Articles

Post-stroke depression

ISSUE 1991/3

V. Wils, J. Godderis

In spite of the difficulties associated with the diagnosis of depression after stroke, this mood disorder is common in patients who have been the victim of a stroke in the preceding two years. Major depressive disorder has been demonstrated in at ...

Psychiatric disorders and effectiveness of psychiatric consultations with medical/surgical patients staying long in hospit

P.D. Meesters, A.J.M. de Craen, M.W. Hengeveld, J. Hermans

The high prevalence of psychiatric disorders in the general hospital leads to research into the significance of detection and treatment of these disorders. We performed a study with medical/surgical patients staying long in hospital, as we expecte...

Justice and injustice in psychotherapy

F.H.L. Beyaert

In this paper is argumented that the legal position of a patient in psychotherapy and the juridical defense of it, is sometimes helpful in the therapeutic relationship. Especially borderline patients benefit from the fact that a third person is av...

The gains of illness

A. Kaasenbrood

In this, by now anecdotal, contribution the author sketches the events concerning clozapine on the American market. A combination of circumstances has led to the producer, Sandoz, being responsible not only for the production of the drug, but for ...

Sleep paralysis and anxiety related to sleep in various cultures

J.T.V.M. de Jong

Sleep paralysis is one of the innocent forms of the parasomnias. A Bissauguinean, a Dutch, a Moroccan and a Surinamese patient with different types of psychopathology accompanied by idiopathic or primary sleep paralysis are presented. The patients...

The effects of antidepressant drugs on sleep and the possible significance for their mechanism of action

A.G. Havermans, A.L. van Bemmel

Neurochemical theories ascribe the therapeutic action of antidepressant drugs to their influence on neurotransmission level processes. However, the empirical and conceptual gap between neurochemical processes and depressive symptoms and signs limi...

Carbamazepine in schizophrenia: a review

J.A. Buddingh, J.W. Louwerens, J. Korf, C.J. Slooff

In this article we review the literature on carbamazepine in schizophrenia. The results are consistent: psychotic symptoms do not change under carbamazepine, but in patients characterised by aggressive behaviour and excitement, significant symptom...

Phenomenological, etiological and therapeutic features

A.M. den Hollander, J.A. Bruijn, R.W. Trijsburg

Alexithymia refers to a specific disturbance in psychic functioning characterized by difficulties in the capacity to verbalize affect and to a reduced or diminished capacity to elaborate fantasies.

Although initially described in the context o...

On rehabilitation and differentiation

L.H.W.M. Kaiser

Long-stay patients in a general psychiatric hospital may need some special prothesis for their rehabilitation. For 208 patients, intramural in a sociotherapeutic centre of a GPH, the kind of support or treatment that they needed, was investigated ...

Periodic catatonia

Th.B. Kraft

This article gives an overview of the periodic catatonia syndrome, a concept first described by Kraepelin in 1908. A case history is given of a man who was followed from 1949 until his death in 1980. The typical pattern of periodic catatonia disap...

EEG and CT scan of the brain in psychiatry; a concise review of literature

J. Vink, W.A. van Gool

Literature concerning indications for EEG and CT scan of the brain in psychiatric patients is reviewed. Solid, quantitative data appear not to be available. From the studies reviewed it can be concluded that routine use of EEG and CT scan is not u...

Developmental coordination disorder: a new diagnostic category in DSM-III-R

H.M.P. van Leeuwen, H.M. Slot

Developmental coordination disorder is a new diagnostic category listed on Axis II in DSM-III-R. Children, who were hospitalized for psychiatric treatment, were administered the Dutch version of the `Hamm-Marburger Körperkoordinationstest für Kind...

The effect of lithium addition to cyclic antidepressants

E. Hoencamp, M.S. Verjaal, W.A. Nolen, P.M.J. Haffmans

Of the patients, treated adequately with cyclic antidepressants, about a third do not react favourably. One of the possibilities for further treatment of these `treatment resistant' patients is to add lithium to the cyclic antidepressant. In this ...

Psychiatry in the care for the mentally handicapped

G.J. Zwanikken, A.E.S. Sijben

The care for mentally handicapped people broke away from psychiatry during the last 25 years and developed an identity of her own. After years of separation the demand for psychiatric help and bridging the gap between psychiatry and the care for t...

Usefulness of the Intramural Psychiatric Patients Observation scale (IPPO) in a psychiatric ward of a general hospital

L. van Mulders, M. Vanschoenwinkel, E. Meers, A.M. Moens, L. Kaufman, M.P. Derde

The IPPO, a Dutch scale for nurses to rate the behaviour of psychiatric inpatients, was studied as to its reliability and sensitivity. 98 hospitalized psychiatric patients have been assessed at admission and discharge. Statistical analyses indicat...

The significance of the interhuman factor in group psychotherapy: a dialogue between psychoanalytic and existentialistic views

M.C. van der Laan

Group psychotherapy is characterized by the fact that the meeting between the group members constitutes an essential part of the therapeutic process. The way in which this meeting is described in the literature on group psychotherapy is explored. ...

The psycho-social sequelae of bankruptcy

M. Ausems, C. v.d. Burgt, F. Gerards

Up till now no research has been undertaken into the psycho-social changes in a private person's living conditions, following that same person's bankruptcy. To chart out, albeit in a limited way, severity and extent of these psycho-social conseque...

Mao inhibitors as antidepressants

T.K. Birkenhäger, J.A. Bruijn, W.A. Nolen, M. Vegt

Over the last five years the use of MAO inhibitors in the treatment of depression has been rising in the Netherlands. For this reason, the authors reviewed the literature concerning some aspects of the use of MAO inhibitors as antidepressants.

Feasibility of a day-treatment program for the severely mentally ill in relation to psychopath

F.J. Nienhuis, R. Giel, H. Kluiter, M. Rüphan, D. Wiersma

Feasibility of day-treatment for patients accepted for admission to a psychiatric hospital was tested by means of a randomised experiment. Psychopathology was assessed at the time of admission, covering diagnosis, symptoms and psychological impair...

Feasibility of a day-treatment program for the severely mentally ill in relation to social role dysfunction

M. Rüphan, R. Giel, H. Kluiter, F.J. Nienhuis, D. Wiersma

Feasibility of day-treatment for patients accepted for admission to a psychiatric hospital was tested by means of a randomised experiment. In search of patient characteristics indicating suitability for day treatment, specific and general social r...

A Dutch patient with Latah

J.A. Jenner

A detailed description is given of the only case of a Dutch Latah which has been mentioned so far. The constituents that possibly made her treatment successful are discussed. Emphasis is given on behaviour and family therapy.

Migrant Care _ a Janus-policy?

ISSUE 1991/6

J.T.V.M. de Jong

Based on an analysis of the existing literature on migrant care in the Netherlands, the author argues that there exists a fundamental lack of scientific knowledge about e.g. the epidemiology and the psychopathology of mental disorders among migran...

Meige's syndrome as a complication of neuroleptic treatment

ISSUE 1991/6

J. Arends, R.J.P. Rijnders, C.A.L. Hoogduin

Movement disorders are more common in general psychiatric practice as is generally thought.

The authors report the appearance of Meige's syndrome in three patients, who are treated with neuroleptics. They review the literature of primary and s...

Regional differences and tendencies in involuntary hospitalisation in the Netherlands, 1984-1988

ISSUE 1991/6