THE PSYCHOSOCIAL DYNAMICS OF CHANGE AT LEROS PIKPA ASYLUM

Citation
J. Tsiantis et al., THE PSYCHOSOCIAL DYNAMICS OF CHANGE AT LEROS PIKPA ASYLUM, British Journal of Psychiatry, 167, 1995, pp. 46-55
Citations number
34
Categorie Soggetti
Psychiatry,Psychiatry
ISSN journal
00071250
Volume
167
Year of publication
1995
Supplement
28
Pages
46 - 55
Database
ISI
SICI code
0007-1250(1995)167:<46:TPDOCA>2.0.ZU;2-N
Abstract
The pilot intervention project at Leros PIKPA asylum was resisted at a ll levels of its implementation. Resistance ranged from implicit and p assive to explicit and hostile. It took the form of strong rejective a ttitudes, defensiveness, and repressed emotions of guilt, shame and fe ar. It was apparent in efforts to delay, obstruct or reverse the progr ess of the project and undermine the work of intervention team members . It was evident in the interactions of the intervention team with all parties involved in implementing the project: medical professionals a nd welfare services, the state and local administrations, the central and local administrations of PIKPA staff, the local community, and the asylum residents' families and relatives. It is argued that this resi stance to change is due to the interplay of cultural/attitudinal, psyc hodynamic and socio-economic factors that are not unique to Leros or G reece. The analysis of the psychosocial processes involved in resistan ce to changing the Leros PIKPA asylum may offer insights to the deinst itutionalisation of custodial settings in general.