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[Chronicity: chronicization or chronification? Or, the disease evolution in relation to therapy]
Schweizer Archiv Fur Neurologie, Neurochirurgie Und Psychiatrie = Archives Suisses De Neurologie, Neurochirurgie Et De Psychiatrie
|January 1, 1980
Summary
Psychiatric chronicity is not a diagnosis but an interactive process between patient, environment, and therapist. Redefining chronicity can improve patient outcomes and foster greater therapeutic freedom.
Area of Science:
- Psychiatry
- Psychology
- Mental Health
Context:
- Chronicity in psychiatric patients challenges clinicians' responsibility and guilt.
- Existing psychiatric nosology fails to adequately define chronic conditions.
- Chronicity prompts a need for novel therapeutic approaches.
Purpose:
- To propose a new definition of psychiatric chronicity.
- To explore the interactive development of chronicity.
- To identify factors contributing to chronicity.
Summary:
- Chronicity is defined as a process involving patient-environment-therapist interactions, not a distinct nosological category.
- This state involves existential equilibration, dependency, altered time perception, and relinquished desires.
- Contributing factors include hospital structures, social services, and therapeutic relationship dynamics.
Impact:
- Understanding chronicity as an interactive process necessitates examining contributing structures.
- Modified healing attitudes can alter patient compromises and enhance autonomy.
- This perspective shifts focus from patient pathology to systemic influences on long-term mental health conditions.