Throughout much of the twentieth century, long-term institutionalized mental patients developed additional symptoms as a result of their institutionalization. The most common pattern of decline was:

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The most common pattern of decline observed in long-term institutionalized mental patients, as a result of their institutionalization, was social breakdown syndrome. This syndrome encompasses a range of social, behavioral, and psychological dysfunctions that arise from the conditions and routines of institutional life, rather than the patients' original mental health conditions.

Throughout Much of the Twentieth Century, Long-Term Institutionalized Mental Patients