New articles

Possibilities and impossibilities of child and adolescent semiresidential and residential treatment; the vision of a caregiver

F. Verheij

Nowadays, a number of people consider institutions for child care and child treatment as bad, while on the contrary families are considered to be good at all times. In this paper, this assumption has been discussed. The development of residential ...

The local process of psychiatric rehabilitation

J.F.G. Hell, J.A. Kool, A.E.S. Sijben

In this study the problems in the process of psychiatric rehabilitation are analysed. A survey was taken in a Dutch district, using chronic psychiatric patients, their assist- ants, labour organisations and organisations mediating between patients...

Affectivity and self-report of depression and anxiety

F.P.M.L. Peeters, R.H.W.M. Ponds, M.T.G. Vermeeren

Existing self-report measures for measuring the severity of a depression are not very specific for the disorder concerned. Especially the low divergent validity with regard to anxiety disorders is a problem; a number of reasons are clarified in th...

Standards and limits in psychiatric treatment: the impact of legal interventions

J. Legemaate

Recently new legislation has come into force, including the Act on formal admissions to psychiatric hospitals and the Act on patients' rights. This legislation contains standards that influence the therapeutic process between patient and therapist...

Inpatient treatment of patients with multiple personality disorder

M. van Gerven

A generally accepted model for the treatment of trauma implies: (1) stabilisation and symptom reduction; (2) treatment of traumatic memories; (3) social reintegration and rehabilitation. This article addresses the consequences of this model for cl...

Reflections on dissociation

W. van der Eycken

The concept of dissociation has been used in confusing ways, due to a mixture of descriptive (`state') and explanatory (`process') definitions referring to different phenomena on divergent levels of abstraction. The interest in dissociative disord...

Inpatient treatment of multiple personality disorder: Possibilities and problems

F.H. Olthuis

Indications are given for inpatient treatment of patients with multiple personality disorder. The best choice is to treat these patients in a specialized unit instead of a general psychiatric ward. In most cases it is necessary to process the trau...

Stabilization and symptom reduction in the treatment of dissociative identity disorder

S. Boon, O. van der Hart

A generally accepted treatment model for posttraumatic stress, including dissociative identity disorder (DID), is Pierre Janet's stagemodel, consisting of: (1) stabilization and symptom reduction, (2) treatment of traumatic memories, and (3) reint...

Four controversies about dissociative identity disorder

P. Spinhoven

Four controversies about dissociative identity disorder are discussed. First: is this an artefact due to iatrogenic influences? The empirical evidence does not support such a conclusion, although iatrogenic influences may play a considerable part ...

Animal defensive reactions as a model for dissociative reactions to trauma

E.R.S. Nijenhuis, J. van der Linden

Patients with extreme dissociative disorders remain in alternating psychophysiological states that appear separately, are discontinuous, and generally resist integrative tendencies. In this contribution, as an explanatory model, a comparison is ma...

Problems in the differential diagnosis of dissociative identity disorder

N. Draijer, S. Boon

This article addresses the following questions: (1) How to distinguish dissociative identity disorder (DID) from a variety of other mental disorders, including schizo- phrenia and other psychotic disorders, bipolar disorder, anxiety disorders and ...

Trauma and dissociation in borderline personality disorder

S. Vuchelen, J. van der Linden, W. van der Eycken, G. Pieters

Traumatic experiences in the past and current dissociative symptoms appear to be often associated with a borderline personality disorder. In our study (structured interview and questionnaires) of 32 borderline patients we have found a high frequen...

Dissociative disorders and family therapy

D.A.J. de Wachter, A. Lange

In spite of the large amount of publications on dissociative disorders and family ther- apy, a review of the literature shows that little has been written on the combination of these fields. The article tries to explain this omission and provides ...

Diagnostic and treatment of obsessive compulsive disorder

A.J.L.M. van Balkom, P. van Oppen

In this review diagnosis, epidemiology, etiology, assessment and treatments of obsessive compulsive disorder (OCD) are discussed. OCD is diagnosed on the basis of a psychiatric interview. OCD can be reliably diagnosed with ADIS, a structured inter...

Usefulness of bloodlevel assays of antidepressants in clinical practice

P. Moleman, J.A. Bruijn, J.H.M. Tulen

The discussion whether assay of bloodlevels of antidepressants is useful should be divided into the question whether a relationship between bloodlevel and therapeutic effect exists and whether this relationship can be used for the treatment of the...

With an eye to tomorrow: a review of EMDR-studies

P.G. van der Velden, R.J. Kleber

The Eye Movement Desensitization Reprocessing (EMDR), developed by Shapiro, is a relatively new brief psychotherapeutic method for PTSD related symptoms. This article is a review of 27 empirical studies using the EMDR method. It was found that mos...

The Charles Bonnet syndrome

R.J. Teunisse, F.G. Zitman

This paper comprises a review of the literature on the Charles Bonnet syndrome. The case of an elderly neuropsychiatrist is presented. The Charles Bonnet syndrome is characterized by the presence of complex visual hallucinations in psychologically...

Faith and science in analysis

C.P.F. Lemke

In this article the author - a psychiatrist in training - `internalizes' the long-standing dispute whether psychoanalytic thinking is science or faith. As a psychiatrist in train- ing, being introduced to psychoanalytic theory and practice, his at...

ISSUE 1994/10 Neurobiologisch onderzoek bij schizofrenie

Genetic epidemiology of schizophrenia

C.J. van Oel, H.W. Hoek, R. Kahn

The etiology of schizophrenia has not been elucidated yet. Since the concordance in monozygotic twins (48%) is higher than in dizygotic twins (17%), a genetic component seems to be involved. Family studies in schizophrenia suggest that this geneti...

ISSUE 1994/10 Neurobiologisch onderzoek bij schizofrenie

In vivo morphological brain research in schizophrenia

W.F.C. Baar, H.E. Hulshoff, R. Kahn

In vivo morphological studies of the brain in schizophrenic patients, using computer tomography and magnetic resonance imaging, have provided information suggesting that schizophrenia is a brain disease. The most consistent findings of these studi...

ISSUE 1994/10 Neurobiologisch onderzoek bij schizofrenie

Non-monoaminergic systems in schizophrenia

B.N.M. van Berckel, J.M. van Ree, R. Kahn

In the past, schizophrenia research has focussed on mono-aminergic systems, particularly dopaminergic systems. Less is known about the contribution of non-monoaminergic systems in the pathology of schizophrenia. The significance of non-monoaminerg...

ISSUE 1994/10 Neurobiologisch onderzoek bij schizofrenie

On the imaging of physiological processes in the brain of schizophrenic patients using SPECT or PET

J.W. Louwerens

A review is given of the principles, some possibilities and limitations of single photon and positron emission tomography, SPECT and PET, respectivily. The article covers thus far published results in the field of schizophrenia. Concerning the pat...

ISSUE 1994/10 Neurobiologisch onderzoek bij schizofrenie

Foetal development and schizophrenia: evidence from post mortem research

L.M. Talamini, J. Korf

Post mortem research has, thusfar, provided little or no consistent evidence for a dopaminergic pathogenesis of schizophrenia. The evidence, instead, points to an affection of the limbic allocortex, particularly of the entorhinal cortex. The type ...

ISSUE 1994/10 Neurobiologisch onderzoek bij schizofrenie

Dopamine and serotonin in schizophrenia