Goering Paula N, Stylianos Stanley K
Clarke Institute of Psychiatry.
Am J Orthopsychiatry. 1988 Apr;58(2):271-280. doi: 10.1111/j.1939-0025.1988.tb01588.x.
This paper argues that the enhanced efficacy of current rehabilitation strategies compared to insight-oriented therapies for schizophrenic clients cannot be understood in terms of differences in technique alone. Rather, the relationship that develops between rehabilitation therapist and schizophrenic client may represent a potent therapeutic ingredient warranting further study. The concept of therapeutic alliance is examined as a means toward understanding the mechanisms underlying successful rehabilitation.
本文认为,与针对精神分裂症患者的洞察取向疗法相比,当前康复策略疗效的提高不能仅从技术差异的角度来理解。相反,康复治疗师与精神分裂症患者之间发展起来的关系可能代表了一种有效的治疗因素,值得进一步研究。治疗联盟的概念作为理解成功康复背后机制的一种手段进行了探讨。