Articles

The descriptive and the structural pathology of the borderline patient

F. de Jonghe

In this article some aspects of the `Borderline' concept are discussed. The argument focuses on the question: `What borders on what?' The descriptive aspects of psychiatry are related to its psychodynamic aspects by scrutinizing the relation betwe...

Borderline and schizotypical pathology in adolescents

M. Meijer, Ph.D.A. Treffers

In this article the phenomenology, psychodynamics, classification, etiology and the course of adolescent borderline and schizotypical pathology are reviewed on the basis of relevant literature. Much of what we know of the borderline pathology in a...

A la recherche du... déjà vu

H.N. Sno, D.H. Linszen

The déjà vu is a common experience occurring both in (psycho)pathological disorders as in so-called normal conditions. It has been described as: Any subjectively inappropriate impression of familiarity of the present, with an undefined past.

I...

Psychotropic drugs in `Sheltered Living', a residential facility for chronic mental patients

J.T.P.M. Dres, H.J. Wennink

The model presented is based on current literature and can be used to analyse the use of psychotropic drugs by chronic mental patients in intramural settings. This model contains information about the psychiatric setting, the psychiatric populatio...

From `missionary' to medical

M. van Ommen

This article describes the development of the Dutch confessional psychiatric hospital at the turn of the century. The structure of and the power relations within the organization of the roman catholic and Dutch reformed hospital are compared with ...

The diagnostic process in the context of the assessment of insanity

A. Kaasenbrood

Within an exploratory field research the diagnostic process in the context of the assessment of insanity was studied. The concept of insanity is not defined by the Dutch Insanity Law. In practice the interpretation of the concept by psychiatrists ...

The psychiatric significance of the localisation of cutaneous artefacts

M. van Moffaert

The psychiatric significance of dermatitis artefacta (self-inflicted skin lesions that are presented by the patient as an authentic dermatosis) varies with the localisation. Cutaneous artefacts in the region of the head and neck, on the limbs, on ...

Recent psychological hypotheses and theories of cognitive disturbances in schizophrenia

B Schmand, T. Kuipers, M. Kuilman

In this article a number of psychological theories on the causes of schizophrenic symptoms are reviewed. The authors present theories that explain symptoms in terms of defects in the speed and capacity of cognitive information processing, or as de...

The meaning of the loss of a parent in adolescence

A.J. Beekman, W.F. Maillette de Buy Wenniger

It is our experience with certain patients that the relevance of some biographic material (life-events) is only understood in a family interview.

This article focusses on the meaning of the loss of a parent in adolescence and the conditions of...

Epilepsy and aggression: A review of the literature

H. Omloo-Visser, T.C.A.M. Woerkom

The relationship epilepsy-aggression is a complicated one. The incidence of aggression in patients suffering from epilepsy, particularly from partial epilepsy with complex symptomatology, is higher than average. Most aggression is interictal; prod...

Aspects of milieutherapeutic management

C. Janzing

The treatment of psychiatric inpatients by milieutherapeutic principles requires a special type of management. The author describes a model of milieutherapeutic management. The importance of keeping congruent the surface structure and the depth st...

Anxiety and affective disorders looked at with the help of the SCL-90, a self-assessment scale, considering the revision of the DSM-III-classification

E.A.M. Knoppert-van der Klein, T.S.O.M. Hiddema

Anxiety and depressive symptoms are often seen at the same time. This is also shown by looking at anxiety and affective disorders with the help of the SCL-90 (symptom checklist), a self-assessment scale.

The revision of the DSM-III-classificat...

Research into the setting of psychoanalysis

R. Wille, F. Verhage

Little systematic research has been done into the setting of psychoanalysis. From a metatheoretical standpoint, however, experimental psychological research using variables from the psychoanalytic setting is important. In the first part of this ar...

Treatment of lethal catatonia with dantroleen and ECT

W.A. Zwaan, W.A. Nolen

According to literature, electroconvulsive therapy (ECT) is the most effective treatment for lethal catatonia, a life-threatening complication of an (affective) psychotic disorder characterized by catatonic excitement and hyperthermia. The present...

Depression and nonverbal communication

A.L. Bouhuys, A.J. Vrugt

The importance of nonverbal behaviour displayed by psychiatric patients has been outlined in this article, in particular with regard to depression. Various interactional models are proposed, explaining the cause and the maintenance of depression b...

The role of the psychiatrist in outpatient contacts in the mental health service

R. Giel, G.H.M.M. ten Horn, L.M. Ram, S. Sytema

A cohort of 335 outpatients from the case-register area near Groningen was followed with the case register for a period of 6 months. The aim was to identify factors predicting with what type of mental health workers, psychiatrists or other workers...

Dropping out of treatment, misunderstood problems

J.A. Kool, N. Sijben

Dropping out of treatment is a wellknown fact. The meaning of this phenomenon and causal factors appear to be inadequately investigated. As a rule one supposes that a patient ends therapy prematurely, when sufficient improvement or satisfaction is...

Social psychiatry from a transcultural point of view

J.T.V.M. de Jong

The WHO Collaborative Study on Strategies for Extending Mental Health into Primary Health Care

inspired the development of a social-psychiatric programme in Guinea-Bissau. Epidemiological data on this programme are compared with results from oth...

L-Tryptophan and the competing amino acids in depressive patients

M. De Hert, R. Claes, P. Cosyns, E. Suy

L-Tryptophan (L-TRP) and the competing amino acids valine, leucine and tyrosine were determined in 120 non-depressive and in 107 depressive patients, subdivided according to DSM-III as minor depression (309.00, 300.40, 296.82), major depression wi...

The psychosocial side of disasters

R. Giel

Disasters can be defined as basic disruptions of the social context within which individuals and groups function, or a radical departure from the pattern of normal expectation. In this paper the subsequent phases of disasters _ preimpact or threat...

Subjective cognitive problems and psychophysiological dysfunction in psychotic patients during an acute episode

R.J. van den Bosch, N. Rozendaal

The relationships between subjective cognitive dysfunction (so-called `basic symptoms') and some psychophysiological measures were examined repeatedly in schizophrenic and schizoaffective patients during an acute psychotic episode, and comparisons...

Definition and operationalization of the concept of psychiatric relapse and the use of the BPRS in it

P.M. Dingemans, D.H. Linszen

This article is a review of the research literature with regard to the definition and operationalization of the concept of psychotic relapse, and the use of the BPRS in it. On the basis of the research literature it seems meaningful to make a dist...

Human immunodeficiency virus (HIV)-infection and the psychiatrist

H.N. Sno, J.G. Storosum, J.A. Swinkels

Psychiatric complications of HIV-infection may be psychogenic or organic. Diagnostics, treatment and management are discussed. Specific or unknown psychiatric syndromes do not occur. 32 patients with HIV-infection admitted to the wards of a univer...

Early infantile autism and neuropeptides