Conceptual issues in approaching the role of psychotherapy in the treatment of schizophrenic patients are discussed in the context of trainee supervision. Eight important variables which require consideration in conducting and evaluating the psychotherapy of these patients are elucidated. It is suggested that psychotherapy variables are conceptually distinct from those which belong to the frame of reference of the disease model or syndrome diagnosis, and thus demand separate attention.
References
1.
BeckA. T. (1976) Cognitive Therapy and the Emotional Disorders. International Universities Press, New York.
2.
BeckA. T.RushA. J.ShawB. F.EmeryG. (1979) Cognitive Therapy of Depression. John Wiley, Chichester.
3.
BleulerM. (1978) The Schizophrenic Disorders: Long-term Patient and Family Studies. (Trans. ClemensS. M.) Yale University Press, New Haven.
4.
CarrV. J. (1982) The state concept and inpatient psychotherapy. Journal of Nervous and Mental Disease, 170, 324–331.
5.
CottonA. (1982) Schizophrenia in the Private Psychiatry Setting. Paper presented at The University of Adelaide Schizophrenia Workshop, South Australia.
6.
Diagnostic And Statistical Manual Of Mental Disorders (1980) (3rd ed.) American Psychiatric Association, Washington, D.C.
7.
DochertyJ. P.van KammenD. P.SirisS. G.MarderS. R. (1978) Stages of onset of schizophrenic psychosis. American Journal of Psychiatry, 135, 420–426.
8.
GoldsteinM. J. (1980) Family therapy during the aftercare treatment of acute schizophrenia. In The Psychotherapy of Schizophrenia (Eds. StraussJ. S.BowersM.DowneyT. W.FleckS.JacksonS.LevineI.). Plenum Books, New York.
9.
HogartyG. E.GoldbergS. C.SchoolerN. R. (1974) Drug and sociotherapy in the aftercare of schizophrenic patients. III Adjustment of nonrelapsed patients. Archives of General Psychiatry, 31, 609–618.
10.
KlermanG. L.RounsavilleB.ChevronE.HeuC.WeissmanM. (1979) Manual for Short-Term Interpersonal Psychotherapy (ITP) of Depression. New Haven-Boston Collaborative Depression Project, Fourth Draft Preliminary.
11.
McGlashanT. H.MillerG. H. (1982) The goals of psychoanalysis and psychoanalytic psychotherapy. Archives of General Psychiatry, 39, 377–388.
12.
MayP. R. A.GoldbergS. C. (1978) Prediction of schizophrenic patients’ response to pharmacotherapy. In Psychopharmacology: A Generation of Progress (Eds. LiptonM. A.di MascioA.KillamK. F.) Raven Press, New York, pp. 1139–1153.
13.
MayP. R. A.SimpsonG. M. (1980) Schizophrenia: Evaluation of treatment methods. In Comprehensive Textbook of Psychiatry, 3rd ed. (Eds. KaplanH. I.FreedmanA. M.SadockB. J.). Williams and Wilkins, Baltimore.
14.
MosherL. R.KeithS. J. (1979) Research on the psychosocial treatment of schizophrenia: a summary report. American Journal of Psychiatry, 136, 623–631.
15.
StraussJ. S.CarpenterW. T.Jr. (1981) Schizophrenia. Plenum Medical Books, New York.
16.
VaughnC. E.LeffJ. P. (1976) The influence of family and social factors on the course of psychiatric illness: a comparison of schizophrenic and depressed neurotic patients. British Journal of Psychiatry, 129, 125–137.