Nischk Daniel, Merz Philippe, Rusch Johannes
Zentrum für Psychiatrie, Reichenau.
Husserl-Archiv, Freiburg.
Psychiatr Prax. 2014 Jan;41(1):45-9. doi: 10.1055/s-0033-1343265. Epub 2013 Jul 11.
Soteria is an alternative approach to the treatment of schizophrenia that focuses on human interaction ("being-with") within a residential community and the cautious use of neuroleptic medication. Despite forty years of promising clinical and empirical evidence, the need for facilities based on the Soteria paradigm is still largely grounded on humanitarian and "moral" reasons. In addition to this, we will try to demonstrate that Soteria might also prove to be a promising approach based on scientific reasons immanent to the disorder. From a phenomenological informed conception of schizophrenia we will explicate clinical implications, specifically the need for a holistic treatment in real life settings, and demonstrate how these conclusions can most adequately be implemented within Soteria.
索泰里亚疗法是一种治疗精神分裂症的替代方法,它侧重于在居住社区内的人际互动(“共处”)以及谨慎使用抗精神病药物。尽管有四十年令人鼓舞的临床和实证证据,但基于索泰里亚范式的设施需求在很大程度上仍基于人道主义和“道德”原因。除此之外,我们将试图证明,基于该疾病内在的科学原因,索泰里亚疗法可能也会被证明是一种有前景的方法。从对精神分裂症的现象学启发概念出发,我们将阐述临床意义,特别是在现实生活环境中进行整体治疗的必要性,并展示这些结论如何能在索泰里亚疗法中得到最充分的实施。