Articles

Reading disability and behavioural problems of children in a child psychiatric clinic

ISSUE 1994/3

A.M.A. Walraven, P. Reitsma, E.J. Kappers

In child psychiatry cognitive disorders play an important role. In the present study the reading competence of children in a psychiatric clinic is examined. It is shown that with respect to normal development the reading level of this group of chi...

Münchausen syndrome, factitious disorder and their correlation with personality disorders

ISSUE 1994/3

D. Moons

Using an illustrative case, resemblances and differences are discussed between the Münchausen syndrome as described by Asher and the factitious disorder as we know it from the DSM-III-R. Parallel, data concerning an underlying personality disorder...

Autocastration and gender-identity

ISSUE 1994/3

I.M. Brugman, E.C.A. Collumbien

Self-castration by non-psychotic men constitutes a poorly understood topic in the literature. By reviewing the cases reported and by analyzing 3 new cases, we found an association of this problem with a gender-identity disorder with atypical chara...

Early psychological consequences of traumatic police-experiences: some preliminary findings

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

275 police officers participated in a study concerning 31 critical incidents. 3% had the diagnosis of PTSD, 30% had PTSD-symptoms (so-called `partial or subthreshold PTSD'). With regard to risk factors for PTSD, the results showed that avoidance, ...

Systemic Lupus Erythematosus and psychiatric disorders

T. van Gent, E.M. Wekking, H.A.P.C. Oomen, J.A.M. Callewaert

The clinical impression exists that Systemic Lupus Erythematosus, a non-organspecific auto-immune disease, has a relatively high coincidence with psychiatric disturbances. In systematic studies since 1950 the reported frequency of psychiatric dist...

Induced psychotic disorder: clinical aspects, theoretical considerations and some guidelines for treatment

R. Mentjox, C.A.G. van Houten, C.G. Kooiman

We describe our experience with a case of folie à famille with role reversal, including the long-term course. In addition, the case reports published since 1974 were reviewed and an overview is given of the psychoanalytic and system theory concept...

Personality and depression

W. Dekker, J. Dekker, F. de Jonghe

This article presents the results of research into the link between depression and personality. Depressive patients from an outpatients' clinic in Amsterdam were treated for a period of eight weeks using fluoxetine 20 mg/d. Every two weeks, the sc...

Staff characteristics and the use of seclusion

H.L.I. Nijman, C. Duangto, D.P. Ravelli, H.L.G.J. Merckelbach, S.K. Vorel

The present study is concerned with the relationship between certain staff characteristics (i.e. staff size, staff sex division and staff experience/training) and the use of seclusion in a longstay unit of a psychiatric hospital (Psychiatric Cente...

AIDS dementia complex as a surprising diagnosis in the elderly

G.A.M. Golüke-Willemse, A.M.S. Thomaes

This article is about a description of an elderly patient who suffers from an organic psychosyndrome. The cause of this disease is uncertain for a long time. That's why a lot of time is lost before she is adequately treated. The reasons for this d...

Multiculturalization of the Mental Health Care System: strategies and quality surveillance

J.T.V.M. de Jong

In comparison with the community mental health care services, the residential und semimural mental health care sector in the Netherlands has hardly given serious attention to the process of multiculturalization of the population. To improve the se...

The nature and severity of the consequences of psychotic disorders for patients' relatives

A.H. Schene, B. van Wijngaarden

In this article a study is reported on the nature and severity of the consequences of psychotic disorders for patients' relatives. Object of study were 700 members of Ypsilon, a Dutch family organization. The consequences were assessed with the In...

Chronic psychiatric patients and rehabilitation

T.F. van Wel

Chronic psychiatric patients have been the focus of attention for some time. A broadly accepted definition of this population is, however, lacking. Although many professionals are of the opinion that rehabilitation of these patients is of great im...

On the applicability of DSM-III-R axis II in non- American populations

G. Hellinga

The criteria for the eleven personality disorders were determined by American psychiatrists and evaluated in field trials with American populations.

Trans-cultural comparison using DSM-III-R terminology has limited itself to axis I disorders, ...

Chronic fatigue syndrome: a testcase for medicine

D. Harari, G. Glas

Based on a Med-line search, the clinical, scientific, historical and philosophical aspects of the Chronic Fatigue Syndrome are reviewed. The review shows that scientific research into CMS lacks coherence. Parallels and relations with depression ar...

Diagnostic classifications and instruments in the field of psychopathology, social functioning and determinants

W. van Tilburg

The importance of Giel's work should be found primarily in his contribution to the scientific underpinning of psychiatry. However, the research instruments now available in psychiatry, some of them developed at Giel's own department, don't only yi...

Between epidemiology and psychiatry

P.P.G. Hodiamont

This paper describes the relationship between psychiatry and epidemiology and the influence of Giel and his collaborators on its development in recent decennia. Between 1850 and 1950 the two disciplines differed in essential respects. Epidemiology...

Research on determinants of common mental disorders: can it be used in prevention programmes?

D. de Ridder

Some problems in research on determinants of depression and anxiety are described. It is concluded that discerning between vulnerability and provoking factors as proposed in the Brown and Harris model has been a major step in research on determina...

Our problems with social psychiatry: an unruly practice and its scientific foundation

B.P.R. Gersons

This paper sketches the significance of Rob Giel as pioneer of Dutch social psychiatry following in the footsteps of Querido and Trimbos. The widely differing views of these key figures point to the special complexity of social psychiatry. Due to ...

Rehabilitation of chronicity: hope or illusion

L. Henkelman

An overview is given of the changes in institutional psychiatry in general psychiatric hospitals of the Netherlands. These hospitals, being for a long time on the forefront of mental health care, were faced with a dualistic position of both concen...

The difficult relationship between research and policy-making in mental health

T.E.D. van der Grinten

Looking at the sometimes disappointing under-use of the psychiatric case register in Dutch mental health care, this article analyses the difficult relation between policy- making and research in the field of mental health. Three factors which infl...

A quanltative model for ethnopsychiatric- epidemiologic research

J.T.V.M. de Jong

In comparative research several aspects of human behavior are often neglected. Both cultural variables and the context in which the behavior occurs have to be studied on the population level and on the individual level in order to understand norma...

Social psychiatry and psychiatric epidemiology in Groningen: past and future

J. Ormel, D. Wiersma

A careful examination of the work of the social psychiatrist Giel and his collaborators showed that their best scientific achievements involve the development of classifications and instruments, the advancement and analysis of longitudinal data, t...

Group therapy for bulimia nervosa

ISSUE 1993/10

17 maart 2004

W. Hoek

The department of psychiatry of the University Hospital Utrecht in The Netherlands incorporates a special unit for anorexia nervosa and bulimia nervosa patients. The unit offers specialised programmes on clinical, day-treatment or outpatient basis...