Swiss Archives of Neurology, Psychiatry and Psychotherapy

460 KB

Open AccessCommunication

Josef Schöpf: Psychiatrie für die Praxis. Mit ICD-10-Diagnostik

by E. Hurwitz

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(3), 144; https://doi.org/10.4414/sanp.2004.01480 - 1 Jan 2004

Abstract

PD Dr.med.Josef Schöpf legt hier die zweite, überarbeitete und erweiterte Auflage seines schon in der ersten Auflage durch Gründlichkeit, klare Struktur, Orientierung an der ICD und an den empirischen Grundlagen der Psychiatrie ausgezeichneten Lehrbuches der Psychiatrie vor. Es ist ein nützliches Werk für [...] Read more.

PD Dr.med.Josef Schöpf legt hier die zweite, überarbeitete und erweiterte Auflage seines schon in der ersten Auflage durch Gründlichkeit, klare Struktur, Orientierung an der ICD und an den empirischen Grundlagen der Psychiatrie ausgezeichneten Lehrbuches der Psychiatrie vor. Es ist ein nützliches Werk für Psychiater oder solche, die in Ausbildung dazu sind [...] Full article

460 KB

Open AccessCommunication

Volker Tschuschke: Kurzgruppenpsychotherapie. Theorie und Praxis

by E. Hurwitz

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(3), 144; https://doi.org/10.4414/sanp.2004.01479 - 1 Jan 2004

Cited by 1

Abstract

Der Autor, der vor kurzem einen Sammelband über die «Praxis der Gruppenpsychotherapie » herausgegeben hat, legt nun ein in 12 Kapitel eingeteiltes Buch über Gruppenpsychotherapie kurzer Dauer vor, wie sie von den europäischen und amerikanischen Versicherungsträgern aus ökonomischen Gründen erstrebt wird [...] Full article

460 KB

Open AccessReview

Günter Schiepek, Hrsg.: Neurobiologie der Psychotherapie. Mit Geleitworten von Klaus Grawe und Hermann Haken

by J. Küchenhoff

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(3), 143-144; https://doi.org/10.4414/sanp.2004.01478 - 1 Jan 2004

Abstract

Dem Schattauer Verlag verdanken wir schöne Bücher, die ordentlich gebunden sind, angenehm in der Hand liegen, übersichtlich gegliedert und auf gutem Papier gedruckt sind
Full article

460 KB

Open AccessReview

Udo Rauchfleisch, Jacqueline Frossard, Gottfried Waser, Kurt Wiesendanger, Wolfgang Roth: Gleich und doch anders. Psychotherapie und Beratung von Lesben, Schwulen, Bisexuellen und ihren Angehörigen

by E. Hurwitz

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(3), 143; https://doi.org/10.4414/sanp.2004.01477 - 1 Jan 2004

Abstract

Das Buch sei – gemäss Klappentext – das erste im deutschsprachigen Raum,das sich so gründlich und so umfassend den Problemen widmet, die sich bei der Beratung und der Psychotherapie von Lesben, Schwulen und Bisexuellen stellen [...] Full article

460 KB

Open AccessReview

Peter Hartwich, Michael Grube: Psychosen – Psychotherapie. Psychodynamisches Handeln in Klinik und Praxis

by C. Scharfetter

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(3), 142; https://doi.org/10.4414/sanp.2004.01476 - 1 Jan 2004

Abstract

Nach der Erstauflage von 1998 liegt nun 2003 die erheblich erweiterte Zweitauflage vor [...]
Full article

460 KB

Open AccessBook Review

Helena Kanyar Becker, Hrsg.: Jenische, Sinti und Roma in der Schweiz

by E. Hurwitz

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(3), 142; https://doi.org/10.4414/sanp.2004.01475 - 1 Jan 2004

Abstract

Die Leiden der jüdischen Überlebenden des Holocaust waren Gegenstand von wissenschaftlicher Forschung und individueller Trauerarbeit und auch das Trauma der nachfolgenden Generation war Thema der persönlichen und kollektiven Auseinandersetzung, die das Interesse an jüdischer Religion und Kultur stets einbezog [...]
Full article

460 KB

Open AccessCommunication

Aktualitäten Actualités News

by Karl Studer

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(3), 141; https://doi.org/10.4414/sanp.2004.01474 - 1 Jan 2004

Abstract

Eine Studie der Hochschule für Sozialarbeit (HSA) in Bern zeigt, dass 5% der Schweizerinnen und Schweizer an unkontrolliertem süchtigem Kaufverhalten und weitere 33% an der Tendenz zu unkontrolliertem Kaufverhalten leiden [...] Full article

260 KB

Open AccessStudy Protocol

Kasuistik Der verletzte Vogel. Wie und wieso sich Kunst als kommunikatives und therapeutisches Mittel gerade im Umgang mit traumatisierten Menschen eignet und wieso Traumatherapie nichts für EinzelkämpferInnen ist

by Barbara Bauer-Gerber

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(3), 134-140; https://doi.org/10.4414/sanp.2004.01473 - 1 Jan 2004

Viewed by 31

Abstract

Therapy with patients who have been traumatised in victim-perpetrator constellations, as it is the case in abuse, torture and war, demands special therapeutic skills. The condition for a therapeutic alliance, i.e. fundamental confidence in human relationship, is deeply shocked. The present case study [...] Read more.

Therapy with patients who have been traumatised in victim-perpetrator constellations, as it is the case in abuse, torture and war, demands special therapeutic skills. The condition for a therapeutic alliance, i.e. fundamental confidence in human relationship, is deeply shocked. The present case study of the therapy of a war-traumatised Bosnian man shows how an intervention with art therapy turned out to be the essential communicative medium to a person whose ability to communicate not only with himself and the world had been affected in trauma, but who additionally had communication problems concerning language and culture. The experiences in the case presented are confronted with the article of Dori Laub and Daniel Podell “Art and Trauma” (1995) where the authors attempt to show that “the art of trauma” may be the only possible medium for the effective representation of trauma, which is characterised by absence, emptiness and annihilation. The findings of Laub and Podell confirm the author’s experiences with art therapy in the present case. The applied art work in form of painting accomplishes the essential qualities of “the art of trauma”: indirect, unaestheticised and dialogic nature. Hence a central function of “the art of trauma” emerges: a real witnessing presence that allows representation of trauma and therefore communication. The dynamic of transference and countertransference in the therapeutical process presented, which repeatedly brought the therapist to her own limits, is then critically discussed referring to the article of Barbara Farber «Übertragung, Gegenübertragung und Gegenwiderstand bei der Behandlung von Opfern mit Traumatisierungen» (1995). An essential conclusion is that therapeutic work with trauma victims should only be performed under continuous super- and intervisionary survey. Full article

► Show Figures

Figure 1

139 KB

Open AccessStudy Protocol

Formen der Angst – ein nosologischer Streifzug

by Michel Lansel

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(3), 129-133; https://doi.org/10.4414/sanp.2004.01471 - 1 Jan 2004

Viewed by 27

Abstract

Ziel Diese Arbeit, die aus der Sicht eines freipraktizierenden Psychiaters geschrieben wurde, möchte einen Beitrag zur Differenzierung und Systematisierung des Phänomens Angst leisten [...] Full article

147 KB

Open AccessArticle

Missed appointments at outpatient psychiatric clinics in Geneva: a pilot study

by Ariel Eytan, M. Gex-Fabry, F. Ferrero and G. Bertschy

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(3), 125-128; https://doi.org/10.4414/sanp.2004.01470 - 1 Jan 2004

Cited by 4 | Viewed by 34

Abstract

Empirical studies indicate a wide range of missed appointments in psychiatry, from 12 to 60%.A survey was undertaken in the outpatient psychiatric facilities of the Clinic for Adult Psychiatry of the Geneva University Hospitals over a one-month period. For each missed appointment, residents [...] Read more.

Empirical studies indicate a wide range of missed appointments in psychiatry, from 12 to 60%.A survey was undertaken in the outpatient psychiatric facilities of the Clinic for Adult Psychiatry of the Geneva University Hospitals over a one-month period. For each missed appointment, residents filled a form with medical and socio-demographic information about the patient.All 23 residents, working part-time or full-time in one of four outpatient facilities, participated. Over the surveyed one-month period, 2177 appointments were scheduled. Exactly 2000 were attended and 177 (8.1%) were missed. 55.4% of missed appointments were attributed to men, of whom 69.4% were aged under 40. Patients suffering from schizophrenic disorders and mood disorders accounted for 49.7% of missed appointments, with an additional 15.8% represented by patients with personality disorders. Diagnosis was unspecified in 13.6% of patients (n = 24) who mainly missed their first contact (n = 18, 10.2%).Three residents reported 15 or more missed appointments over the month, leading to 28.8% of missed appointments attributable to 13.0% of residents. Comparison of proportions of missed appointments indicated a trend for differences across days (chi-square test, p = 0.052), with highest proportion on Mondays (12.6%) and lowest proportion on Wednesdays (6.5%). Although the design of the survey did not allow for statistical comparison between attenders and non-attenders, our overall data set suggests that non-attendance may be associated with male sex, age under forty, differences in professionals’ attitude and appointments scheduled on Mondays. Results point towards the necessity of addressing non-attendance more thoroughly, both at research and teaching levels. This would probably increase cost-effectiveness of care and satisfaction of professionals who, still too often, wait in vain for patients who do not show up. Full article

► Show Figures

Figure 1

137 KB

Open AccessReview

Auswirkungen von Zwangsbehandlungen und -massnahmen auf die klinische und Beziehungsarbeit in der stationären Kinder- und ugendpsychiatrie

by Emil Branik

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(3), 118-124; https://doi.org/10.4414/sanp.2004.01469 - 1 Jan 2004

Cited by 7 | Viewed by 30

Abstract

The voluntariness to agree with a psychiatric treatment is not an “all-or-nothing” phenomenon. Numerous factors as developmental maturity, psychological mechanisms, cultural values, legal regulations, various dependencies of the protagonists, available treatment strategies and resources interact and are part of a dynamical process. Children [...] Read more.

The voluntariness to agree with a psychiatric treatment is not an “all-or-nothing” phenomenon. Numerous factors as developmental maturity, psychological mechanisms, cultural values, legal regulations, various dependencies of the protagonists, available treatment strategies and resources interact and are part of a dynamical process. Children and adolescents usually do not go to psychiatric hospital of their own accord. If they endanger themselves or others by any kind of psychic disturbance, the use of power and coercion by parents, guardians, community or legal authorities is sometimes inevitable to take them into the care of mental health professionals. Therapeutical motivated measures which will be taken against disturbing behaviour of children and adolescents often consist not only of therapy but also of control. Coercion can be a legitimate dimension of treatment, but it demands careful examination by the clinician. Regarding treatment options and goals the way of negotiation is preferable whenever possible to develop and strengthen the own treatment motivation in children and adolescents. Even subtle endeavours to enforce therapeutical activities affect the therapeutical atmosphere on the ward and lead to emotional stress in both the patients with their families on the one side and the psychiatric staff on the other.The decisions in context of coercive measures are always influenced by subjective factors as personalities of the protagonists, quality of the relationships between them, sympathy, empathy and professional capabilities offered by each member of the staff. Scrupulous reflexion of psychopathological, psychodynamical and institutional issues is required, especially if coercive measures as seclusion, restraint or medication against the will were employed.As far as the sparse empirical literature on the subject allows and comprising clinical experiences the effects of coercion on the therapeutical relationships will be reported in this article. Recommendations on how to manage aggression and the consequences of coercion in therapeutical settings will be given.The importance of clarity of roles and cooperation between the institutions responsible for the use of coercive treatments and measures will be stressed in every individual case. All has to be done to prevent an abuse of power which can occur in context of the asymmetrical relationship between psychiatric institutions and psychically disturbed children and adolescents treated in them. Experiences with coercive measures of any kind usually produce long-lasting after-effects and endanger the motivation of the patients afflicted to accept treatment at all, namely in the current treatment episode or in the future when treatment may be needed again. Full article

176 KB

Open AccessArticle

Sequential therapist interventions and the therapeutic alliance: a pilot study

by O. Terraz, Yves de Roten, F. Crettaz de Roten, M. Drapeau and J.-N. Despland

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(3), 111-117; https://doi.org/10.4414/sanp.2004.01468 - 1 Jan 2004

Cited by 6 | Viewed by 36

Abstract

Scientific interest for the concept of alliance has been maintained and stimulated by repeated findings that a strong alliance is associated with facilitative treatment process and favourable treatment outcome.However, because the alliance is not in itself a therapeutic technique, these findings were unsuccessful [...] Read more.

Scientific interest for the concept of alliance has been maintained and stimulated by repeated findings that a strong alliance is associated with facilitative treatment process and favourable treatment outcome.However, because the alliance is not in itself a therapeutic technique, these findings were unsuccessful in bringing about significant improvements in clinical practice. An essential issue in modern psychotherapeutic research concerns the relation between common factors which are known to explain great variance in empirical results and the specific therapeutic techniques which are the primary basis of clinical training and practice. This pilot study explored sequences in therapist interventions over four sessions of brief psychodynamic investigation. It aims at determining if patterns of interventions can be found during brief psychodynamic investigation and if these patterns can be associated with differences in the therapeutic alliance. Therapist interventions where coded using the Psychodynamic Intervention Rating Scale (PIRS) which enables the classification of each therapist utterance into one of 9 categories of interpretive interventions (defence interpretation, transference interpretation), supportive interventions (question, clarification, association, reflection, supportive strategy) or interventions about the therapeutic frame (work-enhancing statement, contractual arrangement). Data analysis was done using lag sequential analysis, a statistical procedure which identifies contingent relationships in time among a large number of behaviours. The sample includes N = 20 therapist-patient dyads assigned to three groups with: (1) a high and stable alliance profile, (2) a low and stable alliance profile and (3) an improving alliance profile. Results suggest that therapists most often have one single intention when interacting with patients. Large sequences of questions, associations and clarifications were found, which indicate that if a therapist asks a question, clarifies or associates, there is a significant probability that he will continue doing so. A single theme sequence involving frame interventions was also observed. These sequences were found in all three alliance groups. One exception was found for mixed sequences of interpretations and supportive interventions. The simultaneous use of these two interventions was associated with a high or an improving alliance over the course of treatment, but not with a low and stable alliance where only single theme sequences of interpretations were found. In other words, in this last group, therapists were either supportive or interpretative, whereas with high or improving alliance, interpretations were always given along with supportive interventions. This finding provides evidence that examining therapist interpretation individually can only yield incomplete findings. How interpretations were given is important for alliance building. It also suggests that therapists should carefully dose their interpretations and be supportive when necessary in order to build a strong therapeutic alliance. And from a research point of view, to study technical interventions, we must look into dynamic variables such as dosage, the supportive quality of an intervention, and timing. Full article

112 KB

Open AccessEditorial

Diversité de la psychiatrie et psychothérapie 12e congrès de l’Association européenne de psychiatrie

by François Ferrero

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(3), 109-110; https://doi.org/10.4414/sanp.2004.01472 - 1 Jan 2004

Viewed by 33

Abstract

Ce numéro des Archives suisses de neurologie et de psychiatrie donne comme souvent une bonne idée de la diversité du champ couvert par la psychiatrie et la psychothérapie [...] Full article

Journal Menu

Journal Browser

Swiss Arch. Neurol. Psychiatry Psychother., Volume 155, Issue 3 (01 2004) – 13 articles

Further Information

Guidelines

MDPI Initiatives

Follow MDPI