Roe D
School of Social Work, Bar Ilan University, Ramat Gan, Israel.
J Nerv Ment Dis. 2001 Oct;189(10):691-9. doi: 10.1097/00005053-200110000-00006.
The conceptualization of outcome in schizophrenia has been modified since Krapelin's dementia praecox and is now thought to be more heterogeneous and multidimensional. Qualitative research reveals a deeper and more complete understanding of the complex processes involved. This study investigates and describes the subjective experience of the multidimensional outcome of schizophrenia. The findings are based on bimonthly comprehensive assessments conducted over a 1-year period with 43 persons who were hospitalized for schizophrenia and related disorders. Results reveal ongoing person-environment interactions, which constitute the nonlinear progression from "patienthood" to 'personhood" across the multidimensional outcome domains of work, treatment, and social relationship. To facilitate this difficult process, it is essential to simultaneously help consumers develop their strengths and increase society's awareness and commitment to meet their unique needs.
自克雷佩林提出早发性痴呆以来,精神分裂症结局的概念已有所改变,如今人们认为其更加具有异质性和多维度性。定性研究揭示了对其中复杂过程更深入、更全面的理解。本研究调查并描述了精神分裂症多维度结局的主观体验。研究结果基于对43名因精神分裂症及相关障碍住院的患者在1年时间里每两个月进行一次的全面评估。结果显示,在工作、治疗和社会关系等多维度结局领域中,存在着持续的人与环境的相互作用,这构成了从“患者身份”到“个人身份”的非线性发展过程。为推动这一艰难进程,必须同时帮助患者发挥自身优势,并提高社会对满足其独特需求的认识和投入。