Issue

Involuntary admissions: short and effective?

H.L.I. Nijman, J.M.L.G. á Campo, D.P. Ravelli

The purpose of this study was to find out, by means of the medical certificates and patients files, what percentage of the involuntary admissions in the Psychiatric Centre Welterhof was continued by court order. It was also investigated, with rega...

The history of the psychiatrist's training in the Netherlands

M.S. Vos, H. van Berkestijn

The history of the psychiatrist's training in the Netherlands is described. Important themes, like duration of the training, examination, psychotherapy, research and the shortage of psychiatrists have been discussed for years without great changes...

AGNIO's in psychiatry: exploration of a problem

J.P.L. Leijten

During the past ten years a growing number of physicians, the so called AGNIO's, have been working in mental health care as psychiatrists, although they are not qualified as such. This situation is discussed against the background of past and futu...

Guideline development in psychiatry

A.J.A. Kaasenbrood, P.A.H. van Lieshout

Medical guideline development is a generally accepted quality assuring procedure in health care. Recent research however showed several methodological shortcomings and a disappointing implementation in actual medical practice. Guideline developmen...

The role of hospitalisation in the treatment of patients with personality disorders in the borderline spectrum

L.A.E. de Vooght

There are many different opinions as to the role of admission to a psychiatric hospital in the treatment of borderline patients. Based on the literature on the one hand and his clinical experience on the other, the author tries to formulate a gene...

The universalism debate from the perspective of two Culture-Bound Syndromes: towards a new paradigm in comparative psychiatry

J.T.V.M. de Jong

The universalism versus culture-specificity debate is illustrated with the examples of the culture-bound syndromes `latah' and `koro'. Two models dominate the universalism debate. The first one is based on a psychoanalytic defense model or a biops...

Cannabis and schizophrenia

H. Heller, P. Dingemans, D. Linszen

In the research literature of the last two decades it is agreed that psychotic symptoms which are caused by cannabis abuse mimic those of schizophrenia. Different opinions exist about the relationship between cannabis abuse and schizophrenia. Four...

The further development of clinically treated children

J.W. Veerman

About half of the children who have been admitted for day-treatment or residential treatment appear to have serious mental problems long after their discharge. However, the other half of these children appear to develop relatively well. This artic...

Medical care for chronic ambulatory patients: a follow-up

A. Honig, E. de Kemp, P. Pop, M.A.J. Romme, H. Philipsen

The central theme of the study described in this paper is the improvement of the monitoring and care of physical health of ambulatory chronic psychiatric patients. The first part of this study describes a screening on physical illness and complain...

Preferences about small-scale living

T.F. van Wel

In preparation for a small-scale living project being planned by the Willem Arntsz Hoeve Psychiatric Hospital, residents and staff were interviewed. This article presents the interviewees' thoughts about the purposes of such a project and appropri...

Psychotropic drug use during pregnancy and lacta

B.P.M. van Nesselrooij, J.M. Garbis-Berkvens, P.W.J. Peters

Many psychiatrists are uncertain about the risks of psychotropic drug use during pregnancy and lactation. An overview is given of the recent literature. Special attention is given to the drugs which can or cannot be prescribed, and under what prec...

The impact of care for a demented family member: a review of the literature

A.M. Pot, R. van Dyck

In the past decade several studies have been carried out on the mental health of persons providing care to demented family members at home. The results give the impression that the evaluation of the symptoms of dementia by caregivers, and not the ...

Assessing grief after a pregnancy loss

M.C.J. Cuisinier, C.P.H.M. de Graauw, J.C. Kuijpers, C.A.L. Hoogduin, A. van Minnen

Until recently there was a lack of adequate measures for assessing grief after a pregnancy loss. The Perinatal Grief Scale (PGS), developed in the USA, has proved to be a reliable measure, which is supposed to be indicative of normal grief as well...

On perfusion and confusion

H.N. Sno, R.A. Schoevers, E.H.H. Wiltink, D. Molenaar

In this article the authors detail two of the most common psychiatric disorders in dialysis-patients: depressive mood- and psycho-organic disorders. Special attention is given to the complex differential diagnostics, e.g. the differentiation betwe...

Paraphilias: A male problem?

D. van Putte

Nearly all data concerning the sex ratio of paraphilias show a striking male predominance, suggesting that paraphilias are in some way linked to male sexual development.

In this paper we demonstrate that paraphilic elements constitute an integ...

Sleep Apnea Syndrome and psychiatry

M.A.R. Bosschaert, J.A. den Boer

The Sleep Apnea Syndrome (SAS) has recently become a topic much discussed in the scientific literature. Little attention has been given to psychiatric and psychosocial implications of this syndrome. In this article symptomatology, epidemiology, pa...

Lewy bodies, the frontal lobe, or Alzheimer's disease?

W.A. van Gool, H.C. Weinstein

A diagnosis of Alzheimer's disease (AD) is usually made after excluding more or less obvious other causes of dementia. The diagnostic criteria for AD of DSM-III-R and McKhann et al. (1984) are based upon such an approach. Recently two disorders ha...

Bipolar depression; an educational multi-family group programme approach

A. Hofman, A. Honig, M. Vossen

Unlike Schizophrenia, psychoeducation is as yet not implemented in regular day to day psychiatry. Yet arguments in favour of psychoeducation in Schizophrenia hold as well for Bipolar Disorder. In this study, preliminary results of an educational m...

Psychiatric psychotherapy: a long-winded term but a profound concept

C.F.A. Milders

In the last few years the concept of psychiatric psychotherapy has been more widely discussed, due to developments in the professional identity of psychiatrists and a reflection on the place of psychotherapy in psychiatric training. Although this ...

Day-treatment versus inpatient treatment for psychiatric patients in need of admission: longitudinal effects on social role-functioning studied by means of randomized trial

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

The level of social dysfunctioning of 64 experimental patients was compared with the same of 27 control patients on eight roles of social functioning at time of admission and one and two years after entry into the study. Regardless of the type of ...

Steroid withdrawal psychosis: a case report

S. Pollentier

A case report of a 59 years old woman who showed a corticosteroid withdrawal psychosis is presented. Clinical and diagnostical aspects of psychiatric syndromes during and after steroid therapy are discussed.

A multi-dimensional approach to axis II of the DSM-system

ISSUE 1992/7

G. Hellinga

In an earlier contribution the author discussed the disadvantages of the current system of classification of personality disorders on axis II of DSM and the disadvantages a two-or three-dimensional approach would have. In this paper the disadvanta...

The epidemiology of obsessive compulsive disorders

ISSUE 1992/7

P.P.G. Hodiamont

It has become apparent in recent years that obsessive compulsive disorder (OCD) is much more common than was previously recognised. According to the results of the Diagnostic Interview Schedule used in the Epidemiological Catchment Area Study, OCD...

A drug-robot in a general psychiatric hospital

ISSUE 1992/7