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Volume 174
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Swiss Archives of Neurology, Psychiatry and Psychotherapy is published by MDPI from Volume 176 Issue 1 (2026). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with the previous journal publisher.

Swiss Arch. Neurol. Psychiatry Psychother., Volume 174, Issue 2 (01 2023) – 2 articles , Pages 52-66

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Article
Dialogue entre expérience vécue et saillance aberrante dans la psychose
by Mizué Bachelard, Benedetta Silva, Carla G. Gonzalez De Ara, Vincent Bonnarel and Charles Bonsack
Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(2), 59-66; https://doi.org/10.4414/sanp.2023.03267 - 19 Apr 2023
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Abstract
Introduction: People affected by psychosis experience intense disturbances in their experience, which alter their daily functioning. These disturbances refer to manifestations that are recognised as abnormal and that concern the domain of a feeling that is difficult to understand. The aberrant salience model [...] Read more.
Introduction: People affected by psychosis experience intense disturbances in their experience, which alter their daily functioning. These disturbances refer to manifestations that are recognised as abnormal and that concern the domain of a feeling that is difficult to understand. The aberrant salience model offers a simple explanatory framework that makes sense of the perceptions and feelings of people affected by psychosis. This model facilitates the understanding of the initial phases of psychosis, defined by Conrad in 1958: diaeresis, apophany and apocalypse. The aim of our study was to qualitatively analyse how people with psychosis can reconstruct the narrative of their experience of psychosis using Conrad’s explanatory framework of salience modification and the different structural phases. Methods: Eight participants were interviewed. The semi-structured interviews were conducted by two psychotherapeutic psychiatrists. During the interview, the narrative technique of exter¬nalisation was used to promote subjective ownership of the explanation of the modified salience phenomenon in order to share the experience of the psychosis process. All interviews were ana¬lysed using the content analysis method. Results: The content analysis showed a differentiated evolution of the cognitive and perceptual dimensions related to salience. Their characteristics are in line with the model of K. Conrad. Other results indicated the existence of a pre-psychotic phase and a post-psychotic phase, which is perceived as integrative and positive. Conclusions: Our qualitative research based on a narrative approach showed the possibility of a dialogue between different parameters rarely taken into account in psychiatric research: the lived phenomenon, the patient’s beliefs and the neuroscientific explanation. Full article
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Article
Zwangseinweisungen in die Psychiatrie—Qualität der ärztlichen FU-Einweisungszeugnisse in einer psychiatrischen Klinik
by Alexandra Ehrsam, René Bridler and Katja Cattapan
Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(2), 52-58; https://doi.org/10.4414/sanp.2023.03273 - 1 Jan 2023
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In 2013, the new Child and Adult Protection Law (CESR), which also regulates the involuntary ad¬mission of patients, was introduced in Switzerland. In a retrospective cross-sectional study in a psychiatric hospital with a full care mandate in the canton of Zurich, formal and [...] Read more.
In 2013, the new Child and Adult Protection Law (CESR), which also regulates the involuntary ad¬mission of patients, was introduced in Switzerland. In a retrospective cross-sectional study in a psychiatric hospital with a full care mandate in the canton of Zurich, formal and content-related aspects of all medical placement orders (n = 593) in the observation period of one year were ex-amined. In the evaluation of the referral certificates, formal and content-related deficiencies were found. In conclusion, further measures to ensure quality, such as regular further training and limit¬ing the competence to order an involuntary admission to specialised physicians, seem to be rea¬sonable to ensure that such a serious interference with personal freedom is decided and carried out with sufficient care. Full article
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