Coombe P
Aust N Z J Psychiatry. 1996 Oct;30(5):672-80. doi: 10.3109/00048679609062664.
This paper is an account of the principles and practices of treatment offered at the Cassel Hospital, London, with a particular focus on the Inpatient Families Unit. The Cassel Hospital is an internationally renowned therapeutic community, the operation of which is based on psychoanalytic principles and which has operated within the British National Health Service for nearly 50 years. An account of the historical development of the hospital is given as well as a description of its structure and function. The following three innovative structures are elaborated: a complex network within which patients can develop, Cassel-style nursing care, and nurse-therapist supervision. Theoretical underpinnings are outlined, which together with two case studies facilitate an appreciation of the capacity of the therapeutic network to foster the successful treatment of a range of severely disordered individuals and families. Such treatment may approach a level perhaps otherwise unattainable and which is widely applicable in the public hospital and clinic settings in Australia.
本文介绍了伦敦卡塞尔医院提供的治疗原则和实践，特别关注住院家庭单元。卡塞尔医院是国际知名的治疗社区，其运作基于精神分析原则，已在英国国家医疗服务体系内运营近50年。文中介绍了该医院的历史发展，并描述了其结构和功能。详细阐述了以下三种创新结构：患者可在其中成长的复杂网络、卡塞尔式护理以及护士 - 治疗师监督。概述了理论基础，结合两个案例研究，有助于理解治疗网络促进成功治疗一系列严重紊乱个体和家庭的能力。这种治疗可能达到一个或许难以通过其他方式实现的水平，并且在澳大利亚的公立医院和诊所环境中具有广泛适用性。
