Articles

Psychiatry and ethics: psychiatry as a moral enterprise

A.K. Oderwald, J. Rolies

This article deals with the relation between ethics and psychiatry. First we discuss two different views on the nature of ethics: a metonymical and a metaphorical view. Metonymical or practical ethics is the dominant view in the literature about p...

Feasibility of a day-treatment program for the severely mentally ill; first results of a randomized experiment

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

The feasibility of day-treatment for the severily mentally ill was tested by means of a randomized experiment.

Study-design: Longitudinal randomized experiment with blocked allotment in a ration 9 experimentals to 5 controls; follow-up period ...

Prolonged lithium therapy and dementia

L. Renier

Based upon clinical impression we hypothesized that prolonged lithium therapy might induce severe cognitive deterioration or even dementia. A literature survey and close examination of our case register showed that our hypothesis was wrong and bas...

Marital divorce followed by depression...

M. Hebbrecht, G. Geeraerts

This article presents a case of frontal-subcortical dementia in a young adult with known Behçet's syndrome. Dementia in early adulthood is infrequent. The diagnosis is difficult, especially when depressive features are the predominant symptomatolo...

Panic: a biological or psychological disorder?

D. Veltman, R. van Dyck

The DSM-III introduced Panic Disorder as a new diagnostic concept among the anxiety disorders. The justification for this was derived from data from biological psychiatry, especially the work of Donald Klein. In this article his model is criticall...

Social indicators and the use of inpatient facilities by adults in a predominantly rural area

S. Sytema, F.G. Brook, R. Giel

An intriguing question is why relatively more people use mental health facilities in one region than in another. Using the Groningen psychiatric case register, admission rates (at least one admission per 1000 of the population during 1986 or 1987)...

Treatment of obsessive-compulsive disorder with antidepressants: A review of the literature

A.J.L.M. van Balkom, R. van Dyck, J.A. Quaak

In this review all twenty controlled studies, dealing with antidepressant therapy on OCD are discussed. Although many different drugs have been documented best. Using this drug four to eight weeks, about 50% of the patients show a symptom reductio...

Distance and closeness; training, attitude and typology of psychiatrists

J. Pols

The relationship between the professional attitude and the character of psychiatrists is reflected upon.

Six different personal styles are being distinguished. This typology strongly suggests a complementarity of on the one hand the dimension ...

`How aspecific are psychopathological symptoms of primary brain tumors?'

M. Vegt, T.K. Birkenhäger, A.M. van Hulst

With reference to recent cases the writers of this paper reviewed the literature relating to brain tumors causing psychiatric symptoms. They wondered wether psychiatric symptoms, occuring as a result of a primary brain tumor, could be more specifi...

Treatment of conversion disorders with hypnosis: a pilot study

C.A.L. Hoogduin, R. van Dyck, E. de Haan

This article covers the following topics: the DSM-III-R-criteria for conversion disorder, the similarities between conversion disorders and hypnotic phenomena, and the therapeutic application of hypnosis and related suggestive methods for patients...

From complaint to psychiatric diagnosis.

J. Pols

Diagnostics comprise a central, characteristic and defining professional activity for most psychiatrists. The starting points of the psychiatric curriculum have as a consequence, that the importance of a systematic training in and study of the dia...

The application of clonidine in child and adolescent psychiatry

W.B. Gunning, R.F. Ferdinand, J.C. de Vrijer, R.B. Minderaa

6 december 2008

At a childpsychiatric outpatient department 96 children ages 2-16 years were treated with clonidine 4 μg/kg/day. These children were diagnosed (DSM-III-R) as Tourette Syndrome (n = 54, 11 non-hyperactive and 43 hyperactive), Attention Deficit Hype...

The long-term course of the Borderline Disorder

6 december 2008

R.J. Teunisse

Guided by a review of follow-up studies concerning the Borderline Personality Disorder, it is shown that the characteristic symptoms of the Borderline Personality Disorder are connected to a certain life-phase, beginning in adolescence and ending ...

The Addiction Severity Index: a multidimensional severity list for addiction treatment

V.M. Hendriks, C.W. van der Meer, C.D. Kaplan, J. van Limbeek, P.J. Geerlings

The Addiction Severity Index (ASI) is a multidimensional interview, developed in the United States to assess the severity of problems in several areas, commonly associated with addiction. The ASI was translated into Dutch and adapted. The Dutch ve...

Panic disorder: a compendious review

R. Kahn, H.M. van Praag

Probably more than 200.000 Dutchmen suffer from panic disorder, characterized by short attacks of severe anxiety and accompanying somatic symptoms. The affection often is complicated by avoiding behaviour called agoraphobia. Panic attacks can be t...

Clinical explorations in patients with negative symptoms

T. Kuipers, M. Kuilman, B Schmand

Negative symptoms as such are etiologically neutral, however considering them as a group of symptoms in a given context of personality, type of psychotic disease, coping with the disease and reactions of others to the symptoms, enables the clinici...

Personality disorders and alcoholism

G.E. Schaap, H. Land, J.C. van de Velde

There has been a renaissance in the study of the personality disorders this past decade. Promising new theories, significant advances in the defining criteria, in diagnosis and therapy, the existence of a special axis in DSM-III-(R) for these diso...

Day-treatment in England and Wales.

F.P.E. van Hest, R.J. Wolters

Thirty years ago, British psychiatry served as a model for the development of day-treatment in The Netherlands. The authors, both working in day-hospitals of the psychiatric hospital `Wolfheze', were enabled to follow the development of day-treatm...

Dysphrenic migraine and migraine psychosis: a review and a case

M.D. Waldinger

Migraine psychosis is the most severe form of dysphrenic migraine. Symptomatology and a recently proposed classification are described.

Attention is payed to the associated disturbances of consciousness and memory. A case of migraine psychosis...

The use of sexually anatomically correct dolls in cases of child sexual abuse

P.M. Dingemans

This article reviews the literature on sexually anatomically correct dolls. Evaluation of the research literature shows that the use of the dolls is not acceptable from a scientific point of view at this point. Further development of the doll inte...

The manifestation of psychosocial problems in the third life phase related to loss of control

B. van der Zee

Changes in the environment and in the functioning of the older person can lead to the deterioration of the ability to control that environment. Problematical behaviour in the third life phase can partly be seen as a strategy to restore this demini...

`Training in Community Living': an alternative to the psychiatric hospital?

ISSUE 1990/4

G. Pieters

`Training in Community Living' is a well-researched alternative to the mental hospital. Its positive results have been replicated at five different sites. The program is the keystone element in a comprehensive system of care for the mentally ill i...

The reconciliation between psychiatry and phenomenology

ISSUE 1990/4

K. Melis

Psychology `borrowed' her methodology from the science of the physics. But with that specific application she disregards her `object' of study. Prior to all scientific requirements is that this object indicates the applicated method. This demand c...

Decisions about and from chronic mental patients

ISSUE 1990/4