Articles

About structural diagnostics and the structural interview

J.J.L. Derksen, J.W. Hummelen, J.M.P. Bouwens

In this article a recent development is explained within psychoanalytic tradition, the structural diagnostics. Structural psychodiagnostics are the first step in the psychodiagnostic activity directed at diagnosing the ego and in this way personal...

The skills of longstay patients and its impact on discharge eligibility

M.J. Haveman

By concept and factoranalysis four types of skills were distinguished: basic personal skills (14 items), social skills (4 items), internal (6 items) and external social integration (20 items). In a sample of 381 longstay patients of 5 mental hospi...

The MHPG excretion in depressive and non-depressive psychiatric inpatients

E. Suy, P. Cosyns

The 3 methoxy-4-hydroxyphenylglycol excretion (MHPG flow) and the creatinine excretion in 24 h urine, are measured in depressive inpatients, subdivided according to the DSM-III as minor depression (309.00, 300.40; 296.82), major depression without...

Cyclic antidepressants revisited: judging efficacy and criteria of choice

A.J.M. Loonen

In recent years, several new pharmaceutical agents have been developed for the treatment of affective disorders. The `second generation' antidepressants are said to offer significant advantages over the prototypical tricyclic agents. In the first ...

Chronic patients in mental health care: an epidemiological investigation of their needs for care

D. Wiersma, R. Giel, H.W. Hoek, A. de Jong, F. Nienhuis, M. Rüphan, A.J. Tholen

Some epidemiological findings on the chronically mentally ill in the mental health care in The Netherlands are reviewed. Dutch policy with respect to deinstitutionalization of chronic patients in general mental hospitals is currently focussed on s...

Some arguments and considerations with respect to crisisintervention in a time and developmental perspective

J.M.H. van Eijk, J.R. Theunissen

This article, based on experiences within the Maastricht 24 hour emergency service for psychiatric and psychosocial problems, describes how a time- en developmental perspective can be integrated in the practice and theory of psychiatric crisisinte...

Deliberate self-injury: cutting-down on tension

A.A. Wenstedt, E.M. Wolken, C.P.F. van der Staak

In this article deliberate self-injury is described as a distinct phenomenon that usually manifests itself in a definite pattern. A definition is formulated and the term `deliberate self-injury' is accounted for. Following a description of the div...

Lithium in combination with cyclic antidepressant drugs as treatment for therapy resistant geriatric depressions

J.K. de Hooge

Depressive disorders are the most common psychiatric ilnesses in the elderly. Recent studies show that the long-term course of depressive disorder is even worse than previously thought. Even with an adequate therapeutic trial not more than 80% of ...

Seclusion: therapeutic or not?

A. Tomasoa, T. Kuipers

In this article the authors try to answer the question to what extent the use of seclusion can be seen as a therapeutic intervention. The literature on patterns of seclusion is reviewed. The implications of these findings for current practice and ...

War victims' complaints about psychic dysfunctioning: a feasibility study

W. op den Velde, J.E. Hovens, P. Meijer, P.R.J. Falger, J.H.M. de Groen, H. van Duin, M. Soons

Systematic scientific research into Dutch war victims' complaints about psychic dysfunctioning has only rarely been conducted. In preparation for such a study on a large scale, a feasibility study was conducted. Complaints for 8 war victims, aged ...

Person perception of children with conduct disorders

W. Matthys, W. Walterbos, H. van Engeland

Kernberg beschrijft het verband tussen het organisatieniveau van object/zelf representaties en dat van de persoonlijkheid als structuur. Hij onderscheidt verschillende niveaus van organisatie; tot de primitieve persoonlijkheidsorganisatie rekent h...

Ambulatory sleep-wake polygraphy in a patient suffering from PTSD

J.H.M. de Groen, P.P.E. Bergs, V.C.P.J. van Ammers

In this case study, the sleep disturbances of a victim from World War II are described. The results of ambulatory sleep-wake polygraphy indicated that a sleep-apneusyndrome could be identified as well as internal dissociation of the circadian rhyt...

Unexpected types of presentation of Gilles de la Tourette's Syndrome

R.B. Minderaa, T.M. van Gemert, B.J.M. van de Wetering

Six children are described who showed different types of psychiatric problems but appeared to have Gilles de la Tourette's Syndrome (GTS). If children present themselves with symptoms of Attention Deficit Disorder with Hyperactivity, obsessive-com...

Partial hospitalization in The Netherlands. Part II: Different types of partial hospitalization programs

A.H. Schene, P.A.H. van Lieshout, J.C.M. Mastboom

An outline is presented of four characteristically different types of partial hospitalization programs (p.h.p.) currently operating in The Netherlands. The findings are based on empirical data gathered from a study of 85 institutions active in thi...

Anxiety isn't a bad counsellor. How to change the negative motivation to start a therapy

J. Vereycken

Relief workers have no adequate answer for the problem of the negative initial motivation of a alcohol addict to start a therapy. The customary persuasion talks usually set the inflexibility of the alcohol addict. The author makes use of recent fi...

Under the spell of the soul.

J.A. van Belzen, R.H.J. ter Meulen

In spite of the acknowledged success of the anatomical-physiological approach in psychiatry, discontent was growing at the end of the last century, for instance in christian circles. The article follows the reformed professor Bouman (1869-1936) on...

Partial hospitalization in The Netherlands. Part 1: State of affairs in 1986

A.H. Schene, P.A.H. van Lieshout, J.C.M. Mastboom

In order to assess the development and current status of partial hospitalization in The Netherlands, a survey was conducted among the 85 Dutch institutions active in this field. The response to a carefully formulated questionnaire was 100%.

Th...

Experiences with dantrolene, bromocriptine and electroconvulsive therapy in the treatment of the neuroleptic malignant syndrome

J.G. Goekoop

Case-studies reflecting experiences of the three most effective therapeutic measures in the neuroleptic malignant syndrome (NMS) are compared. The most rapid recovery rates have been found after intravenous treatment with dantrolene and electrocon...

About choosing instruments for classifying, selecting and assessing psychiatric patie

C.J. Slooff

Beaten to the choice of instruments for classification or selection one has to take into account reliability, validity, representativeness, coverage and comprehensiveness on the symptom, syndromal and nosological level. Furthermore the strategies ...

Chronic psychiatric distress and the General Health Questionnaire

M.W.J. Koeter, W. van den Brink, J. Ormel, R. Giel

This article examines the sensitivity of the General Health Questionnaire (GHQ) for chronic complaints, and the question whether the alternative scoringprocedure, proposed by Goodchild and Duncan-Jones (CGHQ) provides an improvement in this respec...

A self-rating scale for depression

S. Elsenga

The two parallel versions of the German self-rating scales for depression, the `Befindlichkeitsskala' BF-S and Bf-S', developed by von Zerssen (1976), have been translated into the Dutch language. The purpose of this study is 1) to present a trans...

The missing link: diagnosis in the natural environment

M.W. de Vries, C. Dijkman-Caes, PH. Delespaul

Experience Sampling (ES) is a new psychiatric assessment method that provides a representative sample of moments in a person's daily life. It uses a beeper to signal subjects to fill out self-reports at preselected but randomized time points, thus...

J.N. Ramaer (1817-1887) and the physiological psychiatry

R.H.J. ter Meulen

In the history of Dutch psychiatry an important place is taken by the physician J.N. Ramaer (1817-1887). Ramaer was one of the founders of the Netherlands Association of Psychiatrists and was for some time Inspector for the Insane Asylums. A biogr...

Dementia as burden for the family: assessment and interventions