▁study ▁of ▁the ▁Y ale ▁Psych iat ric ▁Institute . ▁ ▁This ▁time , ▁he ▁approached ▁the ▁study ▁from ▁the ▁position ▁of ▁anth rop ologist ▁instead ▁of ▁patient . ▁ ▁For ▁this ▁follow - up ▁study , ▁Ca ud ill ▁conducted ▁int ensive ▁inter views ▁with ▁hospital ▁staff , ▁recorded ▁daily ▁staff ▁meet ings , ▁studied ▁do ctors ' ▁and ▁n urs es ' ▁notes , ▁and ▁interact ed ▁with ▁patients . ▁ ▁Ca ud ill ▁identified ▁several ▁challeng es ▁inher ent ▁in ▁the ▁structure ▁of ▁the ▁Psych iat ric ▁Institute , ▁and ▁offered ▁strateg ies ▁to ▁rem edy ▁these ▁problems . ▁ ▁Among ▁the ▁challeng es ▁identified ▁were ▁differential ▁feelings ▁among ▁different ▁levels ▁of ▁staff ▁and ▁patients ▁about ▁hospital ▁life , ▁break down s ▁in ▁communication ▁between ▁staff ▁members , ▁and ▁periodic ▁hospital - wide ▁" m ood ▁swe eps ". ▁ ▁Ca ud ill ▁argued ▁that ▁increased ▁aw aren ess ▁of ▁hospital ▁structure ▁could ▁help ▁make ▁job ▁deleg ation ▁a ▁sm o other ▁process . ▁ ▁Ca ud ill ▁also ▁cont ended ▁that ▁the ▁increasing ▁special ization ▁of ▁medical ▁positions ▁was ▁a ▁cause ▁of ▁communication ▁problems ▁among ▁members ▁of ▁a ▁patient ' s ▁care ▁team . ▁ ▁To ▁address ▁this ▁problem , ▁Ca ud ill ▁recommended ▁that ▁the ▁positions ▁of ▁psych other ap ist ▁and ▁w ard ▁administrator ▁be ▁combined . ▁ ▁Ca ud ill ' s ▁ 1 9 5 2 ▁to ▁ 1 9 5 3 ▁study ▁at ▁the ▁ ▁Y ale ▁Psych iat ric ▁Institute ▁was ▁published ▁in