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T J Heins

Publications and source records attributed to T J Heins.

2 recordsLinked to original sources

Validity studies on the Ryle Marital Patterns Test.

The case for a questionnaire for assessing marital interaction has been enhanced by recent research showing that patterns of marital interaction can indicate prognosis in schizophrenia, alcoholism, neurotic illnesses and depression. This paper reviews previous studies which have provided information on the validity of Ryle's Marital Patterns Test and presents additional data from Adelaide studies of psychiatric in-patients and family planning clinic patients. The affection scales, especially affection received, have shown good agreement with external criteria in four studies. Problems with face validity and internal consistency suggest that three items should be excluded from scoring in the current affection scales. Future development of this type of questionnaire might expand the affection dimension to include more items on hostility and criticism. The utility of the domination scale is less certain because of the relativity of the concept and unsatisfactory agreement with external criteria of domination.

Female

Technique evaluation of foster care in chronic psychiatric disorders.

Foster care received by 178 patients with chronic psychiatric disorders discharged from Hamilton Psychiatric Hospital in the years 1966 through 1969 was studied by technique evaluation. Residents were followed for 3 years by means of health records. The achievement of operational objectives of the program (Homes for Special Care) was compared with two types of outcome--emergency readmission to hospital and discharge to the community. Emergency readmission was associated with rural location of the foster home, inferior quality of the home operator and smaller size (i.e., fewer residents) of the home. Discharge to the community was more common among younger, female residents whose previous psychiatric hospitalization had been relatively brief. In general, prescription audit was not a fruitful way of evaluating quality of health care.

Adult