Rose H K
Psychiatr Prax. 1980 Nov;7(4):266-71.
The conventional "round" during which the individual patient is seen by the physician and his assistants, has been replaced in many psychiatric hospitals by the so-called "group round". This is the result of the efforts made by therapists to reduce the distance and "gradients" between therapists and the patients they have to look after. In this respect, therefore, the "group round" is based on the principle of collective therapy, i.e. of the therapeutic community. The present article discusses the attitude and ideology forming part of the traditional round in hospitals. The form and organisation of the "group round" as practiced for the last decade in a sociopsychiatrically oriented University hospital are described. The article goes into details of the therapeutic value and advantages of this institutionalized interaction with the patient, basing on the author's experience, while pointing out the limitations of this method and the risks involved whenever it is employed without previous consideration of its aims and possibilities.
传统的由医生及其助手对单个患者进行查看的“查房”，在许多精神病医院已被所谓的“集体查房”所取代。这是治疗师努力缩小他们与所照料患者之间距离和“梯度”的结果。因此，从这方面来看，“集体查房”基于集体治疗原则，即治疗性社区原则。本文讨论了构成医院传统查房一部分的态度和理念。描述了一所社会精神病学导向的大学医院在过去十年中实施的“集体查房”的形式和组织。基于作者的经验，本文详细阐述了这种与患者进行制度化互动的治疗价值和优势，同时指出了该方法的局限性以及在未事先考虑其目的和可能性就采用时所涉及的风险。
