Rosberg J, Stunden A A
Anne Sippi Clinic Foundation, Los Angeles, California 90032.
Acta Psychiatr Scand. 1990 Apr;81(4):352-8. doi: 10.1111/j.1600-0447.1990.tb05463.x.
Schizophrenics are often labeled treatment-resistant because the psychological treatment they receive is seldom appropriate for their needs. Specialized psychotherapy for schizophrenia is available but rarely used. Training in these methods is difficult to find. If we are to treat schizophrenia successfully, we must rethink the treatment and training process, modify our views and teach interventions that force the patient to respond to the demands of the therapist. Professionals must learn that change occurs because the therapist is stronger than the psychotic defenses of the patient, i.e., the patient's resistance to treatment.
精神分裂症患者常常被贴上难治的标签，因为他们接受的心理治疗很少符合其需求。针对精神分裂症的专业心理治疗是可用的，但很少被采用。很难找到关于这些方法的培训。如果我们要成功治疗精神分裂症，就必须重新思考治疗和培训过程，改变我们的观念，并教授那些能迫使患者回应治疗师要求的干预措施。专业人员必须明白，改变之所以发生，是因为治疗师比患者的精神病性防御更强，即患者对治疗的抗拒。
