Recidivism and dependency in a psychiatric population: An investigation with kelly's dependency grid

Over the years there have been varied attempts to explain or predict recidivism, which is a phenomenon whereby psychiatric patients are hospitalized repeatedly. Recent efforts to predict relapse have used specific symptoms (Harris, Bergman, & Bachrach, 1986), diagnoses (Kastrup, 1987; Lally, 1989), postdischarge treatment compliance (Caton, Koh, Fleiss, Barrow, & Goldstein, 1985), and the level of emotional expression in the family environment (Doane, Goldstein, Miklowitz, & Falloon, 1986) as relapse predictors. Despite progress, many unanswered questions remain. The present study examined recidivism from the perspective of personal construct psychology (Kelly, 1955). The Dependency Grid was administered to 33 first-admission patients, 39 recidivists, and 26 controls. As hypothesized, recidivists identified the smallest social network and the fewest people on whom they believed they actually could rely in a crisis. In contrast, patients experiencing their first admission offered an extensive array of individuals to whom they felt they could turn in a crisis. Controls reported the greatest number of social resources potentially available to them, but then selectively chose a sample of them as individuals on whom they would be comfortable relying. Results are discussed in terms of support for Kelly's personal construct theory.