New articles

F. Verheij

In 1992, Intelligence and cognition;a cognitive theory by M.Anderson was published.Most theories about human cogitation (intelligence and cognition)are subtheories.Some theories focus mainly on the constant in human knowing and thinking and convey...

Essay

Criteria for patient decision-making competence: some pitfalls

ISSUE 1999/12

S.P.K. Welie

Dutch legislation attaches substantial legal consequences to patient decision-making
(in)competence. Since clear standards are lacking,laborious research efforts are directed towards formulating adequate criteria. In operationalising the concept,i...

Internet-artikel

Evidence-based psychiatrie op Internet

Verbetering van therapietrouw bij de behandeling van schizofreniepatiënten met antipsychotica

L. de Haan, M.A. Bremmer

Neuropsychiater, herziene versie

Het voorschrijfbeleid in Algemeen Psychiatrische Ziekenhuizen in Nederland: de mate van inbedding in een kwaliteitszorgsysteem

D.R. Witte, G.H.M.M. ten Horn, A.M. Koster, R.M.W Smeets

The Inspectorate for Healthcare investigated, on request of the Minister of Health, Welfare and Sport, to which extend general psychiatric hospitals have a quality-policy in relation to the pharmaceutical supply and prescription and the use of gui...

A cognitive-behavioural approach of social phobia

Carla de Smedt, Guido Pieters

A cognitive model of social phobia describes processes that maintain anxiety in these patients.
Self-focused attention causes inadequate processing of social interactions. Safety behaviours prevent the challenging of irrational thoughts. Interocep...

Instruments for the assessment of the quality of Mental Health Care from the patients' perspective: An overview

Y.A.M. Nijssen, A.H. Schene, R.J. de Haan

An overview is presented of twelve Dutch Mental Health Care instruments, developed in the past ten years, for the assessment of the quality of care from the patients' point of view. Inclusion criteria for the study were instruments which were, at ...

Short report

A study of involuntary admissions to Delta Psychiatric Hospital (about 800 patients)

M.Th. Derksen, L. Timmerman, D.L. Stronks

In this study the factors leading to involuntary admission are investigated.
Half of the admissions was involuntarily of which 89% under an ibs (inbewaringstelling, given for a period of three weeks in case of acute danger) and 11% under rm (recht...

Case report

The treatment of two elderly patients with anxiety disorders

G.J. Hendriks, G.P.J. Keijsers, C.A.L. Hoogduin

A 72 years old man with a panic disorder and mild agoraphobia as well as a specific phobia and a 66 years old man with an obsessive compulsive disorder and secondary depression were treated successfully with cognitive behavioural therapy. Both cas...

't Is maar een woord

Readmissions of homeless persons in Dutch mental hospitals

O.H. Brook

Homeless mental patients (re)admitted to Dutch mental hospitals from 1990 through 1995 were compared to patients who were not homeless. Data from the Dutch Psychiatric Caseregister (piggz) were examined. Each year about 1%, that is about 150 perso...

State-of-the-art-article

Psychopathology among detainees

B.H. Bulten, W. van Tilburg, J. van Limbeek

The prevalence of psychiatric disorders among detainees is much higher than in the general population. Only a small part of the detainees doesn't meet the criteria of one of the dsm-iii-r-diagnoses. One can speak of so-called comorbidity (axis-i-d...

Dysregulation of the limbic system-hypothalamus-pituitary-adrenalaxis (lhpaaxis) in depression

I. Visser, E. Wekking, J. Assies, J. Huyser

The hypothalamus-pituitary-adrenal-axis (hpa-axis) dysregulation is the most widely researched biological defect in depression. In recent years great progress has been made in the inventory of many aspects of the hpa-axis in general and in depress...

Short report

Clinical consequences of central activation of the hypothalamospituitary-adrenal axis

W.J.G. Hoogendijk, D.F. Swaab

In depressed patients the hypothalamo-pituitary adrenal (hpa) axis is usually activated. Until recently, the measures used for this activation, such as the dexamethason suppression test (dst), show low sensitivity and specificity. A recently devel...

Case report

Fluoxetine and cognitive behaviour therapy in obsessive-compulsive disorder

M. Kampman, C.A.L. Hoogduin, G.P.J. Keijsers, P.E.W. Stoffelen, M.J.P.M. Verbraak

A three-phase treatment of patients with obsessive-compulsive disorder is described with 9 case-studies. In the first phase, patients received 60 mg fluoxetine during 12 weeks. In the second phase, 12 weeks of cognitive behaviour therapy (cbt) was...

Neurowetenschappen en psychoanalyse. Over splitsen en verenigen

Elderly psychiatric patients: The benefit of staying in a residential home with psychiatric support

M.F.I.A. Depla, A.J. Pols, C.H.M. Smits, J. de Lange

This article reports on an exploratory study into the effectivity and value of admittance of elderly people with a psychiatric background to a residential home. The study was conducted in six homes, including 136 residents with a psychiatric backg...

Cholinesteraseinhibitors and Alzheimer's dementia

J.G. Storosum, W.A. van Gool, A.J.A. Elferink, B.J. van Zwieten

The European licensing of rivastigmine (Exelon) has made available on the market in the Netherlands a compound with the indication 'symptomatic treatment of mild to moderate severe Alzheimer's dementia'. This paper reviews the results of the studi...

State-of-the-art-article

Oppositional-defiant disorder and conduct disorder in childhood: etiology, assessment, and treatment

W. Matthys

In this review, first the various types of symptoms and the relation between the two categories of behaviour disorders are discussed. Then, the factors in the child and the family that place children at risk for the development of these disorders ...

Short report

What is the prevalence of depression?

J. Spijker, W.A. Nolen

As a contribution to the debate on the high prevalence of major depression, two surveys are compared (nemesis and nipo). The nipo survey has important limitations with regard to the sample and the diagnostic criteria. The prevalence for major depr...

Case report

Withdrawal of an antidepressant (fluvoxamine): not always without problems

Y. Meesters, J. Neeleman

A 29-year old female in-patient, diagnosed with severe eating disorder and an agitated depression, was gradually weaned off fluvoxamine. As in a previous attempt to discontinue of fluvoxamine, she developed a number of serious withdrawal effects: ...

'Il n'y a pas de hors (con)texte' Over boeken en recensies, hun schrijvers en lezers

Dissociative Identity Disorder and the postmodern concept of consciousness

ISSUE 1999/7/8