Beauty Place Switzerland PowerPoint Presentation

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

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2 Plan of lecture Historical roots Basic concepts Practical realisation Therapeutic results Hypotheses and open questions 4

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3 Historical roots

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8 Long-term outcome Full recovery 20-30 % Minor residuals 30-40 % Severe chronicity 30-35 % 7

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9 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

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10 2. Basic concepts

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Basic principle: Do everything which lowers the emotional tension! Avoid everything which increases it!

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12 Eight basic therapeutic principles 10 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

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13 3. Practical realisation

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29 Four phases of treatment Calming down (soft room) Reinsertion into everyday reality Reinsertion into external reality Post-care

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30 4. Results

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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

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38 Soteria has neuroleptica-like effects – but without undesirable side-effects!

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39 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

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40 Further information www.ciompi.com

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¡ Muchas gracias por su atenciòn !