Honeycutt N, Belcher J R
Mercy Hospital, Baltimore, Maryland.
Community Ment Health J. 1991 Feb;27(1):57-68. doi: 10.1007/BF00752715.
As the majority of treatment for schizophrenia has become community based, a barrier faced by many clients as they attempt a higher quality of life is social integration. Social skill deficits are a pervasive developmental issue among this population, yet this has only been addressed peripherally as opposed to intensively in existing community rehabilitation programs. The authors outline the developmental social deficits resulting from the insidious nature of schizophrenia and propose a comprehensive treatment program that focuses on an "identify, train and support" approach. Transferring successful inpatient social skill training to the community is explored as a viable adjunct for existing community treatment.
由于精神分裂症的大多数治疗已转向以社区为基础,许多患者在追求更高生活质量时面临的一个障碍是社会融合。社交技能缺陷是这一人群中普遍存在的发展性问题,但在现有的社区康复项目中,这一问题只是被边缘化地提及,而非得到深入解决。作者概述了精神分裂症隐匿性所导致的发展性社会缺陷,并提出了一个全面的治疗方案,该方案侧重于“识别、训练和支持”方法。探讨将成功的住院社交技能训练转移到社区,作为现有社区治疗的一种可行辅助手段。