Wynne L C
Department of Psychiatry, University of Rochester School of Medicine and Dentistry, New York, N.Y. 14627.
Acta Psychiatr Scand Suppl. 1994;384:125-32. doi: 10.1111/j.1600-0447.1994.tb05901.x.
Mental health professionals have approached families that have a schizophrenic member with four quite different expectations about how the family can aid patient recovery: the family as a source of information; the family as caretaker for the patient; the family as patient stressor, needing family education; and the family as a dysfunctional system requiring family therapy. Overall, professionals have been negligent in attending to the needs of families, seen less for themselves than as agents to aid patient recovery. As an alternative or supplement to family self-help groups, a family consultation model provides professionals with an orientation for working collaboratively with diverse families in their efforts to cope with serious mental illness.
心理健康专业人员在面对有精神分裂症患者的家庭时，对家庭如何帮助患者康复有四种截然不同的期望：家庭作为信息来源；家庭作为患者的照顾者；家庭作为患者压力源，需要进行家庭教育；家庭作为功能失调的系统，需要进行家庭治疗。总体而言，专业人员在关注家庭需求方面一直有所疏忽，他们更多地将自己视为帮助患者康复的代理人，而不是关注自身需求。作为家庭自助团体的替代或补充，家庭咨询模式为专业人员提供了一种指导，使他们能够与不同家庭合作，共同应对严重精神疾病。
