Liberman R P
UCLA Department of Psychiatry, West Los Angeles VA Medical Center.
Psychiatry. 1994 May;57(2):104-14. doi: 10.1080/00332747.1994.11024674.
Based upon educational and social learning principles, social skills training and family management modalities have been validated as effective in improving coping skills and symptomatic course and outcome of schizophrenia. Combined with judicious doses of antipsychotic medication, these modalities have been designed from the conceptualization of schizophrenia as a stress-related, biomedical disorder, with those afflicted having enduring vulnerability to the emergence or exacerbation of psychotic symptoms with associated social disability. Behaviorally oriented modalities require integration with a comprehensive psychiatric service delivery system to confer protection against relapse.
基于教育和社会学习原则,社交技能训练和家庭管理模式已被证实对改善精神分裂症的应对技能、症状病程及预后有效。这些模式结合适量的抗精神病药物,是从将精神分裂症概念化为一种与压力相关的生物医学障碍设计而来的,患者容易因相关社会功能障碍而持久地出现或加重精神病症状。以行为为导向的模式需要与全面的精神科服务提供系统相结合,以预防复发。