Sarti P, Cournos F
Columbia University College of Physicians and Surgeons, New York, New York.
Psychiatr Clin North Am. 1990 Jun;13(2):215-28.
Current theory in the treatment of schizophrenia emphasizes medication and expresses considerable doubt about the value of psychotherapy. Yet the data that lead to this conclusion have been gathered in studies of carefully selected groups of cooperative patients who consent to treatment and participate well in scientific studies. In public psychiatry, where many patients are uncooperative and even coerced into treatment, we have found that attention to the patient's individual psychology is essential to success. We examine the role of the psychiatrist who provides psychotherapy and medication in the context of a comprehensive program for patients with chronic schizophrenia.
目前治疗精神分裂症的理论强调药物治疗，并对心理治疗的价值表示相当怀疑。然而，得出这一结论的数据是在对精心挑选的、愿意配合治疗并积极参与科学研究的患者群体进行的研究中收集的。在公共精神病学领域，许多患者不配合甚至是被迫接受治疗，我们发现关注患者的个体心理对治疗成功至关重要。我们研究了在针对慢性精神分裂症患者的综合治疗方案中，提供心理治疗和药物治疗的精神科医生所起的作用。
