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Beauty Place Switzerland PowerPoint Presentation

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Published on : Feb 11, 2014
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Slide 1 - 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
Slide 2 - 2 Plan of lecture Historical roots Basic concepts Practical realisation Therapeutic results Hypotheses and open questions 4
Slide 3 - 3 Historical roots
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Slide 8 - 8 Long-term outcome Full recovery 20-30 % Minor residuals 30-40 % Severe chronicity 30-35 % 7
Slide 9 - 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
Slide 10 - 10 2. Basic concepts
Slide 11 - Basic principle: Do everything which lowers the emotional tension! Avoid everything which increases it!
Slide 12 - 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
Slide 13 - 13 3. Practical realisation
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Slide 29 - 29 Four phases of treatment Calming down (soft room) Reinsertion into everyday reality Reinsertion into external reality Post-care
Slide 30 - 30 4. Results
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Slide 34 - 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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Slide 38 - 38 Soteria has neuroleptica-like effects – but without undesirable side-effects!
Slide 39 - 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
Slide 40 - 40 Further information www.ciompi.com
Slide 41 - ¡ Muchas gracias por su atenciòn !