Centre for Psychiatry Reichenau, Reichenau, Germany,
Centre for Psychiatry Reichenau, Reichenau, Germany.
Psychopathology. 2019;52(4):213-220. doi: 10.1159/000501816. Epub 2019 Aug 7.
Soteria represents an alternative approach to the treatment of acute psychosis providing a community-based social milieu, personal relationships ("being-with"), and meaningful shared activities ("doing-with") along with minimal neuroleptic medication. In this review article, we analyze Soteria's potential to adapt to and restore self-disturbances, a central element of phenomenological conceptions of the schizophrenia syndrome. Based on typical difficulties of psychotic patients in responding adequately to situational demands, in relating to others, and in utilizing skills, we analyze how the architectural and social context, being-with, and doing-with take account of self-disturbances. The central elements of the Soteria approach all appear to carry the potential to adjust to self-disturbances and even offer opportunities for their relief. We suggest that it is precisely this property of the Soteria paradigm that induces sustained relaxation in patients, allowing for symptom relief, thereby specifying a central claim of "affect-logic" to explain the antipsychotic effect of Soteria.
索替瑞疗法代表了一种治疗急性精神病的替代方法，它提供了一种以社区为基础的社会环境、人际关系（“同在”）和有意义的共同活动（“一起做”），同时使用最小剂量的神经阻滞剂药物。在这篇评论文章中，我们分析了索替瑞疗法适应和恢复自我障碍的潜力，这是精神分裂症综合征现象学概念的一个核心要素。基于精神病患者在适当应对情境需求、与他人建立关系和运用技能方面的典型困难，我们分析了建筑和社会环境、同在和一起做如何考虑自我障碍。索替瑞疗法的核心要素似乎都具有适应自我障碍的潜力，甚至为缓解自我障碍提供了机会。我们认为，正是索替瑞模式的这种特性，使患者持续放松，从而缓解症状，从而证实了“情感逻辑”的一个核心主张，即解释索替瑞疗法的抗精神病作用。
