Pinero F
Sante Ment Que. 1983;8(1):135-9.
Soteria House is an alternative treatment resource offering an approach very different from that of the hospital milieu. The staff is non-professional and the residents are treated without neuroleptics. They are permitted to experience their "fragmentation" and their "psychotic break" while providing them with what they say they need, and with as little as possible interference with the expression of these needs. Our personal experience, as a member of staff, and of life with the residents of Soteria House, gave us the opportunity to inspect this approach and to confront the currently espoused belief about psychotics which hold that they are irresponsible and incomprehensible, and require a closed, highly professionalized treatment milieu, and the use of neuroleptics. Soteria House challenges the traditional treatment forms, just as much as the treatment provides themselves and their tools. The Soteria approach does not represent a miracle treatment, but rather a new way of considering the occurrence of rupture, that is to say " a potential experience of positive and constructive growth which allows the person to better face the demands of life" (L. Mosher). It is therefore necessary that this experience (psychotic) not be prematurely aborted by psycho-biological or chemical intrusion which act to straitjacket this evolution.
索特里亚之家是一种替代治疗资源,提供一种与医院环境截然不同的治疗方法。工作人员是非专业的,住院患者在不使用抗精神病药物的情况下接受治疗。在为患者提供他们所说的所需之物的同时,允许他们经历“精神分裂”和“精神错乱发作”,并且尽可能少地干扰这些需求的表达。作为工作人员的个人经历以及与索特里亚之家住院患者的生活经历,让我们有机会审视这种治疗方法,并直面当前人们所秉持的关于精神病患者的观念,即认为他们不负责任且难以理解,需要封闭、高度专业化的治疗环境以及使用抗精神病药物。索特里亚之家对传统治疗形式提出了挑战,就如同治疗本身及其工具一样。索特里亚治疗方法并非一种神奇的疗法,而是一种看待精神分裂发作的新方式,也就是说“一种积极且建设性成长的潜在体验,能让患者更好地面对生活的要求”(L. 莫舍尔)。因此,有必要避免这种(精神病性的)体验因心理生物学或化学干预而过早中断,这些干预会阻碍这种演变。