Swiss Archives of Neurology, Psychiatry and Psychotherapy

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Open AccessArticle

Die Affären Binswanger & Maier – antisemitische Hintergründe?

by Mario Gmür

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(3), 95-98; https://doi.org/10.4414/sanp.2023.03382 - 14 Jun 2023

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Abstract

Im zweiten Viertel des letzten Jahrhunderts warfen zwei Ereignisse einen Schatten auf die Psychiatrische Universitätsklinik Burghölzli […] Full article

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Open AccessCase Report

Taux de valproate dans le traitement de maintien du trouble bipolaire—quel intérêt?

by Christos Papachristou, Marie Besson and Javier Bartolomei

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(3), 93-94; https://doi.org/10.4414/sanp.2023.03355 - 14 Jun 2023

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Abstract

Valproate is an antiepileptic drug that is widely used as a mood stabiliser in the treatment of bipolar disorder, both in the acute phase and as a maintenance treatment. However, due to complex pharmacokinetics, the interpretation of valproate plasma concentrations remains difficult, a [...] Read more.

Valproate is an antiepileptic drug that is widely used as a mood stabiliser in the treatment of bipolar disorder, both in the acute phase and as a maintenance treatment. However, due to complex pharmacokinetics, the interpretation of valproate plasma concentrations remains difficult, a point we wish to clarify with a clinical case. Full article

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Open AccessArticle

The Impact of Established Risk Factors for Psychosis on the 3-Year Outcomes

by Philippe Golay, Elsa Reitzel and Philippe Conus

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(3), 88-92; https://doi.org/10.4414/sanp.2023.03296 - 14 Jun 2023

Cited by 1 | Viewed by 76

Abstract

Many factors increasing the risks of developing psychosis have been identified. However, it is not known whether specific factors are linked to specific clinical profiles and outcomes, and whether the number of factors affecting the same patient correlates with their clinical profile, outcomes [...] Read more.

Many factors increasing the risks of developing psychosis have been identified. However, it is not known whether specific factors are linked to specific clinical profiles and outcomes, and whether the number of factors affecting the same patient correlates with their clinical profile, outcomes and treatment needs. The present study aimed to document the prevalence of risk factors and assess their clinical and outcome correlates in the early phases of psychosis. We used data from 269 patients in the prospective cohort of the Treatment and early Intervention in Psychosis Programme (TIPP), which offers 3 years of specialised treatment to young patients with first-episode psychosis. Relationships between risk factors (e.g., family history of schizophrenia or psychiatric illness, personal psychiatric history, migration in adversity, cannabis use, tobacco use, exposure to trauma), clinical presentation and various dimensions of outcome were assessed. The most common risk factors in this cohort of early psychosis patients were a family history of psychiatric illness (64.0%), a personal history of previous psychiatric disorders (53.6%), tobacco use (44.1%) and cannabis use (39.2%). Although some risk factors (e.g., family history of schizophrenia, personal psychiatric history) had no impact on the outcomes selected, others (e.g., migration in adversity, cannabis use, tobacco use and trauma) were associated with poorer symptomatic and functional outcomes. Results suggest that factors inducing an increased risk of developing psychosis also affect clinical presentation and outcome. Those risks should, therefore, be assessed at baseline and considered when defining treatment strategies. Full article

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Open AccessArticle

Jugendliche in der Erwachsenen-Psychiatrie—Auswirkungen auf die Rehospitalisierungsrate

by Stephan Kupferschmid, Niklaus Stulz, Benjamin Dubno, Susanne Walitza and Sabine Weber

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(3), 85-87; https://doi.org/10.4414/sanp.2023.03282 - 14 Jun 2023

Cited by 2 | Viewed by 61

Abstract

Adolescents in acute adult psychiatric wards—developments in the coronavirus pandemic and implications for rehospitalisation rates. Children and adolescents are severely affected by the coronavirus pandemic in their everyday lifes and possibly also in their long-term development. Currently, a significant increase in mental health [...] Read more.

Adolescents in acute adult psychiatric wards—developments in the coronavirus pandemic and implications for rehospitalisation rates. Children and adolescents are severely affected by the coronavirus pandemic in their everyday lifes and possibly also in their long-term development. Currently, a significant increase in mental health problems among children and adolescents and a corresponding increase in the use of the healthcare system can be observed in Switzerland. Studies from German speaking countries show that the burden of mental problems such as anxiety and depression has increased, and the quality of life has decreased at the same time. The present study aimed to investigate how the number of adolescents who were treated for capacity reasons in adult psychiatry in the canton of Zurich developed during the pandemic and whether treatment in specialised adolescent psychiatry differs from treatment in adult psychiatry in terms of rehospitalisation rates. Full article

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Open AccessArticle

A Qualitative Study Among (Para-)Medical and Non-Medical Professionals in Switzerland

by Solenne Blanc, Yara Shoman, Olivier Talpain, Stéphane Saillant, Bastien Chiarini, Roland von Känel, Rafael Weissbrodt, Nadia Droz, Anny Wahlen and Irina Guseva Canu

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(3), 76-84; https://doi.org/10.4414/sanp.2023.03277 - 14 Jun 2023

Cited by 1 | Viewed by 54

Abstract

Background: There is still a gap of knowledge in the detection and treatment of occupational burnout because it is not recognized as a disease and there are no standard criteria for its detection. We conducted a qualitative study to: (1) identify the different [...] Read more.

Background: There is still a gap of knowledge in the detection and treatment of occupational burnout because it is not recognized as a disease and there are no standard criteria for its detection. We conducted a qualitative study to: (1) identify the different types of professionals who intervene in occupational burnout detection, treatment, prevention or administrative management; (2) describe their respective roles, intervention levels and professional interactions; (3) describe the types of interventions and modalities available; and (4) conceptualize the main models of care currently in use in Switzerland. Methods: We conducted in-depth semi-structural interviews with Swiss (para-)medical and non-medical professionals that deal with occupational burnout. Data were analyzed following the grounded theory principles. Results: A total of 42 professionals were interviewed from different professional fields (e.g., physicians, nurses, psychologists, human resources, professionals working in insurance, politics, or private consulting) and from all regions of Switzerland. Three main care models for occupational burnout (Support, Extractor, and Systemic) were proposed, based on the categorization of the most cited intervention modalities used by the interviewed professionals. Conclusions: Based on the preliminary findings of this study, the need for collaboration between medical and non-medical professionals appeared to be the most important requirement to ensure the treatment of and recovery from occupational burnout. Full article

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Open AccessReview

«Gemeinsam und doch anders»: eine kollektive Subjektwerdung

by Patrick Haemmerle

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(3), 72-75; https://doi.org/10.4414/sanp.2023.03369 - 14 Jun 2023

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Abstract

Child psychiatry is the child of various parents: psychiatry and neurology, paediatrics and curative) education, psychoanalysis and psychology are no less to be found in its family tree than social sciences and anthropology. A particularly important role played the separation from the big [...] Read more.

Child psychiatry is the child of various parents: psychiatry and neurology, paediatrics and curative) education, psychoanalysis and psychology are no less to be found in its family tree than social sciences and anthropology. A particularly important role played the separation from the big sister, adult psychiatry. This process corresponded to an actual collective subjectification – a process that we encounter every day in our clinical and therapeutic work in its individual form. In this article, some stages of this history are reported. Full article

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Open AccessEditorial

Let’s talk about: Suizidalität und Selbstverletzung – ein Tabubruch

by Anonym

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(3), 71; https://doi.org/10.4414/sanp.2023.03372 - 14 Jun 2023

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Abstract

Dies ist einer der härtesten und schwierigsten Artikel, den ich wahrscheinlich je schreiben werde [...] Full article

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Open AccessEditorial

Ethik!

by Thomas von Salis

Swiss Arch. Neurol. Psychiatry Psychother. 2023, 174(3), 67; https://doi.org/10.4414/sanp.2023.03393 - 14 Jun 2023

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Abstract

In diversen Beiträgen stosse ich auf ethische Fragen, die in unserem psychiatrischen Beruf besonders komplex sind [...] Full article

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Swiss Arch. Neurol. Psychiatry Psychother., Volume 174, Issue 3 (01 2023) – 8 articles , Pages 67-98

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