Sosnowska Małgorzata, Prot-Klinger Katarzyna, Scattergood Marta, Paczkowska Maria, Smolicz Aleksandra, Ochocka Małgorzata
Zespół Leczenia Domowego Centrum Zdrowia Psychicznego IPiN w Warszawie.
Psychiatr Pol. 2011 Sep-Oct;45(5):723-35.
Relationship between therapist and his patient remain the principle in psychiatric health care, being related to the treatment course and results. Sustaining a good therapeutic relationship is a key element in community team work, it promotes the creation and maintaining of the therapeutic bond, trust, good contact with patients, which allows outpatient treatment. Authors explore how the therapeutic relationship is estimated by the patients diagnosed with psychosis and their therapists.
STAR questionnaire was used to measure the therapeutic relationship in patient's and therapist's perspective.
Those patients who has children or other experience of a close relationship estimate higher their relationship with therapist. There is an influence of patient's gender, independence and psychiatric symptoms on the therapeutic relationship from the therapist's perspective. Therapist's positive collaboration effects symptoms improvement in patients diagnosed with psychosis.
The therapists have to be aware of the other than therapeutic factors which influence the relationship with the patient. There is a need of further studies on therapeutic relationship because the study point out that a positive relationship reduce the psychotic symptoms. It is particularly important to distinguish factors favouring therapeutic relationship maintenance as well as those causing negative effect on therapeutic relationship.
治疗师与患者之间的关系仍是精神卫生保健中的原则，与治疗过程和结果相关。维持良好的治疗关系是社区团队工作的关键要素，它促进治疗纽带的建立和维系、信任以及与患者的良好接触，从而实现门诊治疗。作者探讨了被诊断患有精神病的患者及其治疗师如何评估治疗关系。
使用STAR问卷从患者和治疗师的角度测量治疗关系。
那些有孩子或其他亲密关系经历的患者对他们与治疗师关系的评价更高。从治疗师的角度来看，患者的性别、独立性和精神症状对治疗关系有影响。治疗师的积极协作对被诊断患有精神病的患者的症状改善有作用。
治疗师必须意识到影响与患者关系的非治疗因素。由于研究指出积极的关系可减轻精神病症状，因此需要对治疗关系进行进一步研究。区分有利于维持治疗关系的因素以及对治疗关系产生负面影响的因素尤为重要。
