Tijdschrift voor Psychiatrie

E. Ceysens, G. Pieters

The pharmacologic treatment of the delusional disorder is a neglected topic in psychiatric literature. Pimozide is often quoted as the treatment of choice. Following a clinical case the authors critically appraise the literature on the treatment o...

Letter to the editor

Reactie op Sonnen & De Ridder en Kooij, Buitelaar & Van Tilburg betreffende 'Voorstel voor diagnostiek en behandeling van aandachtstekortstoornis met hyperactiviteit (adhd) op volwassen leeftijd', in Tijdschrift voor Psychiatrie 1999/6

ISSUE 2000/6

17 februari 2004

A. Grijpma, M. Gorissen

Editorial

Collegiaal gedrag?

Experience with a relapse program (cra) combined with naltrexon in the treatment of opioid-dependency: Effect on addiction behavior and the predictive value of psychiatric comorbidity

H.G. Roozen, A.J.F.M. Kerkhof, W. van den Brink

background There is an increasing interest in the agent naltrexon, an opiate-antagonist, in the treatment of opiate-addicts. Evidence suggests that the effects of this agent are the most favourable supposition when combined with a psychosocial int...

Essay

Paternalistic beneficence by contract

F.A.M. Kortmann

The principles of paternalistic beneficence and autonomy seem to be contradictory ethic values. However this contrast is less in practice. A psychiatrist acts beneficent if he respects the autonomy of the patient. This article deals with two pater...

Review article

Carbamazepine in the prophylaxis of bipolar affective disorder

E.G.T.M. Hartong, W.A. Nolen, P. Moleman, C.A.L. Hoogduin

background Lithium is first choice in the prevention of prospective episodes in patients with bipolar disorder, although efficacy in clinical practice may be less impressive than anticipated from clinical trials. Alternative treatments, including ...

Review article

Combination therapy for depression: Conceptual and methodological problems

M.B.J. Blom, K. Jonker, E. Hoencamp, R. van Dyck

background The current opinion under clinicians is that a combination of psychotherapy and pharmacotherapy is the most effective treatment for outpatients with a major depression. Available research does not support this opinion. Authors propose t...

Obsessive-compulsive symptoms in schizophrenia: Indications of a distinct subtype

N.J.M. Beuk, L. de Haan

Study of literature showed that obsessive-compulsive symptoms are reported rather frequently in patients with schizophrenia. This subtype appears to have a relatively worse outcome and specific neuropsychological disturbances. Co-medication with c...

Case report

Compulsive behaviour: not always an obsessive-compulsive disorder

F.P.M.L. Peeters, G. Poddighe

Two patients are presented whose complaints were, by themselves or referrers, described as obsessive compulsive disorders. On closer examination, these symptoms could be better described as impulsions which had consider-able consequences for diagn...

Letter to the editor

Reactie op 'Koorts en leukocytose als voorbijgaande bijwerking van clozapine'

Reactie op het millenniumnummer van het Tijdschrift voor Psychiatrie 2000/1

Een nieuwe opleiding psychiatrie

R.J. van den Bosch

The master-apprentice relationship in psychiatric residency training

Paul Hodiamont

Within the frame of the master-apprentice relationship a psychiatric resident is trained to be a worthy member of the profession, as well as an expert. Gaining expertise is a never ending process. Therefore the acquisition of learning skills in th...

General psychiatry training or subspecialization

W. van Tilburg

In the future, subspecialties within psychiatry - just as within other medical specialties - will also be developed, stimulated by the increase of specific possibilities of treatment. The best way to realize this is by formal subspecialty certific...

The position of child and adolescent psychiatry in the psychiatric residency training

F. Verheij

Child and adolescent psychiatry is a recognized area of special attention. The position and the duration of the child and adolescent psychiatric training are beyond the European standards. The outcome of the debate about generalization or speciali...

New criteria for the specialist training in psychiatry: The position of geriatric psychiatry

T.J. Heeren, F.R.J. Verhey

Geriatric psychiatry has become an important subspecialty of psychiatry, also in the Netherlands. Regional mental health care planning includes separate facilities for the elderly. This article shows how geriatric psychiatry could be integrated bo...

The effect of the ideology of socialization on the training of psychiatric residents

Paul Hodiamont

The ideology of socialization forces psychiatry towards affiliation with primary care and to the formation of ambulatory and transmurally operating institutions. We discuss the consequences of these tendencies for training of psychiatric residents.

Psychiatric residency training in a changing social perspective: feminisation and sex segregation

C.M.T. Gijsbers van Wijk, R.C. van der Mast

In the last decades the medical profession has known a considerable increase of women, with 60% of the present medical students and doctors being female. However, the representation of women in the various medical specialisms and in leadership pos...

How to guard the interconnection of biological, psychological and social factors in psychiatry?

G.F. Koerselman

From its start in medicine the 'biopsychosocial model' was meant to guard the interconnection of its three components. The medical model was regarded as reductionistic. In psychiatry the biopsychosocial model has even gained official status. Never...

Psychiatry and neurosciences

W.M.A. Verhoeven, S. Tuinier †

Biological psychiatry with its emphasis on neurotransmitters and receptors in relation to categorical taxonomies, is in need of a reorientation towards a more dimensional and functional neuropsychiatric one. Due to the overwhelming increase of neu...

The influence of psychotherapy on the psychiatric residency training

E. Gans

The concept of the new curriculum for the psychiatry training of the Dutch Society for Psychiatry underpins the essential part psychotherapy plays in the educational programme for psychiatric residents. The training of psychodynamic psychotherapy ...

Evidence-based psychiatry in psychiatric residency training

G. Pieters

The introduction of an evidence-based approach in psychiatry has several consequences for psychiatric residency training. New knowledge and skills should be added to classical components of medical training (knowledge of pathofysiology and sensiti...

Careeropportunities (and limitations) for future psychiatrists

P.J.A. van Panhuis

The training of psychiatrists offers building stones to let the exertion of the profession later on match their individual possibilities and preferences. The current organisation of psychiatric care offers opportunities to realise this. A threat t...

Administrative psychiatry or: Trained to be the 'playing captain'