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KMID : 0376619930180010050
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Seoul Journal of Psychiatry
1993 Volume.18 No. 1 p.50 ~ p.62
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Psychosocial Treatment for Schozophrenics -Theories and Practices of Family Therapy-
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Abstract
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Recent theories and practices of family therapy for schizophrenics were reviewed. Although several authors like Fromm-Reichmann, Lidz, Bateson, and Bowen suggested that the family was a cause of schizophrenia, some other recent researchs have
supported
the view that the family, far from causing the illness, is one of maintainig factors of schizophrenia, or a major source of structure and strength on base the treatment of schizophrenia. So, we have to care not only for the patient, but for its
family,
and we can care for the patient more sufficiently by educating and cooperating with the family members through the family treatment.
An understanding that the concepts of communication deviance and expressed emotion are the family factors most highly correlated with onset and relapase in schizophrenia, is essential for those who wish to assist families to manage more
effectively
the
problems associated with having to live with a schizophrenic relative. Psychoeducational strategies were originally developed to reduce patient relapse by teaching high expressed emotion family members to adopt more calm and tolerant attitudes
and
behaviors towards the patient and to pursue a practical approach towards solving the secondary problems posed by these chronic mental illness.
In an acute phase, when the patient is floridly psychotic and has to be treated for positive symptoms, we may establish a working alliance with the patients and their families through education and emotional support under medication control For
higher-functioning patients with fist psychotic bresks or schizophreniform disorders, with a history of good pre- and intermorbid functioning, we can afford a course brief family crisis therapy, followed by family consultation and assignment to
no
further treatment, maintenance medication, supportive family management or family therapy during recovery and postrecovery phases And chronically psychotic patients and all psychotic patients with poor premorbid functioning are treated in family
psychoeducational treatment for a year, followed by family consultation and referral to maintenance medication, a multiple family support group, supportive family management, or family therapy.
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FullTexts / Linksout information
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Listed journal information
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