An Application of Balance Theory to Family Treatment

The formulations of Heider's Balance Theory are reviewed. An application of Balance Theory to the diagnosis and treatment of family dysfunction is demonstrated.     

Schizophrenia and the Family: II. Adverse Effects of Family Therapy

Theoretical formulations of the past thirty years have championed the hypothesis that family interaction contributes heavily to the etiology of schizophrenia, a position that has dominated contemporary family therapy even in the absence of solid empirical confirmation. The possibility that sociogenic modeling of schizophrenia is not only incorrect but even harmful to families, and to the relationship between families and clinicians, has never been taken seriously, despite its implications for the practice of family therapy. The author describes untoward effects of the sociogenic hypothesis in his own ten-year experience with families of chronic schizophrenics and examines pertinent reports in the family therapy literature, offering the reinterpretation that many communicational aberrations are adaptations to two therapist attributes: (a) failure to absolve the family of initial causal responsibility, and (b) failure to inform the family about the nature of the illness.     

结构式家庭治疗在精神分裂症患者中应用的研究概况

精神分裂症属于重性精神病,在世界人口中的患病率约为1％,其特点是病程迁延,治疗进展缓慢,且复发率以及病残率均相对较高.它是一类病因尚未完全明了的精神障碍,社会心理因素(尤其是家庭关系)在其发病、转归和预后方面具有重要作用.针对精神分裂症家庭特点的研究,推动了家庭治疗的发展,也增加了帮助患者全面康复的治疗手段.结构式家庭治疗假设家庭中被标定的个体的问题与家庭的动力和结构有着密切的联系,改变家庭的动力及其组织过程,可改变个人及家庭,可以应用于精神分裂症患者家庭中,并且具有良好的治疗效果.     

家庭功能理论的研究进展

本文对西方有关家庭功能理论进行综述。西方关于家庭功能的理论取向可分为两类:一类是以环状理论以及系统理论为代表的结构取向;另一类是执行过程取向。影响家庭功能的因素可分为横向因素与纵向因素两类。此外,通过对我国已有家庭功能理论的研究回顾,指出了未来我国家庭功能理论的研究方向。     

The Family Story Technique and Intrafamily Analysis

The Family Story Technique (FST) was devised because of its promising versatility in the assessment among family members of affect, interactional patterns, and outlook on the future. The FST makes use of ten selected TAT cards and a modification of Fine's scoring system. Reliability of scoring in terms of per cent agreement between two scorers was found to range from 67% to 100% for usable categories. Potential usefulness of the FST in family diagnosis and family patterning of interactions is illustrated by a case presentation of family FST scores.     

The Symbiotic Survival Pattern: A Relational Theory of Schizophrenia

A theoretical formulation regarding schizophrenia and family functioning is presented that attempts to integrate individual and systems approaches. Despite these approaches dealing with phenomena at different levels, they interact, modify, and determine each other. A review of the literature in both psychoanalytic and family theory served as background and foundation. The symbiotic survival pattern found in families with a schizophrenic member is a mutually controlling system of interaction in which each individual feels responsible for the self-esteem and survival of the other. This involves at least three people, two of whom are expected to act out introjected images for the third. A paradigm of intrapsychic introjects, as well as an illustrative method of describing their use in family transactions, is developed.     

Occupational Therapy in the Treatment of Schizophrenia

A review of Occupational Therapy literature on the treatment of schizophrenia identified four loosely defined treatment categories: (1) sensory integration, (2) activity groups, (3) social skills training, and (4) living skills training. From available data is appears that sensory integration therapy has been able to improve the motivation and affect of schizophrenic patients and structured activity programs can contribute to a reduction in positive symptomatology. Social and living skills training show promise as treatment methods to promote the community functioning of this population. A future need to establish which schizophrenic patients and what schizophrenic symptomatology respond to different types of treatment is identified.     

喹硫平与利培酮治疗精神分裂症的对比分析

探讨喹硫平治疗精神分裂症的-临床效果及安全性。将210例精神分裂症患者随机分为两组,分别给予喹硫平与利培酮治疗8周。采用阳性与阴性症状量袁（PANSS）、不良反应量表（TESS）评定疗效及不良反应。喹硫平组治疗总有效率为82．08％,利培酮组为82．69％,两组比较差异无统计学意义（P〉0．05）。但喹硫平组的不良反应...     

The Kinetic Family Drawing Technique: A Review of the Literature

This article is a review of the research on the Kinetic Family Drawing. Technique (KFD; Barns & Kaufman, 1970) in the areas of reliability, normative findings, cultural influences, and validity. The review is critical, of studies that emphasize single KFD signs and the use of a single interpretation for each of a series of signs, Instead, the. authors emphasize the need for more sophisticated studies that utilize a holistic, integrative approach to interpretation. The article also discusses the existence of significant age, race, and culturally related differences in KFD performance and stresses the need for more detailed normative data in these areas. In addition, the authors stress the importance of research that focuses on the interpretive approach of the clinician using the KFD technique, rather than on the KFD, per se.     

Applications of Trauma Treatment for Schizophrenia

Because of the high rates of trauma and posttraumatic stress disorder in individuals with psychotic disorders, there has been increasing emphasis on incorporating trauma treatment into comprehensive care for schizophrenia. Yet, despite heightened awareness of the need, limited information has been provided specifying an effective approach tailored to this population. Significant advances in trauma treatment have been made in recent years that can provide a general framework for guiding such interventions for individuals with schizophrenia. This article provides a brief review of the relationship between trauma and schizophrenia and offers a heuristic view of applications of current trauma treatment to psychotherapy for schizophrenia.