[Treatment terminations and transfers of schizophrenic patients in inpatient treatment with psychotherapeutic emphasis. A systematic study].

The study presented here concerns the multidimensional inpatient treatment of schizophrenics with client centered psychotherapeutic emphasis. All cases that occurred in the course of one year are analysed where treatment had been discontinued during the first thirty days or who had to be transferred to an acute cases ward because of exacerbation of the psychotic pattern of symptoms and/or suicidal tendencies. There was a massed occurrence of treatment complications if the patients were particularly young, if they were of the male sex, if the duration of disease was relatively short and if the directly preceding inpatient pretreatment had lasted for a particularly long time. Another unfavourable factor was a particularly marked acuity of the diseases or if minus symptoms were most conspicuous, if neuroleptic medication had to be effected at high level, and especially if this medication was rapidly cut down at the time treatment was changed and also if motivation of treatment was poor or lacking. It is the aim of this study to give a more precise indication for inpatient rehabilitation treatment with emphasis on psychotherapy, to point out its limitations and to recognise and help to avoid treatment errors.