Zeiler J
Psychiatr Prax. 1985 Jul;12(4):124-9.
The traditional mental hospitals are said to hamper recovery and obstruct rehabilitation by an authoritarian therapeutic regimen. Nevertheless, the claim of community-oriented hospitals that a liberal therapeutic style improves prognosis and makes treatment more human requires scrutiny. The management of violent patients who call for controlling and disciplinary measures seems to be crucial. In the light of a case-history the article describes, how a misinterpretation of liberal principles complicates the treatment of dangerous patients and supports an attitude which does not admit the double character of psychiatric therapy in regard of the inevitable conflict between safety precautions and therapeutic engagement.
传统精神病院据说因其专制的治疗方案而妨碍康复并阻碍重新适应社会。然而，以社区为导向的医院声称自由的治疗方式能改善预后并使治疗更人性化，这一说法需要审视。对需要控制和惩戒措施的暴力患者的管理似乎至关重要。根据本文所描述的一个病例史，自由原则的错误解读如何使危险患者的治疗变得复杂，并助长了一种不承认精神治疗在安全预防措施与治疗参与之间不可避免的冲突方面具有双重性质的态度。
