{"title":"[Psychiatric hospitalization of divorced persons].","authors":"D Olbrich, J Bojanovsky","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>100 records of divorced inpatients were compared with 100 records of married inpatients after having been matched according to sex, age, and social background. Almost 50% of the divorced patients were hospitalized within the first year after their divorce, i.e, this is the period which should be concentrated on when taking preventive measures. The most frequent duration of the marriage was between 5 to 10 years whereas in the population it was only between 3 and 5 years. This suggests that divorces after only a few years of marriage do not have such traumatic effects. The diagnoses of psychopathic personality, alcohol and drug dependence, attempted suicide and neurotic and reactive depressions were more frequently made with divorced that with married patients. Affective psychosis and cerebral-organic illnesses, however, were not so often found. The divorced patients being hospitalized within the first year after their divorce could be divided into two subgroups. The first subgroup comprised patients with frequent diagnosis of personality disorders and attempted suicide who were hospitalized for the first time after their divorce and needed only a short-term stay in hospital. In the second subgroup were patients who had already been hospitalized before their divorce - frequently with the diagnosis of schizophrenia -; that means they became recidivous after their divorce and needed a long-term stay in hospital. Social problems were especially relevant with divorced patients.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"14 1","pages":"56-65"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18281584","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}
E D Peselow, D L Dunner, R R Fieve, M E Rubinstein
{"title":"Course and relationship of lithium side effects to plasma lithium levels.","authors":"E D Peselow, D L Dunner, R R Fieve, M E Rubinstein","doi":"10.1159/000283914","DOIUrl":"https://doi.org/10.1159/000283914","url":null,"abstract":"<p><p>49 patients with primary affective disorders maintained on lithium were evaluated over a 6-month course and the pattern of 10 well-known innocuous side effects of lithium therapy was closely evaluated. The patients had significantly more side effects in the 1st month as opposed to the 4th through 6th months. The difference was statistically significant (with p less than 0.05). There was no difference in plasma lithium levels among individuals having no side effects, 1-2 side effects or 3 or more side effects at any point during the 6-month period.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"14 3","pages":"178-83"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283914","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18340861","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 principle of separate responsibility in clinical psychiatric practice. 6 years' experience.","authors":"J A Bleeker, M L Frohn-de Winter","doi":"10.1159/000283917","DOIUrl":"https://doi.org/10.1159/000283917","url":null,"abstract":"<p><p>An experiment lasting 6 years with an organizational principle called 'separate responsibility' is described. Its aim was to promote open two-way communication in an acute psychiatric admission clinic, by dividing power, i.e. responsibility for individual patients and patients as a group, over two multidisciplinary treatment teams. Multidisciplinarity, however, turned out to be impossible to maintain for different reasons. Instead, a splitting occurred of medical and nursing disciplines through identification of the former with individual treatment and of the latter with the patient groups. An unproductive loss of common treatment goals was the result leading to a near closing down of the clinic. Putting medical and nursing personnel into one team, responsible for the entire treatment of the unit, restored productivity and improved treatment and the working climate.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"14 4","pages":"189-95"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283917","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18360430","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":"A study of impulse control in the borderline patient.","authors":"W N Goldstein","doi":"10.1159/000283905","DOIUrl":"https://doi.org/10.1159/000283905","url":null,"abstract":"<p><p>This study focuses on the ego function of impulse control in the borderline patient. An attempt is made to ascertain whether the borderline patient is characterized by an obvious defect in this area, and whether this defect can distinguish the borderline patient from other groups of patients. 94 schizophrenics, 34 borderline patients and 21 patients with character disorders admitted to the psychiatry service at a Veterans Administration hospital were compared. The conclusion was that there was an obvious defect in impulse control in the borderline group, quantitatively different from the character disorder group, and qualitatively different from the schizophrenic group.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"14 2","pages":"81-7"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283905","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18268177","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":"[Relationship of delusions to attempted suicide and suicide].","authors":"B Mitterauer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article is a contribution to the psychopathology of communication. Using the communication model of orienting behavior the pathological phenomena of delusion, suicide attempt and suicide are dealt with in a communication-theoretical framework. On this basis, the relationship of delusion to suicide attempts and to suicides is examined. The results are that delusion and suicide attempt are subject to a communicative principle, whereas suicide is subject to an anticommunicative principle. Our numerous observations that the act of suicide leading to death is never carried out in a state of delusion are interpreted within the framework of the communication model presented here.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"14 1","pages":"1-22"},"PeriodicalIF":0.0,"publicationDate":"1981-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18281581","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":"[Changes in the long-term psychosis following psychotherapy].","authors":"R Schindler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The author compares his own schizophrenic patients treated by him and his co-workers at the Vienna Psychiatric University Clinic between the years of 1949 and 1959 by 'bifocal family therapy', a method developed by him with a control group. In his own patients he has carried out a 20-year follow-up study assessing a subsequent course of their lives. The control group consisted of schizophrenic patients treated in 1970 at the Vienna Psychiatric Hospital along routine lines by pharmacotherapy. The psychotherapy group (n = 116) assessed by social criteria such as work record, partner relationships, children, or social isolation, invalidism at home or in hospital is clearly superior and approaches normality. Yet even they show ongoing signs of dynamic disturbance in the sense described by Janzarik expansive derailment, instability, emptiness) which have statistical relationships with the types of breakdowns in their life history and the kinds of later partner relationships. The author interprets this socially successful psychotherapy as a help in achieving emancipation in relation to a certain situation which arose in its development, but sees in the continued affinity to the basic dynamic disturbance and its influence on partner choice a risk factor of the newly formed family and the issuing children.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"13 3-4","pages":"206-16"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"17839890","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 significance of sodium-dependent lithium transport in affective psychoses.","authors":"I Szentistványi, Z Janka, J Szilárd","doi":"10.1159/000283861","DOIUrl":"https://doi.org/10.1159/000283861","url":null,"abstract":"<p><p>The steady state red blood cell/plasma lithium (Li) ratios were determined simultaneously with the in vitro rates of sodium-dependent Li transport of erythrocytes during prophylactic Li therapy in 30 unipolar, 52 bipolar forms of manic-depressive patients and in 58 nonmanic-depressive psychiatric patients as a control group. A reciprocal correlation was found between the Li ratios and the values of Na-dependent Li transport. These transport rates were in positive correlation with the steady state Li contents of red blood cells and that of the plasma. Significant differences were revealed between the different nosologic subgroups in the respect of in vitro rates of Na-dependent Li countertransport. Results are discussed in the light of clinical and pharmacogenetic aspects.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"13 1","pages":"57-64"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000283861","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18405959","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":"[Realistic and unrealistic goals in psychiatry].","authors":"M Bleuler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It would be unrealistic to try to turn psychiatry in all its aspects into an exact science. It is realistic to accept that it also deals with non-measurable phenomena; this we should always remember, so as to remain doctors and to preserve what is personal, warm and humane in our work. It is unrealistic to believe that the neurosciences are beginning today to explain all levels of psychic life. While fully recognizing the magnificent achievements of the neurosciences in explaining some basic elements of psychic life, we should keep ourselves aware that the psychic spheres of man remain inaccessible to the purely somatic explanations and are outside their influence. It is unrealistic to claim that our best and most effective treatment of schizophrenic psychoses is 'merely' symptomatic. It is realistic to accept the probability that it is appropriate to the nature of many schizophrenias and that it is radical. It is unrealistic to believe that our only task is to cure illnesses. Often it falls to us simply and in all modesty to accompany patients through their lives along a path chosen entirely by themselves and to be allowed now and then to give a little help to them. It is unrealistic to believe that psychiatry provides a key to improve the world. It is realistic if we concern ourselves in the main with helping the sick, if we critically reflect on the effect our work may have beyond our patient, on society, and if we keep pointing out again and again the good which is in every human being and that we may sometimes bring out this goodness in him.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"13 3-4","pages":"131-8"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18257787","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":"[Genetic markers of atypical phasic psychoses].","authors":"V Lange","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The 93 patients of the present study resemble each other in their psychosis by phasic course and complete recovery. Frequently the attacks showed an anxious and paranoid syndrome in monopolar repetition or in bipolar change with ecstatic symptoms. Rarely an incoherent state of agitation or stupor could be observed. Considering the distribution of simple inherited serum groups, there is a significant increase of Gc 1-1 and Hp 2-2 in the patient collective. Evidently these serum groups are risk components in a multifactorial hereditary system possessing with Gc 1-1 a marker of the schizophrenic disposition and with Hp 2-2 a determinating trait for affective psychoses. A selective interaction is discussed for both serum groups regarding the vitamin D transport of the Gc fraction with their relation to enuronal function and the possible role of Hp 2-2 in a transport or regulatory system.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"13 1","pages":"38-56"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18405958","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":"[Modification of schizophrenia by intensive neuroleptic therapy and the course of the disease after withdrawal of neuroleptic drugs].","authors":"S Steiner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since 1976 a group of 229 patients with schizophrenic or other paranoid illness (9 patients) were treated for about 14 weeks with intramuscular or intravenous injections of fluphenazinedecanoate. During the first 2 weeks, three injections of 250 mg were given after which time the injections were given at three weekly intervals with slowly decreasing dosage. The patients also received tablets of procyclidine and 100-150 mg of amitriptyline per os. After the initial intensive phase the patients received an average of 145 mg i.m. every 3 weeks. A total of 209 patients could be followed up. Of those, 127 had for various reasons not continued with oral medication. The course of their illnesses was compared with that of the patients who had complied. The present report which represents a 3-year follow-up study confirms the findings of an earlier paper which showed the rapid onset and stability of remission, the absence of relapses among the patients who were under continued treatment, and the relative freedom from relapses among the patients who did not continue to have further neuroleptic medication. The anticipation that the initial high-dosage medication would have deleterious effects on the personality, producing robots or zombies, was shown to be groundless.</p>","PeriodicalId":76382,"journal":{"name":"Psychiatria clinica","volume":"13 3-4","pages":"165-78"},"PeriodicalIF":0.0,"publicationDate":"1980-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18257789","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}