Articles

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

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

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

J. Spijker

Complicated transference reactions and problems with allocation of duties and responsibilities are mentioned as the most important issues in therapies that integrate psychotherapy and pharmacotherapy involving the services of a psychotherapist and...

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

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

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