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Resistenz schizophrener Patienten gegen eine soziale und berufliche Rehabilitation

  • G. E. Hogarty
Chapter

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.

     

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Copyright information

© Springer Fachmedien Wiesbaden 1988

Authors and Affiliations

  • G. E. Hogarty
    • 1
  1. 1.Western Psychiatric Institute and ClinicUniversity of PittsburgUSA

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