[From monologue towards therapeutic dialogue. Same remarks about systemic family consultation in a psychiatric in-patient ward].
Basing on the example of one patient and her family, the system family consultation--as a way towards therapeutic dialogue--is presented. The patient was hospitalised due to schizophrenia. In the given example, the psychiatrist was an observer of the consultation conducted by the psychologist. A system therapy consultation allowed a "multiple-picture" to be obtained: the family members and the patient presented their own understanding of the situation. This new multi-perspective description--showing the patient's symptoms functionality caused diagnostic uncertainty in the psychiatrist--how far is the diagnosis of schizophrenia a justifiable one. According to the authors, the systemic consultation, giving the possibility to empathize with existential, psychological and family problems of the patient, leads to a dialogue with his/her family and it plays one of the most important roles in the therapeutic and diagnostic process.
Klinika Psychiatrii Dorosłych, Katedry Psychiatrii CM UJ.
Maria
M
Rostworowska
Małgorzata
M
Opoczyńska
D000328:Adult; D002983:Clinical Competence; D003937:Diagnosis, Differential; D005190:Family / Q000523:psychology*; D005195:Family Relations; D005260:Female; D006801:Humans; D007297:Inpatients; D010819:Physician's Role; D011044:Poland; D011368:Professional-Family Relations; D011369:Professional-Patient Relations; D011567:Psychiatric Department, Hospital / Q000458:organization & administration; D012017:Referral and Consultation; D012563:Schizophrenia, Paranoid / Q000175:diagnosis* / Q000628:therapy*; D012565:Schizophrenic Psychology; D016896:Treatment Outcome