Soteria Berne 1984-2011
Download
1 / 41

Soteria Berne 1984-2011 Basic concepts, practical realisation, results - PowerPoint PPT Presentation


  • 55 Views
  • Uploaded on

Soteria Berne 1984-2011 Basic concepts, practical realisation, results. Prof. Dr. med. em. Dr. h.c. Luc Ciompi Berne / Switzerland IX. Symposium „Early intervention in psychiatry“ Cordoba, March 24-26 th , 2011. Plan of lecture. Historical roots Basic concepts Practical realisation

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Soteria Berne 1984-2011 Basic concepts, practical realisation, results' - tuyet


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

Soteria Berne 1984-2011

Basic concepts, practical realisation, results

Prof. Dr. med. em. Dr. h.c. Luc Ciompi Berne / SwitzerlandIX. Symposium „Early intervention in psychiatry“Cordoba, March 24-26th, 2011


Plan of lecture
Plan of lecture

  • Historical roots

  • Basic concepts

  • Practical realisation

  • Therapeutic results

  • Hypotheses and open questions

4



3


6


Long term outcome
Long-term outcome

  • Full recovery 20-30 %

  • Minor residuals 30-40 %

  • Severe chronicity 30-35 %

7


Three phase model of the long term evolution of schizophrenia
Three phase model of the long-term evolution of schizophrenia

  • biological factors ⇆ pychosocial factors

  • ↘↘↘↙↙↙

  • premorbid vulnerability

  • ↓↓↓

  • stressfull life-events

  • ↓↓↓

    • acute psychotic decompensation(s)

  • ↓↓↓

    • long-term evolution

    • ↙↙↙↓↓↓↘↘↘

    • full recovery minor residuals severe chronicity

  • 7



    • Basic principle:

    • Do everything which lowers the emotional tension!

    • Avoid everything which increases it!


    • Small, open, „normal“ family-like setting

    • Relaxing therapeutic approach

    • Specially selected staff

    • Same information for patients, family, staff

    • Therapeutic alliance with family

    • Elaboration of realistic goals and expectations

    • Low medication strategies

    • Systematic post-care and relapse prevention

    10



    • Four phases of treatment

    • Calming down (soft room)

    • Reinsertion into everyday reality

    • Reinsertion into external reality

    • Post-care



    global outcome = n.s. relapse rate = n.s.

    2-years global outcome and relapse-rates

    first column = Soteria second column = controls

    blue = favorable lila = unfavorable


    Soteria has neuroleptica-like effects

    – but without undesirable side-effects!


    5 working hypothesis and open questions
    5. Working hypothesis and open questions

    • Soteria acts by naturally induced sustained emotional relaxation

    • lack of long-term follow-ups

    • lack of large scale comparisions

    • lack of formal verifications of the working hypothesis

    40



    Muchas gracias por su atenci n
    ¡ Muchas gracias por su atenciòn !


    ad