Previous issues

H.N. Sno, H.N. Dijkstra

New research

Characteristics and treatment history of patients with chronic eating disorders

G. Noordenbos, A. Oldenhave, N. Terpstra, J. Muschter

2 februari 2004

background Little is known about patients with chronic eating disorders. The Dutch Foundation of Anorexia and Bulimia Nervosa asked 82 patients whether they had an eating disorder for ten years or longer, and whether they wanted to fill in a quest...

Streptococcal infections in psychiatry

S.W.H.M. van Bommel, H.J.G.M. van Megen, H.G.M. Westenberg

background Recently, the hypothesis has been postulated that certain psychiatric disorders in childhood are possibly the result of group-a-bèta-hemolytic streptococcal (gabhs) infections. Sydenham's chorea has been proposed as a model to explain t...

'Stalking': A forensic psychiatric approach

J.H. Kamphuis, P.M.G. Emmelkamp

background Stalking can be defined as the willful, malicious, and repeated following or harassing of another person that threatens his or her safety. Although stalking is a recently developed legal and clinical forensic concept, its historical roo...

Are psychotic symptoms part of a borderline personality disorder?

A.C.M. Vergouwen, B.M. Elzinga

Since 1985 nine studies have been published that focussed on psychotic features in patients suffering from borderline personality disorder. This article reviews methodological limitations and the results of these studies. 'Narrowly defined' psycho...

Violence towards staff working with patients in sheltered accomodation

G. Pieters, A. Janssens

This article describes a questionnaire based retrospective study in all provisions for sheltered accomodation in Flemish Brabant. It assesses how community mental health staff experiences violence, what their attitudes towards violence are and whe...

Case report

Pervasive developmental disorders, tuberous sclerosis

B.E. Lahuis, A.A. van Elburg

A 25 year old patient who was known having tuberous sclerosis (ts) was referred by her neurologist to the psychiatric out-patient department because of behavioural and affective problems. After psychiatric evaluation, a semi-structured interview a...

Editorial

De eeuw van de vrouw

Reactie op 'Voorstel voor diagnostiek en behandeling van aandachtstekortstoornis met hyperactiviteit (adhd) op volwassen leeftijd'

M.P.A.M. Sonnen, R.M.S de Ridder

17 februari 2004

Editorial

Psychiatrische psychotherapie 2000

Harassment, threats and suicidality in penal institutions

E. Blaauw, M. van der Voort, A.J.F.M. Kerkhof

background Research of Blaauw and Kerkhof identified 16 indicators of increased suicide risk among prisoners. These indicators suggest that the high rates of suicidal behavior in penal institutions are the result of exposure of vulnerable people t...

Can we identify factors influencing the burden of the family of psychiatric patients experience?

B. Lowyck, M. De Hert, E. Peeters, P. Gilis, J. Peuskens

background Recently, burden on the family of psychiatric patients has gained interest as is revealed in a growing number of studies on this topic. An important part of these studies unveil and identify the variables which influence the burden rela...

Thirty years of psychosocial interventions in schizophrenia

C. Tak, M.T. Appelo, R.J. van den Bosch, D. Wiersma

background Many different psychosocial interventions in schizophrenia exist. But which are based on scientific evidence?
aims To identify the state of the art with regard to psychosocial interventions in schizophrenia. methods Thirty years of rese...

Psychophysiology and defense mechanisms

C.L. Mulder, L. Pepplinkhuizen, R.W. Trijsburg

The literature on the associations between defense mechanisms and physiological parameters was reviewed. Defence mechanisms such as denial and repression have been associated with an activation of physiological parameters. However, there are metho...

The impact of suicide and aggression on the psychiatric resident

H.J. Kolthof, N. Schutter, E. Hoencamp

The importance of discussing emotionally disturbing incidents, like suicide and aggression, in the education of psychiatrists, is emphasized. An active role is advised for the trainee-psychiatrist and his/her supervisors.

Case report

Fever and leukocytosis as transient adverse effects of clozapine

J. Vink

A patient is described who after initiation of treatment with clozapine had twice a period of some days with fever, leukocytosis and elevated sedimentation rate. An infection or malignant neuroleptic syndrome could be excluded. The patient was eve...

Editorial

Terugblikken en vooruitzien

M. Hebbrecht, P. Eikelenboom, R.C. van der Mast

2 februari 2004

Psychiatry and its alternatives

J. Pols

A short resumé is given of an article from 1972 by prof. dr. H.G.M. Rooijmans. In this article Rooijmans criticizes the then popular tendency to make ideological and one-sided statements about psychiatry and psychiatric disorders. He discusses cri...

Does biological depression research enrich the diagnosis of depression?

H.M. van Praag

In 1974 I formulated the expectation that biological depression research will lead to new, innovative antidepressants with a much greater biological and thus psychopathological specificity than the ones available; that such research would specify ...

Electroconvulsive therapy at the turn of the millennium

F. van Ree

This article gives a brief history of electroconvulsive therapy in the Netherlands in the twentieth century. It examines various backgrounds to the resistance offered mainly in the seventies to unprotected use of this therapy, and identifies such ...

The future of the psychiatric center

W.M van Ewijk

The predictions made in 1972 by D. Jacobs, md, then director of Psychiatric Hospital Zon & Schild, Amersfoort, The Netherlands, concerning the development of Dutch psychiatry and its management are reviewed. A number of developments were foreseen ...

Socio-cultural perspective of psychiatry in question

R. Giel

The socioculturally rich picture of psychiatry the famous Dutch psychiatrist Trimbos could paint in 1972, no longer fits reality. The psychiatrist as a biomedical specialist presently dominates the field. The chances are that the tide will turn in...

Inpatient psychiatric treatment for children with conduct disorder

W. Matthys

Traditionally, in-patient psychiatric treatment for conduct disorder in childhood has been psychoanalytically oriented, as described by Mik in 1969. The current empirical literature both on the pathogenesis of conduct disorder and on treatment out...

When psychotherapy was still a profession