Articles

Chronic fatigue syndrome: a testcase for medicine

ISSUE 1994/1

16 maart 2004

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

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...

The utility of the quality assessment by patients during psychiatric day treatment

Y.A. Koning, L.N.M. Perquin

In recent years more weight is given to the patient's opinion in quality assessment of health services.

The judgement capacities of hospitalized psychiatric patients can, however, be influenced by mental disorders and situational factors, such...

The neighbourhood as a key: social indicators and the use of mental health services

N.C.H.F. Gunther, E.O. Noorthoorn, H.J.F.R. Hamers, J.T.V.M. de Jong, Ch.D. Kaplan, M.W. de Vries

The most important social task of the mental health care system is to provide help to people who are in need. The effectivity of this task is an important question. In this regard, the extent to which the mental health care system reaches those gr...

Primary prevention of schizophrenia: concept formation

F. de Groot, L. D'Halleweyn

Despite all attention that goes to prevention, primary prevention is relatively neglected, certainly when it concerns schizophrenia. Even though research on high-risk populations shows there often are small but clear premorbid distortions. Typical...

Lucid dreams

R.A.F. Evers, B.J.M. van de Wetering

The phenomenon of `lucid dreaming' is discussed in this article. Characteristic for lucid dreams is that the dreamer is `awake' to the inner world of his dream, while being asleep in regard to the physical environment. The principal concept of `re...

Patient education in chronic psychiatry

T.F. van Wel, P.P.M. Stapels, M.G.C. de Leeuw

6 december 2008

The structural changes that are due to be effected in Dutch health care, together with new laws regarding medical treatment, underscore the importance of patient information. This article provides a definition of patient information in mental heal...

Treatment, Expressed Emotion and relapse in recent onset schizophrenia and related disorders

D.H. Linszen, P.M.A.J. Dingemans, W.F. Scholte, J.W. van der Does, M.A. Nugter, M.E. Lenior

Background

: Community based family interventions and relative's expressed emotion (EE) have shown to influence the course of schizophrenic disorders. We studied the relation between family intervention, EE and relapse during a twelve months out...

Lithium and pregnancy

E.C.A. Collumbien, H.C.L.V. Kock

A review of the literature is provided to determine whether lithium is an important human teratogen. Lithium has been associated with the congenital Ebstein's anomaly. Recent studies estimate the relative risk to be twenty-fold, which amounts to a...

The prevalence of psychiatric comorbidity in Dementia of the Alzheimer Type (DAT); a review of the literature

J.G.E Janzing, J.M.P. Bouwens, H.H.J. Fennema, R.J. Teunisse, F.G. Zitman

This article offers a critical review of the published research concerning the prevalence of depressions, psychotic symptoms and disorders of behaviour in patients with Dementia of the Alzheimer Type (DAT). For any of these types of psychopatholog...

Pervasive developmental disorders; a developmental and psychopathological therapeutic appr

F. Verheij, H. van Loon

Diagnosis and classification of autism and related pervasive developmental disorders is both easy and difficult. Infantile autism is a characteristic syndrome on which many publications have appeared in the last fifty years. Controversely, the dia...

The course of schizophrenia in Africa

6 december 2008

H.B.P.E. Gernaat

Studies of the course of schizophrenia in Africa are reviewed. Two studies by the World Health Organization have reported that this disease, defined according to ICD-9-criteria, ran a more benign course in Africa as compared to Western countries. ...

An outreach treatment approach of mildly mentally retarded with behavioral disorders

A. van Minnen, K.A.L. Hoogduin, L.A.G. Peeters, H.T.M. Smedts

Recently, a new type of treatment for mildly retarded adults with severe behavioral disorders has been introduced in The Netherlands, in which persons are treated by an outreach team in their own home environment. A significant advantage of this t...

Territorial aspects of mania

T. Kuipers

One of the main characteristics of manic behavior is the tendency to transgress and injure the interpersonal boundaries. In this sense manic behavior can be described as territorial. In this paper it is shown that the manic patient impresses the e...

Acute psychiatry in the Regional Ambulatory Services for Mental Health in the Netherl

B.P.R. Gersons, P.P.G. Hodiamont, M.C.H. Donker, C.A.Th. Rijnders, H.R. Hull, L. van den Bogerd

A survey of the people who make use of the emergency services of the Regional Ambulatory Services for Mental Health (RIAGG s) in The Netherlands shows that they are mainly young, unmarried people who live alone. A small percentage of them has no f...

Pills and talking: on treatment where a psychotherapist and a psychiatrist are involved