New articles

Is moclobemide an alternative for tranylcypromine in treatment-resistant depression?

J. Vink, W.A. Nolen, M. Verbraak

The article describes the results from an open study in patients with resistant depression, when in their treatment the classical MAO-inhibitor tranylcypromine was replaced by the MAO-A-inhibitor moclobemide. All patients were nonresponders to oth...

An out-patient service for chronic patients on depot and lithium prophylaxis

R.H.J. Hornsveld, M.B.J. Blom

This article provides information about the development of differentiated programs for chronic psychiatric patients by a Riagg, the Dutch version of an out-patient clinic. In this context the foundation of a depot and lithium policlinic is describ...

Ulysses contracts in psychiatry

R.L.P. Berghmans

In this article the possibilities of self binding in psychiatry are explored. By way of a `self binding agreement' of `Ulysses contract', a mentally ill person who suffers from periodical decompensation may arrange the conditions under which he ag...

Emergency psychiatry by telephone: ear-to-ear contact

H.N. Sno

The telephone appears to be an important tool for acute psychiatric care. The merits of telephonic contacts probably explain in part the increasing need for telephone hotline services. Because of the specific skills necessary to provide adequate c...

A Plea for Subjectivity

S. de Jong

The exclusion of `subjectivity' from the scientific debate is based on objectivistic presuppositions. The acceptability of these presuppositions, however, are epistemologically not warranted and not corroborated by emperical facts of the neuro-sci...

The prevalence of anxiety disorders in the elderly

A.W.A. Vermeulen, A.T.F. Beekman, M.L. Stek, R. van Dyck

Research regarding the prevalence of anxiety in the community-dwelling elderly is reviewed in this article. One of the most striking findings of the survey data is the diversity of classifications of anxiety and the difference in diagnostic criter...

Urbanisation and psychiatric admissions

J. Dekker, J. Peen, J. Iping, F. de Jonghe

This study concentrates on the relationship between urbanisation and incidence of psychiatric admissions. For 1991 the level of urbanisation for all Dutch municipalities and the incidence of psychiatric admissions to a General Psychiatric Hospital...

A new perspective: Predictors of alternative care for long-term psychiatric inpatients

R. Schellings, M.J. Haveman, O.H. Brook

In 1990 a prospective multicenter study was started on the effects of alternative care for long-term psychiatric patients. The goals of this study are: the selection of patients who are eligible for alternative care within one year, an assessment ...

Diagnosis of personality disorders.

G. Ouwersloot, W. van den Brink, R.F.W. Diekstra, C.A.L. Hoogduin

Six instruments available in the Netherlands for the diagnosis of personality disorders are described comparatively: PDQ-R, MCMI(-II), VKP, IPDE, SIDP(-R) and SCID-II. Attention is given to their frame of reference (ICD-10, DSM-III, DSM- III-R or ...

`Contact-work' as organizing concept of the weekly ward-meeting in residential care for psychotic people

D. van Werde

The restoration and consolidation of reality-, affective- and communicative contact is the focus of the depicted weekly patient-meeting on a ward for psychotic people.

This is a translation of Dr. G.F. Prouty's Pre-Therapy, a psychotherapeutic...

Focus

H.N. Sno, W.R.N. de Boer

In this article the authors propose for discussion a training-program for residents in consultation psychiatry, including quality guidelines and a cursory teachingprogram. The quality guidelines successively apply to the program, the program direc...

`Expressed Emotion (EE)' and patient attributes as risk factors for psychotic relapse in schizophrenic disorders

D.H. Linszen, P.M.A.J. Dingemans, W.F. Scholte, M.E. Lenior, A.J.W. van der Does, M.A. Nugter

In the context of a prospective, controlled treatment study, contrasting family intervention with individual treatment, the role of Expressed Emotion as a predictor of relapse was examined in patients with recent onset schizophrenic disorders (n =...

The structure of the psychotherapeutic relation

J.A.M. de Kroon

To characterize the psychotherapeutic relationship first will be mentioned the status of the subject: The self conscious subject is a reflective subject that not fully coincides with his own. The reflective being implies after all a distance to hi...

Religiosity and depressive symptoms among elderly persons

A.W. Braam, A.T.F. Beekman, D.J.H. Deeg, W. van Tilburg

In this survey among 172 elder inhabitants (55-89) of Sassenheim, a semirural town in the Netherlands, the association between religiosity and depressive symptoms is examined. Religiosity is operationalized as religious salience: the importance of...

The Dutch version of the Comprehensive Psychopathological Rating Scale.

J.G. Goekoop, E.A.M. Knoppert-van der Klein, T. Hoeksema, A.H. Zwinderman

The CPRS is a flexible and economic instrument permitting general screening, intensity rating and multidimensional description. The reliability of the Dutch version is comparable to that of the German scale. The factor structure supports the valid...

A complicated treatment of lethal catatonia

B. Verwey, J.G. Goekoop

The description of the treatment of a patient with lethal catatonia illustrates the value of the combination of electroconvulsive therapy with dantrolene sodium, but also the limitations of this treatment. In addition to this combination, corticos...

Light therapy for Seasonal Affective Disorder

E.C. van IJken, A.M. van Nispen tot Pannerden

During the last decade Seasonal Affective Disorder (SAD) and light therapy have been the subject of many publications. Even though many questions still remain unanswered, there is reason to assume that light therapy is an effective treatment for w...

Confusing oscillations of attachment of borderline personality disorder: a system approach

H.P. America, W. Teer

The confusing oscillations of attachment of borderline personality disorder are described. This behaviour is proposed to render impotence that may undermine the therapeutic relationship. The authors present a system approach of this interactional ...

The ZAS, the construction and psychometric analysis of a scale of care, given to chronic psychiatric patients

L.J. van der Werf, A.W. Goedhart

An observation-scale was developed to assess several aspects of care. The scale (ZAS, `Zorg-Aanbod-Schaal') was examined in a regional sample of 541 chronic psychiatric patients. Six factor analytically derived subscales were identified. The inter...

Assisting with suicide in psychiatric patients. Grounds for justification and criteria of due care

M. van der Lijn, W.A. Nolen, W.J. Schudel

Euthanasia for psychiatric patients is still a controversial subject. This article contains firstly a review of the arguments put forward by different groups and individuals as to whether it is justified, following the example of euthanasia in pat...

Shame and Depression

J. Bollen

Feelings of shame have been less frequently related to the symptoms and origin of depression than feelings of guilt. Therefore, we proceeded upon an exploration of the phenomenon of shame from a psychoanalytical, self-psychological, cognitive, phe...

The predictive value of psychological variables for the course of eating disorders of adolescents

ISSUE 1994/5

T. van der Ham, D.C. van Strien, H. van Engeland

Results of studies on predictives factors in eating disorders are not very clear up till now. Attention was focused primarily on the predictive value of eating behaviour, duration of illness, comorbidity and demographic variables in groups with mi...

Praecox-feeling and psychosis-indirection

ISSUE 1994/5

C.P.F. Lemke

Precious moments of uncertainty occur both in the diagnostics of psychoses (Rümke's praecox-feeling) and in the art of interpreting poetry (Riffaterre's indirections). The praecox-feeling refers in particular to reciprocity failing to occur in the...

Fluvoxamine Treatment for Chronic PTSD

ISSUE 1994/5