Swiss Archives of Neurology, Psychiatry and Psychotherapy

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Ulrich Stuhr, Marianne Leuzinger-Bohleber, Manfred Beutel, Hrsg.: Langzeit-Psychotherapie. Perspektiven für Therapeuten und Wissenschaftler

by H. Böker

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(5), 236; https://doi.org/10.4414/sanp.2004.01508 - 1 Jan 2004

Abstract

Das Buch enthält Beiträge einer grösseren Anzahl international renommierter Psychotherapieforscher und -forscherinnen, die sich sowohl mit grundlegenden Fragen der Psychotherapieforschung im wissenschaftshistorischen Kontext wie auch mit konkreten Forschungsergebnissen bisheriger Studien auseinandersetzen [...]
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Psychische Erkrankungen in der Familie - Gemeinsamer Jahreskongress der Schweizerischen Gesellschaft für Kinder- und Jugendpsychiatrie und Psychotherapie SGKJPP und der Schweizerischen Gesellschaft für Psychiatrie und Psychotherapie SGPP

by Hans Kurt

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(5), 236; https://doi.org/10.4414/sanp.2004.01507 - 1 Jan 2004

Abstract

Sowohl für Partner und Kinder psychisch kranker Menschen als auch für Eltern und Geschwister psychisch erkrankter Kinder stellen psychische Erkrankungen eine grosse Herausforderung dar und bedeuten, mit mannigfaltigen Belastungen leben zu müssen. Psychische Erkrankungen betreffen nicht nur die unmittelbar betroffenen Patienten und Patientinnen, [...] Read more.

Sowohl für Partner und Kinder psychisch kranker Menschen als auch für Eltern und Geschwister psychisch erkrankter Kinder stellen psychische Erkrankungen eine grosse Herausforderung dar und bedeuten, mit mannigfaltigen Belastungen leben zu müssen. Psychische Erkrankungen betreffen nicht nur die unmittelbar betroffenen Patienten und Patientinnen, sondern in einem ähnlichen Ausmass deren Angehörige [...]
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Marianne Leuzinger-Bohleber: «Forschen und Heilen» in der Psychoanalyse

by H. Böker

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(5), 235-236; https://doi.org/10.4414/sanp.2004.01506 - 1 Jan 2004

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Das Buch setzt sich mit der engen Verbindung von «Forschen» und «Heilen» auseinander, welche die Psychoanalyse – als Wissenschaft und Therapiemethode – von Anfang an geprägt hat [...]
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International Forum of Psychoanalysis: Psychoanalysis in the Third Reich

by R. Battegay

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(5), 234-235; https://doi.org/10.4414/sanp.2004.01505 - 1 Jan 2004

Abstract

Diese Ausgabe der Zeitschrift der Internationalen Föderation psychoanalytischer Gesellschaften umfasst Artikel von 9 namhaften Psychoanalytikern zu den Themen Psychoanalyse und Schicksal der Psychoanalytiker vor und während des 2 [...]
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J.-D. Guelfi, J.-C. Samuelian, dir.: L’anxiété généralisée: actualité et devenir

by F. Ferrero

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(5), 234; https://doi.org/10.4414/sanp.2004.01504 - 1 Jan 2004

Abstract

Ce petit ouvrage de moins de 100 pages, publié dans le cadre du groupe d’études «France-Université-Antidépresseurs»(FUAG), un groupe très dynamique présidé par le Professeur Julien-Daniel Guelfi, peut être considéré comme une référence sur l’anxiété généralisée, tant il est clair et pratique [...]
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Ce petit ouvrage de moins de 100 pages, publié dans le cadre du groupe d’études «France-Université-Antidépresseurs»(FUAG), un groupe très dynamique présidé par le Professeur Julien-Daniel Guelfi, peut être considéré comme une référence sur l’anxiété généralisée, tant il est clair et pratique [...]
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Michael Günter, Hrsg.: Psychotherapeutische Erstinterviews mit Kindern

by A. Di Gallo

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(5), 234; https://doi.org/10.4414/sanp.2004.01503 - 1 Jan 2004

Abstract

In der psychodiagnostischen und -therapeutischen Arbeit mit Kindern reicht der sprachliche Dialog allein oft nicht aus, um eine gemeinsame bedeutungsvolle Beziehungsebene zu erreichen [...]
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Euphrosyne Gouzoulis-Mayfrank: Komorbidität Psychose und Sucht. Von den Grundlagen zur Praxis

by E. Hurwitz

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(5), 233-234; https://doi.org/10.4414/sanp.2004.01502 - 1 Jan 2004

Abstract

Euphrosyne Gouzoulis-Mayfrank hat als klinisch tätige Psychiaterin und Psychotherapeutin mit ihrem Buch einen interessanten Überblick über die Probleme im Zusammenhang mit der Komorbidität von Schizophrenie und Substanzenmissbrauch vorgelegt [...]
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Mathias Berger: Psychische Erkrankungen. Klinik und Therapie

by E. Hurwitz

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(5), 233; https://doi.org/10.4414/sanp.2004.01501 - 1 Jan 2004

Abstract

Mathias Berger, Psychiatrieordinarius von Freiburg i. Br., und Mitarbeiter legen hier eine eindrückliche und sehr gut gelungene Neuerung vor: ein evidenzbasiertes handbuchartig grosses (1264 Seiten) Lehrbuch der Psychiatrie, mit Beiträgen vieler Autoren, aber dennoch einheitlich strukturiert und gestaltet [...]
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Jean Cottraux: Les visiteurs du soi: à quoi servent les psy?

by E. Hurwitz

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(5), 233; https://doi.org/10.4414/sanp.2004.01500 - 1 Jan 2004

Abstract

A sa manière toujours personnelle et originale, Jean Cottraux publie un nouvel ouvrage sur la psychiatrie et la psychothérapie: «La vie est un voyage à la recherche de soi [...]
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Aktualitäten

by K. Studer

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(5), 232; https://doi.org/10.4414/sanp.2004.01499 - 1 Jan 2004

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Verwahrungsinitiative [...]
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Armut und psychische Befindlichkeit

by Walter Schmid

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(5), 229-231; https://doi.org/10.4414/sanp.2004.01498 - 1 Jan 2004

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Abstract

Krankheit und Armut Kein Zweifel: Armut und Krankheit stehen in einem engen Verhältnis zueinander [...] Full article

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Scham als Problem der psychoanalytischen Theorie und Praxis

by Daniel Strassberg

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(5), 225-228; https://doi.org/10.4414/sanp.2004.01496 - 1 Jan 2004

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Abstract

Einleitung Die Scham kann den Kern beinahe jeder psychischen Störung bilden [...] Full article

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Le fardeau du soignant dans la démence: déterminants et stratégies d’intervention

by Agnès Michon, K. Weber, M. Gargiulo, A. Canuto, U. Giardinia U. Giardinia and P. Giannakopoulos

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(5), 217-224; https://doi.org/10.4414/sanp.2004.01495 - 1 Jan 2004

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Abstract

Caring for a family member with Alzheimer’s disease or other types of dementia has significant physical, psychological and social consequences for the caregiver. Negative aspects of care giving experience were clearly documented, as caregiver depression, perceived poor health and increased risk of morbidity.The [...] Read more.

Caring for a family member with Alzheimer’s disease or other types of dementia has significant physical, psychological and social consequences for the caregiver. Negative aspects of care giving experience were clearly documented, as caregiver depression, perceived poor health and increased risk of morbidity.The caregiver burden depends on patient’s variables, such as behavioural problems, but is mainly associated with caregivers’ variables such as sex (women report a higher level of burden than male carers), lack of information, satisfaction of social support and quality of the past relationship between the carer and the patient. Recent studies attempted to identify positive aspects of care giving and examined how they are associated with caregiver outcomes. Sense of duty, meaning of care giving, companionship, rewarding are associated with lower burden scores. Several studies showed that patients living with highly distressed caregivers exhibit higher frequencies of behavioural problems compared to those living with less distressed caregivers. A knowledge of basic issues in dementia care giving, including predictors and determinants of burden, caregivers’ resources, coping strategies and subjective experience, is necessary in order to provide efficient support to the families. Most of proposed interventions aim at alleviating the caregiver’s distress, by improving information, social support and coping strategies. Family interventions should assess and define the family’s difficulties and focus on their defence mechanism, relieve the members from guilt and favour expression of emotions and communication between the patient and the family. The present article offers a critical overview of the literature in this field and comments on new proposals of family support, with special reference to the concepts of crisis and rehabilitation in psychiatry. We propose to focus family interventions on the process of burden itself, and more precisely on the caregiver’s subjective experience, taking the context of crisis periods or rehabilitative times into account. Crisis interventions transform periods of isorganisation lived by the family into opportunity for change, and psychosocial rehabilitation interventions offered by professional caring networks allow continuous assessment and advice to the family. Full article

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Why do patients meeting criteria for borderline personality disorder deliberately harm themselves? Some hypothesised neurobiological correlates

by Annabel McQuillan

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(5), 212-216; https://doi.org/10.4414/sanp.2004.01494 - 1 Jan 2004

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Abstract

The majority of patients meeting criteria for borderline personality disorder deliberately harm themselves at some time in their lives. This deliberate self-harm is nearly always subsequent to interpersonal loss. This paper postulates that the physiological arousal, which precedes deliberate self-harm, has a distinctive [...] Read more.

The majority of patients meeting criteria for borderline personality disorder deliberately harm themselves at some time in their lives. This deliberate self-harm is nearly always subsequent to interpersonal loss. This paper postulates that the physiological arousal, which precedes deliberate self-harm, has a distinctive pattern specific to borderline personality disorder.The clinical manifestations are: baseline distress, followed by an environmental trigger factor (separation), which sets off an acute response of increasing distress, usually accompanied by ruminations.This develops into an intensely disagreeable subjective state, with simultaneous cutaneous anaesthesia or dissociative symptoms. It is this highly unpleasant state which is rapidly and very effectively relieved by soft tissue injury. In borderline personality disorder a dysfunctional stress response is hypothesised to underlie the acute subjective distress and the accompanying somatic symptoms that occur prior to deliberate self-harm. Central neuro-humoral mechanisms, via peripheral afferent stimulation as a result of soft tissue injury, are hypothesised to relieve the subjective tension by re-establishing homoeostasis. This paper examines the underlying biological aspects of separation distress and the mechanism by which it is relieved. In this sense separation distress is conceptualised in behavioural terms as the reaction to an environmental event.The psychological mechanisms of attachment and separation are not examined. Deliberate self-harm in borderline personality disorder may thus be understood as a coping mechanism, a potent means of overcoming unbearable subjective distress. A clearer understanding of the mechanisms of this behaviour may lead to more effective and compassionate treatments. Full article

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Die nosologische Stellung der schizoaffektiven Störungen (ICD-10: F25): Symptomatik und Verlauf

by Markus Jäger, R. Bottlender, A. Strauß and H.-J. Möller

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(5), 204-211; https://doi.org/10.4414/sanp.2004.01493 - 1 Jan 2004

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Abstract

Kraepelin’s dichotomous classification of functional psychoses with schizophrenia on the one hand and affective disorders on the other hand was challenged by nosological concepts such as schizoaffective psychoses. This term was introduced by Kasanin when he described patients with a mixture of psychotic [...] Read more.

Kraepelin’s dichotomous classification of functional psychoses with schizophrenia on the one hand and affective disorders on the other hand was challenged by nosological concepts such as schizoaffective psychoses. This term was introduced by Kasanin when he described patients with a mixture of psychotic and affective symptoms who showed a full recovery after a few months. The modern diagnostic systems ICD-10 and DSM-IV do not follow Kraepelin’s dichotomous classification but include further diagnostic categories like schizoaffective disorders. Diagnostic criteria for ICD-10 schizoaffective disorders require the presence of both prominent affective symptoms and “typical schizophrenic” symptoms like thought insertion, thought broadcasting, thought withdrawal, hallucinatory voices, delusional perception or delusions of control.Concerning the regional frequency of this diagnosis, empirical investigations show a high variability. The frequency of ICD-10 schizoaffective disorders within the whole diagnostic group “schizophrenia, schizotypal and delusional disorders” ranges between 7.8 and 33.3%. Until now, the interrater reliability for schizoaffective disorders according to ICD-10 criteria is not sufficient. Kappa-values range between 0.24 and 0.63. In particular, the nosological state of schizoaffective disorders is still unclear. It is possible to distinguish at least four different nosological concepts (variant of schizophrenia, variant of affective disorders, intermediate entity between schizophrenia and affective disorders, continuous spectrum model of functional psychoses). Several investigations using multivariate statistical analyses failed to identify schizoaffective disorders as a distinct entity with regard to the cross-sectional clinical picture. These findings are in line with the continuous spectrum model. Concerning the course of illness, divergent results were reported in different investigations. The course of schizoaffective disorders seems to depend on the underlying diagnostic criteria. A temporal dissociation of psychotic and affective symptoms, the constituent diagnostic criteria for schizoaffective disorders according to DSM-IV criteria, seems to predict a more unfavourable course. However, schizoaffective disorders according to ICD-10 criteria are more similar to affective disorders than to schizophrenia, compatible with the conception of a variant of affective disorders. These results support Kraepelin’s dichotomous classification of functional psychoses, provided that schizoaffective disorders are subsumed under affective disorders.Because of the more favourable course of illness ICD-10 schizoaffective disorders should be classified not as a subcategory of “schizophrenia, schizotypal and delusional disorders”, but as a subcategory of affective disorders. Full article

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Editorial

by Albert Erlanger

Swiss Arch. Neurol. Psychiatry Psychother. 2004, 155(5), 203; https://doi.org/10.4414/sanp.2004.01497 - 1 Jan 2004

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Abstract

Die Bürde (le fardeau) der Pflegenden bei Demenzkranken ist eine beeindruckende Gemeinschaftsarbeit von sechs welschen Kollegen und Kolleginnen vorwiegend aus der Gerontopsychiatrie der Genfer Universitätskliniken. Die Bedeutung der Problematik wird offensichtlich, wenn wir lesen [...] Full article

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Swiss Arch. Neurol. Psychiatry Psychother., Volume 155, Issue 5 (01 2004) – 16 articles

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