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KMID : 0607419960010010038
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Mental Health Services
1996 Volume.1 No. 1 p.38 ~ p.49
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Community Residential Treatment for Schizophrenia : a Practical Realisation of Affect Logic Concept
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Choi Yong-Sung
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Abstract
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A new psychosocial/biological model of the psyche is proposed, in which the affects play a central role in organizing and integrating cognition. The psyche is understood here as a complex hierarchical structure of affective/cognitive systems of reference, generated by repetitive concrete action. These assumptions are supported by recent findings on the role of the limbic and hypothalamic system for the regulation of emotion, on neuronal plasticity, and on the phenomenon of state-dependent learning and memory. The integrative concept of affect logic is based on a hypothesis concerning the laws of interaction between emotion and cognition. Affects are defined as global psycho-physiological states which determine the prevailing functional logic. This leads to an integrative psycho-socio-biological evolutionary model of schizophrenia. The organizing functions of affects are evident in schizophrenic core phenomenon such as ambivalence, incoherence, and emotional flattening. This model has numerous practical and theoretical implications. This is also practically realized and experimented in Soteria, a milieu therapeutic, sociotherapeutic and psychotherapeutic treatment facility with no-or low-medication strategies.
Over the two-year follow-up period, there were no significant differences between the Soteria and the control group in readmissions or levels of symptomatology. However, Soteria subjects significantly less often received medications, used less outpatient care, showed significantly better occupational levels, and were more able to live independently.
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KEYWORD
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Schizophrenia, Affect-Logic, Bio-Psycho-Social Model, Soteria
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