The Pilot Project ‘Soteria Berne’ Clinical Experiences and Results

  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},
  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
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

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

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.


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...


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

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

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

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.

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
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.



How to Improve the Treatment of Schizophrenics: A Multicausal Illness Concept and Its Therapeutic Consequences

The past decades have been marked by significant progress in various fields of schizophrenia research, as well as modernized psychiatric hospitals, but the treatment of schizophrenics still suffers from many serious shortcomings.

Continuous versus targeted medication in schizophrenic outpatients: outcome results.

The authors report on the outcome of treatment of 116 outpatients with chronic schizophrenia who were assigned to a 2-year, single-blind course of treatment with either targeted or continuous

The treatment of acute schizophrenia without drugs: an investigation of some current assumptions.

The treatment of schizophrenia has become so extensively drug oriented that a significant impediment has a,:isen to the exploration of alternati ve therapeutic approaches, and the situation has reversed from the 1950s.

Community residential treatment for schizophrenia: two-year follow-up.

Two-year outcome data from a study comparing two kinds of treatment given similar groups of young, newly diagnosed, unmarried schizophrenic patients deemed in need of hospitalization are reported, with significant differences between the groups in readmissions or levels of symptomatology.

Von der Familientherapie zur Angehörigenarbeit oder vom therapeutischen zum präventiv-rehabilitativen Paradigma in der Schizophreniebehandlung

The present article compares family therapy and family education, describes an updated and valid model of schizophrenia, and derives from this a preventive-rehabilitative approach.

A comparative trial of pharmacologic strategies in schizophrenia.

The results suggest an extensive similarity with respect to outcome for the two treatments over a 2-year period, and argue for the continuation of research on the relative effectiveness of the targeted drug approach, particularly in cases judged suitable for drug reduction strategies.

Intermittent medication for schizophrenic outpatients: who is eligible?

Sufficient eligible patients were found to make the intermittent medication approach a useful part of a comprehensive psychopharmacological program for schizophrenia, if the efficacy of the approach is demonstrated in clinical trials.

Intermittent medication for stable schizophrenic outpatients: an alternative to maintenance medication.

Because of neuroleptics' potential long-term side effects, the authors conducted a pilot study of an alternative to maintenance medication for stable schizophrenic outpatients. The doses of 19

A non-neuroleptic treatment for schizophrenia: analysis of the two-year postdischarge risk of relapse.

Questions are raised about the routine use of neuroleptics with young first admission schizophrenics receiving neuroleptic-oriented treatment on the wards of a community mental health center and an intensive interpersonal approach in a small homelike facility in the community.

A Controlled Trial of Social Intervention in the Families of Schizophrenic Patients

The results provide evidence for the causal role of relatives' expressed emotion (EE) in schizophrenic relapse, as well as for the therapeutic effectiveness of social intervention combined with drug treatment.