_ref25","article-title":"The negotiation of the father-son relationship in normal adolescents","author":"Siskind","year":"1972","journal-title":"Dissertation Abstracts International"},{"key":"S0007125000092230_ref23","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1971.tb01086.x"},{"key":"S0007125000092230_ref2","doi-asserted-by":"crossref","DOI":"10.1192\/bjp.107.447.268","article-title":"Psychiatric illness in adolescence: presentation and prognosis","volume":"107","author":"Annesley","year":"1961","journal-title":"Journal of Mental Science"},{"key":"S0007125000092230_ref19","unstructured":"London Boroughs Association (1967) Interim Report of the Working Party on the Provision for Seriously Disturbed Adolescents."},{"key":"S0007125000092230_ref4","volume-title":"Residential Establishments: The Evolving of Caring Systems","author":"Balbernie","year":"1973"},{"key":"S0007125000092230_ref16","volume":"6","year":"1966","journal-title":"Psychopathological Disorders in Childhood: Theoretical Considerations and a Proposed Classification"},{"key":"S0007125000092230_ref11","doi-asserted-by":"publisher","DOI":"10.1007\/BF01562034"},{"key":"S0007125000092230_ref24","article-title":"A special mental hospital unit for the treatment of psychosis and neurosis in juveniles","volume":"414","author":"Sands","year":"1953","journal-title":"Journal of Mental Science"},{"key":"S0007125000092230_ref5","first-page":"3067","article-title":"Adolescent-parent communication styles","author":"Beaubien","year":"1970","journal-title":"Dissertation Abstracts International"},{"key":"S0007125000092230_ref3","unstructured":"Association for the Psychiatric Study of Adolescents (1973) Register of Adolescent Psychiatric Units. 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H.M.(64)4."},{"key":"S0007125000092230_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-440X(62)80004-2"},{"key":"S0007125000092230_ref6","article-title":"Relations of factors derived from parent-interview ratings to behaviour problems of five-year-olds","volume":"33","author":"Becker","year":"1962","journal-title":"Child Development"},{"key":"S0007125000092230_ref13","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.120.557.429"},{"key":"S0007125000092230_ref10","first-page":"33","article-title":"The management of violence","volume":"1","author":"Dockar-Drysdale","year":"1973","journal-title":"Journal of the Association of Workers for Maladjusted Children"},{"key":"S0007125000092230_ref17","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.124.10.1440"},{"key":"S0007125000092230_ref1","first-page":"697","article-title":"Review of the first hundred patients admitted to the adolescent psychiatric department at Bispebjerg Hospital","volume":"133","author":"Aarkrog","year":"1971","journal-title":"Ugeskrift for Laeger"},{"key":"S0007125000092230_ref8","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.122.3.319"},{"key":"S0007125000092230_ref9","volume-title":"Residential Establishments: The Evolving of Caring Systems","author":"Dockar-Drysdale","year":"1973"},{"key":"S0007125000092230_ref12","doi-asserted-by":"publisher","DOI":"10.1177\/000306515600400104"},{"key":"S0007125000092230_ref14","article-title":"Conflicts, crises and tensions within a residential unit","volume":"3","author":"Evans","year":"1971","journal-title":"Applied Social Studies"},{"key":"S0007125000092230_ref26","article-title":"In-patient treatment of adolescents with psychological illnesses","volume":"i","author":"Warren","year":"1952","journal-title":"Lancet"},{"key":"S0007125000092230_ref18","volume-title":"Modern Perspectives in Adolescent Psychiatry","author":"Kluwer","year":"1971"},{"key":"S0007125000092230_ref21","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.121.9.864"},{"key":"S0007125000092230_ref22","volume-title":"Children of Sick Parents","author":"Rutter","year":"1966"}],"container-title":["British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125000092230","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T06:58:40Z","timestamp":1709189920000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125000092230\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1975,4]]},"references-count":29,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1975,4]]}},"alternative-id":["S0007125000092230"],"URL":"https:\/\/doi.org\/10.1192\/bjp.126.4.380","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[1975,4]]}}}