Psychiatria Hungarica最新文献

{"title":"[Psychopathological network analysis: methodological impasse, promising tool or an innovative trend that overwrites everything we know about mental disorders?]","authors":"Levente Rónai,&nbsp;Bertalan Polner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this paper is to present the theoretical foundations of the network approach to psychopathology and to give an overview of what it promises to deliver, and also to summarize some of the key critiques it has received. According to this approach, mental disorders cannot be mapped with traditional modeling approaches, as they are multifactorial phenomena that are maintained by the complex interplay of various biological, psychological, and social factors. It is expected that new avenues of research may open up through network modeling, however, some have pointed out that a strong distinction between network and common cause models is not well supported. Critics of the network approach claim that network models of mental disorders do not replicate well, while others have found encouraging results in this regard. Although at the moment, the network approach to psychopathology faces signifi - cant challenges, it may facilitate the study of mechanisms involved in the formation and maintenance of mental dis - orders by grasping and intuitively visualizing their complex and dynamic nature, and ultimately may even contribute to the development of personalized treatment planning.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"36 1","pages":"12-25"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25449804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Clinical memory traces on Professor Petho].","authors":"János Csorba","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>No abstract available.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"36 3","pages":"253-254"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39592807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Bertalan Petho's two studies on a schizophrenic composer's music sheets].","authors":"Mária Simon","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This essay presents two studies of Bertalan Petho's rich and diverse oeuvre. The first one (published in 1967) analyzed a schizophrenic composer-patient's composition created during the acute phase of schizophrenia and consi - dered the hiatus discursivitatis as one of the main characteristics of the pathology of expression in his musical works. The second study is the patients' catamnestic follow-up after 13 years. In that late, chronic, residual phase of schizophrenia with overwhelmingly negative symptoms, the mannieristic catatonia dominated the clinical feature, as well as the pathology of musical expression. These two studies build a bridge between music and psychopathology in a way unique in the literature and greatly demonstrate the utilization of musical expression in the phenomenological approach of schizophrenia. Due to Berta - lan Petho's high level of musical literacy, his knowledge of music theory and harmony, we have an insight through a specific window into the severe self-disturbance and alienisation determining the schizophrenic world of experience. Petho's approach is still relevant today: it fits conceptually to the most novel phenome-nological framework of the psychopathology of schizophrenia, i.e. to the ipseity-hyperreflexivity model, as well as to theories that draw a parallel between the schizophrenic reification and alienisation and the 20th-century modernism.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"36 3","pages":"271-284"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39592811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Chronophrenia - a new delusion described by Bertalan Petho].","authors":"Tamás Tényi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In 1985 Bertalan Petho enriched psychiatric literature by the description of a new delusion. The essence of chronophrenia is the delusion, that the patient has already lived through this life once. The phenomenon is a persis - tant delusion, that differs from the experi-ences of déja vu and déja vecu. The present article introduces the publication of Petho and interprets it in the light of research on time-sense in schizophrenia. The similarity of chrono-phrenia and the idea of Eternal Return by Nietzsche is also discussed.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"36 3","pages":"289-293"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39592813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The snowflake family - Integrative play therapy for traumatized child with complex developmental disorder induced by family environment. Case study].","authors":"Bernadett Eigner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the case of a little preschool boy, I would like to show how traumatic environmental influences affect a child's development, coping strategies, as well as his symptomatic behavior, emotion and mood regulation, and social functioning. This little boy has also suffered many damaging environmental effects during his own life, losses, stressful situations, conflicts. In addition, the losses, traumas and injuries suffered by his parents also shaped his development, the development of his difficulties and symptoms. The range of early fractures was compounded by the trauma at Ákos, the loss of his biological mother giving up on him and adopting him. A few days after his birth, he was already adopted by his adoptive parents, whose own traumas as well as relationship difficulties prevented the child from developing optimally from the beginning. Paternal abusive behavior, which manifested itself in several forms, including partner abuse, as well as tension and inequalities in the relationship, also had a significant effect on the development of the child's emotional and social development and symptoms. Abuse is cross-generational. There are complex causes and patterns in the background of early relationship pathologies, which can lead to developmental disorders and developmental trauma of the child. It is important to map this network of connections in order to better understand what environmental effects the child is trying to respond to - classified as abnormal and difficult to tolerate, but - with his adaptive behavior, coping attempts and cries for help. I try to present the intricacies of this and the attempts made to solve the revealed phenomena in the case of Ákos.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"36 4","pages":"557-596"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39750241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Telemental health service in child and adolescent psychiatry].","authors":"Enikö Kiss,&nbsp;Szilvia Kakuszi,&nbsp;Krisztina Kapornai","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Even though mental disorders present significant health burden worldwide, most patients with mental disorders do not receive adequate healthcare. The possibility of telemental health service came into prominence in Hungary due to the restriciton of face-to-face doctor-patient meetings. The present review, based on the last 20 years' scientific literature, aims to summarize the feasability, efficacy and effectivity of telemedicine services in child and adolescent psychiatry.</p><p><strong>Method: </strong>A review by Gloff et al (17) summarized telepsychiatry service in children and adolescents before 2015. A literature search was generated in order to summarize current knowledge based on 3 international databases (Pubmed, Cochrane Database of Systematic Reviews és Web of Science) for scientific publi - cations after 2015. Search words were telemental health, children, adolescent, and telepsychiatry.</p><p><strong>Results: </strong>International literature showed similar feasability, efficacy and effectivity of evidence based diagnostic and therapeutic methods in tele- child and adolescent psychiatry as in face-to-face services.</p><p><strong>Conclusion: </strong>The application of telemedicine in child and adolescent psychiatry is internationally accepted, feasible and effective. Its widespread use in Hungary would require a professional protocol which specifies the conditions and advices of telemental health services in this age group.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"36 2","pages":"124-142"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38892361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The changes of roles and their effects on the functioning of the family of alcoholics. The history of two families].","authors":"Miklós Péter Kalapos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The alcohol dependence of a family member redraws familiar relationships and creates a dysfunctional network. Therefore, the relationship between the individual and the family, the interactions and processes that occur must be examined during the therapy in order to understand the behavior of an alcoholic. The observations obtained in stu - dying the role of family members in the development and maintenance of pathological alcohol use disorders provide the scientific basis for this. Living in a family is realized by fulfilling role expectations related to the role based on the family status. In the case of discrepancy between the role expectation associated with the status and the individual's ability to fulfill the role, a dysfunctional situation is seen. In the present work, the relationships in the families of two alcohol de - pendent patients were analyzed. In both families, it was possible to identify the conspirator/looking away family member, who was either the spouse or the mother, sometimes both. The dysfunctional fathers were also recognized and there was a self-sacrificing family member in both families, who was the daughter in both cases. As the relatives themselves con - tribute to the survival of both alcohol dependence and the alcoholic game, efforts should be made to involve the family in therapy. Since the most important relationship of a married man is optimally his wife, the interaction between them is decisive for the survival of addiction. This led to the birth of the \"wife of alcoholic\" technical term. But this approach probably needs to change, as the male/female ratio for drinking began to decline as early as the 1980s. Thus, presumably the \"partner of alcoholic\" concept better describes today's reality. The involvement of family members in the therapy is necessary for the recovery of addict patient. However, there is a serious difficulty, the alienation of family members from the addict. In addition, the available services are often insufficient for recovery, as already pointed out by Hungarian authors. And further, statistics indicate a decrease in the patient retention capacity of the care system. Therefore, it would be important to rethink the role and possibilities of the addiction care network, and modify its financing.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"36 1","pages":"40-52"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25449807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Role of music activities in psychiatric rehabilitation].","authors":"Vera Daniella Dalos,&nbsp;István Szendi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>In Hungary, the use of music in rehabilitation is a scarcely researched area. In this study we aimed to examine the structure, purpose, and role of music activities conducted at the Department of Psychiatry, University of Szeged. We studied the rehabilitation programs of psychiatric patients and the role of music activities in healing and reintegration. All of this has been compared to the structure, timing and effectiveness of music therapy methods used worldwide.</p><p><strong>Methods: </strong>The 10-person sample consisted of patients participating in the rehabilitation program of the department, who agreed to attend music sessions there over a two-week interval. During the first and last interventions, we mea - sured patient satisfaction with life, perceived social support, and levels of depression and trait anxiety. In addition, we measured changes in anxiety during a single music session, and a short structured interview was completed with each patient at the time of the last session.</p><p><strong>Results: </strong>Our results show that patients' perceived social support increased (t[9]=-3,61, p< 0,01) during the intervention period - especially regarding the family dimension (t[9]=-2,57 , p=0,03). The level of anxiety decreased (t[9]=2,42, p=0,03), and the level of depression also showed a marginally significant decrease (t[9]=2,11, p= 0,06). No significant differences were found in the changes of life satisfaction and the immediate anxiety-relieving effect of music practice. The content of the interviews however confirmed that there is indeed an immediate anxiety-relieving effect of a single music session.</p><p><strong>Discussion: </strong>To summarise the quantitative and qualitative data, it can be stated that the music activities of the department are several points in line with the international practice, and operate with low risk and high efficiency. The work done here has confirmed that music activities can be an effective method along with the clinical treatments and play an important role in the rehabilitation process.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"36 2","pages":"187-208"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38887829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Music therapy or music activity].","authors":"Melinda Kanizsai","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>No abstract available.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"36 2","pages":"209-210"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38887830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Reply to Melinda Kanizsai].","authors":"Vera Daniella Dalos","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>No abstract available.</p>","PeriodicalId":35063,"journal":{"name":"Psychiatria Hungarica","volume":"36 2","pages":"211-212"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38887831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}