Elmendorf Donna, Parish Margaret
Therapeutic Community Program, Austen Riggs Center, Stockbridge, MA 01262-0962, USA.
J Am Acad Psychoanal Dyn Psychiatry. 2007 Fall;35(3):375-92. doi: 10.1521/jaap.2007.35.3.375.
Treatment resistance has emerged as a significant issue in our era emphasizing biological treatments for psychiatric disorders. Some treatment programs utilize milieu treatment to advance work with treatment resistant patients. This article (1) explores the social factors that contribute to and exacerbate treatment resistance (2) reviews the theoretical framework and rationale of a therapeutic community milieu treatment program, and (3) illustrates therapeutic community work with two treatment resistant patients.
在我们这个强调精神疾病生物治疗的时代,治疗抵抗已成为一个重大问题。一些治疗方案采用环境治疗来推进对治疗抵抗患者的治疗工作。本文(1)探讨导致并加剧治疗抵抗的社会因素,(2)回顾治疗性社区环境治疗方案的理论框架和基本原理,以及(3)举例说明治疗性社区对两名治疗抵抗患者的治疗工作。