Articles

Treatment of lethal catatonia with dantroleen and ECT

ISSUE 1989/5

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

ISSUE 1989/5

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

ISSUE 1989/5

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

J.K. Buitelaar

The current consensus of opinion is towards a biological basis for the symptoms of infantile autism. Animal studies dealing with the pro-opiomelanocortin (POMC)-system and the neuroregulation of the basic defects of infantile autism (social distur...

Standardization of depression questionnaires

F.G. Zitman, E.J.L. Griez, Chr. Hooijer

A committee on the standardization of questionnaires invited 93 Dutch researchers in the field of clinical psychiatry and the Dutch branches of 15 pharmaceutical industries to send copies of the depression questionnaires they used. 53% responded, ...

Chronic pain and the three-systems model of emotions, a critical examination

J.W.S. Vlaeyen, A.M.J. Snijders, J.A. Schuerman, J.J.C.B. Bremer, H. van Eek, N.H. Groenman

The three-systems model of emotions, so far exclusively applied for fear and anxiety, is summarized and its suitability for chronic back pain is examined. For each of the three systems, a possible conceptualisation and paradigm is suggested. Altho...

A follow-up study of alcoholics after clinical treatment

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

This study describes the follow-up of a group of patients treated in an addiction clinic. Some correlates of recovery are assessed. At admission and follow-up moments the patients filled out questionnaires. Initially, 881 patients participated, fo...

A standardfile of patient data used in a Centre for Child and Adolescent Psychiatry

Ph.D.A. Treffers, A.W. Goedhart, J. Waltz, E. Koudijs

In this article a survey is given of the literature about the development of computerized standard files to be used in child and adolescent psychiatry. The possibilities of application of computerized standard files, its advantages, as well as the...

Involuntary admission in the city of The Hague.

ISSUE 1989/1

M. Vegt, M. van der Velden

The writers of this paper have tried to verify if, for the period of 1982-1986 in the city of The Hague, changes in departmental markings concerning involuntary admissions of psychiatric patients, had any effect on the number of involuntary admiss...

The effects of divorce on children

ISSUE 1989/1

A.A. Tusenius

In this article the possible effects of divorce on the children concerned are discussed. These effects can take on very serious proportions as is apparent from large scale studies into the subject. The consequences of the divorce for children in v...

A study of chronic mentally ill and their hospital environment: patient characteristics and treatment

ISSUE 1989/1

B. de Ruiter, L. Henkelman

The authors present the results of a study that examined 264 chronic mentally ill and their hospital environment, in 1984.

Patient characteristics and treatment programs were found to be homogeneous, which results in maximal adaptation at the ...

The follow-up project Psychotherapeutic Communities

R.F. Koning, J.E.A. Wagenborg

This article offers an overview of the follow-up project Psychotherapeutic Communities on which from 1984 until 1987 nine articles were published in this journal. We comment upon the question to what degree this long term project has contributed t...

The psychiatrist and dangerousness as a motif for commitment

A. Kaasenbrood

According to the law, in The Netherlands dangerousness resulting from mental illness is the standard for acute commitment. The subject of this article is whether psychiatrists do actually meet this standard. With respect to an analysis of psychiat...

The Geriatric Mental State Schedule (GMS); reliability of the Dutch version

C. Hooijer, G.C. van der Veer, W. de Rijke, W. van Tilburg

The GMS, a standardized interview for the elderly, was translated in Dutch. Motives for conducting the present investigation were translation itself, the application in The Netherlands and some gaps in the results of former investigations. A relia...

Panic attack as medical emergency

M. van Moffaert, R. Spiers, W. Buylaert, J. van Brantegem

Because of the nature and the intensity of the somatic symptoms that are inherent to acute anxiety paroxism, a number of patients suffering from panic attacks turn to medical emergency departments. When the anxiety is a symptom of an underlying ac...

Developmental-dynamic approach to the psychiatric diagnostics in mentally retarded children

ISSUE 1988/9

A. Dosen

So called `Defect-theory' in the approach to the diagnostics and the treatment of mentally ill, mentally retarded children is in the recent time more and more a debatable matter. The developmental approach to this problems gets the attention of th...

Aristotle, emotions and psychopathology

ISSUE 1988/9