Pillay A L, du Plessis W F, Vawda N B, Pollock L R
Midlands Hospital, Pietermaritzburg, South Africa.
Aust N Z J Psychiatry. 1994 Dec;28(4):684-8. doi: 10.1080/00048679409080792.
Therapeutic communities have an important role in adult psychiatric care. Such a hospital unit is described within a Black psychiatric hospital in South Africa. However, owing to apartheid very few Black clinical psychologists have been trained. Translators frequently have to be used in the therapeutic context, which is an unorthodox approach. Nevertheless, various therapeutic groups are conducted. Demographic and clinical data for a 3 year period are presented, showing most of the patients to be male, unmarried and around 30 years of age. Schizophrenic conditions were the most common diagnoses, with problems of self-care and low self-esteem predominating. Although a readmission rate of 22.1% was noted the lack of adequate control measures in this study must be taken into consideration.
治疗社区在成人精神科护理中发挥着重要作用。南非一家黑人精神病医院内设有这样一个科室。然而，由于种族隔离政策，接受培训的黑人临床心理学家寥寥无几。在治疗过程中经常需要使用翻译人员，这是一种非正统的方法。尽管如此，仍开展了各种治疗小组活动。文中呈现了三年期间的人口统计学和临床数据，显示大多数患者为男性、未婚，年龄在30岁左右。精神分裂症是最常见的诊断结果，自我护理问题和自卑心理较为突出。尽管观察到再入院率为22.1%，但必须考虑到本研究中缺乏足够的控制措施。
