Geiser M
Chirurgie und Orthopädie FMH, Bern.
Schweiz Med Wochenschr. 1994 Apr 2;124(13):529-38.
After a short history of the origin of Schizophrenia Fellowships throughout the world, the difficulties besetting an efficient management of the disease are mentioned. Some of them arise from the characteristic features of the disease and the still awaited understanding of the etiology. Further serious obstacles arose from the century-old discrimination against the mentally ill, simplistic theories on the etiology of the disease, misuse and discouragement of drug treatment, discrediting of psychiatric hospitals and the lack of legislation to provide the patient with the right to competent treatment and rehabilitation. The families of schizophrenic patients expect maximum help from humane caring for the patient, with absence of psychological theories, intensive research into the biological causes of the disease, and a change in legislation respecting the possibilities of modern treatment. Families are not in need of treatment but of proper information, practical advice, unflagging support and cooperation between patients, family members, therapists and psychiatric institutions. As a compensation for their contribution to caring for the patient they would appreciate a well functioning emergency service to manage critical situations and the abolition of unnecessary obstacles to competent treatment. Only successful investigation of the causes of the disease can bring a fundamental therapeutic improvement.
在简要介绍了全球精神分裂症患者互助团体的起源之后，文中提到了困扰该疾病有效管理的诸多困难。其中一些困难源于该疾病的特征以及尚未实现的病因理解。更严重的障碍来自于对精神疾病患者长达百年的歧视、对该疾病病因的简单化理论、药物治疗的滥用与阻碍、精神病院的声誉受损以及缺乏为患者提供有效治疗和康复权利的立法。精神分裂症患者的家属期望在对患者进行人道关怀时能得到最大程度的帮助，摒弃心理学理论，深入研究该疾病的生物学病因，并改变关于现代治疗可能性的立法。家属们需要的不是治疗，而是正确的信息、实用的建议、持续的支持以及患者、家属、治疗师和精神病机构之间的合作。作为对他们照顾患者贡献的一种补偿，他们希望有一个运作良好的应急服务来处理危急情况，并消除有效治疗中不必要的障碍。只有成功探究该疾病的病因才能带来根本性的治疗改善。
