A Systematic Review of the Soteria Paradigm for the Treatment of People Diagnosed With Schizophrenia

Calton, Tim; Ferriter, Michael; Huband, Nick; Spandler, Helen

doi:10.1093/schbul/sbm047

Cited by 106 publications

(83 citation statements)

References 69 publications

(70 reference statements)

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“…a safe and well-defined social milieu, structured daily routines, improved social skills, unambiguous communication and trustful, long-lasting therapeutic relationships. For example, the Soteria Project for the treatment of schizophrenia spectrum patients by nonintrusive psychosocial care has yielded equal -and in specific areas better -results than conventional, medication-based treatment approaches [28][29][30] . Although the experiences of estrangement, anxiety and exposure can decrease in terms of intensity, we claim that these subtle experiences at least latently persist as vulnerability traits in this group of patients.…”

Section: Discussionmentioning

confidence: 99%

Autism and Perplexity: A Qualitative and Theoretical Study of Basic Subjective Experiences in Schizophrenia

Henriksen

Škodlar

Sass³

et al. 2010

Psychopathology

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Background: Autistic traits and perplexity are considered core features of schizophrenia in phenomenological psychiatry. They express a fundamental disturbance of the self-world relation (including disturbances of self and intersubjectivity). The aim of our study was to examine this disturbance by exploring in detail how autism and perplexity are experienced subjectively. Methods: It is a qualitative single-case study. In order to fully examine our patient’s experiences within the context of his experiential world and not only as isolated or decontextualized symptoms, we applied a heideggerian framework, i.e. Heidegger’s exhaustive account of the self-world relation (care). Results: Through the framework of care, we discovered a profound disturbance of the self-world relation in our patient, characterized by subtle experiences of estrangement, anxiety and exposure. We found these experiences to be enduring, pervasive and generative for the development of other symptoms. Conclusions: We argue that these experiences can be seen as experiential correlates of schizotypy and of vulnerability to schizophrenia, and furthermore that an understanding of these experiences can play a role in diagnostic and differential diagnostic procedures, e.g. in early detection or in the search for high-risk individuals, as well as in the psychotherapy of schizophrenia.

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Section: Discussionmentioning

confidence: 99%

Autism and Perplexity: A Qualitative and Theoretical Study of Basic Subjective Experiences in Schizophrenia

Henriksen

Škodlar

Sass³

et al. 2010

Psychopathology

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“…All of the above would perhaps be of limited interest to modern psychiatry were it not for the systematic and sustained empirical evaluation of the paradigm's efficacy that has been under taken over the almost 40 years since its inception (Calton 2008).…”

Section: Evidence From the Past 50 Yearsmentioning

confidence: 99%

“…The aim is to develop a shared experience of the meaningfulness of the resident's individual social context, both current and historical communities with people who received treatment as usual (TAU), meaning hospital admission and treatment with antipsychotic medication. These have generated a considerable secondary literature, with 76 citations currently identifiable (Calton 2008). The US trials found that at 6-week followup there were significant and similar improvements in global psychopathology in both the Soteria group and the TAU group, even though only 24% of the Soteria group had received any antipsychotic medication (and only 16% of these had received drug treatment for longer than a week).…”

Section: Interpersonal Phenomenologymentioning

confidence: 99%

Minimal-medication approaches to treating schizophrenia

Calton¹,

Spandler²

2009

Adv. psychiatr. treat

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SummaryUK guidelines for treating people diagnosed with schizophrenia currently emphasise the primacy of antipsychotic medication, with or without psychosocially based interventions as circumstances dictate. We now see increasing calls, most notably from mental health service users, for the provision of ‘whole-person-based’, minimal-medication approaches to treating people with this diagnosis. This article is intended to locate the development of such approaches within the history of modern and pre-modern psychiatry and, in doing so, summarise the available evidence base that underpins their efficacy.

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“…Cette simple phrase combine un élément parfaitement exact et un autre complètement faux! Sa manière de décrire comment baisser le traitement est plutôt juste quoique sommaire au vu des connaissances récentes [4]. Cela n'empêche pas Podvoll de décrire quelque chose de profondément vrai, par ailleurs évoqué dans d'autres contextes [5]: la présence d'un environnement non stressant permet aux patients de diminuer le dosage de leurs médicaments.…”

Section: N O T E S D E L E C T U R E H O R I Z O N Sunclassified

Recension: Psychose et guérison. Le chemin de la compassion

2008

Bull Med Suisses

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Le soin aux patients souffrant de troubles psychotiques reste complexe. Les traitements pharmacologiques sont la plupart du temps indispensables, quoique largement insuffisants. Par conséquent, l'approche psychosociale qui l'accompagne représente un défi pour le clinicien. Dans ce sens, des travaux récents mettent en exergue le principe du rétablissement, qui implique de prendre le patient comme acteur de son projet de vie et ce même si d'éventuels symptômes persistent [2]. Malgré cela, de nombreux systèmes de soins s'obstinent à perpétrer une psychiatrie paternaliste, voire asilaire dans laquelle le patient n'a qu'un rôle passif. Le rétablissement PhénoménologieUne première partie expose les situations de personnages historiques ayant décrit leurs propres épisodes psychotiques, spontanés ou consécutifs à la prise de substances. L'auteur nous amène à une compréhension phénoménologique intime de ces expériences. De manière très convaincante, il décrit le début de la psychose, caracté risée par la perte de contrôle. «On ne peut ni s'arrêter, ni commencer; une sorte de vaste système d'inertie a disparu […]. C'est une zone de choc, l'expé-rience universelle, […] l'état second» (p. 157). De cet «état second» naissent ce que l'auteur appelle les micro-opérations, p. ex. l'accélération des idées, leur répétition, multiplication, proliféra-tion … Dans cet état subsistent des «îlots de clarté», desquels la reprise de contact avec le monde va être envisagée dans le traitement. «Il n'est pas sot de dire que c'est l'hallucination qui rend fou et non pas la folie qui donne l'hallucination …» (p. 152). Très justement, l'auteur observe que ce tableau clinique impose deux réponses possibles: celle de se déchaîner ou celle de devenir apathique.C'est à cette phénoménologie que le théra-peute va être confronté dans son contact aux patients. «Le retour à la santé ne peut se produire qu'au sein d'un environnement sain, dans une atmosphère de compassion et de respect, qui peut favoriser le déroulement des étapes de la transformation» (p. 139

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A Systematic Review of the Soteria Paradigm for the Treatment of People Diagnosed With Schizophrenia

Cited by 106 publications

References 69 publications

Autism and Perplexity: A Qualitative and Theoretical Study of Basic Subjective Experiences in Schizophrenia

Autism and Perplexity: A Qualitative and Theoretical Study of Basic Subjective Experiences in Schizophrenia

Minimal-medication approaches to treating schizophrenia

Recension: Psychose et guérison. Le chemin de la compassion

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