problems, pespectives

2001, Volume 1, Issue 1, p. 6-11

A.Begiashvili,  G.Berulava

Psychosocial Rehabilitation Center, Tbilisi, Georgia

Clinical and Symptomatic Profiles of the Psycho-Social Rehabilitation Center Target Group.


Together with the hospital treatment of patients in a psychotic condition, the psychosocial rehabilitation of patients in remission is one of the most important trends in modern psychiatry. It increases the degree and duration of remission considerably and helps the patient to escape a severe procedure of hospital treatment. For the successful functioning of the Psychosocial Rehabilitation Center the acquisition of substantial knowledge of such clinical phenomena as complete and incomplete remission and schizophrenic deficiency are of particular importance, since they represent the diagnostic categories of the Day Care Center target group and require thorough study from the standpoint of a multidisciplinary group.
To effectively realize this knowledge acquisition it is necessary to make an exact phenomenological and criteriological diagnosis for each member of the target group according to the 10 th International Review of Physical and Behavioral Disorders.
The cases discussed were explored by means of structured scale questionnaires. The general symptomatic profile of the target group still has to be made and the analysis of the results obtained still has to be conducted. This article contributes to these two goals.
Thus, while considering the information on symptomatic and criteriological profiles, it was shown that with hereditary loading the psychotic conditions prevail, the age of the majority of patients being between 25 and 35. According to the diagnoses, paranoid schizophrenia is the commonest. At the same time when comparing the information from both tables it is clear that the intensity and frequency of positive symptoms are far less than those of negative symptoms.
The data obtained enables us to undertake supportive pharmacotherapy more successfully. It also helps in the better application of certain psychotherapeutic methods, e.g. Symptoms Management Skills Training methodology.