Terkelsen K G
Fam Process. 1983 Jun;22(2):191-200. doi: 10.1111/j.1545-5300.1983.00191.x.
Theoretical formulations of the past thirty years have championed the hypothesis that family interaction contributes heavily to the etiology of schizophrenia, a position that has dominated contemporary family therapy even in the absence of solid empirical confirmation. The possibility that sociogenic modeling of schizophrenia is not only incorrect but even harmful to families, and to the relationship between families and clinicians, has never been taken seriously, despite its implications for the practice of family therapy. The author describes untoward effects of the sociogenic hypothesis in his own ten-year experience with families of chronic schizophrenics and examines pertinent reports in the family therapy literature, offering the reinterpretation that many communicational aberrations are adaptations to two therapist attributes: (a) failure to absolve the family of initial causal responsibility, and (b) failure to inform the family about the nature of the illness.
过去三十年的理论阐述支持了这样一种假说，即家庭互动在很大程度上促成了精神分裂症的病因，即使缺乏确凿的实证依据，这一观点在当代家庭治疗中仍占据主导地位。精神分裂症的社会成因模型不仅不正确，甚至对家庭以及家庭与临床医生之间的关系有害，尽管这对家庭治疗实践有诸多影响，但这种可能性从未得到认真对待。作者根据自己与慢性精神分裂症患者家庭相处十年的经历，描述了社会成因假说的不良影响，并审视了家庭治疗文献中的相关报告，提出了一种重新解读：许多沟通偏差是对治疗师的两个特点的适应：（a）未能免除家庭最初的因果责任，（b）未能告知家庭疾病的性质。
