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[抗精神病药物——心理治疗——精神科社会工作。在精神分裂症治疗中需要多方面的帮助]

[Neuroleptics--psychotherapy--psychiatric social work. In schizophrenia help is needed from many sides].

作者信息

Klingberg S, Längle G, Buchkremer G

机构信息

Universitätsklinik für Psychiatrie und Psychotherapie, Tübingen.

出版信息

MMW Fortschr Med. 2003 Oct 9;145(41):28-31.

Abstract

Schizophrenic disorders require a complex, multidimensional treatment strategy. Throughout the entire course of the illness, psychopharmacologic, psychotherapeutic and psychosocial therapeutic measures must be integrated within an overall management plan. Although treatment planning should be orientated to the needs and expectations of the patient, current therapeutic guidelines must also be taken into account. Management decisions are based on such central questions as the patient's ability to cope with the requirements of daily life, or the attitude to the illness of the patient and family members. Inpatient treatment concepts include, in addition to pharmacotherapy, a cognitive-behavioral therapeutic program. In the outpatient setting, the question as to supportive rehabilitation measures and social integration aids needs to be dealt with.

摘要

精神分裂症谱系障碍需要一种复杂的、多维度的治疗策略。在疾病的整个过程中,精神药物治疗、心理治疗和心理社会治疗措施必须整合到一个整体管理计划中。尽管治疗计划应根据患者的需求和期望来制定,但当前的治疗指南也必须予以考虑。管理决策基于一些核心问题,例如患者应对日常生活需求的能力,或者患者及家庭成员对疾病的态度。住院治疗方案除药物治疗外,还包括一个认知行为治疗项目。在门诊环境中,需要处理支持性康复措施和社会融入辅助手段的问题。

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