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Staff who work with chronic mental patients are often frustrated by the patients' seeming failure to improve. However, a review of problem cases at a public mental hospital helped staff to realize that several patients had made incremental progress over a period of years. Two such cases are presented. Staff reactions to so-called problem patients are discussed, and ways that staff can handle their reactions to slow patient progress and thus improve patient care are suggested.
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W. Walter Menninger (1984) studied this question.
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