Articles

Psychosomatic Medicine and Consultation-Liaison Psychiatry

H.G.M. Rooymans

The relation between psychosomatic medicine and consultation-liaison psychiatry is discussed. A short critical review is presented on a number of conceptual and factual developments in the field of psychosomatic medicine. With this in mind, some c...

An ethological view on depression

L. de Wilde

After a survey of the principal ethological conceptions it is suggested that these might be applicable for use in psychiatric theory and research. A large part of the literature on the behavior of young monkeys, following separation from their mot...

Autism and social intelligence: a report on the outcome of residential treatment of autistic adolescents

H.J.Chr. Berger

In 1974 the Leo Kanner Home has been founded in the Netherlands as a residential home for the treatment of adolescent boys and girls who are not mentally retarded. In this study we report on the outcome of our residential care obtained up to date....

The psychiatrist as a member of an organisation

H. van Andel

The goal of this article is to describe the role of the psychiatrist as a member of an organisation. In Holland 80% of the practising psychiatrists is working in institutions. The role of the psychiatrist in hospitals as well as in out-patient dep...

The role of motivation in residential treatment of adolescents

J.C.B. Eykman

Motivation for therapy should not be regarded as a mere patient-bound factor, bus as something which is defined to a considerable degree by the therapist, by the the therapeutic staff, and by the residential environment. Especially in the case of ...

Joining or counteracting?

J.H. Blankstein

Effective treatment of involuntary admitted adolescents is endangered by some common pitfalls. Overidentification with the adolescent together with a fear to introduce enough structure and to use adult values is one of them. A negative attitude or...

The Fear of Insight

M. Rose

The paper suggests that severely disturbed adolescents need the benefits of psychoanalysis if they are to overcome their self-destructive, unconscious defensive attitudes. However, the normal psychological drives of adolescence run counter to anal...

The Very Intensive Care Unit: Twinship of Security and Treatment

H.J.C. van Marle

From the experience with a very intensive care unit for mentally ill delinquents is concluded that maximum security and individual treatment can be melted together succesfully. Very intensive care is defined as involuntary care in an adapted socio...

Icarus and Narcissus in the Low Countries

R. Fried

Icarus and Narcissus have given their names to important psycho-analytic concepts. Narcissism named for the hero who turned away from others and tried to be entirely self-sufficient , has become widely known not only in psychiatrie circles but als...

Towards an alternative to the schizophrenia concept

R.J. van den Bosch

A true science of psychiatry is in need of a better taxonomy. Traditional diagnostic approaches, including the recently developed DSM-III criteria, are not objective. Arguments are offered in favour of the polythetic classification strategy, based...

Pierre Janet, a review of his oeuvre

R. Horst

Pierre Janet, once an important French psychiater, has created during his long and productive life an enormous 'oeuvre', inspired by an original vision on behavior. His works are not well-known, but in France the interest is growing, as shown by t...

Suicide followup study 1978 Psychiatric Hospital 'Vogelenzang'

A.W. Goedhart, G.W. Nijhuis, F. van Ree

The results of an enquiry into suicide amongst the inpatients of a psychiatrie hospital during the period 1970 to 1979, were reported sometime ago in the pages of this journal. The present article is the description of a followup enquiry on suicid...

Effective reassuration of patients with 'functional' complaints

A.P.J. Hoppener, P. du Jour

In many cases physicians do not find a clear cause for the physical complaints of their patients, even after more thorough examination in a general hospital. There is a high risk for these patients that they will get fixated to their complaints, w...

The Bill on Involuntary Admissions to Mental Hospitals

J. Krul-Steketee

In 1971 a bill on Involuntary Admissions to Mental Hospitals (in Dutch: BOPZ) was introduced to replace the Lunary Act of 1884. This bill has been modified several times but has not yet passed Parliament. The most important regulations of the bill...

Psychiatrie case definition

P.P.G. Hodiamont

In view of a psychiatric epidemiological project, a thought is given to psychiatrie case definition. After a review of basic epidemiological concepts, stressing the need of a definition for caseness, three opinions are discussed. The uselessness o...

Neurochemical aspects of childhood autism

D.G. Cohen, R.B. Minderaa, J.G. Young

Autism seems to be a developmental disorder accompained by severe and mostly permanent intellectual and behavioral deficits based on some form of neurobiological defect as causative factor. The clinical studies of serotonin, dopamine and norepinep...

Aftercare for functional non-affective psychoses: development in the cooperation of mental health services

R. Giel, G.H.M.M. ten Horn, A. de Jong, C.J. Slooff, D. Wiersma

A survey of the treatment received by patients during three years after the onset of a first-lifetime episode of a functional non-affective psychosis is presented against the background of developments concerning the mental health services. Treatm...

Depression and the elderly person

J. Godderis

In this review the assumption of a specific relationship between old age and depression will be examined. Depression in the elderly appears to be more frequent than clinicians commonly believe. The prevalence of depressive symptoms at old age is p...

Forgetting in the aged --- differential diagnostic considerations

J.Ph. Hes

Does forgetting in aged persons herald the coming of senile dementia or is it a phenomenon essentially different from the process of senile dementia? After a discussion of the contributions of psychoanalysis, neuropharmacology and neuropsychology,...

Sheltered homes for psychiatric in- and out-patients; a report of a national survey

F.G. Brook, J. Burger, M.J. Haveman

This article shows some results of a comparative study, conducted in 1980, of sheltered homes financed by the Department of Health and the Department of Welfare. The following aspects were studied:

lenght of stay and discharge policy;
admiss...

Cerebro spinal fluid investigation in psychiatric diagnosis

J.A.C. Bleeker, J.A. Swinkels

A decision procedure for lumbar puncture is presented, based on a discussion of clinical tradition and the literature regarding the role of CSF-investigation in psychiatry. It is stressed that there can never be a blind following of these rules, a...

The relation between Freud and Dora

ISSUE 1983/4

26 november 2008

H. Stroeken

Illustrated with relevant historical details the psychoanalytic process between Dora and Freud is described: the begin situation and the developing misunderstanding, ending by the sudden departure of Dora. The reason for this failure is discussed ...

J.W.B.M. van Berkestijn, C.J. Slooff, R.H. van den Hoofdakker

Electroshock: noxious effects

ISSUE 1983/4

26 november 2008

ECT is a controversial treatment. Most of the concern over its use regards the effects ECT has on memory. The authors reviewed the literature on memory disturbances after bilateral ECT. The available literature does not permit firm conclusions bec...