Reseach of the effect of social skills training for the family with a schizophrenic patient on the course of schizopherenia

私立精神病院日托病人亲属小组的结构包括心理教育部分和结构化的家庭方法，重点是认知-行为技术。亲属小组持续两个小时，通常每两个月运行一次。到目前为止，我们已了解到以下情况。通过任何直接接触改善亲属与医院工作人员之间的信任关系后，有必要将不愿参加的亲属介绍到亲属小组中。通过发送信件提醒他们每次会议，对出席的鼓励是有限的。当病人情绪不稳定，不愿服药时，亲属往往会要求我们支持。然而，如果在疾病开始时就有精神分裂症，而且症状相对稳定，大多数家庭不太可能理解精神分裂症是一种慢性病。因此，这个家庭很难参加小组活动。要提高家庭的应对技能，重要的是缩小范围，解决具体问题。问题应该具体说明，并分成几个小的、可实现的部分，任何解决方案的机制都应该与小组详细讨论。要做到这一点，首先，我们应该帮助议员放松心情，坦率地发言。小组的气氛必须是友好和积极的，同时也允许处理严重问题和解决问题。其次，应该解释一个简单的规则，例如，表达负面情绪是正常的和可以接受的，应该解释。第三，促进小组成员之间的互动，让亲属共同解决问题，相互帮助，尝试应对共同困难的新方法。

The structure of a relative's group for the day care patient at the private psychiatric hospital consists of a psychoeducational component and a structured family approach, with an emphasis on cognitive-behavioral techniques. The relatives' groups last for 2 hours and are typically run about once by 2 months. We have obtained the following knowledge by the present.1. It is necessary to introduce into the relatives' group to a relative who hesitates to attend it after improving the trust relationship between the relative and the hospital staff by taking advantage of any direct contact. There was a limit in the encouragement of the attendance by sending the letter reminding them of each meeting. When the patient is unstable and is reluctant to take medicine, the relatives tend to demand our support. However, in case of that there is at the beginning of the illness, and that the symptom is comparatively stable, most families are not likely to understand that schizophrenia is a chronic disease. So, it is difficult for the family to attend the group.2. To improve the coping skills of the family, it is important to narrow down to the concrete problem and to solve it. The problem should be specified and broken into small, achievable bits, and the mechanics of any solutions should be discussed with the group in detail. For this purpose, first, we should help members to feel relaxd and to speak frankly. The atmosphere of the group must be friendly and positive while also allowing serious issues to be tackled and problem solved. Second, a simple rule, for example, the expression of the negative feelings is normal and acceptable, should be explained. Third, we should facilitate the group members' interaction in order to allow relatives to pool solutions to problems and help each other to try out new ways of coping with common difficulties.