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运用幽默疗法改善住院精神分裂症患者社区中的社会支持状况。

Therapeutic use of humor to improve social support in an institutionalized schizophrenic inpatient community.

作者信息

Gelkopf M, Sigal M, Kramer R

机构信息

Lev Hasharon Mental Health Medical Center, Netania, Israel.

出版信息

J Soc Psychol. 1994 Apr;134(2):175-82. doi: 10.1080/00224545.1994.9711380.

Abstract

We attempted to use passive communal laughter to improve social support within a chronic schizophrenic inpatient population. Two identical wards were compared on classical measures of social support (emotional and functional), social network (size and dispersion), satisfaction, and the nature of the social relationships (source). The experimental group was exposed to video projection of humorous movies four times daily for 3 months, and the control group to video projections of other, assorted movies at the same rate. In the experimental ward a significant improvement was manifest in the category of "distinct individuals supporting each patient." The difference may have been due to an improvement in the relationship with the staff. No improvement was found on any of the other measures. We concluded that the positive atmosphere that humor creates affects the therapeutic alliance between staff and patients but does not affect other social networks because of the regressed nature of the schizophrenics' social relationships.

摘要

我们试图利用被动的集体笑声来改善慢性精神分裂症住院患者群体中的社会支持。在社会支持(情感和功能)、社会网络(规模和分散程度)、满意度以及社会关系的性质(来源)等经典指标上,对两个相同的病房进行了比较。实验组每天四次观看幽默电影的视频投影,为期3个月,而对照组则以相同频率观看其他各类电影的视频投影。在实验病房,“不同个体支持每位患者”这一类别有显著改善。这种差异可能是由于与工作人员关系的改善。在其他任何指标上均未发现改善。我们得出结论,幽默营造的积极氛围会影响工作人员与患者之间的治疗联盟,但由于精神分裂症患者社会关系的退行性本质,不会影响其他社会网络。

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