RESUMO
Four case-studies illustrate the therapeutic work with families of psychotic patients comprehensively treated in our day clinic. Individualization of goals and principles of such therapeutic work was pointed out in relation to families' needs as well as to the possibility of establishing their cooperation in the treatment proposed. Processes of mutual changes in patients' and families' attitudes toward themselves and to the illness are described. Attention was paid to many difficulties associated with leading of this kind of therapy as well as to a variety of signs of its positive influence on patients' and their families' functioning. This influence became noticeable sometimes only from a long-term perspective.
Assuntos
Assistência Ambulatorial , Terapia Familiar , Transtornos Psicóticos/reabilitação , Transtornos Psicóticos/terapia , Feminino , Humanos , Masculino , Polônia , Psicoterapia , Resultado do TratamentoRESUMO
Basic assumptions and working-principles of complexive treatment of psychotic patients in a day clinic established at the sectorized psychiatric department serving for a population of ca 120,000 inhabitants are shortly described. On the ground of 5-year experiences some of observed processes and appeared difficulties as well as of crystalizing dilemmas connected with realisation of the therapeutic program are summarized.
Assuntos
Assistência Ambulatorial/organização & administração , Transtornos Psicóticos/reabilitação , Assistência Ambulatorial/normas , Terapia Familiar , Humanos , Relações Interpessoais , Polônia , Psicoterapia , Reabilitação Vocacional , Apoio Social , Recursos HumanosRESUMO
Rationale and construction of the scale "Experience of illness" (EIS)-a simple scale for evaluation of patients' attitudes toward their schizophrenic disorders were presented. The EIS consists of three scales describing selected dimensions of the attitudes: cognitive (identification of the experience of illness with self), emotional (evaluating of the experience of illness), and behavioural (reflectiveness toward the experience of illness). Transformed sum of dimensional ratings allows to point the position of the whole attitude of each individual patient on a continuum between the isolation of his/her illness experience from other life experiences or the integration of the two kinds of experiences. Empirical results documenting reliability, validity, and feasibility of the EIS were also presented. Clinical usefulness of the proposed scale--as a premise for the treatment plan--is shortly discussed.