Richard L Roudebush VA Medical Center, Department of Psychiatry, Indianapolis, IN, USA.
Psychol Res Behav Manag. 2013 Aug 6;6:45-54. doi: 10.2147/PRBM.S47891. eCollection 2013.
Although the role and relative prominence of psychotherapy in the treatment of schizophrenia has fluctuated over time, an analysis of the history of psychotherapy for schizophrenia, focusing on findings from the recovery movement, reveals recent trends including the emergence of the development of integrative psychotherapy approaches. The authors suggest that the recovery movement has revealed limitations in traditional approaches to psychotherapy, and has provided opportunities for integrative approaches to emerge as a mechanism for promoting recovery in persons with schizophrenia. Five approaches to integrative psychotherapy for persons with schizophrenia are presented, and a shared conceptual framework that allows these five approaches to be compatible with one another is proposed. The conceptual framework is consistent with theories of recovery and emphasizes interpersonal attachment, personal narrative, and metacognitive processes. Implications for future research on integrative psychotherapy are considered.
虽然心理治疗在精神分裂症治疗中的作用和相对重要性随时间而波动，但对精神分裂症心理治疗历史的分析，侧重于康复运动的发现，揭示了最近的趋势，包括综合心理治疗方法的出现。作者认为，康复运动揭示了传统心理治疗方法的局限性，并为综合方法的出现提供了机会，成为促进精神分裂症患者康复的一种机制。本文提出了五种针对精神分裂症患者的综合心理治疗方法，并提出了一个共享的概念框架，使这五种方法能够相互兼容。该概念框架与康复理论一致，强调人际依恋、个人叙事和元认知过程。考虑了对综合心理治疗未来研究的影响。
