Brücher K
Psychiatrische Universitäts-Klinik, Marburg/Lahn.
Fortschr Neurol Psychiatr. 1988 Jun;56(6):193-203. doi: 10.1055/s-2007-1001784.
This article presents the results of a study of a halfway house for mentally ill persons which was carried out in accordance with the ethnographic method. In it the interplay of "therapy" and "daily life" as the central functional principle is described. Under certain conditions the different principles of action pertaining to both spheres can lead to a distortion of the relationship and communication structure. According to the function sphere on which the patient in the halfway house mainly relies, very different methods of integration are possible in the same halfway house, each of them with its own consequences for the rehabilitation of the patient. The success of the rehabilitation also seems to depend in no small measure on the degree to which staff and patients succeed in coping with the individual function spheres not only within the halfway house but also in the processes bridging the halfway house with the outside world. This appears to be a more decisive factor than the question which therapy is applied in the individual case. The study examines the cases of two halfway house patients and demonstrates how the different types of integration were achieved and also their consequences.
本文介绍了一项按照人种志方法对一家精神病患者中途之家进行研究的结果。文中描述了“治疗”与“日常生活”之间相互作用这一核心功能原则。在某些情况下,两个领域各自不同的行动原则可能导致关系和沟通结构的扭曲。根据中途之家患者主要依赖的功能领域,在同一个中途之家可能会有非常不同的融入方法,每种方法对患者康复都有其自身的影响。康复的成功似乎在很大程度上还取决于工作人员和患者在应对各个功能领域方面取得多大成功,这不仅体现在中途之家内部,还体现在连接中途之家与外部世界的过程中。这似乎是一个比个别案例中采用何种治疗方法更具决定性的因素。该研究考察了两名中途之家患者的案例,并展示了不同类型的融入是如何实现的以及它们的影响。