Ciompi Luc, Hoffmann Holger
La Cour, Cita 6, Belmont-sur-Lausanne, Switzerland.
World Psychiatry. 2004 Oct;3(3):140-6.
The name "Soteria" stands for an alternative low-drug milieu-therapeutic approach to acute schizophrenia that was first implemented by Mosher and Menn in San Francisco, and since 1984 further developed by Ciompi and co-workers in Berne, on the basis of their concept of affect-logic, that emphasizes the often neglected influence of emotional factors in schizophrenia. In both settings, equal and even partly better therapeutic results, compared with traditional methods, were obtained with much lower doses of antipsychotics and comparable daily costs. Basic concepts, practical proceedings and empirical findings of Soteria Berne are reported, and their theoretical and practical implications for mainstream psychiatry are discussed. They support the hypothesis of a crucial pathogenetic and therapeutic-preventive role played by emotional factors not only in the so-called affective psychoses, but also in schizophrenia.
“索忒里亚”这个名称代表了一种针对急性精神分裂症的低药物环境治疗替代方法，该方法最初由莫舍尔和门恩在旧金山实施，自1984年起由齐奥皮及其同事在伯尔尼基于他们的情感逻辑概念进一步发展，该概念强调了情感因素在精神分裂症中常常被忽视的影响。在这两种情况下，与传统方法相比，使用低得多的抗精神病药物剂量和相当的每日成本获得了同等甚至部分更好的治疗效果。报告了伯尔尼索忒里亚的基本概念、实际操作程序和实证研究结果，并讨论了它们对主流精神病学的理论和实践意义。这些结果支持了这样一种假设，即情感因素不仅在所谓的情感性精神病中，而且在精神分裂症中都起着关键的致病和治疗预防作用。
