The Pilot Project ‘Soteria Berne’ Clinical Experiences and Results

@article{Ciompi1992ThePP,
  title={The Pilot Project ‘Soteria Berne’ Clinical Experiences and Results},
  author={Luc Ciompi and H P Dauwalder and Christian Maier and Elisabeth Aebi and K Tr{\"u}tsch and Zeno Kupper and Charlotte Rutishauser},
  journal={British Journal of Psychiatry},
  year={1992},
  volume={161},
  pages={145 - 153}
}
We still do not know enough about the aetiology and pathogenesis of schizophrenia, nor are the therapeutic methods generated by our definition of it satisfactory. Therefore, innovative approaches to treating schizophrenic patients, even if they only promise some partial progress, warrant consideration. The purpose of the pilot project ‘Soteria Berne’ is to assess the effectiveness of an open residential programme which has been providing mainly psychotherapy, sociotherapy, and milieu therapy… 

Soteria Berne: an innovative milieu therapeutic approach to acute schizophrenia based on the concept of affect-logic.

  • L. CiompiH. Hoffmann
  • Psychology, Medicine
    World psychiatry : official journal of the World Psychiatric Association
  • 2004
TLDR
Basic concepts, practical proceedings and empirical findings of Soteria Berne support the hypothesis of a crucial pathogenetic and therapeutic-preventive role played by emotional factors not only in the so-called affective psychoses, but also in schizophrenia.

Towards a more humanistic psychiatry: Development of need‐adapted treatment of schizophrenia group psychoses

TLDR
The author describes the experiences and results of some projects and also deals with the use of neuroleptic drugs in connection with the need‐adaptive orientation.

The Treatment of Acute Psychosis Without Neuroleptics: Six-Week Psychopathology Outcome Data From the Soteria Project

TLDR
Specially designed, replicable milieus were able to reduce acute psychotic symptomatology within six weeks, usually without antipsychotic drugs, as effectively as usual hospital ward treatment that included routine neuroleptic drug use.

OPEN DIALOGUE IN PSYCHOSIS II: A COMPARISON OF GOOD AND POOR OUTCOME CASES

TLDR
Overall, data bearing on the effectiveness of OD were encouraging, as only 22% poor outcome patients emerged, however, if the possibility for starting a dialogical proce...

OPEN DIALOGUE IN PSYCHOSIS II: A COMPARISON OF GOOD AND POOR OUTCOME CASES

TLDR
Data bearing on the effectiveness of OD were encouraging, as only 22% poor outcome patients emerged, however, if the possibility for starting a dialogical process is minimal, the treatment may lead to poor outcome, even where this is not predicted by premorbid social and psychological factors.

Approach : Treatment Principles and Preliminary Results of a Two-year Follow-up on First Episode Schizophrenia

TLDR
The OD approach and the study carried out to determine its effectiveness in treatment of schizophrenia are described, suggesting that OD, like other family therapy programs, seems to produce better outcomes than conventional treatment, given the decreased use of neuroleptic medication.

From Wish to Reality: Soteria in Regular Care—Proof of Effectiveness of the Implementation of Soteria Elements in Acute Psychiatry

TLDR
The establishment of Soteria elements in the acute psychiatric ward leads to a verifiable less violent environment of care for severely ill patients and to a drastic reduction in coercive measures.

The Soteria Project: Twenty Five Years of Swimming Upriver

TLDR
The study’s results challenge the basic tenets of the mental health community with regard to “schizophrenia”: the need for hospitalization, the necessity of mental health professionals as the primary caregivers and, most importantly, the universal use of the anti-psychotic drugs.

At issue: predicting drug-free treatment response in acute psychosis from the Soteria project.

TLDR
The hypothesis that an identifiable subgroup of individuals with early episode psychosis might fare better when receiving specialized psychosocial intervention and minimal or no use of antipsychotic medications is advanced.

Treatment of Acute Psychosis Without Neuroleptics: Two-Year Outcomes From the Soteria Project

  • J. BolaL. Mosher
  • Psychology, Medicine
    The Journal of nervous and mental disease
  • 2003
TLDR
Soteria treatment resulted in better 2-year outcomes for patients with newly diagnosed schizophrenia spectrum psychoses, particularly for completing subjects and for those with schizophrenia.
...

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