摘要:

An experiment lasting 6 years with an organizational principle called ‘separate responsibility’ is described. Its aim was to promote open two-way communication in an acute psychiatric admission clinic, by dividing power, i.e. responsibility for individual patients and patients as a group, over two multidisciplinary treatment teams. Multidisciplinarity, however, turned out to be impossible to maintain for different reasons. Instead, a splitting occurred of medical and nursing disciplines through identification of the former with individual treatment and of the latter with the patient groups. An unproductive loss of common treatment goals was the result leading to a near closing down of the clinic. Putting medical and nursing personnel into one team, responsible for the entire treatment of the unit, restored productivity and improved treatment and the working clim

ISSN:0254-4962    

DOI:10.1159/000283917

出版商:S. Karger AG    

年代:1981

数据来源: Karger

摘要:

Psychogenic retention of urine (PRU) may manifest itself in different clinical forms which mimic a genuine organic disturbance. Three clinical examples are presented in which PRU appears as: (1) malingering; (2) an upper motor lesion inducing spastic closure of the bladder neck, and (3) an alteration of the sensory input, closely resembling sensory neuron damage. The urologist becomes involved in the treatment of these patients by the natural expression of the symptoms. The underlying psychogenic factor does not become evident until urodynamic investigations and often specific therapeutic steps have been undertaken. The urologic treatment sometimes appears helpful because the patients do not realise or refuse to accept the idea of a psychogenic cause and expect relief from the urologist. The latter should withdraw his involvement as soon as an organic cause has been excluded.

ISSN:0254-4962    

DOI:10.1159/000283918

出版商:S. Karger AG    

年代:1981

数据来源: Karger

摘要:

During 197 courses of treatment for schizophrenia, depressive mood was evaluated every other day with a self-rating mood scale. The different patterns of depression identified in an earlier study could be correlated with the diagnostic subgroups of schizophrenia in which the patients were classified. Hebephrenic affect disturbance appeared as temporal discontinuity of depressive mood during the courses of treatment. Patients with a paranoid type of schizophrenia were the least depressed and had the fewest fluctuations of mood. Although patients with a schizoaffective type of schizophrenia exhibited characteristic changes between manic and depressive mood, their mood within a manic or depressive period was more stable than that of any other subgroup. The differences in depressive course are discussed in terms of their symptomatological and diagnostic significance.

ISSN:0254-4962    

DOI:10.1159/000283919

出版商:S. Karger AG    

年代:1981

数据来源: Karger

摘要:

A psychophysiological assessment was carried out in 16 telephone operators, who fainted during an epidemic, and in 16 control subjects. Heart rate, skin conductance level, number of spontaneous fluctuations and pulse volume were measured at rest and during periods of auditory and visual stimualtion. All subjects completed rating scales on anxiety, depression, anxiety experienced during experimental procedure and personality inventories. Analysis of data support the notion that the fainting episodes represent a form of transitory anxiety attacks in response to environmental stress and are not related either to hysteria or to anxiety state.

ISSN:0254-4962    

DOI:10.1159/000283920

出版商:S. Karger AG    

年代:1981

数据来源: Karger

摘要:

Between the end of 1976 and the beginning of 1980 more than 700 patients were admitted to the Weissenau Depression Ward. The most important data were obtained by way of special questionnaires, and part of it will be presented in abridged form in the following paper. In respect of the distribution of sex and age, marital status, manner and background of admission, psychiatric case history, duration of hospitalization, nosological allocation, above all for the nature of depression, age, phenomenological and nosological distribution, course of illness, time of hospitalisation, and therapeutical success interesting information is gained.

ISSN:0254-4962    

DOI:10.1159/000283921

出版商:S. Karger AG    

年代:1981

数据来源: Karger

摘要:

Electroencephalographic investigation of 21 patients with delusional misidentification syndromes (11 with the syndrome of Capgras, 7 with the syndrome of Frégoli, 2 with the syndrome of intermetamorphosis and 1 with the syndrome of subjective doubles) revealed a high abundance and severity of abnormalities. The findings are discussed within the framework of a possible organic (and more specifically dysrhythmic) contribution to the pathogenesis of these syndromes

ISSN:0254-4962    

DOI:10.1159/000283922

出版商:S. Karger AG    

年代:1981

数据来源: Karger

ISSN:0254-4962    

DOI:10.1159/000283923

出版商:S. Karger AG    

年代:1981

数据来源: Karger

ISSN:0254-4962    

DOI:10.1159/000283916

出版商:S. Karger AG    

年代:1981

数据来源: Karger