Psychiatric developments最新文献

Long-term stability of anorexia nervosa treatments: follow-up study of 218 patients. 神经性厌食症治疗的长期稳定性:218例随访研究。

Psychiatric developments Pub Date : 1989-01-01

K Engel, M Wittern, M Hentze, A E Meyer

{"title":"Long-term stability of anorexia nervosa treatments: follow-up study of 218 patients.","authors":"K Engel, M Wittern, M Hentze, A E Meyer","doi":"","DOIUrl":"","url":null,"abstract":"We are reporting about the stability of n = 218 female in-patient treatments of Anorexia nervosa carried out at the University Clinic at Hamburg-Eppendorf from 1965 to 1979 mainly by a special program: introductory interview (with the family present), in-patient medical treatment (bed-rest, phenothiazines, tube-feeding), strict regimen and addressing the patients' conflict situation. The average interval between the end of therapy and the follow-up examination was 9.8 years. We were able to collect data about 93 per cent (n = 202) of the former patients concerning their somatic, psychological and psychosocial status. Based on these data we could assess 30 patients (14 per cent of our basic sample) as free of symptoms while 84 patients (39 per cent) presented slight symptoms so that 53 per cent of the former patients could exercise their profession without being considerably handicapped and able to keep up a relationship with a partner. On the other hand, 39 patients (18 per cent) still showed marked symptoms at follow-up and with 19 patients (9 per cent) there were manifestations of severe or extreme symptoms. Thirty former patients (14 per cent) had died with the mortality rate distinctly increasing over the years. Possible interpretations of our results and consequences for therapy are presented.","PeriodicalId":77773,"journal":{"name":"Psychiatric developments","volume":"7 4","pages":"395-407"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13720220","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

Hyperactivity of the left striato-pallidal projection. Part I: Lower level theory. 左侧纹状体-苍白叶投影过度活跃。第一部分:低层次理论。

Psychiatric developments Pub Date : 1989-01-01

T S Early, M I Posner, E M Reiman, M E Raichle

引用次数: 0

The concept of mental illness. 精神疾病的概念。

Psychiatric developments Pub Date : 1989-01-01

H Häfner

{"title":"The concept of mental illness.","authors":"H Häfner","doi":"","DOIUrl":"","url":null,"abstract":"In recent years it has often been suggested that there is no such thing as mental illness. In naive Cartesianism this assertion starts out from the assumption that illness may develop solely from physical causes. Before clarifying what mental illness is, we should ask what is understood by the general notion of 'illness'. A constituent of the general disease concept is an unvoluntary and sufficiently serious disturbance of vital functions that needs to be defined in detail-and not just any region of disease causes or symptoms. The general disease concept can be defined in the context of everyday life and in the social and legal context and be filled with detailed normative and threshold values in the medical context. A society with a humanitarian orientation responds to the incapacity of its members owing to illness with attempts at institutionalization, which find their expression in norms, privileges and duties. Special disease concepts were developed for defining specific diseases and distinguishing them from others. Since solely the general disease concept, on which the distinction between illness and deviations from moral or legal norms is founded, is aetiologically neutral, it can be filled with any explanation model at the physical or at the mental level in the frame of specific disease concepts: e.g. with the one cause--one disease model, with multifactorial models or behavioural dysfunction models.","PeriodicalId":77773,"journal":{"name":"Psychiatric developments","volume":"7 2","pages":"159-70"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13838824","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

Dreaming: the impact of life stress events. 梦境:生活压力事件的影响。

Psychiatric developments Pub Date : 1989-01-01

T W Miller, D T Miller

引用次数: 0

Drug treatment of panic disorder--a critical review of controlled clinical trials. 惊恐障碍的药物治疗——对照临床试验的重要回顾。

Psychiatric developments Pub Date : 1989-01-01

M Balestrieri, M Ruggeri, C Bellantuono

引用次数: 0

Genetic linkage studies in bipolar disorder: a review. 双相情感障碍的遗传连锁研究综述。

Psychiatric developments Pub Date : 1989-01-01

C D Mellon

引用次数: 0

The phenomenological study of 90 patients with panic disorder, Part II. 90例惊恐障碍患者的现象学研究(二)。

Psychiatric developments Pub Date : 1989-01-01

N Argyle, M Roth

引用次数: 0

Rationale for the planned clinical trials with nerve growth factor in Alzheimer's disease. 神经生长因子治疗阿尔茨海默病计划临床试验的基本原理。

Psychiatric developments Pub Date : 1989-01-01

F Hefti, L S Schneider

引用次数: 0

Conceptual and methodological issues in studies of obsessive-compulsive and Tourette's disorders. 强迫症和妥瑞氏症研究中的概念和方法问题。

Psychiatric developments Pub Date : 1989-01-01

E Hollander, M R Liebowitz, C M DeCaria

{"title":"Conceptual and methodological issues in studies of obsessive-compulsive and Tourette's disorders.","authors":"E Hollander, M R Liebowitz, C M DeCaria","doi":"","DOIUrl":"","url":null,"abstract":"An association between recurrent motor and phonic tics and obsessive-compulsive behaviors has been noted since Tourette's Syndrome (TS) was first described. Obsessive-compulsive disorder (OCD) until recently was considered a rare disorder with poor prognosis. Currently, OCD is considered among the most common psychiatric diagnoses, and new treatments have spurred the development of considerable clinical, epidemiological, genetic, and biological research. Recent studies suggest a high rate of obsessive-compulsive symptoms in Tourette's Syndrome patients. A high rate of OCD among relatives of TS probands, both with and without OCD symptoms, suggest that some forms of OCD may represent an alternative expression of factors responsible for TS and/or chronic motor tics. Areas of conceptual controversy in the differentiation of tics, impulsions, and compulsions are discussed, confusing aspects of differential diagnosis are explored, and the relationship of diagnostic issues to clinical and familial studies are highlighted. There is considerable evidence for neuropsychiatric abnormalities in both OCD and TS; however, no studies have directly compared both disorders with similar methodological design. While studies of neurotransmitter function have primarily implicated dopaminergic dysfunction in TS and serotonergic function in OCD, other systems may be involved in each disorder, and neurotransmitter systems may be tightly linked, such that alterations of one system will affect other systems. This article reviews and discusses some of the conceptual and methodological issues associated with clinical, familial, neuropsychiatric and biological studies attempting to elucidate the association among tics, obsessive-compulsive disorder, and Tourette's Syndrome.","PeriodicalId":77773,"journal":{"name":"Psychiatric developments","volume":"7 4","pages":"267-96"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13720218","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

Left striato-pallidal hyperactivity in schizophrenia. Part II: Phenomenology and thought disorder. 精神分裂症患者左侧纹状体-苍白质亢进。第二部分:现象学与思维障碍。

Psychiatric developments Pub Date : 1989-01-01

T S Early, M I Posner, E M Reiman, M E Raichle

引用次数: 0