Gaebel W
Psychiatr Prax. 1985 Jan;12(1):13-8.
Psychiatric illness course is not characterized by total regularity. More often there is marked individual variability. This is an obstacle to making a valid prognosis and applying broadly based indication rules. Still today predictors of illness course as well as indication criteria for treatment are little elaborate and often faile in the individual case. The most reliable instrument for planning and assessing psychiatric treatment is the treatment course itself. The therapist as a participating observer can more easily check tendencies of illness course and adapt therapeutic strategies. Characteristics of treatment course in guiding further treatment are examplified by means of neuroleptic treatment in the acute and maintenance phase of schizophrenic psychoses.
精神疾病的病程并非具有完全的规律性。更为常见的是存在显著的个体差异。这对做出有效的预后判断以及应用广泛适用的指征规则构成了障碍。即便在今天，疾病病程的预测因素以及治疗指征标准仍阐述甚少，且在个体病例中常常失效。规划和评估精神科治疗的最可靠工具就是治疗过程本身。作为参与其中的观察者，治疗师能够更轻松地监测疾病病程的趋势并调整治疗策略。通过精神分裂症急性期和维持期的抗精神病药物治疗举例说明治疗过程在指导后续治疗中的特点。
