Schizophreniebehandlung Aus Der Sicht Des Patienten: Untersuchungen Des Behandlungsverlaufes Und Der Neuroleptischen Therapie Unter Pathischem Aspekt
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In dieser Arbeit wird die stationiire Behandlung aus der Sieht des sehizophrenen Pati enten dargestellt. Zuniichst geht es in Teil I um die Frage, wie sich die Befindlichkeit der Kranken im Verlauf der Therapie veriindert. Hierbei konnte auf bewiihrte, opera tionalisierte Erhebungsinstrumente zuriickgegriffen werden. Standardisierte FragebOgen sind aber nichtgeeignet, einen tiefergehenden Einblick in das Erleben sehizophrener Kranker zu erhalten. Ein semistrukturiertes Interview jedoch ermoglieht den Patienten eine genauere Schilderung der unter Neuroleptika erlebten Veriinderungen. Diese Untersuehungsergebnisse werden in Teil II dargestellt. Teil I und II, die Befinden und Erleben der Kranken zum Gegenstand haben, werden ergiinzt durch die Beschreibung der Behandlung insgesamt und der versehiedenen BehandlungsmaBnahmen im einzelnen, jeweils aus der Sieht der Patienten (Teil III). Die drei Abschnitte der Untersuehung iibersehneiden und ergiinzen sieh. Die wesentliehe Gemeinsamkeit liegt in der Betonung des pathisehen Aspektes, wodurch sich methodiseh die besondere Bedeutung der Selbstbeurteilung ergibt. Die Ergebnisse der objektivierenden, gruppenstatistisehen Verfahren werden nur insoweit dargestellt, als sie zur besseren Besehreibung und zum besseren Verstiindnis der Sieht des Kranken hilfreich sind. Zahlreiehe Patientenzitate werden als Beleg und Illustration der Ergeb nisse aufgefiihrt. Herr Professor Dr. R. Tolle hat diese Arbeit von Anfang an dureh seine Bereitsehaft zur kritisehen Diskussion und dureh zahlreiche Anregungen unterstiitzt. Herr Privatdo zent Dr. N. Leygraf iibernahm die Durchsicht des gesamten Textes und dariiber hinaus in Zusammenarbeit mit Herrn Dr. B. Eikelmann die statistische Auswertung der Daten."
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