ISSN 0439-755X
CN 11-1911/B
主办:中国心理学会
   中国科学院心理研究所
出版:科学出版社

心理学报 ›› 1963, Vol. 7 ›› Issue (1): 57-66.

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心理治療在慢性精神分裂症中的应用

李心天   

  • 出版日期:1963-03-25 发布日期:1963-03-25
  • 通讯作者: 李心天

THE APPLICATION OF PSYCHOTHERAPY IN THE TREATMENT OF CHRONIC SCHIZOPHRENIA

LEE HSIN-TIEN   

  • Published:1963-03-25 Online:1963-03-25

摘要: <正> 心理治疗在精神分裂症中的应用曾經历曲折的过程。自从1933年胰島素昏迷、卞地查痙攣、电痙攣等一系列所謂“休克疗法”相继問世并大大提高精神分裂症的疗效以后,各国学者对精神分裂症的研究曾重点轉移到神經、內分泌、代謝障碍等方面的病理生理和生化問題上,并且获得了丰碩的成果,因而对心理治疗的兴趣就显著地減退了。然而目前神經、高級神經活动生理或生化机制并不能圓滿地解释病人所呈現的各种特殊的心理現象,所以心理动力学的問題随着神經生理和生化方面研究的深入发展,又引起人們的注

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Abstract: Authors differed in their opinions as to the role of psychotherapy in the treatment of schizophrenia. According to current theories of etiology and personality, it was believed that psychotherapy is important and indispensable in the treatment of chronic schizophrenia, and a synthetic therapy method was devised by combining drug and occupational therapies. 60 paranoid schizophrenics, divided into 3 groups of 20 patients each, received the treatment, successively the therapy lasted 16 weeks for each group. The duration of their disease averaged 5.3 years. This article is to describe the psychotherapeutic method and to analyse its effects on the disease.There were 3 therapeutic stages: 1) the stage of active delusion, 2) the stage of unstable delusion, and 3) the stage of disappearance of delusion. In accord to the different stages of the disease, we administered group psychotherapy in combination with individual psychotherapy which consisted of different procedures and contents. At the end of the treatment 35(58.3%) recovered, 18(30%) much improved, 6(10%) improved, and only one case remained unchanged. The patients' responses to psychotherapy in each stage were analyzed, and psychotherapy proved to be an indispensable treatment both in the first stage and in the third stage, and also during the course of remission.A tentative theory concerning the role of psychotherapy was formulated, believing that an optimum relationship should be established between the doctor and the patient, thus the former's therapeutic measures can exercise effective influence upon the patient's psychological state. This conduce to the disappearance of pathological state. As the effect of psychotherapy, changes appeared in the patient's, relationship system which reduced the peculiarities of his original psychological state and improved his maladjustments to the environment.

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