Psychiatrische PraxisPub Date : 2026-03-01Epub Date: 2026-01-19DOI: 10.1055/a-2777-2408
Robert Scheele, Dorothea von Haebler, Christiane Montag, Moritz Bruno Petzold
{"title":"[Between Therapy and Criminalization: The Representation of Schizophrenia and Psychosis in the Frankfurter Allgemeine Zeitung over Three Decades].","authors":"Robert Scheele, Dorothea von Haebler, Christiane Montag, Moritz Bruno Petzold","doi":"10.1055/a-2777-2408","DOIUrl":"10.1055/a-2777-2408","url":null,"abstract":"<p><p>The study examines the media portrayal of schizophrenia and psychosis in the Frankfurter Allgemeine Zeitung in the years 2004, 2013, and 2023. The focus was on metaphorical usage of the terms, their contextualization in relation to criminal offenses, and the depiction of treatment options.The analysis is based on a systematic full-text review of 709 articles, categorized according to predefined thematic criteria.The findings indicate a decline in metaphorical usage from 44.9% in 2004 to 30.8% in 2023, alongside a marked increase in criminal associations from 20.3% to 39.9%. Treatment options were addressed in only 18.5% of the articles.Despite some positive developments, the reporting still reflects stigmatizing tendencies. Closer communication between psychiatric professionals and media practitioners appears to be an important starting point for reducing stigmatizing reporting.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"80-86"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146003848","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}
Psychiatrische PraxisPub Date : 2026-03-01Epub Date: 2026-01-15DOI: 10.1055/a-2776-2876
Georg Bornemann, Georg-Michael Schubert
{"title":"[Wernicke Encephalopathy In Refeeding Syndrome].","authors":"Georg Bornemann, Georg-Michael Schubert","doi":"10.1055/a-2776-2876","DOIUrl":"10.1055/a-2776-2876","url":null,"abstract":"<p><p>This report describes a patient with a history of recurrent depressive disorder and restrictive anorexia nervosa. In the context of a depressive episode, increased appetite led to refeeding syndrome with consecutive Wernicke encephalopathy following previous food deprivation due to anorexia. The pathophysiology is based on increased thiamine consumption during a sudden transition to an anabolic metabolic state. Wernicke's encephalopathy should be considered even in cases of nonspecific symptoms associated with any type of malnutrition, especially since the encephalopathy can be triggered by refeeding syndrome. Appropriate therapeutic measures to prevent consequential damage must be taken immediately (B1 vitamin and electrolyte replacement, as well as dietary supplementation).</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":"104-106"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145990614","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}
Psychiatrische PraxisPub Date : 2026-03-01Epub Date: 2026-03-19DOI: 10.1055/a-2776-9999
Fabian Koch, Franca Utz, Inga Lau, Laura Schäfer, Anne-Louise Wüster, Nathalie Rapp, Stefanie Brons, Stanislav Heinzmann, Claas Lahmann, Stefan Schmidt, Georg Schomerus, Prisca R Bauer
{"title":"[\"It has become clearer where it is unsteady, where it is stable\" - Lessons to learn from the restrictions of the therapeutic environment in the Covid-19-pandemic for in-patient psychotherapy].","authors":"Fabian Koch, Franca Utz, Inga Lau, Laura Schäfer, Anne-Louise Wüster, Nathalie Rapp, Stefanie Brons, Stanislav Heinzmann, Claas Lahmann, Stefan Schmidt, Georg Schomerus, Prisca R Bauer","doi":"10.1055/a-2776-9999","DOIUrl":"https://doi.org/10.1055/a-2776-9999","url":null,"abstract":"<p><p>The therapeutic environment was fundamentally changed during the Covid-19 pandemic. How did this affect the experience of patients and staff members, and what can we learn about the functioning of the therapeutic environment?Qualitative content analysis of 37 guideline based interviews with patients (n=19) and staff (n=18) of a psychosomatic university clinic.The restrictions of the therapeutic environment is experienced as an additional burden. A supportive, appreciative and solidarity environment in which participation and responsibility are encouraged was experienced by patients and staff members as elementary for coping with individual stress in times of crisis.The results highlight the central importance of the therapeutic environment in the implementation of therapeutic content in the clinical context and call for further studies into the effectiveness of participatory approaches.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 2","pages":"87-94"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487193","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}
Psychiatrische PraxisPub Date : 2026-03-01Epub Date: 2026-03-19DOI: 10.1055/a-2773-2930
Ingmar Steinhart, Sebastian Link
{"title":"[Severely mentally ill living in their own home - participation in focus?!]","authors":"Ingmar Steinhart, Sebastian Link","doi":"10.1055/a-2773-2930","DOIUrl":"https://doi.org/10.1055/a-2773-2930","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 2","pages":"61-63"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487169","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}
Psychiatrische PraxisPub Date : 2026-03-01Epub Date: 2026-03-19DOI: 10.1055/a-2768-0066
Hannah Julia Scheibner, Annely Morgenstern, Martin Heinze, Yuriy Ignatyev, Bernhard Michalowsky, Moritz Platen, Sebastian von Peter, Volker Dahling
{"title":"[Quality control in geriatric psychiatry: development and applicability of documented quality indicators].","authors":"Hannah Julia Scheibner, Annely Morgenstern, Martin Heinze, Yuriy Ignatyev, Bernhard Michalowsky, Moritz Platen, Sebastian von Peter, Volker Dahling","doi":"10.1055/a-2768-0066","DOIUrl":"https://doi.org/10.1055/a-2768-0066","url":null,"abstract":"<p><p>The development and suitability testing of quality indicators for geriatric psychiatry.The indicators were developed by a group of experts and evaluated in terms of significance, scientific validity and practicability (according to QUALIFY). After a field test, qualitative interviews were conducted with the evaluators.All 24 indicators originally developed were classified as significant, 18 of them as scientific. Of these, 9 (by experts) and 8 (by evaluators) were rated as practicable. Indicators on delirium prevention, age-specific groups and liberty-depriving measures were rated as non-scientific. In terms of practicability, indicators on the documentation of therapy services were often inadequate.The developed set provides a good basis for measuring process quality in geriatric psychiatry.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 2","pages":"64-72"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487155","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}
Psychiatrische PraxisPub Date : 2026-03-01Epub Date: 2026-03-19DOI: 10.1055/a-2768-2149
Boris Jakov Entus, Nele Assmann, Catarina Newe, Eva Fassbinder, Hans Anton Huth, Stefan Borgwardt, Jan Philipp Klein
{"title":"[Associations between Changes in Psychological Flexibility and Changes in Mental Health: A Network Analysis].","authors":"Boris Jakov Entus, Nele Assmann, Catarina Newe, Eva Fassbinder, Hans Anton Huth, Stefan Borgwardt, Jan Philipp Klein","doi":"10.1055/a-2768-2149","DOIUrl":"https://doi.org/10.1055/a-2768-2149","url":null,"abstract":"<p><p>Psychological flexibility is considered an important mechanism in promoting mental-health. This study used network analysis to examine associations between the six ACT flexibility processes and mental health-related quality of life.The study included 157 psychiatric patients. A baseline and a change-score network were estimated using the R package \"bootnet.\"The processes Values and Defusion showed high centrality in both networks; Defusion was also most strongly associated with mental health-related quality of life.The strong link between Defusion and mental health-related quality of life in both networks suggests that processes closely related to mental health at the beginning of treatment may also be relevant for change over time. Improving Defusion could help enhance mental health.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 2","pages":"73-79"},"PeriodicalIF":1.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487174","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}
Steffi G Riedel-Heller, André Hajek, Hans-Helmut König
{"title":"[The Silent Risk: Loneliness and Health].","authors":"Steffi G Riedel-Heller, André Hajek, Hans-Helmut König","doi":"10.1055/a-2776-3877","DOIUrl":"https://doi.org/10.1055/a-2776-3877","url":null,"abstract":"<p><p>Loneliness has gained significant scientific and public health relevance. Prevalence follows a U-shaped pattern across the life course, with especially high rates in vulnerable groups. Its emergence reflects an interplay of individual, relational, community and structural factors. Longitudinal evidence links loneliness consistently to depression, anxiety, suicidality, cardiometabolic disease, cognitive decline and mortality. Targeted interventions can reduce loneliness, though the growing use of generative AI as emotional support introduces ethical and psychosocial concerns. Overall, loneliness is a key socially rooted risk factor that requires integrated, multi-level strategies for effective prevention and reduction.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147277050","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}
Psychiatrische PraxisPub Date : 2026-01-01Epub Date: 2026-01-21DOI: 10.1055/a-2731-7525
Heribert Kirchner, Sandra Mangiapane, Nik Hulsmans, Emil Hu, Frank-Gerald B Pajonk, Patrick Brzoska
{"title":"[Nonurgent psychiatric emergencies in German EDs: comparison of 2019 vs. 2022 in the context of the COVID-19 pandemic].","authors":"Heribert Kirchner, Sandra Mangiapane, Nik Hulsmans, Emil Hu, Frank-Gerald B Pajonk, Patrick Brzoska","doi":"10.1055/a-2731-7525","DOIUrl":"https://doi.org/10.1055/a-2731-7525","url":null,"abstract":"","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 1","pages":"27-34"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019427","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}
Psychiatrische PraxisPub Date : 2026-01-01Epub Date: 2026-01-21DOI: 10.1055/a-2731-0788
Henrik Döbold, Holger Steinberg
{"title":"[The playwright Johannes Schlaf in Altscherbitz 1895-1897 Medical records, personal testimonies and stigma].","authors":"Henrik Döbold, Holger Steinberg","doi":"10.1055/a-2731-0788","DOIUrl":"https://doi.org/10.1055/a-2731-0788","url":null,"abstract":"<p><p>The author and playwright Johannes Schlaf (1862-1941) is considered one of the most important representatives of the literary movement of \"naturalism.\" It is already known that Schlaf had to be treated in psychiatric institutions several times from 1892 to 1898 due to a mental illness. His medical records from the Altscherbitz Provincial Asylum for the Insane in Schkeuditz near Leipzig, where he spent a total of twelve months between 1895 and 1897, now made accessible here, provide new insight into the nature and extent of his illness, as well as into the inner workings of this institution, which was considered internationally exemplary at the time. After his release from Altscherbitz in 1898, a dispute erupted between Schlaf and the poet Arno Holz (1863-1929) over the authorship of a jointly written work. Holz publicly exposed Schlaf's \"mental illness\" in an attempt to discredit him. Schlaf, in turn, attempted to ward off this stigmatization by portraying his illness as a mere \"nervous crisis.\"</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 1","pages":"46-51"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019473","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}
Psychiatrische PraxisPub Date : 2026-01-01Epub Date: 2026-01-21DOI: 10.1055/a-2753-3825
Nina Coenen, Simon Heister, Georg Schomerus, Sven Speerforck
{"title":"[Self-stigma as a barrier to help-seeking: Suicide attempt in a patient with pedoteleiophilia, depression and developmental disorder].","authors":"Nina Coenen, Simon Heister, Georg Schomerus, Sven Speerforck","doi":"10.1055/a-2753-3825","DOIUrl":"https://doi.org/10.1055/a-2753-3825","url":null,"abstract":"<p><p>A 48-year-old man sought professional help following a suicide attempt very belatedly and severely injured. High shame associated with undiagnosed developmental disorder and pedoteleiophilia initially aggravated suicidality and impeded contact to the help system. Over the course of treatment, a strong therapeutic relationship was established, enabling referral to outpatient psychiatric care and the Dunkelfeld therapy and support project for individuals with pedophilic tendencies.</p>","PeriodicalId":20711,"journal":{"name":"Psychiatrische Praxis","volume":"53 1","pages":"35-37"},"PeriodicalIF":1.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019458","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}