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Psychiatrische Praxis最新文献

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[Patients with psychotic symptoms in treatment detention under Section 64 of the German Criminal Code (StGB)]. [根据《德国刑法》（StGB）第64条被拘留治疗的精神病患者]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-10-14 DOI: 10.1055/a-2967-3589
Sarah Kirchmann-Kallas, Emili Sewerinow, Dörte Berthold, Christian Riedemann
{"title":"[Patients with psychotic symptoms in treatment detention under Section 64 of the German Criminal Code (StGB)].","authors":"Sarah Kirchmann-Kallas, Emili Sewerinow, Dörte Berthold, Christian Riedemann","doi":"10.1055/a-2967-3589","DOIUrl":"https://doi.org/10.1055/a-2967-3589","url":null,"abstract":"<p><strong>Objective: </strong>Differences between patients with and without previous psychotic symptoms (PPS) in forensic addiction treatment under Section 64 StGB regarding clinical, functional, cognitive, and substance-related characteristics, as well as changes in their proportion between 2021 and 2025, were examined.</p><p><strong>Methods: </strong>Data from 292 patients (259 without PPS, 33 with PPS) were analyzed.</p><p><strong>Results: </strong>The proportion of patients with PPS increased significantly (OR=1.65; p<0.001). They showed lower functioning (35.24 vs. 44.37; p<0.001) and fewer months of imprisonment (29.8 vs. 49.4; p=0.003). Groups also differed in substance use disorders and criminal responsibility, but not in cognitive performance or social competence.</p><p><strong>Conclusions: </strong>The findings suggest that patients with PPS show specific functional impairments that result in particular diagnostic and therapeutic requirements within forensic addiction treatment under Section 64 StGB.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149183935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The significance of "normality" held by Autistic Individuals and Healthcare Professionals for health care: a qualitative analysis]. [自闭症患者和医疗保健专业人员对医疗保健的“正常”意义：定性分析]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-10-13 DOI: 10.1055/a-2955-5875
Anna Christina Nowak, Alex Stern, Anna-Lena Esser, Oliver Razum
{"title":"[The significance of \"normality\" held by Autistic Individuals and Healthcare Professionals for health care: a qualitative analysis].","authors":"Anna Christina Nowak, Alex Stern, Anna-Lena Esser, Oliver Razum","doi":"10.1055/a-2955-5875","DOIUrl":"https://doi.org/10.1055/a-2955-5875","url":null,"abstract":"<p><strong>Abstract: </strong>This qualitative study explores the role of \"conceptions of normality\" in the healthcare provision for autistic people. Fourteen individuals who identified themselves as autistic were interviewed using a problem-centered approach. The analysis was carried out inductively through thematic coding according to Flick. Our results show that healthcare provision is limited by internalized rules related to care-specific structural conditions, the violation of reciprocal role expectations, and the lack of recognition of otherness. The interview partners employ various strategies to conform to (anticipated) expectations of normality. This may result in care that does not adequately meet individual needs. The results show the role that (societal) assumptions of normality play in healthcare. Different patient groups can benefit from a design of healthcare that is characterized by an acceptance of diversity.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Borderline cases in psychiatry and obstetrics: Ethics consultation as a form of support in complex moral dilemmas]. [精神病学和产科的边缘病例：伦理咨询作为复杂道德困境中的一种支持形式]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-10-13 DOI: 10.1055/a-2953-8250
Alfred Simon
{"title":"[Borderline cases in psychiatry and obstetrics: Ethics consultation as a form of support in complex moral dilemmas].","authors":"Alfred Simon","doi":"10.1055/a-2953-8250","DOIUrl":"https://doi.org/10.1055/a-2953-8250","url":null,"abstract":"<p><strong>Summary: </strong>Ethics consultation in psychiatry helps to reflect on and resolve moral dilemmas, particularly where there is a conflict between patient autonomy and the professional duty of care. In the case of pregnant psychiatric patients, complex borderline situations often arise due to social instability, substance use disorders or mental health crises. Using two case studies - an ambivalent desire for a late-term termination of pregnancy and birth planning in the context of acute psychosis and the threat of compulsory admission - the text highlights the relevance of ethical case discussions. Ethics consultants play an important role in facilitating and mediating these discussions by promoting ethically sound and responsible decision-making through structured communication. In this way, ethics consultation can also help to reduce the moral distress experienced by healthcare professionals.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149183994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Medical indication for abortion based on psychological distress - Gaps in professional expertise and healthcare provision: A qualitative interview study with physicians]. [基于心理困扰的堕胎医学指征——专业知识和医疗保健提供方面的差距：对医生的定性访谈研究]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-10-13 DOI: 10.1055/a-2951-8412
Esther Braun, Mirjam Faissner, Christin Hempeler
{"title":"[Medical indication for abortion based on psychological distress - Gaps in professional expertise and healthcare provision: A qualitative interview study with physicians].","authors":"Esther Braun, Mirjam Faissner, Christin Hempeler","doi":"10.1055/a-2951-8412","DOIUrl":"https://doi.org/10.1055/a-2951-8412","url":null,"abstract":"<p><strong>Aim: </strong>In Germany, abortion after 12 weeks is only permissible based on a medical indication. The study explores how physicians evaluate this indication in cases of psychological distress without foetal diagnoses.</p><p><strong>Method: </strong>17 semi-structured interviews with physicians were conducted and analysed using qualitative content analysis.</p><p><strong>Results: </strong>Participants reported psychological distress due to unintended pregnancies in the context of mental illness, social difficulties, and sexualised violence. They described substantial legal and clinical uncertainties regarding the medical indication, as well as unclear responsibilities between gynaecology and psychiatry. Considerable access barriers were reported.</p><p><strong>Conclusion: </strong>The findings suggest gaps in expertise and service provision for medical indications based on psychological distress. Closer collaboration between gynaecology and psychiatry, improved training and legal reforms appear necessary.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Suicide Prevention - A Challenge for Research and Clinical Practice]. [自杀预防-研究和临床实践的挑战]。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-10-01 Epub Date: 2026-10-19 DOI: 10.1055/a-2918-2711
Urs Hepp
{"title":"[Suicide Prevention - A Challenge for Research and Clinical Practice].","authors":"Urs Hepp","doi":"10.1055/a-2918-2711","DOIUrl":"https://doi.org/10.1055/a-2918-2711","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 7","pages":"347-349"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Kommentare zum Artikel von Schomerus G et al. Welche Rolle spielt „die Psyche“? Long COVID und ME/CFS als Prüfsteine für eine evidenzbasierte und patient*innenorientierte Psychiatrie und Psychotherapie. Psychiat Praxis 2026;53:263-269. 对Schomerus G等人的文章的评论。“心理是什么？”长期COVID - 19和ME/CFS作为循证和以患者为中心的精神病学和心理治疗的试金石。精神病学实践2026；53:263-269。
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-10-01 Epub Date: 2026-10-19 DOI: 10.1055/a-2907-8052
Peter Henningsen
{"title":"Kommentare zum Artikel von Schomerus G et al. Welche Rolle spielt „die Psyche“? Long COVID und ME/CFS als Prüfsteine für eine evidenzbasierte und patient*innenorientierte Psychiatrie und Psychotherapie. Psychiat Praxis 2026;53:263-269.","authors":"Peter Henningsen","doi":"10.1055/a-2907-8052","DOIUrl":"https://doi.org/10.1055/a-2907-8052","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 7","pages":"389-390"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Are patients with depression pressured within the healthcare system to take antidepressant medication against their will?] [抑郁症患者是否受到医疗系统的压力，被迫服用抗抑郁药物？］
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-10-01 Epub Date: 2026-07-14 DOI: 10.1055/a-2892-1260
Reinhard Maß, Kerstin Backhaus, Bodo Karsten Unkelbach
{"title":"[Are patients with depression pressured within the healthcare system to take antidepressant medication against their will?]","authors":"Reinhard Maß, Kerstin Backhaus, Bodo Karsten Unkelbach","doi":"10.1055/a-2892-1260","DOIUrl":"10.1055/a-2892-1260","url":null,"abstract":"<p><strong>Objective: </strong>Antidepressants (ADs) are being prescribed with increasing frequency, although their benefit is questionable. For several years, patients with depression have been successfully treated without ADs on the ward \"Aaron T. Beck.\" In this context, reports accumulated from patients stating that they had previously been pressured to take ADs against their will.</p><p><strong>Methods: </strong>A total of 146 inpatients with depression participated in a follow-up survey six months after discharge; 128 (87.7%) had been discharged without ADs.</p><p><strong>Results: </strong>Fifty-four patients (37.0%) reported having experienced pressure to take an AD, mostly from physicians. In most cases, the AD was reportedly taken against the patient's own will. In particular, women and patients with difficulties in setting boundaries reported this experience more frequently.</p><p><strong>Conclusion: </strong>Patients with depression often experience pressure to take an AD against their will. The treatment of these patients therefore requires particular empathy.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"371-377"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148448856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Kommentar 3. 3 .评论
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-10-01 Epub Date: 2026-10-19 DOI: 10.1055/a-2928-6057
Matthias Mindach
{"title":"Kommentar 3.","authors":"Matthias Mindach","doi":"10.1055/a-2928-6057","DOIUrl":"https://doi.org/10.1055/a-2928-6057","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 7","pages":"393-395"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Part-time services in vocational rehabilitation: A qualitative study of needs, influencing factors, and challenges from experts' perspectives]. [兼职职业康复服务：专家视角下的需求、影响因素及挑战的定性研究]
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-10-01 Epub Date: 2026-07-14 DOI: 10.1055/a-2898-5092
Felix S Hussenoeder, Ines Conrad, Anja Stoye, Steffi G Riedel-Heller
{"title":"[Part-time services in vocational rehabilitation: A qualitative study of needs, influencing factors, and challenges from experts' perspectives].","authors":"Felix S Hussenoeder, Ines Conrad, Anja Stoye, Steffi G Riedel-Heller","doi":"10.1055/a-2898-5092","DOIUrl":"10.1055/a-2898-5092","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates the demand for, influencing factors of, ideal design, and key challenges of part-time measures (PTM) from the perspective of experts.</p><p><strong>Methods: </strong>A guideline-based focus group with six experts from vocational rehabilitation was conducted, recorded, transcribed, and analyzed.</p><p><strong>Results: </strong>Experts reported a growing and heterogeneous demand for PTM. Influencing factors included reduced work capacity, mental health, family responsibilities, limited mobility, societal changes, and program duration. Hybrid models were considered potentially promising. Key challenges involved legal and professional frameworks, financial aspects, program duration, and organizational requirements.</p><p><strong>Conclusion: </strong>PTM represent a meaningful complement to full-time programs. Sustainable implementation requires clear frameworks, independent concepts, and consideration of organizational and financial aspects.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"365-370"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148448880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Kommentar 2. 2 .评论
IF 0.9 4区 医学
Psychiatrische Praxis Pub Date : 2026-10-01 Epub Date: 2026-10-19 DOI: 10.1055/a-2927-0572
Martin Walter
{"title":"Kommentar 2.","authors":"Martin Walter","doi":"10.1055/a-2927-0572","DOIUrl":"https://doi.org/10.1055/a-2927-0572","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 7","pages":"391-392"},"PeriodicalIF":0.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149224549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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