Articles

C.G. Kooiman, F.P. Kroon, Y.R. van Rood

background Some homosexual hiv patients never inform important others about their sexual orientation or their hiv infection.
aims We explored whether personality disorder and a complicated coming out for the sexual orientation are associated with ...

State-of-the-art-article

Oppositional-defiant disorder, conduct disorder and delinquency in adolescence: Clinical description, comorbidity, forensic assessment and treatment

Th.A.H. Doreleijers

background In the last decade of the 20th century much scientific research has been carried out on the etiology and pathogenesis of disruptive disorders, and on the effects of treatment focussed on these disorders. More than before this research h...

Review article

Effectivity of individual psychotherapy in schizophrenia

L. de Haan, J.M. Bakker

aims The authors discuss, through a literature review, the effectiveness of individual psychotherapy in addition to the standard pharmacological treatment in schizophrenia.
methods Literature review (1989-1999) of randomized controlled trials.
res...

Essay

The request for physician assisted suicide

B.E. Chabot

In 1998 the Dutch Psychiatric Association has published guidelines for physician assisted suicide in psychiatric patients that provide an adequate framework for decision making. Nevertheless they leave important questions to be answered. First, th...

Commentary

Vaardigheden en zorgvuldigheid bij alternatieven voor hulp bij zelfdoding Een reactie op het artikel van Chabot over 'De vraag om hulp bij zelfdoding'

The role of cortisol in stress-related memory dysfunction

B.M. Elzinga

In stress-related situations cortisol is secreted by the hpa-axis. The hippocampus is the most important centre for negative feedback for cortisol. In patients with chronic hypercortisolemia, e.g., due to Cushing's syndrome, cortisol secretion is ...

Case report

Hyponatremia associated with the use of selective serotonin reuptake inhibitors (ssri's)

N.C. de Hartog, H. Koers

Following a case history, the literature concerning hyponatremia associated with the use of selective serotonin reuptake inhibitors is reviewed. Discussed are presenting symptoms, pathofysiology, diagnosis and treatment. Although hyponatremia usua...

Editorial

Psychoanalyse en psychiatrie: een dynamisch duo

Hans Reijzer, Guido Pieters

Review article

Psychoanalysis and psychiatry

W. van Tilburg

In the first half of the twentieth century, psychoanalysis and psychiatry became closely connected, especially in the usa. Since the 1960s, as a consequence of the development of first psychotherapeutic drugs and then of effective short-term psych...

Psychoanalysis and evidence-based psychiatry

G. Pieters

Mutual criticism of psychoanalysis and evidence-based psychiatry is often due to a lack of knowledge of the approach criticised. Different forms of psychoanalytical objection to the evidence-based approach in psychiatry are critically reviewed. A ...

Psychiatry and psychoanalysis on the move: relevant issues

J. Ubbels

A wealth of data on the dynamics of subjectivity has been produced by psychoanalysis. The scientific processing of these data needs other criteria than those of the natural sciences only. In psychiatry this problem seems to be solved, as long as p...

Psychoanalytical and psychiatric diagnostics for personality disorders

R. Vermote

A theoretical frame of reference for the psychoanalytical diagnosis for personality disorders is described, making it possible to place personality disorders on a spectrum between neurosis and psychosis. The application of this frame of reference ...

The neurobiological basis of psychoanalysis

L. Zegerius, M.D. Waldinger

Although psychoanalysis has firm roots in neurology, these were severed when it found neuroscientific concepts inapplicable and, owing partly to its isolated position, failed to find or was unwilling to try to make contacts with the modern neurosc...

History and the subject as pertaining to the definition of the psychiatric field

H. van Hoorde

Reviewing the old topic of the fundamental validity of psychiatry, the author seeks to define the psychiatric field from its description in the modern medical practice. Appreciation of the necessity of psychoanalytic theory leads to a definition i...

The benefit of the doubt

J.K. Mokkenstorm

The psychoanalytical model of divergent conflict can readily be applied to a number of intrapsychic conflicts that psychiatrists frequently encounter in their patients, and in particular to ambivalence towards treatment. Divergent conflicts are ch...

Letter to the editor

Reactie op 'Beschouwingen over paternalisme en autonomie in de psychiatrie'

Identiteit

Polypharmacy and irrational combinations of psychotropics in chronic inpatients

C.M. Sterrenburg-van de Nieuwegiessen, A.J.M. Loonen, J.B. Bakker

background In chronic inpatients polypharmacy is common and sometimes the combinations of psychotropics are irrational from a theoretical point of view.
aims Registration of polypharmacy and irrational combinations in clinical practice.
methods In...

Essay

Scientific clinical research in psychiatry: Ethical and legal aspects

W.A. Nolen, D.P. Engberts

Scientific clinical research in psychiatry has to fulfil the same ethical and legal requirements as research in somatic medicine: studies have to be valid; studied subjects have to give informed consent; and studies have to be approved by an inves...

State-of-the-art-article

Neurosexuology and sexual psychopharmacology

M.D. Waldinger, M.W. Hengeveld

background During the last decade the developments in neuroscience have contributed to the development of sexual psychopharmacology.
aims Evaluation of the current state of neurosexuology and sexual psychopharmacology.
methods The contents of this...

Review article

The influence of white matter lesions on geriatric depressions

F.B. van der Wurff, A.T.F. Beekman, D.J. Veltman, W.J.G. Hoogendijk, Ph. Scheltens, H.C. Weinstein

background White matter lesions are recognisable as hyperintense lesions on Magnetic Resonance Imaging. These white matter lesions occur regularly in depressed elderly, especially in those with a late-onset depression. However, the relevance of wh...

The aetiology of depression in the elderly: The vascular depression hypothesis

T.J. Heeren

Current aetiological research in late-life psychiatric disorders places again particular emphasis on the role of ischemic injury to the brain. Primarily based upon Magnetic Resonance Imaging (mri) findings several researchers have proposed the con...

Case report

Eye Movement Desensitization and Reprocessing (emdr) as a treatment for posttraumatic stress disorder

J. van Trier

Eye Movement Desensitization and Reprocessing (emdr) is an effective treatment for posttraumatic stress disorder. A case study presents a man who had been trapped in his car under water. The negative cognition: I'm lost, is transformed in: I'll co...

Letter to the editor

Reactie op 'Hoe bewaken we de verwevenheid van de biologische, psychologische en sociale factoren?'