Kahn E M, Kahn E W
Dartmouth Medical School, New Hampshire Hospital, Concord 03301.
Community Ment Health J. 1992 Dec;28(6):539-50; discussion 551-60. doi: 10.1007/BF00754199.
Many mental health clinics rely heavily on group treatment in the outpatient care of individuals with schizophrenia. Groups are used because they economize clinician time and provide social interaction for isolated patients. Empirical evidence suggests that groups, combined with medication, are at least as effective as other common treatments. Many group formats and techniques have been used. Choices are often based on pragmatism or inclination, rather than theory or experiment. The authors review recent findings from research on the neurobiology of schizophrenia, its natural history, and the impact of psychosocial factors in its course and treatment. From these findings, they elaborate research based principles for outpatient group therapy in schizophrenia. They describe three distinct formats for group treatment, and delineate the scope of use for each. Finally, they propose guidelines for assignment of patients to appropriate group treatments.
许多心理健康诊所严重依赖团体治疗来对精神分裂症患者进行门诊护理。采用团体治疗是因为它们节省临床医生的时间，并为孤立的患者提供社交互动。实证证据表明，团体治疗与药物治疗相结合，至少与其他常见治疗方法一样有效。人们使用了许多团体形式和技术。选择往往基于实用主义或个人倾向，而非理论或实验。作者回顾了近期关于精神分裂症神经生物学、其自然病程以及心理社会因素在其病程和治疗中影响的研究结果。基于这些发现，他们阐述了精神分裂症门诊团体治疗的研究原则。他们描述了三种不同的团体治疗形式，并划定了每种形式的适用范围。最后，他们提出了将患者分配到适当团体治疗的指导方针。
