PubMed · 5322646
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C H Patterson. 1966. Counseling.. https://doi.org/10.1146/annurev.ps.17.020166.000455
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Current services for those with mental disorders show two trends. Psychiatric services are becoming concentrated on the care of those with "severe mental illness," largely (but unjustifiably) synonymous with chronic psychosis. The retreat of psychiatry from the care of those with non-psychotic mental disorders has helped the growth of counselling services for these patients. However, there is no evidence that non-directive counselling is effective for such disorders, in contrast to the evidence for the effectiveness of other treatments that are usually delivered by psychologists or community psychiatric nurses. By retreating from the concerns of general practice and general medicine, psychiatry is returning to the days of alienism: in Victorian terms, the care of "the mad." Possible consequences include increasing expectations of psychiatric services that cannot be met, a loss of skills within psychiatry, and increased demoralisation in the mental health services.
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Nurses in all areas will increasingly come into contact with people concerned about HIV infection. Although pre- and post-test counselling should be performed by those specially trained for it, sound knowledge about the physical, psychological, emotional and social effects of HIV will help nurses offer reassurance and advice.