Wetenschappelijk tijdschrift voor psychiaters, artsen in opleiding tot psychiater en andere geïnteresseerden
  • EN
  • NL
Tijdschrift voor Psychiatrie
  • Tijdschrift
  • Terug naar hoofdmenu
    New articles Current issue Previous issues Special issues Book reviews
    Auteursrichtlijnen Over het tijdschrift Redactie Abonnementen Colofon Adverteren
    Current issue
    Nummer 10 / 2025 Jaargang 67
    Tijdschrift voor Psychiatrie
    10 / 2025

    Current issue
  • Accreditatie
  • Meetinstrumenten
  • Vacatures
Edit
  • EN
  • NL
  1. Home
  2. Artikelen
  3. Epilepsy... and what next!
Short report

Epilepsy... and what next!

H. Smits

The epilepsies, as 'endemic' illness, require a combination of short- and longterm treatment, during the entire lifetime. People suffering from epilepsy form a collectivum with its own characteristics, which might make the group recognizable. Every human being functions within a number of systems of relations. It might well be possible that epilepsy determines those systems, as the case may be influences the functioning within those systems. With 'short term treatment' is meant 'the taking of medicine', by means of different experts, if so required. With 'long term treatment' is meant 'the taking of medicine' and social guidance during the entire lifetime. 'Short term treatment' typically takes place within the medical model. In that model the relation patient-doctor (the one who asks help versus the one who offers it) has to be the issue of the investigation. Therefore both the 'illness'- and the medical behaviour ought to be analysed. The structure of health care offers a possibility for integration into other systems especially into the social model. With it the patient has to play an active role. It appears from personal investigation that a satisfactory result is reached in the medical dimension by medical executives. As far as (the) man with epilepsy is concerned that does not appear to be the case in the social and occupational dimensions. In these dimensions a care-offering in a social model system has to be built up. With this system one prevents that with epilepsy on one side a) the behaviour of complaining is labelled as an illness and b) secondary 'illness gain' is obtained (which intensifies the passivity) in the medical model and that on the other hand the activity is stimulated in the social model by means of the 'coping response' (Mechanic). The social worker, the expert in the field of labour and/or the public health specialist is pre-eminently indicated as the executive within the scope of that social model. The extra-mural work of the Institute for epilepsy-control (nine out-patient departments and social advisory bodies) throws a bridge from the medical to the social model. The combination of an out-patients' department and a social advisory body offers a potentiality to review in a 'helicopter posture' the obstacles of epilepsy on the path of life in a much broader sense, for both the 'consumer' and the 'producer'.

Download PDF
Twitter Facebook LinkedIn Mail WhatsApp
Published by the Stichting Tijdschrift voor Psychiatrie on behalf of the Nederlandse Vereniging voor Psychiatrie and the Vlaamse Vereniging voor Psychiatrie.

Over TvP

Over het tijdschrift Redactie Auteursrichtlijnen Colofon
Abonnementen Abonnee worden Adverteren

Contact

Redactiebureau Tijdschrift voor Psychiatrie
drs. S.L. (Lianne) van der Meer
Telefoon: 030 899 00 80
info@tijdschriftvoorpsychiatrie.nl

Copyright

Redactie en uitgever zijn niet aansprakelijk voor de inhoud van de onder auteursnaam opgenomen artikelen of van de advertenties. Niets uit dit tijdschrift mag openbaar worden gemaakt door middel van druk, microfilm of op welke wijze ook, zonder schriftelijke toestemming van de redactie.

© copyright 2025 Tijdschrift voor Psychiatrie