Swiss Archives of Neurology, Psychiatry and Psychotherapy

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Open AccessEditorial

La psychiatrie sociale, de l’utopie à la réalité

by Charles Bonsack and Karl Studer

Swiss Arch. Neurol. Psychiatry Psychother. 2024, 175(2), 62-64; https://doi.org/10.4414/sanp.2024.1261771191 - 1 Jan 2024

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Abstract

La psychiatrie sociale a-t-elle encore un sens et un avenir? Le professeur Charles Bonsack, du Centre hospitalier universitaire vaudois et de l’Université de Lausanne, président de la Société suisse de psychiatrie sociale (so-psy.ch), répond à nos questions. Full article

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Open AccessCase Report

Creating a Custom Scale to Assess Anorexia’s Control Over the Mind

by Nicolas Nagysomkuti Mertse, Giulia Franzi and Nina Bischoff

Swiss Arch. Neurol. Psychiatry Psychother. 2024, 175(2), 58-61; https://doi.org/10.4414/sanp.2024.1326182200 - 1 Jan 2024

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Abstract

In this report, we present the case of a talented anorectic patient whose artistic expression of his anorexia gave us an exceptional insight into the pain he experienced. Based on his artwork, we designed an illustrated visual analogue scale (VAS) that allowed us [...] Read more.

In this report, we present the case of a talented anorectic patient whose artistic expression of his anorexia gave us an exceptional insight into the pain he experienced. Based on his artwork, we designed an illustrated visual analogue scale (VAS) that allowed us to assess the control of the disease over his mind and thus the clinical progress from a psychotherapeutic point of view. By comparing the progression of the VAS with the Body Mass Index (BMI), we were able to identify the tipping point at which the patient regained control and provide targeted support to maintain it, perceived as very helpful by the patient. A VAS assessing anorexia's control over the mind is a simple and readily available tool that factors in the psychiatric background of the disease. It could be a good complement to the BMI as a clinical outcome parameter and should be further explored. Full article

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Open AccessArticle

Motivationale Aspekte für die Weiterbildung im Fach Psychiatrie und Psychotherapie

by Philippe Pfeifer and Christine Martin

Swiss Arch. Neurol. Psychiatry Psychother. 2024, 175(2), 54-57; https://doi.org/10.4414/sanp.2024.1274892198 - 1 Jan 2024

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Abstract

Introduction: In Switzerland, specialists in psychiatry and psychotherapy are highly needed for about one third of all current psychiatrists will retire over the next ten years. With this survey we wanted to investigate positive and negative motivational aspects for becoming a psychiatrist in [...] Read more.

Introduction: In Switzerland, specialists in psychiatry and psychotherapy are highly needed for about one third of all current psychiatrists will retire over the next ten years. With this survey we wanted to investigate positive and negative motivational aspects for becoming a psychiatrist in residents in the canton of Bern. Methods: From January to February 2023, we conducted an online survey of psychiatric residents in the canton of Bern in Switzerland. The survey comprised questions on demographics and motivational aspects of applying for a psychiatric residency. Results: We contacted 150 psychiatric residents in the canton of Bern. 92 (61%) participated in the survey. The most important motivational aspects to apply for a psychiatric residency were interest for mental health, the physician-patient relationship and acquiring psychotherapy skills. The most demotivational aspects were poor salaries and the high administrative burden. Only 36% of the surveyed physicians aimed at working in private practice five years from now. Conclusions: Most surveyed residents liked psychotherapy and mental health aspects in being a psychiatrist. The authors conclude that for improving the attractiveness, a psychiatric residency programs led by the government should be initiated to intensify residential education by common efforts of private and institutional psychiatrists. Full article

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Open AccessArticle

Le psychodrame hospitalier d’identification au patient: pour tenter de comprendre

by Fabrice Herrera, Maria-Antonietta Achille, Jacques Herrgott, Loïc Despierres and Philippe Conus

Swiss Arch. Neurol. Psychiatry Psychother. 2024, 175(2), 48-53; https://doi.org/10.4414/sanp.2024.1244210101 - 1 Jan 2024

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Abstract

Hospitalized patients can be difficult to meet with and understand while going through their suffering. Patients and their caregivers can find themselves locked into a kind of “non-meeting” during the hospital stay. In other cases, there may be a “hyper-meeting” in the hospital, [...] Read more.

Hospitalized patients can be difficult to meet with and understand while going through their suffering. Patients and their caregivers can find themselves locked into a kind of “non-meeting” during the hospital stay. In other cases, there may be a “hyper-meeting” in the hospital, with problematic attitudes and behavior or adverse reactions to hospital staff. Faced with such situations and others, where something is preventing the usual process of discussion within the team from working, a patient identification psychodrama has been set up for caregiver staffs. It is about having a place where the group can work together, help each other, and discuss the experiences they have had with a patient. A place that involves both the emotional and the physical; a place to look at the tensions between the team and the patient and to discuss them openly. It is also a place for integration and development. It utilizes the capacities of healthcare professionals, who as humans and as individuals possess the capacity to identify with suffering, to recognize pain and put it into words as if they were a spokesperson. Full article

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Open AccessArticle

Stroke Following Attempted Suicide

by Mauro Silva, Laurent Michaud, Pamela Correia, Masaki Nishida and Patrik Michel

Swiss Arch. Neurol. Psychiatry Psychother. 2024, 175(2), 41-47; https://doi.org/10.4414/sanp.2024.1232632736 - 1 Jan 2024

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Abstract

Background: Only a few patients with strokes following a suicide attempt (SFSA) are described in the literature. The best-known mechanism is the dissection of cervical arteries. We aimed to determine the frequency, clinical presentation, mechanisms, and outcomes of SFSA patients in one academic [...] Read more.

Background: Only a few patients with strokes following a suicide attempt (SFSA) are described in the literature. The best-known mechanism is the dissection of cervical arteries. We aimed to determine the frequency, clinical presentation, mechanisms, and outcomes of SFSA patients in one academic institution and in all patients reported in the literature. Method: We retrospectively identified all SFSA in the Acute Stroke Registry and Analysis of Lausanne (ASTRAL) from 2003 to 2021. A thorough workup was performed to establish the stroke mechanism. We also searched for all published SFSA cases in the worldwide literature for further analysis of demographics, comorbidities, and medium-term outcome. Results: In our center, SFSA frequency was six out of 6,767 patients (0.0009%), with 83% being male. Comparing all reported 22 patients (own and published) to non-SFSA patients in ASTRAL, SFSA patients were younger (median 51 vs 75 years), had higher National Institutes of Health Stroke Scale scores on admission (median 13 vs 6) and higher three-months mortality (36 vs 15%). The most frequent mechanism was carotid dissection from hanging (41%), however, multiple other stroke mechanisms have been found or suspected. Conclusions: SFSA are rare and seem to affect younger patients presenting with more severe strokes and higher medium-term mortality. While carotid dissection emerged as the predominant cause, several other stroke mechanisms have been identified. Full article

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Open AccessReview

Evaluation et prise en charge des situations de jalousie amoureuse excessive

by Emmanuel Escard and Marie Orci-Mazloum

Swiss Arch. Neurol. Psychiatry Psychother. 2024, 175(2), 38-40; https://doi.org/10.4414/sanp.2024.1339225755 - 1 Jan 2024

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Abstract

Healthcare professionals take care of victims of excessive jealousy, but also deal with jealous people who suffer and want to change their behavior. Most of the time, patients do not come to us to talk specifically about jealousy, but the subject can be [...] Read more.

Healthcare professionals take care of victims of excessive jealousy, but also deal with jealous people who suffer and want to change their behavior. Most of the time, patients do not come to us to talk specifically about jealousy, but the subject can be raised in appropriate contexts, for example following a violent incident (e.g., in the emergency department, traumatology, gynecology or pediatrics) during a consultation with a specialist on alcohol, psychiatry or geriatrics, at a family planning clinic, during a prenatal consultation or during couples therapy. Full article

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Open AccessNews

Guérir de la psychose et de la perversion narcissique de mon père

by

Swiss Arch. Neurol. Psychiatry Psychother. 2024, 175(2), 37; https://doi.org/10.4414/sanp.2024.1331985688 - 1 Jan 2024

Abstract

Ma maman, une Suissesse, issue de la bourgeoisie, était fille unique. Dynamique, généreuse, solaire, elle occupait un poste de laborantine dans un centre médical [...] Full article

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Open AccessNews

Autoimmune Encephalitis

by Andreas Steck

Swiss Arch. Neurol. Psychiatry Psychother. 2024, 175(2), 37; https://doi.org/10.4414/sanp.2024.1395773404 - 1 Jan 2024

Abstract

Autoimmune encephalitis (AE) is the most common form of encephalitis of noninfectious etiology and is caused by autoantibodies targeting different neural epitopes[…] Full article

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Open AccessBook Review

Zentrum ist die Beziehung

by Susanne Kunz Mehlstaub

Swiss Arch. Neurol. Psychiatry Psychother. 2024, 175(2), 36; https://doi.org/10.4414/sanp.2024.1388650633 - 1 Jan 2024

Abstract

Beziehungsgestaltung ist eine der Grundvoraussetzungen für eine psychiatrische oder auch psychotherapeutische Behandlung [...] Full article

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Open AccessBook Review

Letzte Texte und Diarium

by Joachim Küchenhoff

Swiss Arch. Neurol. Psychiatry Psychother. 2024, 175(2), 36; https://doi.org/10.4414/sanp.2024.1311946352 - 1 Jan 2024

Abstract

Mit den nun vorgestellten Bänden wird das grosse Unterfangen der Sigmund Freud Gesamtausgabe (SFG) des Psychosozial-Verlags inhaltlich abgerundet [...] Full article

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Open AccessEditorial

Marked by Anorexia – A Portrait

by Silke Bachmann

Swiss Arch. Neurol. Psychiatry Psychother. 2024, 175(2), 33; https://doi.org/10.4414/sanp.2024.1326116130 - 1 Jan 2024

Abstract

The drawing on the cover page was created by a young man suffering from anorexia and offers an insight into his perspective of the condition [...] Full article

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Swiss Arch. Neurol. Psychiatry Psychother., Volume 175, Issue 2 (01 2024) – 11 articles

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