Drake R E, Sederer L I
Hosp Community Psychiatry. 1986 Sep;37(9):897-901. doi: 10.1176/ps.37.9.897.
In the inpatient psychosocial treatment of schizophrenia, therapies that are intense and overstimulating often promote or prolong regression and negatively affect long-term adjustment. These approaches fail to take into account the chronicity of the disorder, the special vulnerabilities of the schizophrenic patient, and the appropriate goals of an inpatient admission. Based on a review of these problems, the authors offer several prescriptions for inpatient psychotherapy of schizophrenia: modest, well-defined goals; gentle, supportive, educational interactions with the patient; inclusion of the patient's support system and outpatient caregivers in the treatment; and attention to long-term adjustment as well as to short-term symptom removal.
在精神分裂症的住院心理社会治疗中，强烈且过度刺激的疗法往往会促进或延长退行，并对长期适应产生负面影响。这些方法没有考虑到该疾病的慢性特点、精神分裂症患者的特殊脆弱性以及住院治疗的适当目标。基于对这些问题的审查，作者为精神分裂症的住院心理治疗提出了几条建议：适度、明确的目标；与患者进行温和、支持性、教育性的互动；让患者的支持系统和门诊护理人员参与治疗；关注长期适应以及短期症状消除。
