Articles

From paranoia to delusion. Aspects of classification and etiology in a historical perspective

ISSUE 1993/8

J. Vink, P. Rijnierse

After discussion of a case an outline is given of the historical development of the concept of paranoia. Kraepelin gave a narrow definition of paranoia, which made strict differentiation of dementia praecox possible. Later researchers doubted if p...

Positive Schizotypy; about the construct, the scales and its relationship to vulnerability indicators for schizophrenia

ISSUE 1993/8

M.G. Vollema, G.J. Geurtsen

Schizotypy appears to be the predisposing personality organisation to schizophrenia, which seems to be comprised of three independent dimensions, which are Positive Schizotypy, Cognitive Desorganisation an Negative Schizotypy. This tripartioning h...

'Day-treatment for acute psychiatric problems'

J.L. Staal, F.C.G. van Gils

In this article a form of day-treatment is presented for acute psychiatric problems. An introduction regarding recent development in day-treatment is followed by a listing of the bottlenecks from which this form of crisis intervention in day-treat...

Lithium in schizophrenia. A Review

S. Leutscher, J.W. Louwerens, J. Korf, C.J. Slooff

In this review the authors investigate the use of lithium therapy in patients with a schizophrenic psychosis. Analysis of 12 controlled and 14 uncontrolled and case studies shows that lithium in all studies was superior to placebo and especially u...

Schizophrenia: costs, benefits and needs

R. Giel, D. Wiersma

The issue of the analysis of the costs and benefits care in case of schizophrenia is discussed and illustrated from the literature. The importance of special consideration of deviations from the mean in terms of outcome is demonstrated with the he...

Case-management: een functionele organisatievorm van de zorg voor de chronisch psychiatrische patiënt

M. van der Velden, W.M.J. Hassing

This article provides a compact presentation of the position and content of case-management in the Dutch situation. There is a correlation between case-management and the changing opinions about the organisation of mental health care. Here-in inst...

De reactie van Nederlandse behandelaars op de suïcide van een patiënt

This paper describes a study of psychiatrists and psychiatric residents concerning their reaction to the suicide of a patient. Psychiatric residents in Holland experience relatively many suicides of patients and this risk has been rising the last ...

The Geriatric Depression Scale

R.M. Kok, Th.J. Heeren, A.M. van Hemert

The Geriatric Depression Scale (GDS) is a selfrating scale developed specifically for use in the elderly. The research so far shows equal or slightly better psychometric results for the GDS as compared to the BDI, and clearly better psychometric r...

Chronic relapse during withdrawal treatment

G. Pype, R. Vanacker

Chronic relapse must be situated in the transitional phase between chronic addiction and early abstinence. The patient feels as if there were two personalities within himself, a so called 'àddicted self and a `sober self . Both are in turn dominat...

Physical health screening of adolescent psychiatric patients - an evaluation

G.M.A. Westermann, S.H. Hartman-Faber

Mental and physical illness coexist by a number of mechanisms. The significance of the physical illness to the psychiatric treatment can be various and the optimum medical screening procedures in both adult and child- and adolescent psychiatry are...

Dissertations of psychiatrists - an overview

H.G.M. Rooijmans

The scientific development of a medical speciality is reflected in the number of specialists who have written a thesis (dissertation). About 12.5% of the psychiatrists have done this. This is a relatively low number in comparison with internal med...

The juvenile delinquent and the adolescent psychiatrist as an expert witness in court proceedings

Th.A.H. Doreleijers, F.J.G. Coelman, P. Blanken

The juvenile (criminal) law in The Netherlands aims at prevention of recidivism and it pretends to provide help to youngsters. The seriousness of psychic disorders in this group seems to increase while the age of first offenders decreases. The fac...

De driedimensionele structuur van positieve en negatieve symptomen; een literatuurbespreking

J.A. Dalebout, J.G. Goekoop

The literature on preconceived syndromes of positive and negative symptoms in schizophrenia is briefly presented. Factor analytic studies demonstrate the segregation of symptoms of chronic schizophrenia into three syndromes: psychomotor poverty, d...

Day-treatment and residential treatment compared. The results of research in Utrecht, the Netherlands

A.H. Schene, B. van Wijngaarden, N.W. Poelijoe, P.R. van Drunen, B.P.R. Gersons

A prospective randomised comparative study on the effectiveness of psychiatric day treatment and inpatient treatment is described. The target population consisted of patients who would normally have been admitted to an open inpatient unit. Outcome...

Factor analysis of the Maudsley Psychiatric Child Rating Scale: a replication study

J.H.M. Duyx, H. van Engeland

In child and adolescent psychiatric classification two points of view play a paramount role: the medical (categoric) and the psychometric (dimensional). Both approaches have their pros and cons. In an earlier study, Thorley (1987) combined the adv...

Schizophreniform disorder according to DSM-III-R: clinical consequences of a (sub)classification

R.E. Breuk, W. van Tilburg

The clinical relevance of DSM diagnosis category `schizophreniform disorder with good prognostic features is discussed. On the basis of a case-history and the literature the authors demonstrate that this classification has clinical consequences fo...

A literature study of relationships between eating disorders and depression

G. ten Klooster

In the past fifteen years many hypotheses have emerged linking eating disorders to depression. Some researchers and theorists have even gone so far as to consider eating disorders as atypical variants of depression. In this article results from fi...

Posttraumatic symptoms in the belles-lettres: can fiction be scientific?

R.A. Jongedijk

In this article the criteria of the post-traumatic stress disorder (PTSD) according to DSM-III-R are illustrated by a number of literary quotations. It is demonstrated that literary authors can give excellent descriptions of PTSD-symptoms. Therefo...

A questionnaire for measuring the emotional impact of traumatic experiences of police-officers

I.V.E. Carlier, R.D. Lamberts, B.P.R. Gersons

This study focuses on occupational trauma in police work. A questionnaire was developed for inventarisation of the impact of traumatic incidents in police work. The questionnaire consisted of 37 different incidents. Next, the questionnaire was dis...

Geen plaats voor de P300 in de psychiatrie?

G.H. Visser, P.J.M. van Alphen, P.G.W.M. Wuisman

A review of the P300 investigation in patients with dementia, a depressive disorder and schizophrenia: according to the literature and an evaluation of our own results it appears that the overlap in P300 results between the different diagnostic gr...

Long-term patients in a Dutch psychiatric hospital: Diagnostics, length of stay, and changing social skills

T.F. van Wel

Longitudinal research on the entire long-stay population of a Dutch general psychiatric hospital produced three principal results. 1) Psychiatric diagnosis showed little consistency: 46% of the patients did not receive the same main diagnosis in t...

Serum levels for antidepressant and neuroleptic drugs

A.H. Veefkind, J.C.L. van Commenée, W.J. Broekema

Measurement of serum concentrations for therapeutic drugs can aid the psychiatrist in making a proper decision in a reasonable time to alter dosage or to change medication. Clinically useful ranges are becoming an adjunct to treatment, although co...

Psychological complaints and charasteristics of policlinic patients of the post-war generation

B.J.N. Schreuder, H.M. van der Ploeg, G.W. van Tiel-Kadiks, J. Mook, I. Bramsen

Psychiatric symptomatology and psychological characteristics of a group of 46 `post-war'-(`second generation') patients requesting ambulatory treatment in Centrum '45 at Oegstgeest, The Netherlands, are described with psychiatric examinations and ...

Alcohol dependence and psychopathology

ISSUE 1993/3