作者: Randall L. Morrison , John T. Wixted
DOI: 10.1007/978-1-4757-8979-9_10
关键词: Social isolation 、 Clinical psychology 、 Life skills 、 Coping (psychology) 、 Psychology 、 Skills management 、 Interpersonal communication 、 Social relation 、 Social skills 、 Social competence
摘要: Social dysfunction has been recognized as a key feature of schizophrenia since the disorder was first described. Deterioration social relations is among current defining diagnostic criteria specified in DSM-III-R (American Psychiatric Association, 1987), and isolation or withdrawal marked impairment major role functioning are listed predominant prodromal residual symptoms. Although psychotic symptomatology may be most salient disturbing schizophrenia, importance interpersonal cannot overemphasized. Evidence from several large-scale investigations indicates that poor premorbid functioning, especially area relationships, prognostic long-term outcome (Strauss, Klorman, & Kokes, 1977; Zigler Phillips, 1961, 1962). Even when gross symptoms pharmacologically controlled remission, schizophrenics can expected to have difficulties interactions (Serban, 1975; Strauss, Carpenter, Bartko, 1974). Because these difficulties, frequently fail become integrated into natural network assist them coping with demands other life Stressors (Gleser Gottschalk, 1967; Marcella Snyder, 1981; McClelland Walt, 1968). Often, schizophrenic’s family only which he she belongs. However, interactional pattern families deviant provide additional stress, patient lacks appropriate skills resolve. In fact, studies consistently found whose relationships characterized by hostile particularly likely rehospitalized within 9 months discharge (Brown, Birley, Wing, 1972; Vaughn Leff, 1976).