Vauth Roland
1 Universitäre Psychiatrische Kliniken Basel, Basel.
Ther Umsch. 2018 Jun;75(1):57-66. doi: 10.1024/0040-5930/a000967.
Addressing maladherence in schizophrenia Abstract. To prevent neurotoxic and demoralizing relapses in the course of schizophrenia maladherence was shown as one of the most important factors. Empirical evidence is presented and organized in a conceptual four level framework to organize an individually tailored approach to promote adherence more effectively and prevent the demoralizing function of classical insight by neglecting the underlying motivational processes in routine care. This four level framework to address maladherence encompasses (a) functional analysis of (mal-)adherence as an instrumental goal oriented behaviour, (b) addressing dysfunctional attitudes related to disorder and treatment,
解决精神分裂症治疗中的不依从问题 摘要。为预防精神分裂症病程中出现神经毒性和令人沮丧的复发情况，不依从被证明是最重要的因素之一。本文提供了实证证据，并将其组织在一个概念性的四级框架中，以构建一种个性化的方法，通过忽略常规护理中潜在的动机过程，更有效地促进依从性并防止经典领悟的消极作用。这个解决不依从问题的四级框架包括：(a) 将（不）依从作为一种工具性目标导向行为进行功能分析；(b) 处理与疾病和治疗相关的功能失调态度，
