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Resistenz schizophrener Patienten gegen eine soziale und berufliche Rehabilitation

  • Chapter
Book cover Schizophrene Erkrankungen

Zusammenfassung

Eine Untersuchung des sozialen und beruflichen Verhaltens schizophrener Patienten führt zu folgenden Beobachtungen:

  1. 1.

    Resistenz gegen eine Rehabilitation charakterisiert die Mehrzahl der schizophrenen Patienten auf allen Stufen des therapeutischen Ansprechens;

  2. 2.

    zwischenzeitliche Rückfälle stören weiterhin die andauernde und erfolgreiche Rehabilitation trotz neuer psycho-sozialer Therapieprogramme, die einen frühen Rückfall hinauszögern, aber einen späteren nicht verhindern;

  3. 3.

    Verhaltensweisen aus der Zeit vor der Berufstätigkeit, die gegen eine vollständigere Rehabilitation wirken, spiegeln möglicherweise Elemente des Typ II-Syndroms und die diesen zugrunde liegenden psychobiologischen Anomalien wider;

  4. 4.

    die funktionelle Bedeutung dieser psychobiologischen Defizite wird wahrscheinlich durch entwicklungsbedingte Geschlechtsunterschiede beeinflußt, die für die Spezialisten beruflicher Rehabilitation noch genauer ermittelt und formuliert werden müssen;

  5. 5.

    die vorläufigen Bestandteile eines diagnose- und geschlechtsspezifischen Rehabilitationsprogramms, aufbauend auf der schizophrenen Pathophysiologie, können zwar formuliert werden, bedürfen aber einer extensiven Entwicklung.

Aus dem Englischen übertragen von U. Roeder, Schwabach, und Dr. E. Kulhanek, München.

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Author information

Authors and Affiliations

  1. Western Psychiatric Institute and Clinic, University of Pittsburg, PA, USA

    G. E. Hogarty

Authors
  1. G. E. Hogarty
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Editors and Affiliations

  1. Vokkestraße 72, D-8013, Haar, Deutschland

    Wolfram Bender (Direktor des Bezirkskrankenhauses Haar) (Direktor des Bezirkskrankenhauses Haar)

  2. Department II, Lillhagen Hospital, PO Box 5003, S-42203, Hisings Backa, Sweden

    Sven Jonas Dencker M.D.

  3. Abt. Psychopharmaka, Squibb/ von Heyden, Volkartstraße 83, D-8000, München 19, Deutschland

    Franz Kulhanek

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© 1988 Springer Fachmedien Wiesbaden

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Hogarty, G.E. (1988). Resistenz schizophrener Patienten gegen eine soziale und berufliche Rehabilitation. In: Bender, W., Dencker, S.J., Kulhanek, F. (eds) Schizophrene Erkrankungen. Vieweg+Teubner Verlag, Wiesbaden. https://doi.org/10.1007/978-3-663-01928-2_16

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  • DOI: https://doi.org/10.1007/978-3-663-01928-2_16

  • Publisher Name: Vieweg+Teubner Verlag, Wiesbaden

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