Figueiredo E, Germond A, Louca A L
Ann Med Psychol (Paris). 1977 Oct;2(3):461-70.
We tried to summarise our personal experience showing that a high percentage of psychotic post-partum breaks may be treated in a day unit using tritherapy. We described the advantages for a collective institutional therapy, the tritherapy, especially regarding to the treatment of schizophrenic crises. The treatment we propose for the post-partum psychotic crises in a day unit would ease: 1) The preservation of part of the patient's autonomy which would valorise her. 2) The facility for supervising the institutional work, especially for nursing care so import in the institutional casing of the mother-baby pair. 3. Possibility to integrate the husband in the treatment. We did notice in post-partum schizophrenic breaks the influence of the husband's attitude on the mother's illness at least in a certain amount of cases he puts on the mother's back his own ambivalency regarding to the child. This attitude in the natural dependency of mother hood has the same destructurating effect as a double blind.
我们试图总结个人经验，结果表明，使用三联疗法，很大比例的产后精神病发作可在日间病房得到治疗。我们描述了集体机构治疗即三联疗法的优势，特别是在治疗精神分裂症危机方面。我们建议在日间病房对产后精神病危机进行如下治疗，这将带来诸多益处：1）能保留患者的部分自主权，从而提升其自身价值。2）便于监督机构工作，尤其是母婴护理，这在母婴的机构护理中极为重要。3）有可能让丈夫参与治疗。我们确实注意到，在产后精神分裂症发作中，至少在一定数量的案例中，丈夫的态度会对母亲的病情产生影响，他会将自己对孩子的矛盾心理转嫁到母亲身上。在母亲自然的依赖状态下，这种态度与双盲具有同样的破坏作用。
