University Hospital Centre Zagreb, Department of Psychiatry, Kišpatićeva 12, 10000 Zagreb, Croatia,
Psychiatr Danub. 2013 Sep;25(3):274-9.
Any medical or psychosocial treatment has two components, one associated with the specific effects of the treatment itself, and the other related to the treatment context, individual perception, imagination, subjective meaning and psychobiological response. Psychopharmacotherapy is a context dependent practice because different contexts affect the meaning of biological variables in different ways. Creation of favorable treatment context as well as creative collaboration with patients and their families may significantly improve treatment outcome. Positive therapeutic context is fundamental for treatment success in psychiatry because it may significantly increase placebo and decrease nocebo responses. Creative approach to psychopharmacotherapy reflects a creative synergism between clinical pharmacology and positive psychology of creativity in the frame of transdisciplinary holistic, integrative and person-centered psychiatry.
任何医学或心理社会治疗都有两个组成部分，一个与治疗本身的特定效果有关，另一个与治疗环境、个体感知、想象、主观意义和心理生物学反应有关。精神药物治疗是一种依赖于环境的实践，因为不同的环境会以不同的方式影响生物变量的意义。创造有利的治疗环境以及与患者及其家属的创造性合作，可以显著改善治疗效果。积极的治疗环境是精神病学治疗成功的基础，因为它可以显著增加安慰剂效应，减少反安慰剂效应。精神药物治疗的创造性方法反映了临床药理学和积极的创造力心理学在跨学科的整体、综合和以人为中心的精神病学框架中的创造性协同作用。
