Hostname: page-component-586b7cd67f-2plfb Total loading time: 0 Render date: 2024-11-22T14:26:31.306Z Has data issue: false hasContentIssue false
  • English
  • Français

The Pilot Project ‘Soteria Berne’ Clinical Experiences and Results

Published online by Cambridge University Press:  06 August 2018

Luc Ciompi ,
Hans-Peter Dauwalder ,
Christian Maier ,
Elisabeth Aebi ,
Karl Trütsch ,
Zeno Kupper  and
Charlotte Rutishauser
Luc Ciompi*
Affiliation:
Sozialpsychiatrische Universitätsklinik, Bern, Switzerland
Hans-Peter Dauwalder
Affiliation:
Sozialpsychiatrische Universitätsklinik, Bern, Switzerland
Christian Maier
Affiliation:
Sozialpsychiatrische Universitätsklinik, Bern, Switzerland
Elisabeth Aebi
Affiliation:
Sozialpsychiatrische Universitätsklinik, Bern, Switzerland
Karl Trütsch
Affiliation:
Sozialpsychiatrische Universitätsklinik, Bern, Switzerland
Zeno Kupper
Affiliation:
Sozialpsychiatrische Universitätsklinik, Bern, Switzerland
Charlotte Rutishauser
Affiliation:
Sozialpsychiatrische Universitätsklinik, Bern, Switzerland
*
Correspondence
Get access Rights & Permissions [Opens in a new window]

Extract

We still do not know enough about the aetiology and pathogenesis of schizophrenia, nor are the therapeutic methods generated by our definition of it satisfactory. Therefore, innovative approaches to treating schizophrenic patients, even if they only promise some partial progress, warrant consideration. The purpose of the pilot project ‘Soteria Berne’ is to assess the effectiveness of an open residential programme which has been providing mainly psychotherapy, sociotherapy, and milieu therapy instead of standard pharmacotherapy to about 60 acute schizophrenic patients for more than six years.

Type
Treatment
Information
The British Journal of Psychiatry , Volume 161 , Issue S18: Onset and Course of Schizophrenic Disorders: Dynamic Interactions between Relevant Factors , October 1992 , pp. 145 - 153
Copyright
Copyright © The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Anderson, C. (1983) A psychoeducational model of family treatment for schizophrenia. In Psychosocial Intervention in Schizophrenia (eds H. Stierlin, L. C. Wynne & M. Wirshing), pp. 227–234. Berlin: Springer.Google Scholar
Bleuler, M. (1978) The Schizophrenic Disorders. Long-term Patient and Family Studies. New Haven: Yale University Press.Google Scholar
Carpenter, W. T., McGlashan, T. H. & Strauss, J. S. (1977) The treatment of acute schizophrenia without drugs: an investigation of some current assumptions. American Journal of Psychiatry, 134, 14–20.Google ScholarPubMed
Carpenter, W. T., Heinrichs, D. W. & Hanlon, T. E. (1987) A comparative trial of pharmacologic strategies in schizophrenia. American Journal of Psychiatry, 144, 1466–1470.Google ScholarPubMed
Carpenter, W. T., Heinrichs, D. W. & Hanlon, T. E., et al (1990) Continuous versus targeted medication in schizophrenic outpatients. Outcome results. American Journal of Psychiatry, 147, 1138–1148.Google ScholarPubMed
Chiles, J. A., Sterchi, D., Hyde, T., et al (1989) Intermittent medication for schizophrenic outpatients: who is eligible? Schizophrenia Bulletin, 15, 117–120.Google Scholar
Ciompi, L. (1981) Wie können wir Schizophrenen besser behandeln? Eine synthese neuer Krankheits – und Therapickonzepte. Nervenarzt, 52, 506–515.Google Scholar
Ciompi, L. (1983) How to improve the treatment of schizophrenics: A multicausal illness concept and its therapeutic consequences. In Psychosocial Intervention in Schizophrenia (eds H. Stierlin, L. C. Wynne & M. Wirsching), pp. 53–63. Berlin: Springer.Google Scholar
Ciompi, L. (1987) Toward a coherent multidimensional understanding and therapy of schizophrenia: converging new concepts. In Psychosocial Treatment (eds J. S. Strauss, W. Böker & H. D. Brenner), pp. 43–62. Toronto-Lewiston N.Y.-Bern-Stuttgart: Huber.Google Scholar
Ciompi, L. (1988a) The Psyche and Schizophrenia. The Bond between Affect and Logic. Cambridge, Mass.: Harvard University Press.Google Scholar
Ciompi, L. (1988b) Learning from outcome studies. Toward a comprehensive biological-psychosocial understanding of schizophrenia. Schizophrenia Research, 1, 373–384.Google Scholar
Ciompi, L. (1991) Affects as central organising and integrating factors. A new psychosocial/biological model of the psyche. British Journal of Psychiatry, 159, 97–105.CrossRefGoogle ScholarPubMed
Ciompi, L. & Müller, C. (1976) Lebensweg und Alter der Schizophrenen. Eine Katamnestische Langzeitstudie bis ins Alter. Berlin: Springer.Google Scholar
Ciompi, L., Dauwalder, H. P. & Ague, C. (1979) Ein Forschungsprogramm zur Rehabilitation psychisch Kranker, III. Längsschnittuntersuchungen zum Rehabilitationserfolg und zur Prognostik. Nervenarzt, 50, 366–378.Google Scholar
Ciompi, L., Dauwalder, H. P., Maier, Ch. et al (1991) Das Pilotprojekt “Soteria Bern” zur Behandlung akut Schizophrener. Nervenarzt, 62, 428–435.Google Scholar
Dauwalder, H. P. (1988) Psychische Gesundheit: Warum “präventives Verhalten” und nicht “Prävention”? Erfahrungen aus der Sekundärprävention der Schizophrenic In Lebensweltbezogene Prävention in Lebensweltbezogene Prävention (ed. Stark, W.), pp. 293–304. Freiburg: Lambertus.Google Scholar
Dauwalder, H. P., Ciompi, K., Aebi, E., et al (1984) Ein Forschungsprogramm zur Rehabilitation psychisch Kranker IV. Untersuchung zur Rolle von Zukunftserwartungen bei chromisch Schizophrenen. Nervenarzt, 55, 257–264.Google Scholar
Haase, H. J. (1982) Therapie mit Psychopharmaka und anderen seelisches Befinden beeinflussenden Medikamenten (2nd edn). Stuttgart: Schattauer.Google Scholar
Henrich, G., De Jong, R., Mai, N., et al (1979) Aspekte des therapeutischen Klimas – Entwicklung eines Fragebogens. Zeitschrift für Klinische Psychologie, 8, 41–55.Google Scholar
Herz, M. J., Szymanski, H. V. & Simon, Y. C. (1982) Intermittent medication for stable schizophrenic outpatients: an alternative to maintenance medication. American Journal of Psychiatry, 139, 918–922.Google Scholar
Huber, G., Gross, G. & Schuettler, R. (1979) Schizophrenic Eine verlaufsund sozialpsychiatrische Langzeitstudie. Berlin: Springer.Google Scholar
Hubschmid, T. (1985) Von der Familientherapie zur Angehörigenarbeit oder vom therapeutischen zum präventiv-rehabilitativen Paradigma in der Schizophreniebehandlung. Fortschritte der Neurologie und Psychiatrie, 53, 117–122.CrossRefGoogle Scholar
Hubschmid, T. & Aebi, E. (1986) Berufliche Wiedereingliederung von psychiatrischen Langzeitpatienten. Eine katamnestische Untersuchung. Social Psychiatry, 21, 152–157.CrossRefGoogle Scholar
Hubschmid, T. & Ciompi, L. (1990) Prädiktoren des Schizophrenieverlaufs – eine Literaturübersicht. Fortschritte der Neurologie und Psychiatrie, 58, 359–366.Google Scholar
Kane, J. M., Rifkin, A., Woerner, M., et al (1983) Low-dose neuroleptic treatment of outpatient schizophrenics I – Preliminary results for relapse rates. Archives of General Psychiatry, 40, 893–896.Google Scholar
Kane, J. M. & Lieberman, J. A. (1987) Maintenance pharmacotherapy in schizophrenia. In Psychopharmacology: The Third Generation of Progress (ed. Meltzer, H. Y.), pp. 1103–1109. New York: Raven Press.Google Scholar
Leff, J. P., Kuipers, L., Berkowitz, R., et al (1982) A controlled trial of social intervention in the families of schizophrenic patients. British Journal of Psychiatry, 141, 121–134.CrossRefGoogle ScholarPubMed
Matthews, S. M., Roper, M. T., Mosher, L. R., et al (1979) A non-neuroleptic treatment for schizophrenia: analysis of the two-year postdischarge risk of relapse. Schizophrenia Bulletin, 5, 322–333.Google Scholar
Moos, R. (1974) Evaluating Treatment Environments. A Social Ecological Approach. New York: Wiley.Google Scholar
Mosher, L. R., Menn, A. J. & Matthews, S. (1975) Evaluation of a homebased treatment for schizophrenics. American Journal of Orthopsychiatry, 45, 455–467.Google Scholar
Mosher, L. R., Menn, A. J. (1978) Community residential treatment for schizophrenia: two-year follow-up data. Hospital and Community Psychiatry, 29, 715–723.Google Scholar
Mosher, L. R., Vallone, R. & Menn, A. (1990) The treatment of acute psychosis without neuroleptics. New data from the Soteria project. Lecture presented at the Annual Meeting of the American Psychiatric Association, New York.Google Scholar
Nuechterlein, K. H. & Dawson, M. E. (1984) A heuristic vulnerability/stress model of schizophrenic episodes. Schizophrenia Bulletin, 10, 300–312.Google Scholar
Overall, K. E. & Gorham, D. R. (1962) The Brief Psychiatric Rating Scale. Psychological Reports, 10, 799–812.CrossRefGoogle Scholar
Wilson, H. S. (1982) Deinstitutionalized Residential Care for the Mentally Disordered. The Soteria House Approach. New York: Grune & Stratton.Google Scholar
Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia. London: Cambridge University Press.CrossRefGoogle Scholar
Zubin, J. & Spring, B. (1977) Vulnerability – a new view on schizophrenia. Journal of Abnormal Psychology, 86, 103–126.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.