Sautter F J, Heaney C, Hill R, Edwards S V, Winstead D, O'Neill P
Tulane University School of Medicine, New Orleans, LA.
Psychiatr Hosp. 1992 Summer-Fall;23(3-4):87-93.
Because of the trend in inpatient psychiatry toward a marked decrease in length of hospitalization, clinicians must reconceptualize the manner in which psychosocial treatments are organized in the inpatient milieu. Considerable data suggest that problem-solving therapies may be a productive way to integrate the groups and activities in the therapeutic milieu. This paper describes the application of a problem-solving approach to the therapeutic milieu and indicates that the therapeutic gains from this approach may be enhanced by combining inpatient treatment with a transitional day hospital program. We identify the empirical underpinnings of this model and describe how it has been used to treat a schizophrenic patient. We suggest that problem-solving therapies are effective for promoting behavioral change on the general psychiatric inpatient unit.
由于住院精神病学领域住院时间显著缩短的趋势，临床医生必须重新构思在住院环境中组织心理社会治疗的方式。大量数据表明，解决问题疗法可能是整合治疗环境中的团体和活动的有效方式。本文描述了一种解决问题方法在治疗环境中的应用，并指出将住院治疗与过渡性日间医院项目相结合，可能会增强这种方法的治疗效果。我们确定了该模式的实证基础，并描述了它如何被用于治疗一名精神分裂症患者。我们认为，解决问题疗法对于促进普通精神科住院病房的行为改变是有效的。
