New articles

Anorexia nervosa and genetics: the significance of twin studies

ISSUE 1992/5

A.C. van Reekum, J. Dirkx, G. Nabarro

This article reviews the literature on genetic factors in anorexia nervosa. Twin studies in which monozygotic and dizygotic twins are compared concerning the concordance of anorexia nervosa, show certain methodological shortcomings.

Neverthele...

The value of casemanagement for psychiatry in The Netherlands

ISSUE 1992/5

H. van de Beek, P. van Lieshout

In this article we discuss the possible benefits of casemanagement for psychiatric services in The Netherlands. To answer this question several models of casemanagement are described. Then we review the developments in especially the US. The concl...

Recent developments in autism research II: neurobiology

J.K. Buitelaar

Most investigators agree that autistic disorders have a biological basis with a heterogeneous and varying etiology. Autopsy studies report as the most consistent finding a decrease in the number of Purkinje cells in the cerebellum. Neuroanatomic r...

Women's care in the mental hospital

J. Egtberts, K. van der Marel, R. Rijkschroeff, J. Soetenhorst de Savornin Lohman

The research shows that in 34 of the 43 general mental hospitals activities exist in the field of women's care. The integration of these activities is not yet very advanced. In 7 mental hospitals women's care is in the experimental or implementati...

Chronic psychiatric patients in a health catchment area in the Netherlands: An epidemiological study on functioning and need for care

M. Schreurs, D. Wiersma

Findings of an epidemiological study on chronic psychiatric patients in a relatively small health catchment area in the eastern part of the Netherlands are presented. The volume and the nature of this patient group is determined. Psychosocial func...

De seksuologie nu

P. Nijs

There still exists much scepticism about the scientific quality of sexology. Both modern medicine and psychotherapy have developed in a technical, i.e. unilateral direction.

The scattered knowledge in a fragmented world asks for an interdiscip...

On déjà vu experiences in belles-lettres

H.N. Sno, D.H. Linszen, F. de Jonghe

A few literary descriptions serve to illustrate the ability of literary authors to depict a subjective experience like the déjà vu experience. These descriptions appear to be consistent with the phenomenological, etiological and psychopathogenetic...

In search of a common method in the prediction of dangerousness

H.J.C. van Marle

Research in the area of dangerousness shows a lot of factors concerning prediction. Till now there is no consensus about the balance between these factors. At this moment the most important way for progression in assessments and further scientific...

Verslag van het Nederlands-Tsjechoslowaaks Psychiatrisch Symposium in Haarlem

M. Kabela

The author reports on a symposium on the state of psychiatry in Tcheckoslovakia. He makes a plea for more intensive communication between Dutch psychiatrists and their collegues in Eastern Europe.

The clinical diagnosis of personality pathology

H. Groen, W. van den Brink

In this paper the authors discuss the clinical diagnosis of personality disorders, using a multi-conceptual, multi-instrumental approach. This approach requires data collection from different conceptual domains with multiple assessment instruments...

Recent developments in Autism-research _ part I: Classification, epidemiology, genetics, social behavior and social cognitions

J.K. Buitelaar

Systematic research into the precise nature and the correlates of the social deficits of the autistic syndrome is only of recent date. A survey is presented of developments in research in diagnostics and epidemiology, genetics, social behavior and...

Anxiety disorders

M. Hebbrecht

The author summarizes his impressions of an international course, held in Maastricht (The Netherlands) and in Caen (France), on the most recent developments in experimental research, biological treatments and psychotherapeutic approaches in the fi...

The costs of day-treatment with additional case management, as a substitution for hospitalization

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

Costs of the admission replacing day-treatment (experimental condition) during first and second year of the follow-up are compared to those of standard hospitalization, including ambulatory and extramural care. Day treatment appeared to be feasibl...

De effectiviteit van ECT bij patiënten met een schizofrenie: een overzicht van de literatuur

F.P.J. Derks, J.W. Louwerens, J. Korf, C.J. Slooff

Electroconvulsive therapy (ECT) is in the Netherlands not in use as a treatment for schizophrenics who are refractory to neuroleptics. Yet, these patients do suffer a very invalidating disease. As a contribution to the evaluation of the applicabil...

Electroconvulsive therapy in Holland: beyond its current limitations

W.H.L. Schornagel, V.C.C.A. Assmann

In our opinion the emotional part of the public opinion has had a too big influence on the current indication for ECT. In the Netherlands the indication is narrowed to life-threatening and therapy-resistant depression. We argue that ECT should be ...

The role of electroconvulsive therapy in the treatment of the neuroleptic malignant syndrome

R.W. Kupka, R.M.W Smeets

In a review of the literature the effectiveness and complications of ECT in the treatment of neuroleptic malignant syndrome (NMS) are evaluated. ECT is an effective treatment for NMS and the underlying psychosis, but its use is restricted to speci...

Is the application of electroconvulsive therapy too restricted int he Netherlands?

J. Stor-Reurling, W.A. Nolen

The indications for electroconvulsive therapy in the Netherlands have been restricted to treatment-resistant depression and lethal catatonia since the beginning of the 1980's. However, in other countries including the United States, ECT may also b...

`Informed consent' regarding electro convulsive therapy (ECT)

A.M. Koster

The `informed consent'-procedure (IC) regarding ECT presupposes that the signer understands the information which is presented. Next, the signer must be capable of making a deliberate decision on his willingness to undergo the treatment. In virtue...

The relapse frequency after electroconvulsive therapy for unipolar depression

H.D.B. Vermeulen, J.P.C.J. Selten

A review of the literature shows that the relapse frequency following response to electroconvulsive therapy for unipolar depressions is not higher than after drug therapy, provided that the patient, after ECT, receives an adequate continuation dru...

Practical aspects of electro convulsive therapy

J.J.M. van Hoof, B.C.M. Raes

In view of the growing interest in the application of ECT, the most important aspects which are new or controversial in this field are discussed: position of electrodes, stimulus-type, determination of current-threshold, duration of the seizure, E...

The non-suicide-contract: a choice of form

J.A. Jenner

Indications are given for using the non-suicide-contract. The importance of this intervention for diagnostic reasons and as a means for changing cognitions are discussed as well as its potential dangers.

Psychoneuroimmunology and psychiatry; a literature review

C.G. Kooiman

A review of the psychoneuroimmunological literature is provided with emphasis on studies concerning mental disorders. Initially, research was mainly directed at the influence of life events and stress on immunological functions. More recent studie...

Investigating the use of Kelly's Repertory Grid for therapy evaluation in eating disorder patients

K. Dillen, W. Vandereycken

This exploring study analysed the formal characteristics of the personal constructsystem of patients with a eating disorder and the conceptual changes that are predicted for a good outcome. Most findings confirm the observations reported in litera...

AIDS on a psychiatric outpatient clinic