Ordinal Position, Family Size, and Diagnosis in a Psychiatric Hospital Population Page: 29
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very extensive private facilities for the treatment of the
mentally ill., and a good number of middle and upper middle
class patients are treated at the hospital* which is the only
public psychiatric hospital in the state* It is thought that
this factor of socio-economic selection probably is not
sufficient explanation for the difference between the median
family size of the hospital population and that of rural
white Mississippians as revealed in the state census (4).
The second explanation offered was that it is possible
that patients in a psychiatric hospital, whether psychotic
or not, tend to come from larger families# Even if it is
assumed that there is some cause and effect relationship
between large families and a tendency toward generally poor
mental health# it is obviously not necessary to assume that
the products of these homes will all become overtly psychotic.
It would be more reasonable to assume that there is a continuum
of mental health and that those people needing hospitalisation
all tend to be in a more extreme position on this continuum,
some to the point of extreme neurosis or character disorder,
sow© to the point of overt psychosis. Any of these could as
easily be the product of a bad environment, and one of the
environmental factors which seems to be fairly consistent in
this population, all of whom were considered sick enough to
require hospitalization, is the fact that there seem to be a
number of them who come from large families.
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Sensenig, John. Ordinal Position, Family Size, and Diagnosis in a Psychiatric Hospital Population, thesis, August 1963; Denton, Texas. (https://digital.library.unt.edu/ark:/67531/metadc108247/m1/33/: accessed April 21, 2019), University of North Texas Libraries, Digital Library, https://digital.library.unt.edu; .