Zimmer D, Uchtenhagen A
Psychiatr Prax. 1979 May;6(2):63-71.
The article gives a definition and brief description of those possibilities of treatment which are important in the sociopsychiatric therapy of psychoses: sociotherapy, therapy with neuroleptics, and psychotherapy as such, as well as their various combinations. Basing on a representative random trial from the fields of outpatient and nightpatient wards, the distribution of therapeutic potential among these combinations is described and outlined in a manner customary for the work bone by the Zürich Sociopsychiatric Service. It is evident, despite the fact that the work performed at our hospital is basically of the psychotherapeutic nature, patients can be rehabilitated with a lower level of neuroleptics provided sufficient sociotherapeutic measures are offered, including satisfactory psychotherapeutic efforts--the chances of meeting these demands being greater in our night ward. Patients who cannot be fully rehabilitated but more or less integrated, did not show such obvious differences, whereas the more intense sociotherapeutic programme of the nigth ward enabled the reintegration even of the nigth ward enabled the reintegration even of more seriously disturbed patients than could be achieved by mere outpatient follow-up treatment.
社会疗法、使用抗精神病药物的疗法、心理疗法本身,以及它们的各种组合。基于门诊和夜间病房领域的一项代表性随机试验,以苏黎世社会精神病学服务机构惯常的工作方式描述并概述了这些组合之间治疗潜力的分布。很明显,尽管我们医院开展的工作基本上具有心理治疗性质,但如果提供足够的社会治疗措施,包括令人满意的心理治疗努力,患者可以在较低剂量抗精神病药物的情况下康复——在我们的夜间病房满足这些需求的机会更大。那些无法完全康复但或多或少能融入社会的患者没有表现出如此明显的差异,而夜间病房更强化的社会治疗方案使得即使是比单纯门诊随访治疗更严重的患者也能实现重新融入社会。