McGlashan T H, Nayfack B
Chestnut Lodge Hospital, Rockville, MD 20850.
Psychiatry. 1988 Nov;51(4):340-62. doi: 10.1080/00332747.1988.11024411.
Miss Jane Cole was 26 years old when admitted to Chestnut Lodge with a diagnosis of schizophrenia in 1949. She remained an inpatient and day patient for 18 years, and engaged in treatments that were primarily psychotherapeutically oriented, with three different therapists. She ultimately recovered sufficiently to live on her own while remaining in private treatment with her last Chestnut Lodge therapist. Her extended psychotherapeutic encounters at this institution are richly documented, with about 400 pages of transcribed annual treatment case conferences, allowing us to reconstruct her course in some detail. We offer her narrative as uniquely instructive about the utility of different psychotherapeutic models and styles in the treatment of people with long-term, severe, psychotic disorders.
简·科尔小姐1949年因精神分裂症被收治进栗树旅馆时年仅26岁。她作为住院患者和日间患者待了18年，接受了主要以心理治疗为导向的治疗，先后有三位不同的治疗师为她治疗。她最终康复到足以独立生活，同时仍与栗树旅馆的最后一位治疗师进行私人治疗。她在该机构进行的长期心理治疗过程有丰富的记录，约400页的年度治疗案例会议记录被转录下来，使我们能够较为详细地重构她的治疗过程。我们呈现她的经历，是因为其能独特地说明不同心理治疗模式和风格在治疗长期、严重精神疾病患者时的效用。
