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INSTITUTIONS FOR THE AGED—THERAPEUTIC COMMUNITIES? *

Certain modifications in technique and a restriction of therapeutic aims are necessary when the concept of milieu therapy is applied in geriatric settings. The main task is to help the aged residents accept dependency on others with a minimum of fear, anger and antisocial behaviour. In this way, undue depression, paranoia, and marked regression are prevented. The environment (milieu) should be one in which each patient functions at his own optimal level with some degree of choice and self‐determination. If approached in this manner, the “therapeutic community” can be a useful treatment modality in geriatric settings.