Swiss Archives of Neurology, Psychiatry and Psychotherapy

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Open AccessBook Review

Rezension des Buches Kokainabhängigkeit (Autor : Gerhard Wiesbeck)

by EMH Swiss Medical Publishers Ltd.

Swiss Arch. Neurol. Psychiatry Psychother. 2018, 169(4), 130; https://doi.org/10.4414/sanp.2018.00564 - 1 Jan 2018

Abstract

Der Verlag Kohlhammer publiziert seit einigen Jahren eine Reihe mit dem Titel «Sucht: Risiken – Formen – Interventionen» [...] Full article

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Open AccessBook Review

Schweizer, Verena, Wachter-Müller, Susanne: Neurotraining: Therapeutische Arbeit im kognitiven Bereich mit hirngeschädigten Erwachsenen

by EMH Swiss Medical Publishers Ltd.

Swiss Arch. Neurol. Psychiatry Psychother. 2018, 169(4), 130; https://doi.org/10.4414/sanp.2018.00555 - 1 Jan 2018

Abstract

Patientinnen und Patienten nach einer Hirnverletzung in den Alltag zurückzuführen, ist oberstes Ziel der Neurorehabilitation. Mit einer gezielten und intensiven Therapie gelingt dies besser, wie gut bekannt ist. Im Buch «Neurotraining» geben Verena Schweizer und Susanne Wachter-Müller, beide langjährige Expertinnen im Bereich Ergotherapie, [...] Read more.

Patientinnen und Patienten nach einer Hirnverletzung in den Alltag zurückzuführen, ist oberstes Ziel der Neurorehabilitation. Mit einer gezielten und intensiven Therapie gelingt dies besser, wie gut bekannt ist. Im Buch «Neurotraining» geben Verena Schweizer und Susanne Wachter-Müller, beide langjährige Expertinnen im Bereich Ergotherapie, einen Überblick über Behandlungsansätze, welche in der Ergotherapie von kognitiven Störungen zur Anwendung kommen [...] Full article

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Open AccessArticle

Le trouble bipolaire dans le film Touched with fire

by Jules Chavier, Patricia Ferreira Monteiro, Milan Vuksanovic, Rita A. Manghi, Daniele Zullino and Gerard Calzada

Swiss Arch. Neurol. Psychiatry Psychother. 2018, 169(4), 129; https://doi.org/10.4414/sanp.2018.00584 - 1 Jan 2018

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Abstract

C’est l’histoire de Carla (Katie Holmes) et Marco (Luke Kirby) qui est présentée dans ce film. Ou plutôt les histoires, devrait-on dire [...] Full article

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Open AccessArticle

Interview mit Prof. Dr. Marc Graf, Klinikdirektor und Chefarzt der Forensisch Psychiatrischen Klinik der Universitären Psychiatrischen Kliniken Basel: Wo steht die Forensische Psychiatrie der Schweiz heute?

by Marc Graf and Karl Studer

Swiss Arch. Neurol. Psychiatry Psychother. 2018, 169(4), 127-128; https://doi.org/10.4414/sanp.2018.00572 - 1 Jan 2018

Viewed by 62

Abstract

Die Forensische Psychiatrie ist derzeit im Umbruch: Neue Erwartungen im Strafvollzug, ein grosser Bedarf an Begutachtungen und Massnahmenplätzen, ein neuer Weiterbildungsschwerpunkt und die Diskussion, ob die Forensik überhaupt noch zum Curriculum des Facharztes Psychiatrie und Psychotherapie gehört [...] Full article

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Open AccessArticle

A Mixed Somatic-Psychiatric Protocol for Managing Psychomotor Agitation in the ED: The Code White Protocol

by Stéphane Saillant, Vincent Della Santa, Philippe Golay and Messaoud Amirat

Swiss Arch. Neurol. Psychiatry Psychother. 2018, 169(4), 121-126; https://doi.org/10.4414/sanp.2018.00586 - 1 Jan 2018

Cited by 2 | Viewed by 63

Abstract

Objectives: Clinical management of patients presenting with acute psychomotor agitation is difficult, often because there is no predefined protocol for dealing with it. The main objective of this article is to describe our institution’s Code White mixed somatic-psychiatric protocol for managing acute agitation [...] Read more.

Objectives: Clinical management of patients presenting with acute psychomotor agitation is difficult, often because there is no predefined protocol for dealing with it. The main objective of this article is to describe our institution’s Code White mixed somatic-psychiatric protocol for managing acute agitation in an emergency department. Its second objective is to present data on how long it took to initiate and complete treatment. Methods: We retrospectively analysed 250 clinical situations over 3 years (2014–2016) from the hospital emergency department in the canton of Neuchâtel, Switzerland. Results: The median time from emergency department arrival to treatment initiation was 7 min; the median duration of treatment was 119 min. The rate of hospitalisation after emergency department treatment was 49.2%. Conclusion: This mixed somatic-psychiatric protocol seemed to reduce both the time before treatment initiation and treatment duration for patients presenting with acute psychomotor agitation in an emergency department. Implications for practice: The Code White protocol improved the emergency department’s ability to keep acutely agitated patients flowing smoothly and efficiently through it to other units or to discharge. On the qualitative level, it also improved staff safety and peace of mind, allowing them to carry out their many tasks more calmly. Full article

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Open AccessReview

Wissenschaftlich begründetes Gedächtnistraining bei kognitiver Störung

by Christine Krebs, Jessica Peter and Stefan Klöppel

Swiss Arch. Neurol. Psychiatry Psychother. 2018, 169(4), 114-120; https://doi.org/10.4414/sanp.2018.00576 - 1 Jan 2018

Cited by 1 | Viewed by 78

Abstract

Evidence-based memory training in cognitive impairment. A great deal of research has been devoted to the neuropathological alterations of Alzheimer’s disease (AD) and possible therapeutic options. Despite this effort, no cure is currently available and pharmacological interventions are able to slow down [...] Read more.

Evidence-based memory training in cognitive impairment. A great deal of research has been devoted to the neuropathological alterations of Alzheimer’s disease (AD) and possible therapeutic options. Despite this effort, no cure is currently available and pharmacological interventions are able to slow down only the clinical, but not the neuropathological, progression. In the absence of an effective pharmacological treatment, nonpharmacological therapies such as cognitive interventions are gaining importance. Currently, a broad range of such nonpharmacological interventions are available. For healthy older adults and patients with mild cognitive impairment, cognitive training rather than basic cognitive stimulation is recommended. Cognitive training typically focuses on the guided practice of mnemonic approaches, such as the method of loci where associations help to the patient to memorise words. However, in patients with AD, cognitive stimulation has been shown to be more effective in terms of a global cognitive activation. Although these results are promising, the effect sizes for nonpharmacological interventions are mostly small to moderate, with little transfer effects to untrained tasks. To overcome this limitation, a new approach combines cognitive interventions with noninvasive brain stimulation techniques. Full article

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Open AccessReview

Contrainte en psychiatrie: État des lieux des preuves d’efficacité

by Marie Chieze, Samia Hurst and Othman Sentissi

Swiss Arch. Neurol. Psychiatry Psychother. 2018, 169(4), 104-113; https://doi.org/10.4414/sanp.2018.00573 - 1 Jan 2018

Cited by 6 | Viewed by 74

Abstract

Coercive measures in healthcare are frequently used worldwide, and are especially visible and discussed in psychiatry. Ethical, moral and legal questions have become increasingly frequent over past decades, as medical practice has evolved towards more respectful treatment of patients’ autonomy and rights. In [...] Read more.

Coercive measures in healthcare are frequently used worldwide, and are especially visible and discussed in psychiatry. Ethical, moral and legal questions have become increasingly frequent over past decades, as medical practice has evolved towards more respectful treatment of patients’ autonomy and rights. In parallel, medicine evolved towards evidencebased practice. In this context, the aim of this narrative literature review was to identify scientific evidence for physical coercive measures (seclusion and restraint), with a wider discussion of the results, including ethical aspects. A French and English literature search of PubMed, MEDLINE, Cochrane, Embase, PsycINFO, Google Scholar and CAIRN.INFO was made. Results show variations in coercive care in terms of type, frequency and duration due to differences among countries and hospital practice. Furthermore, its definitions and indications are not clear. We have found no published randomised controlled studies that demonstrate evidence of therapeutic aims and efficiency of coercion. At present, the data are insufficient to assess the clinical or ethical legitimacy of coercion. As a result, a clear consensus for its legitimacy has not yet emerged, despite the fact that the practice of coercive care remains ubiquitous, frequent and limiting of patients’ rights. This article should motivate every healthcare provider to further reflect and implement clear clinical guidelines for adequate treatment, which respect the rights of the patients involved and which follow evidence-based medicine standards. Full article

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Open AccessObituary

Médecin, psychiatre et humaniste: Walter Bettschart

by Philippe Conus

Swiss Arch. Neurol. Psychiatry Psychother. 2018, 169(4), 102-103; https://doi.org/10.4414/sanp.2018.00579 - 1 Jan 2018

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Abstract

Le 21 novembre 2017, le Professeur Walter Bettschart, ancien chef du Service Universitaire de Psychiatrie de l’Enfant et de l’Adolescent à Lausanne, est décédé dans sa nonantième année [...] Full article

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Swiss Arch. Neurol. Psychiatry Psychother., Volume 169, Issue 4 (01 2018) – 8 articles

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