Karterud S
Psychiatric Department B, Ullevål Hospital, Oslo, Norway.
Acta Psychiatr Scand. 1988 Jun;77(6):658-69. doi: 10.1111/j.1600-0447.1988.tb05185.x.
Is the therapeutic community model appropriate for short term psychiatric wards with catchment area responsibility and emergency obligations? A comparative study of group dynamics, measured by Group Emotionality Rating System and Group Focal Conflict Analysis within three different therapeutic community wards, revealed that the short term ward contained extreme fight/flight groups and pseudo-groups unable to deal with the delegated responsibility presupposed by the therapeutic community model. The intermediate ward functioned fairly well, while the long term ward for psychotherapy of schizophrenia and personality disorders also functioned badly from a therapeutic community proper point of view. The author discusses these findings in light of previous literature and concludes that the therapeutic community proper is predominantly a treatment model relevant for personality disorders and severe neuroses, and not adequate for the multiplicity of emergency tasks facing a short term psychiatric ward.
治疗社区模式是否适用于承担集水区责任和应急义务的短期精神科病房？一项通过群体情绪评定系统和群体焦点冲突分析对三个不同治疗社区病房内的群体动态进行测量的比较研究表明，短期病房包含极端的战斗/逃跑群体和伪群体，它们无法应对治疗社区模式所预设的委托责任。中级病房运作得相当好，而从治疗社区的恰当角度来看，用于精神分裂症和人格障碍心理治疗的长期病房运作也很差。作者根据以往文献对这些发现进行了讨论，并得出结论，恰当的治疗社区主要是一种与人格障碍和严重神经症相关的治疗模式，并不适用于短期精神科病房所面临的多项紧急任务。
