Special issue

Renewed interest in neuropsychiatry within child and adolescent psychiatry

F. Boer

summary
Child and adolescent psychiatry has existed as a subspecialism since the 1920s. In the early days its practitioners regarded observation as their main source of knowledge. In the period after 1970 the anti-psychiatric movement gained moment...

Old age psychiatry in the Netherlands

M.L. Stek, P. Eikelenboom, A.T.F. Beekman

summary
In recent years there have been significant developments in psychiatry for the elderly in the Netherlands. Epidemiological research has widened its scope, collaborating with other disciplines and thereby creating a range of new perspective...

Consultation-liaison psychiatry and general hospital psychiatry in the Netherlands: on the way to psychosomatic medicine

B. Verwey, J.A. van Waarde, F.J. Huyse, A.F.G Leentjens

summary
Consultation-liaison psychiatry and general hospital psychiatry have played a major role in promoting the concept of integrated care. New models for care have been developed and policy assurances about the quality of care have been express...

Transcultural psychiatry; developments in the past 25 years

F.A.M. Kortmann

summary
Until the 1970's the universality hypothesis was the leading theory in transcultural psychiatry. Kleinman argued in favour of a more anthropological approach. This was reflected in Appendix i of the dsm iv (Cultural Formulation). More rece...

Is there a future for administrative psychiatry?

R.J.A. ten Doesschate, S.P. Bangma, P.J.M. Koopman

summary
The role of the psychiatrist as administrator was first defined in the psychiatrist profile of the Dutch Psychiatric Association (1996). According to that profile the psychiatrist was the 'playing captain' of a multidisciplinary team. Howe...

Editorial

Quasi mortis imago

Long-term service-dependent patients in mental health care and urbanisation

C.J. Dieperink, Y.J. Pijl, C.L. Mulder, J. van Os, M. Drukker

summary
background In view of the increased rate of psychiatric morbidity in urban areas there is likely to be a relation between urbanisation and the extent to which patients use the care services. It is not yet known whether this relation is par...

Essay

Gene environment interaction: mechanism of action of early relationships?

A.C. van Reekum, M.G.J. Schmeets

summary
The results of studies on the interaction of genes with the environment seem to take the 'nature nurture' discussion to higher ground. Genes and the environment influence each other via complex processes. Psychopathology apparently develop...

Commentary

Nothing is carved in stone

Reaction on 'severe mental illness: cure and care?'

J. Van Hecke, V. Matthysen, S. Debruyne, J. Daems

Letter to the editor

Reaction on 'The judge follows the advice of the psychiatrist; an investigation into the jurisprudence concerning compulsory admission requests and decisions under the Dutch Act on Special Admissions to Psychiatric Hospitals (Bopz)

F.M.M.A. van der Heijden, R.H.P. Schlösser

Letter to the editor

Reaction on 'Thiamine deficiency caused by malnutrition: a rare cause?'

G.J. van der Ploeg, J.E. Hovens

Index

de redactie dankt

Development and starting-points of 'behavioural medicine'

J. Vink

The history and scope of behavioural medicine are briefly outlined and compared with previous attempts to integrate psychological factors in medical practice. Subsequently an attempt is made to clarify the link between physical functioning and beh...

Somatic fixation

R. Grol

In the article we present a theoretical model of the processes leading to somatic fixation. Three feedback loops are described:

The internal circle, which states that the patient himself hinders the recovery, because of his way of responding t...

Biological factors in pain

H. Mattie

Pain behaviour can be understood as a reaction to a noxious stimulus, leading to elimination of that stimulus. This behaviour is of vital importance. A noxious stimulus leads to local production of substances, like prostaglandins, that produce a l...

Chronic pain

N.H. Groenman

Chronic pain is described within the framework of behavioural medicine. Chronic pain is considered as learned behaviour, controlled by both respondent, cognitive and operant factors. Consequences of this conception are elaborated for the therapy o...

A cognitive behavioural therapy for patients with chronic tension headache: effects and deficiencies

F.W. Kraaimaat, C.M.J. van Dam-Baggen

The effectiveness of a behavioural treatment was investigated in patients with chronic tension headache. The treatment program consisted of progressive relaxation, EMG-biofeedback and cognitive methods. At the end of the treatment, as well as at a...

Treatment of the Hyperventilation Syndrome: learning to cope with anxiety