Gould E, Glick I D
Fam Process. 1977 Dec;16(4):503-10. doi: 10.1111/j.1545-5300.1977.00503.x.
Virtually all modern inpatient psychiatric units operate on the assumptions that family presence, when the identified patient has schizophrenia, does affect outcome and that adding brief family intervention to the treatment prescription will enhance hospital and posthospital outcome. Often the family intervention is believed not adequate in terms of duration or frequency or quality (since trainees are the family therapists), given the standards of some experienced family clinicians. This report addresses these issues by comparing outcome measures for hospitalized patients with schizophrenia by (a) presence of a family and (b) amount and/or kind of family intervention. Most importantly, we wished to learn if global outcome would show change by virtue of family therapy (within the constraints imposed by the above limitations of family intervention).
当确诊患者患有精神分裂症时,家属在场确实会影响治疗结果,并且在治疗方案中增加简短的家庭干预会改善住院期间及出院后的治疗效果。鉴于一些经验丰富的家庭治疗临床医生的标准,人们常常认为(由于实习医生担任家庭治疗师)家庭干预在时长、频率或质量方面并不充分。本报告通过比较精神分裂症住院患者的治疗结果指标来探讨这些问题,比较的方面包括:(a)家属是否在场;(b)家庭干预的量和/或类型。最重要的是,我们想了解在上述家庭干预的局限性所带来的限制条件下,整体治疗效果是否会因家庭治疗而发生变化。