Was ist positiv an positiven Symptomen?

 

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Zusammenfassung

Anliegen Dem schlechten Image der Schizophrenie eine positive Konzeption der Erkrankung gegenüberzustellen. Methode Literaturübersicht zu Einstellungen von Psychiatern, der Bedeutung von Hoffnung und Vorstellung von Konzepten der Schizophrenie, die Hoffnung geben und das Verständnis für die Patienten erhöhen. Ergebnisse Psychiater haben häufig keine bessere Einstellung zur Erkrankung Schizophrenie als die Allgemeinbevölkerung. Hoffnung bzw. Resignation können das Behandlungsergebnis maßgeblich beeinflussen. Positive Aspekte der Schizophrenie ergeben sich durch Verlaufsstudien, der Konzeption von Schizophrenie als Spektrumstörung und Störung der Informationsverarbeitung sowie unausgeschöpften Möglichkeiten der Behandlung. Schlussfolgerung Gerade Psychiater sollten ein möglichst positives Bild der Erkrankung Schizophrenie entwickeln.

Abstract

Objective To develop a positive concept of schizophrenia despite the mostly negative image in the public. Methods Review of the literature concerning attitudes of psychiatrists towards schizophrenia and concerning the importance of hope for the course of the illness. Proposal of some approaches which might help to attain a more optimistic concept of schizophrenia and a better understanding of the patients' problems by the public. Results Psychiatrists often hold as negative an attitude towards schizophrenic patients as the general population. Hope or resignation can influence the course of the disease. The course of schizophrenia is more often favorable than assumed, with a quarter to almost half of patients recovering in the long run. Ideas fostering acceptance and understanding are the concept of schizophrenia as a spectrum disorder and schizophrenia as a disorder of information processing. Finally schizophrenia is a highly treatable illness with many options for treatment not fully used until now. Conclusion Especially psychiatrist should strive for a positive concept of schizophrenia.

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Prim. Univ.-Prof. Dr. Hans Rittmannsberger

Oberösterreichische Landes-Nervenklinik Wagner-Jauregg

Wagner-Jauregg-Weg 15

4020 Linz, Österreich

Email: Hans.rittmannsberger@gespag.at