Issue

Polymerase chain reaction and psychiatry

ISSUE 1994/5

A.H. Veefkind, C.A. Moggré

An important breakthrough in molecular biology is the recently discovered technique of the `polymerase chain reaction' (PCR). By means of this technique strands of DNA can be copied in a relatively short time, producing a substantial amount of det...

Diagnosis and psychopharmacological treatment of trichotillomania: a review

ISSUE 1994/5

J.P.C. Jaspers

In this article two issues in the recent literature on trichotillomania are evaluated. One issue is a diagnostic one: is trichotillomania an obsessive compulsive spectrum disorder? The other issue concerns treatment: are antiobsessional serotonine...

Psychopathy as diagnosis; wrongly out of use?

A. Schadé, G.F. Koerselman

The diagnosis `psychopathy' formerly included many psychiatric syndromes which nowadays would be classified as personality disorders. After the nineteen forties, Cleckly, in his standard work `The mask of Sanity' made an pionering effort to carefu...

Cultural and religious aspects of grief and trauma after a plane crash in the Netherlands

J.T.V.M. de Jong, M.M. van Schaik

After a plane crash in Amsterdam in 1992, 43 persons were killed and 400 households were evacuated. Most victims involved in the crash of the cargo plane were immigrants. This article describes the role of christianity, the islam and the afroameri...

Psychoanalytical Supportive Psychotherapy

R.C. van der Mast, J.M.J. Smorenburg, F. de Jonghe

In this article Psychoanalytical Supportive Psychotherapy (PSP) is described as a specific psychotherapeutic method based on the psychoanalytic theory. The psychoanalytical psychotherapies can be described on the basis of a continuum with on the o...

Guidelines in psychiatry: a necessary good?

J.A. Swinkels

The development of guidelines for clinical practice as well as the objections against it are discussed. The problems facing the implementation of guidelines are in part of a methodological nature; in part they reflect adverse developments in socie...

Partial hospitalization of patients newly admitted to open inpatient wards of general hospitals

N.W. Poelijoe, A.H. Schene, B. van Wijngaarden, B.P.R. Gersons

Before this study, a randomized controlled trial in a Dutch university psychiatric ward showed that 33% of all admitted patients were suited for day-treatment soon after admission. It was also demonstrated that, for this patiens, full-time and day...

The association between smoking and schizophrenia

H.L.I. Nijman, H.L.G.J. Merckelbach, D.P. Ravelli

Several studies indicate that schizophrenic patients smoke more than normal subjects or non-schizophrenic psychiatric patients. It has been suggested that the excessive smoking behaviour of the schizophrenic patient may be connected with stress, h...

Psychodynamische persoonlijkheidsdiagnostiek

J.M.J. Smorenburg, R.C. van der Mast, F. de Jonghe

In this article different psychodynamic approaches are discussed which are useful for a careful personality assessment before indicating and beginning the therapy. Successively, the structural diagnosis according to Kernberg, the spectrum of perso...

Prognoses on psychiatrists

G.J.M. Hutschemaekers

This article focusses on the job market position of psychiatrists. In 1982 Schnabel foresaw a considerable surplus of psychiatrists. In 1987, however, there turned out to be a big shortage. That was because Schnabel had not reckoned with a less in...

Phenelzine: a forgotten MAO-inhibitor with specific indication(s)

T.K. Birkenhäger, M. Vegt

The MAO inhibitor phenelzine is virtually out of use in the Netherlands. In this article the more recent studies concerning phenelzine in atypical depression, major depression and panic disorder, are reviewed. The best established indication for t...

Reading disability and behavioural problems of children in a child psychiatric clinic

A.M.A. Walraven, P. Reitsma, E.J. Kappers

In child psychiatry cognitive disorders play an important role. In the present study the reading competence of children in a psychiatric clinic is examined. It is shown that with respect to normal development the reading level of this group of chi...

Münchausen syndrome, factitious disorder and their correlation with personality disorders

D. Moons

Using an illustrative case, resemblances and differences are discussed between the Münchausen syndrome as described by Asher and the factitious disorder as we know it from the DSM-III-R. Parallel, data concerning an underlying personality disorder...

Autocastration and gender-identity

I.M. Brugman, E.C.A. Collumbien

Self-castration by non-psychotic men constitutes a poorly understood topic in the literature. By reviewing the cases reported and by analyzing 3 new cases, we found an association of this problem with a gender-identity disorder with atypical chara...

Early psychological consequences of traumatic police-experiences: some preliminary findings

I.V.E. Carlier, R.D. Lamberts, B.P.R. Gersons

275 police officers participated in a study concerning 31 critical incidents. 3% had the diagnosis of PTSD, 30% had PTSD-symptoms (so-called `partial or subthreshold PTSD'). With regard to risk factors for PTSD, the results showed that avoidance, ...

Systemic Lupus Erythematosus and psychiatric disorders

T. van Gent, E.M. Wekking, H.A.P.C. Oomen, J.A.M. Callewaert

The clinical impression exists that Systemic Lupus Erythematosus, a non-organspecific auto-immune disease, has a relatively high coincidence with psychiatric disturbances. In systematic studies since 1950 the reported frequency of psychiatric dist...

Induced psychotic disorder: clinical aspects, theoretical considerations and some guidelines for treatment

R. Mentjox, C.A.G. van Houten, C.G. Kooiman

We describe our experience with a case of folie à famille with role reversal, including the long-term course. In addition, the case reports published since 1974 were reviewed and an overview is given of the psychoanalytic and system theory concept...

Personality and depression

W. Dekker, J. Dekker, F. de Jonghe

This article presents the results of research into the link between depression and personality. Depressive patients from an outpatients' clinic in Amsterdam were treated for a period of eight weeks using fluoxetine 20 mg/d. Every two weeks, the sc...

Staff characteristics and the use of seclusion

H.L.I. Nijman, C. Duangto, D.P. Ravelli, H.L.G.J. Merckelbach, S.K. Vorel

The present study is concerned with the relationship between certain staff characteristics (i.e. staff size, staff sex division and staff experience/training) and the use of seclusion in a longstay unit of a psychiatric hospital (Psychiatric Cente...

AIDS dementia complex as a surprising diagnosis in the elderly

G.A.M. Golüke-Willemse, A.M.S. Thomaes

This article is about a description of an elderly patient who suffers from an organic psychosyndrome. The cause of this disease is uncertain for a long time. That's why a lot of time is lost before she is adequately treated. The reasons for this d...

Multiculturalization of the Mental Health Care System: strategies and quality surveillance

J.T.V.M. de Jong

In comparison with the community mental health care services, the residential und semimural mental health care sector in the Netherlands has hardly given serious attention to the process of multiculturalization of the population. To improve the se...

The nature and severity of the consequences of psychotic disorders for patients' relatives

A.H. Schene, B. van Wijngaarden

In this article a study is reported on the nature and severity of the consequences of psychotic disorders for patients' relatives. Object of study were 700 members of Ypsilon, a Dutch family organization. The consequences were assessed with the In...

Chronic psychiatric patients and rehabilitation

T.F. van Wel

Chronic psychiatric patients have been the focus of attention for some time. A broadly accepted definition of this population is, however, lacking. Although many professionals are of the opinion that rehabilitation of these patients is of great im...

On the applicability of DSM-III-R axis II in non- American populations