Green R S, Koprowski P F
Hosp Community Psychiatry. 1981 Jul;32(7):479-81. doi: 10.1176/ps.32.7.479.
In a population of almost 1,100 patients in an urban hospital's aftercare program for the chronically mentally ill, 137 patients (12.5 per cent) were found to have nonpsychotic diagnoses. Patients with nonpsychotic diagnoses tended to be older at the first psychiatric contact, a preponderance were first-born or only children, and a higher percentage had been or were presently married. The therapist's possible role in the prevention of chronicity in nonpsychotic patients is discussed; therapists may contribute to the creation of chronic patients, the authors say, by fostering the emergence of increased dependency needs in patients who initially present with acute symptoms. The limitations of psychotherapeutic intervention must be stressed to psychotherapy students, and psychotherapy with nonpsychotic patients should be time-limited and focused on problem-solving.
在一家城市医院针对慢性精神病患者的后续护理项目中，近1100名患者中，有137名患者（占12.5%）被诊断为非精神病性疾病。患有非精神病性疾病的患者首次接触精神科时往往年龄较大，多数是头胎出生或独生子女，且已婚比例更高。文中讨论了治疗师在预防非精神病性患者慢性化方面可能发挥的作用；作者称，治疗师可能会促使最初表现为急性症状的患者产生更多的依赖需求，从而导致慢性患者的产生。必须向心理治疗专业的学生强调心理治疗干预的局限性，对非精神病性患者的心理治疗应限时进行，并着重解决问题。
