梭特利亞之家（Soteria）
瑞士的伯爾尼：
另一種治療急性精神分裂症
（本篇文章是用google翻譯出來的,
紅色部份需要重新翻譯,網友可以幫忙）
Soteria Berne is a small therapeutic community where patients suffering from acute schizophrenic psychoses are treated by an innovative milieu-therapeutic and psychotherapeutic low-drug approach.
梭特利亞之家－瑞士的伯爾尼是一個小型的社會，宗旨是治療精神疾病／急性期精神分裂症病人，以環境與心理治療，和不用、少量精神科藥物的方法協助病患。
The term "Soteria" is of Greek origin and means protection and relaxation, in the present context.
專有名詞“Soteria”梭特利亞，是希臘語，意思是保護和放鬆的手段。
It was chosen in 1971 by Loren Mosher and his collaborators in San Francisco/USA as name for a pilot project focused on a no-drug or low-drug treatment of acute schizophrenia.
這是1971年精神科醫師洛倫莫薛和他的合作者在舊金山選擇的實驗名稱，重點是不使用精神科藥物或用少量精神科藥物治療急性精神分裂症。
In 1984, Ciompi and his co-workers in Berne/Switzerland founded a first European Soteria house which continues to function successfully after more than 20 years.
1984年，瓊皮和他的同事在伯爾尼 /瑞士創立了第一個歐洲梭特利亞之家，這個房子已能自己成功運作20年。
Eventually, the Soteria-idea spread out to Germany, Scandinavia and other parts of the world where it was realised under various forms.
最後，梭特利亞之家的理念分散到德國、斯堪的納維亞半島和其他地方的世界裡，它是在各種形式的實現。
In Soteria Berne, Moshers original approach was further developed and partly modified on the basis of Ciompi's concept of affect-logic and other more recent knowledge which speaks for the hypothesis that critically increasing emotional tensions play a key role for the outbreak and further development of schizophreniform psychosis.
在瑞士伯爾尼，莫薛醫師原來做法是進一步發展和部分修改的基礎上，對瓊皮的概念的影響邏輯和其他最近的知識，充分說明了假說情緒日益嚴重的緊張局勢發揮重要作用的爆發和進一步發展分裂樣精神病。
Inducing a sustained emotional relaxation became, therefore, a main therapeutic focus which was not primarily achieved with neuroleptic drugs, but rather with continually and emphatically "being with" the tension-overwhelmed psychotic patient, in an as normal, open, family-like, protecting and relaxing setting as possible.
誘導持續情緒放鬆成了，因此，主要治療重點主要是沒有實現與精神病藥物，而是不斷的強調與“正以”緊張淹沒精神病患者，在一個正常，開放，類似家庭，制定保護和盡可能放鬆。
Soteria Berne offers place for 8-9 patients and is based on the following therapeutic principles:
瑞士的伯爾尼提供有何8-9病人，是基於以下治療原則：
- Small, relaxing, stimulus-protecting and as "normal" as possible therapeutic setting
小型規模、放鬆、避免刺激，和“正常生活”是治療的設計原則
- Continual personalized "being with" the psychotic patient
持續的個性化“正以”精神病患者
- Personal and conceptual continuity over the whole period of treatment
在整個治療期間，強調個人獨立和連續性的概念
- Continued close collaboration with family members and other important persons of reference繼續密切合作與家庭成員和其他重要人物的職權
- Clear and concordant information, for patients, family and staff, on the illness, its treatment and the existing risks and chances明確和一致的信息，為患者，家庭和工作人員，在疾病，其治療和現有的風險和機會
- Elaboration of common realistic goals and expectations for future housing and work為今後的住宿和工作詳細擬定共同的目標和期望
- Consensual low dose neuroleptic strategies, with the aim of controlled self-medication
低劑量抗精神科藥物的戰略，其目的在讓他們自己控制藥物治療
- After-care and relapse prevention for at least two years
病後調養和預防復發的時間需要至少兩年
In recent years, the Soteria concept has been completed by the development of specific methods for psychotic patients who simultaneaously depend on cannabis and other groups.
近年來，該梭特利亞的概念已完成具體的方法，為精神病患者誰 simultaneaously依賴大麻和其他群體。
Furthermore, a specially protected apartment for former Soteria-patients has been added.
此外，特別保護公寓前Soteria病人增加了。
Evaluative research has proved that objectively at least equal and subjectively partly better 2-year outcomes were achieved with much less drugs at Soteria Berne, as compared to conventional approaches.
評價研究證明，梭特利亞之家瑞士伯爾尼與傳統治療比較，在客觀和主觀上的分析，花費2年就取得了大為減少藥物的成果。
In addition, the treatment of acute schizophrenia at Soteria Berne was during the last few years constantly 10-20% cheaper than in comparable local psychiatric institutions.
此外，治療急性精神分裂症的特利亞之家瑞士伯爾尼，與當地精神病院耗費的經費比起來，在過去幾年裡不斷便宜10-20％。
Costs are lowered by the fact that all housework (cooking, shopping, cleaning, gardening etc.) is part of the therapeutic program and done by the members of the therapeutic community themselves.
成本降低的原因，即所有家務（做飯，購物，清潔，園藝等）的一部分就是治療計劃，成員在社區做事以治療自己。
資料來源：
http://www.ciompi.com/en/soteria.html
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