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Microfilms International 300 N ROLE LOSS IN CHRONICALLY MENTALLY ILL WOMEN IN DAY TREATMENT: A FEMINISTPERSPECTIVE. Item Type text; Thesis-Reproduction (electronic) Authors Kells, Carol Bulzoni, 1944- Publisher The University of Arizona. Rights Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author. Download date 01/10/2021 10:12:15 Link to Item http://hdl.handle.net/10150/274693 INFORMATION TO USERS This reproduction was made from a copy of a document sent to us for microfilming. While the most advanced technology has been used to photograph and reproduce this document, the quality of the reproduction is heavily dependent upon the quality of the material submitted. The following explanation of techniques is provided to help clarify markings or notations which may appear on this reproduction. 1. The sign or "target" for pages apparently lacking from the document photographed is "Missing Page(s)". If it was possible to obtain the missing page(s) or section, they are spliced into the film along with adjacent pages. This may have necessitated cutting through an image and duplicating adjacent pages to assure complete continuity. 2. When an image on the film is obliterated with a round black mark, it is an indication of either blurred copy because of movement during exposure, duplicate copy, or copyrighted materials that should not have been filmed. For blurred pages, a good image of the page can be found in the adjacent frame. If copyrighted materials were deleted, a target note will appear listing the pages in the adjacent frame. 3. 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Zeeb Road Ann Arbor, Ml 48106 1320104 KELLS, CAROL BULZONI ROLE LOSS IN CHRONICALLY MENTALLY ILL WOMEN IN DAY TREATMENT: A FEMINIST PERSPECTIVE THE UNIVERSITY OF ARIZONA M.S. 1982 University Microfilms International 300 N. Zeeb Road, Ann Arbor. MI 48106 PLEASE NOTE: In all cases this material has been filmed in the best possible way from the available copy. Problems encountered with this document have been identified here with a check mark V . 1. Glossy photographs or pages 2. Colored illustrations, paper or print 3. Photographs with dark background 4. Illustrations are poor copy 5. Pages with black marks, not original copy 6. Print shows through as there is text on both sides of page 7. Indistinct, broken or small print on several pages 8. Print exceeds margin requirements 9. Tightly bound copy with print lost in spine 10. Computer printout pages with indistinct print 11. Page(s) lacking when material received, and not available from school or author. 12. Page(s) seem to be missing in numbering only as text follows. 13. Two pages numbered M Text follows. 14. Curling and wrinkled pages 15. Other University Microfilms International ROLE LOSS IN CHRONICALLY MENTALLY ILL WOMEN IN DAY TREATMENT: A FEMINIST PERSPECTIVE by Carol Bulzoni Kells A Thesis Submitted to the Faculty of the DEPARTMENT OF COUNSELING AND GUIDANCE In Partial Fulfillment of the Requirements For the Degree of MASTER OF ARTS In the Graduate College THE UNIVERSITY OF ARIZONA 198 2 STATEMENT BY AUTHOR This thesis has been submitted in partial fulfillment of re­ quirements for an advanced degree at The University of Arizona and is deposited in the University Library to be made available to borrowers under rules of the Library. Brief quotations from this thesis are allowable without special permission, provided that accurate acknowledgment of source is made. Requests for permission for extended quotation from or reproduction of this manuscript in whole or in part may be granted by the head of the major department or the Dean of the Graduate College when in his judg­ ment the proposed use of the material is in the interests of scholar­ ship. In all other instances, however, permission must be obtained from the author. SIGNED: APPROVAL BY THESIS DIRECTOR This thesis has been approved on the date shown below: G. HARSHMAN Date' Associate Professor of Counseling and Guidance ACKNOWLEDGMENTS I would like to thank all of the CHI women who participated in this study and who so generously shared themselves with me. For my Committee members, Gordon Harshman, Betty Newlon and Phil Lauver, I extend my appreciation for your assistance in keeping me focused, and for your support of my perseverance. And, a special thank you to Gordon, who gave so generously of his time. To my colleagues and friends Laura Hagen, Pamela Rhatigan, and Wendy Gilman, my special thank you for your input into this thesis. Finally and most important, love and thanks to my family. To my children Kenny, Dawn and Reid, thank you all for your encouragement, help and patience during the writing of this thesis. And, to you Sandy, special love and appreciation for your support, understanding, and challenging me to take time to catch fish. i i i TABLE OF CONTENTS Page LIST OF TABLES vi ABSTRACT vi i CHAPTER 1 INTRODUCTION 1 Statement of Purpose 3 Rationale 3 Assumptions 3 Limitations k Experimental Questions 4 Definition of Terms ' A 2 REVIEW OF THE LITERATURE 6 Women 6 Sex Roles 10 The Chronically Mentally 111 12 The Treatment of Women in the Mental Health System 1*» Partial Hospitalization 16 Summary of Review of the Literature 19 3 METHOD 21 Setting 21 Subjects 22 Research Design 23 Procedure 26 Measures 27 k RESEARCH FINDINGS 29 Experimental Questions 29 5 SUMMARY AND DISCUSSION 33 Summary of Research Problem, Method, and Findings 33 Conclusions . 3^ iv V TABLE OF CONTENTS—Continued Page Methodological Limitations 37 Suggestions for Further Research 38 Implications 39 APPENDIX A: DAY TREATMENT PROGRAM SCHEDULE .... 44 APPENDIX B: CONSENT FORM 46 . APPENDIX C: COMPOSITE PSYCHOSOCIAL SUMMARY .... 48 APPENDIX D: BROVERMAN SEMANTIC DIFFERENTIAL ... 54 REFERENCES 57 LIST OF TABLES Table Page 1. A Comparison of Mean Responses of Chronically Mentally 111 Women and Comparison Group of Women on the Broverman Semantic Differential Scale ' 31 vi ABSTRACT This research addressed role loss in Chronically Mentally 111 women and its effect on rehabilitation from a feminist perspective. Review of the literature included the areas of sex role stereo­ typing of the Chronically Mentally 111, treatment of women within the mental health system and the concept of partial hospitalization. The study demonstrated there is role loss in Chronically Mentally 111 women, and there is a difference in how Chronically Men­ tally Ml women describe women on the Broverman Semantic Differential as compared to a comparison group of female health care employees. Implications are discussed relevant to providing other options for these women on both social and therapeutic levels. Recommendations are offered with respect to education, training and vocational place­ ment. Strong consideration was given to role free treatment modalities for the Chronically Mentally 111 women. CHAPTER 1 INTRODUCTION I believe it is one of the most important functions of the therapist to help all people who are considering fundamental changes in their sex role expectancies and other learned behaviors to anticipate fully the feelings that may accompany these changes, not the least of which may well be some mourn­ ing for a renounced part of one's being. It may be that only after this difficult emotional labor will the ego feel the deepest joys of liberation. It is not appropriate for a therapist to help a patient deny the former importance of her older values by rationalizing away their earlier significance in her life; or by advancing new ideologies without regard for what these may mean for this particular patient. (Elizabeth Friar Williams, 1976, p. 211). There exists in psychiatric Day Treatment, a group of Chroni­ cally Mentally 111 women (CMI) who are not actively psychotic, who perform daily living skills in a satisfactory manner, and who have reached an adequate level of social and emotional functioning. These women, however, are either unwilling or unable to take the final step of rehabilitation by seeking employment, or at least by abandoning their role of mental patient for that of functioning adult women. Goals for these women are usually generated by the therapist and possibly agreed to by the client. They often include the return to a previous level of functioning, or the attainment of a level of functioning higher than that which had previously been experienced. If the client does not meet the goals that have been set, she is often viewed by the Treatment Team as either being overly dependent 1 2 on the Mental Health System, or Is seen as suffering from a greater degree of psychopathology than previously believed. If unmet goals are viewed as a direct cause of over dependency, the client usually has her treatment hours decreased. If these same unmet goals are viewed as a direct cause of a more severe degree of psychopathology, her hours are often increased, and psychotropic drugs may be prescribed for the first time.
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