Schulte M B, Cormane R H, van Dijk E, Wuite J
J Am Acad Dermatol. 1985 Jan;12(1 Pt 1):61-6.
Between 1978 and 1982 an experiment on group treatment for and by psoriasis sufferers was conducted, based on a pyramid of previous investigations since 1968. Each group was facilitated by a duo consisting of a fellow sufferer and a physician, both having trained together. The subjects practiced the procedure described, directed toward self-care and mutual aid facilitated and supported by the duo, in a series of ten 2-hour weekly sessions. A pretest/posttest control group design was used. Comparing the results of the quantitative analysis of the experimental groups with those of the control groups, the experimental groups showed significant change. The results of the qualitative analysis showed that decrease of anxiety correlated with mastering of the skills involved. The key element affecting outcome was the balance in cooperation within the duo, the expertise of the patient lying in his personal experience of the condition, and the expertise of the physician in his knowledge and skills. One of the method's main characteristics was the intrinsic complementarity of the duo partners.
1978年至1982年间，基于自1968年以来的一系列前期调查，开展了一项针对银屑病患者并由患者进行的群体治疗实验。每个小组由一名患者同伴和一名医生组成的二人组提供协助，他们都经过了共同培训。受试者在一系列为期十周、每周两小时的课程中，练习所描述的程序，该程序旨在实现自我护理和互助，由二人组提供便利和支持。采用了前测/后测对照组设计。将实验组的定量分析结果与对照组的结果进行比较，实验组显示出显著变化。定性分析结果表明，焦虑的减轻与所涉及技能的掌握相关。影响结果的关键因素是二人组内合作的平衡，患者的专业知识在于其自身病情的个人经验，而医生的专业知识在于其知识和技能。该方法的主要特点之一是二人组伙伴之间的内在互补性。
