Ceskoslovenska psychiatrie最新文献

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[Ethics of psychiatric research on humans]. [人类精神病学研究的伦理学]。
Ceskoslovenska psychiatrie Pub Date : 1995-05-01
M Marsálek
{"title":"[Ethics of psychiatric research on humans].","authors":"M Marsálek","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the doctor-patient relationship the European ethical tradition respects three main principles: 1. the principle of benefit, 2. the principle of justice and 3. the principle of respect of personality. In particular the latter holds a specific position in medical research. The author discusses ethical principles of enlistment of experimental subjects into psychiatric studies, where patients frequently are unable to evaluate themselves the consequences of their decision. The author mentions the rules of obtaining so-called informed consent for participation in psychiatric research. He describes the principles of the work of ethical commissions based on international ethic codes, adopted after the Second World War.</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18675201","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}
引用次数: 0
[Ethical dilemmas in geriatric psychiatry]. [老年精神病学中的伦理困境]。
Ceskoslovenska psychiatrie Pub Date : 1995-05-01
M Vojtĕchovský
{"title":"[Ethical dilemmas in geriatric psychiatry].","authors":"M Vojtĕchovský","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a review of the literature the author outlines the basic ethical problems of contemporary European gerontopsychiatry, as apparent at international congresses of gerontopsychiatric societies in Berlin (1993 and 1994) and Amsterdam (1994). Ethical dilemmas include in the first place abuse of old people, ethics of drug trials with insane patients and the right of a dignified death of psychiatric patients in general and insane patients in particular. The author holds a critical view of the legalization of euthanasia. A substantial part of the paper is devoted to the development of discussions regarding the legalization of euthanasia in Holland. It seems that as long as euthanasia will be restricted to the terminal stages of generalized malignities, it could be adopted also in other European countries incl. the Czech Republic. The author has a very critical and negative attitude to frequently practised dysthanasia, not only in the mentally healthy but also in psychiatric patients. He refutes inadequate medical intervention from the sphere of heroic medicine in particular in insane patients in the terminal stages of degenerative brain diseases.</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1995-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18675207","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}
引用次数: 0
[Psychotherapeutic methods beyond the scope of individual schools of psychotherapy]. [心理治疗方法超出了个别心理治疗学派的范围]。
Ceskoslovenska psychiatrie Pub Date : 1994-12-01
W Pieringer
{"title":"[Psychotherapeutic methods beyond the scope of individual schools of psychotherapy].","authors":"W Pieringer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author discusses four basic theoretical methodological approaches elaborated by H. Seiffert and R. Lay which were recommended by R. Vogt and in particular P. Hahn for medicine and psychology. The author explains also primary diagnostic methods used in psychotherapy. Due to the aspect of medical anthropology these basic methods are considered aspects of genetic epidemiology and at the same time as theoretical guidelines for the diagnosis and therapy of anthropological dimensions of diseases. Traditional combination of all diagnostic methods from the \"clinical aspect\" is then substituted by specific differentiation at the point of intersection of objective and subjective facts concerning the disease.</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18858880","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}
引用次数: 0
[Experience with the use of folk culture in rehabilitation in day care psychiatric units (preliminary information)]. [民俗文化在日间护理精神科康复中应用的经验(初步资料)]。
Ceskoslovenska psychiatrie Pub Date : 1994-12-01
Z Böhmová
{"title":"[Experience with the use of folk culture in rehabilitation in day care psychiatric units (preliminary information)].","authors":"Z Böhmová","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author presents preliminary information on the orientation of rehabilitation in the day sanatorium of the Psychiatric Clinic of the Medical Faculty, Comenius University and Faculty Hospital in Bratislava on folk culture. She describes procedures and initial experience which is positive. The author reflects also on effective mechanisms in the orientation of activities on folk culture.</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18858877","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}
引用次数: 0
[Eclectic, synthetic and integrative psychotherapy]. [折衷的,综合的和综合的心理治疗]。
Ceskoslovenska psychiatrie Pub Date : 1994-12-01
S Kratochvíl
{"title":"[Eclectic, synthetic and integrative psychotherapy].","authors":"S Kratochvíl","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Eclectic psychotherapy selects convenient techniques from various approaches. Synthetic psychotherapy combines various approaches both technically and theoretically. Integrative psychotherapy aims at putting diverse theoretical systems together under a system, which would be superordinated or metatheoretical. Following partial integrative hypotheses are stressed: 1. common factors are responsible for the effect of all important pure-form therapies, 2. different factors in diverse therapies have the same final effect, 3. different factors influence specifically certain symptoms, certain problems and certain patients. Following contemporary eclectic-integrative systems are seen as most influential: Lazarus's multimodal therapy. Beutler's systematic eclectic psychotherapy, Hart's functional eclectic therapy, Prochaska's transtheoretical approach, Garfield's eclectic approach, Driscoll's pragmatic therapy and Knobloch's integrated psychotherapy. Satisfactory integration still remains a goal to be achieved. Differentiation is viewed as an important part of the integration. It should offer to each patient specifically what he needs according to his symptoms, problems and personality.</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18858876","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}
引用次数: 0
[The mental disorder of Doctor Jonas Jeitteles]. (乔纳斯·杰特莱斯医生的精神失常)。
Ceskoslovenska psychiatrie Pub Date : 1994-12-01
J Mecír
{"title":"[The mental disorder of Doctor Jonas Jeitteles].","authors":"J Mecír","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Doctor Jonas Mischel Jeitteles was born in Prague on May 5, 1735 and died in Prague on April 18, 1806. He was buried in the Old Jewish Cemetery in Prague. He studied medicine in Leipzig and Halle. He became the public health officer of the Jewish community. He was nominated chief supervisor of the guild of Jewish healers in Prague. In 1784 he obtained from the emperor Joseph in Vienna permission that not only he himself but also other Jewish doctors could pursue unrestricted medical practice. He suffered from periodic depressive disorders with several exogenously provoked attacks.</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18858881","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}
引用次数: 0
[Clozapine--an atypical antipsychotic agents, its advantages and risks]. [氯氮平——一种非典型抗精神病药物,其优点和风险]。
Ceskoslovenska psychiatrie Pub Date : 1994-12-01
P Zvolský, J Hulínský
{"title":"[Clozapine--an atypical antipsychotic agents, its advantages and risks].","authors":"P Zvolský,&nbsp;J Hulínský","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors present a basic review on clozapine (Leponex, Clozaril) which is one of the atypical antipsychotic drugs. It is a derivative of dibenzodiazepine, which contrary to classical neuroleptic drugs, does not exert a marked effect on the extrapyramidal system and its long-term use is not associated with the risk of development of irreversible tardive dyskinesia or dystonia. It is effective also in patients who are resistant to treatment with other neuroleptics and it has a more favourable effect on the negative symptoms of schizophrenia than classical neuroleptics. Its disadvantage is the increased risk of granulocytopenia and agranulocytosis (2%) and therefore its use is justified only in patients where there is evidence that they are resistant to other treatment. The mentioned risk can be controlled effectively by regular checks of the haemogram in patients taking clozapine, along with recording in the central data bank which has a consulting and control function and guaranteeing the method of correct administration of this drug and early therapeutic provisions in case of granulocytopenia. Despite the cost of treatment and checks of the haemogram, clozapine reduces the sum total of expenditure associated with the treatment of chronic schizophrenia by reducing the number of re-admissions to hospital, by shortening the period of hospitalization and by cutting indirect costs, which are influenced by a greater sociability of the patient and a greater probability of successful comprehensive therapeutic procedures.</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18858879","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}
引用次数: 0
[Alcohol tolerance and the clinical course of alcoholism]. 酒精耐受性与酒精中毒的临床过程
Ceskoslovenska psychiatrie Pub Date : 1994-12-01
S Kunda
{"title":"[Alcohol tolerance and the clinical course of alcoholism].","authors":"S Kunda","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors investigated in 250 hospitalized men in different clinical stages of alcoholism the alcohol tolerance and described the phenomenon of primary extension and secondary reduction in the variety of abused alcoholic beverages. While an increased tolerance was found in all patients, a markedly increased tolerance was recorded in 22% and the actual tolerance dominates unequivocally in toxicomanic drug dependence. In reduced tolerance (36%) associated findings such as hepatopathies, craniocerebral injury, epilepsy, ulceration etc. were present in 10%. The variety of alcoholic beverages comprised in 66.8% drinking of liquor with beer or wine--described by the author as the obligatory variety. In 20.4% preference of liquors was recorded, in 4.8% preference of wine, in 3.6% preference of beer. During secondary reduction of the variety (14%) in the majority the patients abandoned liquor in favour of wine, beer etc. Changes in the alcohol tolerance along with changes of the variety of consumed drinks are more marked within the framework of clinical pictures described by the author in the monograph \"Klinika alkoholismu\" (Clinical aspects of alcoholism) (1988). In systematic alcohol abuse (developing dependence) the increase of tolerance takes place along with profilization of the variety (obligatory variety, preference of liquors etc.). In alcoholic toxicomania dominates secondary and in particular actual tolerance with a markedly increased tolerance and preference of liquors. In habitual ethylism despite the increase the tolerance is not extreme, the obligatory variety dominates.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18858878","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}
引用次数: 0
[Occurrence of deviant tendencies in phalloplethysmographic and vulvoplethysmographic examinations in sexually dysfunctional patients (case reports)]. 性功能障碍患者阴茎和外阴体积脉搏波异常倾向的发生(病例报告)。
Ceskoslovenska psychiatrie Pub Date : 1994-10-01
P Tichý
{"title":"[Occurrence of deviant tendencies in phalloplethysmographic and vulvoplethysmographic examinations in sexually dysfunctional patients (case reports)].","authors":"P Tichý","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author demonstrates on four case-histories the presence of sexual deviant trends as the cause of sexual dysfunctions in conventional heterosexual relations in men and women and the irreplaceable part played by vulvo- or phalloplethysmography used for their detection. In a man treated for some time on account of impaired erectile potency and in a woman who visited the surgery with her husband and presented complaints diagnosed as secondary frigidity and anorgasmy, PPG or VPG examination revealed a homosexual orientation. Both these patients knew of their homosexual orientation but did not tell anybody. The mentioned male patient intentionally dissimulated homosexuality, the woman attempted in vain to achieve heterosexual adaptation. In two young men with primary disorders of erectile potency PPG examination revealed sadomasochistic tendencies. In the first one the impaired erectility created the impression of \"debutant's failure\" when starting a partnership, in the second one it seemed to be due to adverse psychosocial factors. During an interview following the examination both described spontaneously and in detail erotic dreams and masturbation fantasies with sadomasochistic contents. They were not aware of the association of their specific sexual motivation structure. It was typical for all four patients that they never disclosed previously their deviant sexual tendencies and only the specific situation during the PPG or VPG examination, which they had voluntarily after previous instruction, they were motivated to confess their problems.</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18848509","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}
引用次数: 0
[Nooptropic agents and their action mechanisms in relation to neuropathology in senile dementia. II. Disorders of membrane integrity and neuron metabolism]. 老年性痴呆神经病理相关的益智药物及其作用机制。2膜完整性和神经元代谢紊乱]。
Ceskoslovenska psychiatrie Pub Date : 1994-10-01
O Benesová
{"title":"[Nooptropic agents and their action mechanisms in relation to neuropathology in senile dementia. II. Disorders of membrane integrity and neuron metabolism].","authors":"O Benesová","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author discusses several newer aspects concerning neurodegenerative processes in nerve cells of aging brain on the level of membrane integrity and neuronal metabolism disturbances: aggressive impact of free radicals and excitatory amino acids, loss of calcium homeostasis, deposition of amyloid proteins. Perspective nootropic agents are presented which were synthetized with the aim to regulate these deficits and first clinical experience with their administration in senile dementia patients is evaluated.</p>","PeriodicalId":75693,"journal":{"name":"Ceskoslovenska psychiatrie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1994-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18849230","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}
引用次数: 0
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