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Psychiatria clinica最新文献

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The psychiatry of vertebro-basilar insufficiency with the report of a case. 椎基底动脉功能不全的精神病学分析并附一例报告。
Psychiatria clinica Pub Date : 1983-01-01 DOI: 10.1159/000283948
J Price, F A Whitlock, R T Hall
{"title":"The psychiatry of vertebro-basilar insufficiency with the report of a case.","authors":"J Price,&nbsp;F A Whitlock,&nbsp;R T Hall","doi":"10.1159/000283948","DOIUrl":"https://doi.org/10.1159/000283948","url":null,"abstract":"<p><p>Vertebro-basilar insufficiency produces a rich spectrum of psychological and neurological symptoms. Where psychological symptoms dominate the picture, the patient may be presented first to a psychiatrist. The phenomenology of vertebro-basilar insufficiency is discussed with special reference to hallucinatory syndromes, memory disturbance, affective disorders, akinetic mutism, 'unusual reports', cortical blindness, agitated delirium, the Capgras syndrome and normal pressure hydrocephalus. Finally, the case of a 61-year-old man illustrating a variety of the neurological and psychological features described in this paper is presented.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 1","pages":"26-44"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283948","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17896155","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: 18
[Research possibilities on the basis of a routinely implemented psychiatric basic and finding documentation]. [基于常规实施的精神病学基础和发现文件的研究可能性]。
Psychiatria clinica Pub Date : 1983-01-01
H J Möller, H Barthelmes, D von Zerssen
{"title":"[Research possibilities on the basis of a routinely implemented psychiatric basic and finding documentation].","authors":"H J Möller,&nbsp;H Barthelmes,&nbsp;D von Zerssen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 1","pages":"45-61"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17896156","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
Acid metabolites and precursor amino acids of 5-hydroxytryptamine and dopamine in affective and other psychiatric disorders. 情感和其他精神疾病中5-羟色胺和多巴胺的酸代谢物和前体氨基酸。
Psychiatria clinica Pub Date : 1983-01-01 DOI: 10.1159/000283945
J Korf, W van den Burg, R H van den Hoofdakker
{"title":"Acid metabolites and precursor amino acids of 5-hydroxytryptamine and dopamine in affective and other psychiatric disorders.","authors":"J Korf,&nbsp;W van den Burg,&nbsp;R H van den Hoofdakker","doi":"10.1159/000283945","DOIUrl":"https://doi.org/10.1159/000283945","url":null,"abstract":"<p><p>Levels of various compounds related to monoamines were assessed in 96 patients with a variety of depressive and nondepressive syndromes. The diagnostic categories were composed retrospectively after examination of International Classification of Diseases (ICD) classifications and all available data in medical reports. All patients underwent the 8-hour probenecid test. Administration of probenecid was partly intravenous (1 g) and partly oral (4 g). In all patients, the cerebrospinal fluid (CSF) levels of 5-hydroxyindoleacetic acid (5-HIAA), homovanillic acid (HVA), and probenecid were estimated, while in about half of the patients tryptophan and tyrosine were determined in CSF and serum. When the group is taken as a whole, significant positive correlations are found between the CSF levels of 5-HIAA, HVA and probenecid, between the CSF levels of tryptophan and tyrosine, and between tyrosine levels in serum and CSF. A negative correlation is found between CSF probenecid and serum tryptophan. The group of patients was divided in several ways into various subgroups. Analysis of covariance of clinical and biochemical data indicates no significant biochemical differences between any of the subgroups. This retrospective study lacks supportive evidence that any of the clinical syndromes, including the depressive syndromes, is characterized by specific deficiencies of monoamine neurotransmission.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 1","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283945","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17253311","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: 6
The clinical and therapeutical aspects of schizo-affective psychosis. 精神分裂情感性精神病的临床和治疗方面。
Psychiatria clinica Pub Date : 1983-01-01 DOI: 10.1159/000283969
G Hofmann
{"title":"The clinical and therapeutical aspects of schizo-affective psychosis.","authors":"G Hofmann","doi":"10.1159/000283969","DOIUrl":"https://doi.org/10.1159/000283969","url":null,"abstract":"<p><p>According to our three series of examinations, we have found a way of differentiating between nuclear schizophrenics and manic-depressives in schizo-affective disorders. Only a very small amount of all people diagnosed as schizophrenics (about 3%) have to be put under the category of schizo-affective disorders (Legierungspsychose) sensu strictiori. But in this well-defined group, there is a relation between the symptomatology of the acute stage and the long-term course of the disorder. There is also a better indication for long-term therapy in schizo-affective disorders, because the differentiation in psychopathology also means a better-differentiated therapy with better long-term results.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"207-16"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283969","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17203774","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: 3
Red blood cell/plasma lithium ratio in manic-depressive, schizoaffective, and schizophrenic patients. 躁狂抑郁症、分裂情感性和精神分裂症患者的红细胞/血浆锂比值
Psychiatria clinica Pub Date : 1983-01-01 DOI: 10.1159/000284173
Z Rihmer, M Arató, I Szentistványi, C M Bánki
{"title":"Red blood cell/plasma lithium ratio in manic-depressive, schizoaffective, and schizophrenic patients.","authors":"Z Rihmer,&nbsp;M Arató,&nbsp;I Szentistványi,&nbsp;C M Bánki","doi":"10.1159/000284173","DOIUrl":"https://doi.org/10.1159/000284173","url":null,"abstract":"<p><p>The red blood cell/plasma lithium ratio (LR) has been studied in 14 schizophrenic (paranoid type), 22 schizoaffective, and 86 manic-depressive patients. Mean LR proved to be significantly higher in manic-depressive patients (p less than 0.001) as compared to the other two groups which on the other hand did not differ significantly from each other. There was no significant difference in the LR between female and male patients. Analyzing the LR according to family history and subtype of illness (i.e., bipolar I/bipolar II dichotomization) of 86 manic-depressive patients we found that neither sex nor type of illness had consistent influence on LR, but patients with positive family history of affective illness had a significantly higher LR than patients with negative ones (p less than 0.01).</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 5-6","pages":"405-10"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000284173","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17477196","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: 6
Schizo-affective disorders: 'just another illness' or key to understanding the psychoses? 精神分裂情感障碍:“只是另一种疾病”还是理解精神病的关键?
Psychiatria clinica Pub Date : 1983-01-01 DOI: 10.1159/000283977
J S Strauss
{"title":"Schizo-affective disorders: 'just another illness' or key to understanding the psychoses?","authors":"J S Strauss","doi":"10.1159/000283977","DOIUrl":"https://doi.org/10.1159/000283977","url":null,"abstract":"<p><p>Descriptive studies of schizo-affective disorder can be reviewed to suggest answers to several major questions regarding this disorder. Cross-sectional studies have not supported the existence of a dichotomy between schizophrenia and affective disorders. Rather, they suggest a continuum of disorders with schizo-affective clinical pictures in the middle. Longitudinal studies indicate that some patients with schizophrenia and major affective disorders go through a 'schizo-affective period' on the way to developing the clinical picture of the other disorder, while still other patients have a continuity of syndrome type. These findings suggest the importance of considering disorder processes rather than just disease types. An interactive developmental model of disorder is one way of conceptualizing these processes.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"286-96"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283977","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17677612","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: 7
Concepts of Schizo-affective psychoses. History, construct validity and some empirical data. 精神分裂情感性精神病的概念。历史，结构效度和一些经验数据。
Psychiatria clinica Pub Date : 1983-01-01
B Pethö
{"title":"Concepts of Schizo-affective psychoses. History, construct validity and some empirical data.","authors":"B Pethö","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>After offering a brief survey of some major unresolved contradictions in the field of clinical psychiatry, the author looks over the historical development of syndromatological entities related to the so-called schizo-affective psychoses. These syndromes were described with reference to somatogenic, endogenous, and psychogenic psychoses and as (relatively) distinct entities, respectively. For grasping these syndromes as independent entities it seems to be necessary to take into account a few holistic characteristics and to put aside the 'mixture model' while making research diagnostic criteria.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"71-86"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17677615","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
Long-term prognosis and course of schizo-affective, schizophreniform, and cycloid psychoses. 情感性精神分裂症、样型精神分裂症和循环型精神分裂症的长期预后和病程。
Psychiatria clinica Pub Date : 1983-01-01 DOI: 10.1159/000283964
B Armbruster, G Gross, G Huber
{"title":"Long-term prognosis and course of schizo-affective, schizophreniform, and cycloid psychoses.","authors":"B Armbruster,&nbsp;G Gross,&nbsp;G Huber","doi":"10.1159/000283964","DOIUrl":"https://doi.org/10.1159/000283964","url":null,"abstract":"<p><p>From the Bonn study including 502 patients followed up an average 22.4 years after onset of schizophrenic disease diagnosed according to the criteria of K. Schneider, we selected 113 cases of schizo-affective, schizophreniform, and cycloid psychoses in accordance to the definitions given by Kasanin, Retterstøl, Angst, and Leonhard. These psychoses have a better prognosis than the whole sample: characteristic residues are seen more rarely, complete remissions and noncharacteristic residues more frequently. This group of psychoses differs from the whole sample in the hereditary taint, too: the morbidity risk with affective psychoses and with schizophrenic psychoses in first- and second-degree relatives is higher than in the total sample of the Bonn study. In spite of the better prognosis and other differences described in the paper, we believe that these results do not justify the classification of schizo-affective and related disorders as an independent disease group. Between these different subtypes of schizophrenia only a differential typology and not a differential diagnostic is possible.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"156-68"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283964","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17678744","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: 24
Is the concept of 'schizo-affective psychoses' prognostically of value? “精神分裂-情感性精神病”的概念是否具有预测价值?
Psychiatria clinica Pub Date : 1983-01-01
K Leonhard
{"title":"Is the concept of 'schizo-affective psychoses' prognostically of value?","authors":"K Leonhard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The concept of 'schizo-affective psychoses' covers favourable as well as unfavourable forms of endogenous psychoses. Thus, it does not help us for a nosological classification which must also allow for the prognosis. In order to make a prognostic distinction we have to subdivide the schizo-affective psychoses into the 'cycloid psychoses' and the 'non-systematic schizophrenias'. Also the latter display affective symptoms and can take a bipolar course, but, despite this, tend to deterioration; they do so increasingly shift after shift, whereas the cycloid psychoses completely recover after every phase. Even during the first phase or shift a reliable differential diagnosis can be made. This has been confirmed by follow-up examinations, as the cycloid psychotics, in fact, had recovered. Only very few misdiagnoses could be detected. If we want to classify prognostically, we must separate the cycloid psychoses from the true schizophrenias.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 2-4","pages":"178-85"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17678745","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
[Solitary confinement as risk factor for psychiatric hospitalization]. [单独监禁是精神病住院的危险因素]。
Psychiatria clinica Pub Date : 1983-01-01
R Volkart, T Rothenfluh, W Kobelt, A Dittrich, K Ernst
{"title":"[Solitary confinement as risk factor for psychiatric hospitalization].","authors":"R Volkart,&nbsp;T Rothenfluh,&nbsp;W Kobelt,&nbsp;A Dittrich,&nbsp;K Ernst","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The subjects of this study are prisoners who were hospitalized from custody in a psychiatric clinic. All of such patients of one psychiatric clinic during the period from 1976 till 1978 were compared with a random sample of other psychiatric patients using case reports and other data. Differences were found concerning social, personal, psychiatric, and criminal history as well as psychopathological state and diagnosis. Compared to the complete population of prisoners of the area, prisoners from solitary confinement (mostly remanding custody) were overrepresented. Other risk factors for psychiatric hospitalization of prisoners are described. The results are discussed from prophylactic, therapeutic, and humanitarian points of view.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"16 5-6","pages":"365-77"},"PeriodicalIF":0.0,"publicationDate":"1983-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17702673","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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