Gunderson J G
Psychiatry. 1978 Nov;41(4):327-35. doi: 10.1080/00332747.1978.11023992.
Clinicians are increasingly required to justify the costs of milieu therapy. The current variety of milieu types and their competing claims of efficacy can make this a vexsome problem. This paper attempts to conceptualize five major therapeutic processes which commonly exist in a broad range of milieus, independent of size, length of stay, staffing and philosophy. It is hoped these will help provide a reasonable and clear means of developing and explaining therapeutic milieu programs.
临床医生越来越需要为环境疗法的成本提供合理依据。当前环境类型的多样性以及它们相互竞争的疗效主张，可能会使这成为一个棘手的问题。本文试图对广泛存在于各种环境中的五个主要治疗过程进行概念化，这些环境与规模、住院时间、人员配备和理念无关。希望这些将有助于提供一种合理且清晰的方式来制定和解释治疗性环境项目。
