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  • 1
    Electronic Resource
    Electronic Resource
    Neuroleptic malignant syndrome: Results of a prospective study
    Amsterdam : Elsevier
    Psychiatry Research 44 (1992), S. 251-256 
    Details
    ISSN: 0165-1781
    Keywords: Schizophrenia ; body temperature ; dyskinesia ; hyperthermia ; neuroleptic
    Source: Elsevier Journal Backfiles on ScienceDirect 1907 - 2002
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://linkinghub.elsevier.com/retrieve/pii/0165-1781(92)90028-2
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  • 2
    Electronic Resource
    Electronic Resource
    Sexueller Kindesmißbrauch, False-memory-Syndrom und Chorea Huntington (1999)
    Springer
    Der Nervenarzt 70 (1999), S. 842-846 
    Details
    ISSN: 1433-0407
    Keywords: Schlüsselwörter Sexueller Kindesmißbrauch ; False-memory-Syndrom ; Chorea Huntington ; Key words Childhood sexual abuse ; False memory syndrome ; Chorea Huntington
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Summary We report on a female inpatient who at the age of 47 years presented depressive and anxiety symptoms and alcohol abuse and who suffered from cognitive, personality, and discrete movement disturbances later on. In the course of the long-term psychotherapy which was supported by the technique of creative drawings previously forgotten memories of a very severe sexual abuse in childhood emerged. The recovery of these memories was followed by an intensification of the anxiety which lead to several psychiatric rehospitalizations. During the last hospital stay the diagnosis of Huntington's chorea was verified explaining well the rich psychopathology of the patient. The recollections of sexual abuse were for the most part qualified as a false memory syndrome. In addition to other factors the chorea-inherent cognitive impairment will have contributed to the occurrence of false memory syndrome. The new diagnosis dictated a change of the therapeutic procedure which, at least in the medium-term, proved to be successful.
    Notes: Zusammenfassung Wir berichten über eine Patientin, welche seit ihrem 47. Lebensjahr depressive und Angstsymptome entwickelte, Alkoholabusus betrieb und später unter kognitiven und Persönlichkeitsveränderungen wie auch diskreten motorischen Störungen litt. Im Laufe einer langjährigen Psychotherapie, die durch kreatives Zeichnen unterstützt wurde, tauchten angeblich vergessene Erinnerungen an schwersten sexuellen Mißbrauch in der Kindheit auf, welche zur Verschärfung der Angstsymptomatik und dadurch zu mehreren psychiatrischen Hospitalisationen führten. Bei der Patientin wurde die Diagnose einer Chorea Huntington gestellt, welche die Psychopathologie der Patientin erklärt, während die Schilderungen des sexuellen Mißbrauchs als False-memory-Syndrom qualifiziert wurden. Die Chorea-bedingten kognitiven Einbußen dürften – neben anderen Faktoren – das Auftreten des False-memory-Syndroms begünstigt haben. Die neue Diagnose führte zu einer Veränderung des therapeutischen Vorgehens, welches sich dann – zumindest mittelfristig – als erfolgreich erwies.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001150050522
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  • 3
    Electronic Resource
    Electronic Resource
    Identitätserfassung mit Frankfurter Selbstkonzeptskalen und deren Beziehung zum Parental Bonding (2000)
    Springer
    Der Nervenarzt 71 (2000), S. 893-900 
    Details
    ISSN: 1433-0407
    Keywords: Schlüsselwörter Identität ; Frankfurter Selbstkonzeptskalen ; Psychiatrische Patienten ; Parental Bonding ; Alter ; Diagnose ; Keywords Identity ; Frankfurt Self-Concept Scales ; Psychiatric inpatients ; Parental bonding ; Age ; Diagnosis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Abstract Psychiatric inpatients and nonpatients were compared using the Frankfurt Self-Concept Scales (FSKN). Firstly, we tried to validate FSKN as a measure of identity using the DSM-III-R identity rating as an external criterion. Then the FSKN ratings of patients and nonpatients were compared. Lastly, we correlated individual FSKN ratings with certain demographic variables, clinical diagnoses, and the two dimensions of the Parental Bonding Instrument (PBI). All FSKN scores of patients with identity disorders differentiated significantly from those without identity disorder, thus confirming FSKN validity. The most significant differences were found in practically all FSKN results comparing patients with nonpatients of both sexes, always in favor of nonpatients. Male patients presented better self-concepts than female patients, whereas practically no significant relationships were found between FSKN scales and sex in nonpatients or between FSKN, vocational category, and diagnosis. Also, the relationship between the scales and age appears to be slight, showing positive in patients and negative in nonpatients. Many significant correlations were found between FSKN scales and PBI dimensions which were negative between the scales and PBI “control” and positive between the scales and PBI “care”, both especially in men with regard to their relationship with the father.
    Notes: Zusammenfassung An einer Patientenstichprobe wurde zunächst versucht, die Frankfurter Selbstkonzeptskalen (FSKN) als Maß einer mehr oder weniger gelungenen Identitätsbildung mithilfe des DSM-III-R-Identitätsitems als externes Kriterium zu validieren. Anschließend wurden FSKN-Ratings dieser Patientenstichprobe mit denen einer Nichtpatientenstichprobe verglichen. Die einzelnen Selbstkonzeptskalen wurden außerdem mit einigen demographischen Variabeln, mit der Diagnose und mit den Dimensionen des Parental Bonding Instrument (PBI) korreliert. Alle FSKN-Skalen trennten signifikant Patienten mit Identitätsstörung und Patienten ohne Identitätsstörung voneinander, ihre Validität wurde somit bestätigt. Zwischen den Patienten und Nichtpatienten wurden in praktisch allen Skalen und getrennt für beide Geschlechter hochsignifikante Unterschiede zugunsten von Nichtpatienten festgestellt. Männliche Patienten zeigten ein positiveres Selbstbild als weibliche; wenig bedeutsame Beziehungen wurden zwischen FSKN-Skalen und Geschlecht bei Nichtpatienten und zwischen FSKN und Berufskategorie und Diagnose gefunden. Auch die Beziehung der FSKN zum Alter erschien eher schwach, positiv bei Patienten, negativ bei Nichtpatienten. Viele FSKN-Skalen korrelierten signifikant negativ mit der PBI-Dimension “Kontrolle” und signifikant positiv mit der Dimension “Zuwendung”, insbesondere bei den Männern in deren Beziehung zum Vater.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001150050680
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  • 4
    Electronic Resource
    Electronic Resource
    Completed suicide in discharged psychiatric inpatients (1987)
    Springer
    Social psychiatry and psychiatric epidemiology 22 (1987), S. 93-98 
    Details
    ISSN: 1433-9285
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Fifty-three psychiatric ex-inpatients, who committed suicide within a year of their discharge, were compared with two control groups (patients who had not committed suicide) using the method of a retrospective analysis of the clinical charts. No significant differences were found between suicides and controls with regard to the most socio-demographic and clinical variables investigated. In contrast, important differences were found with regard to the previous suicidal behavior, and the nature, frequency and seriousness of suicidal attempts, all of which proved to be of prognostic value. Clinical treatment appeared to have helped the suicidal patient temporarily; among the severely ill population it probably fails to exert longer-lasting effects. As no correlation was found between the duration of hospital stay and the length of survival in the community, the importance of extramural services must be emphasized.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00584011
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  • 5
    Electronic Resource
    Electronic Resource
    Impact of decisive changes in the clinical milieu on chronic psychiatric inpatients (1982)
    Springer
    Social psychiatry and psychiatric epidemiology 17 (1982), S. 143-148 
    Details
    ISSN: 1433-9285
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary With the help of the Nurses' Observation Scale for Inpatient Evaluation, the effect of stress was examined in 79 middle-aged and elderly, predominantly schizophrenic patients who were chronically ill, and had been hospitalized a long time. Stress was evaluated in terms of significant environmental changes, including relocation, desegregation of sexes, change in fellow patients and reassignment of personnel, as well as an increase in therapeutic intensity. Twenty-five patients experiencing no changes served as a control group. No negative effects were found during the 6-week follow-up period. An amelioration was observed in the factors of social competence and personal neatness. Chronic psychiatric inpatients seem to be particularly resistant to this kind of stress.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00582964
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    Paper (German National Licenses)
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  • 6
    Electronic Resource
    Electronic Resource
    Diagnosing borderline (1983)
    Springer
    European archives of psychiatry and clinical neuroscience 233 (1983), S. 359-370 
    Details
    ISSN: 1433-8491
    Keywords: Borderline personality disorder ; Schizotypal personality disorder ; Schizophrenia ; Clinical diagnosis ; Diagnostic criteria sets
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A total of 437 acute psychiatric inpatients were investigated with the help of a questionnaire containing DSM-III diagnostic criteria for schizotypal as well as for borderline personality disorder and criteria of the Flexible System for the diagnosis of schizophrenia. All patients were also independently diagnosed according to the ICD-9. The clinical ICD-9 diagnoses were compared with the diagnoses given on the basis of the three operational criteria sets mentioned. Patients fulfilling the operational criteria for schizotypal personality disorder were clinically diagnosed as mostly schizophrenic, and there was also a considerable overlap between the two groups of patients, those fulfilling the operational criteria for schizotypal personality disorder and those fulfilling the criteria of the Flexible System for the diagnosis of schizophrenia. Schizotypal personality disorder does not seem to be a clinical entity in the sense of a traditional personality disorder. The majority of patients diagnosed as borderline personality disorder received a clinical diagnosis of a personality disorder. The DSM-III criteria of borderline personality disorder discriminated satisfactorily against schizophrenia as diagnosed by the Flexible System and as diagnosed according to ICD-9. On the other hand, there was no relationship between the borderline personality disorder diagnosis and any single of the ICD-9 personality disorder types. The patients fulfilling the criteria of the borderline personality disorder were equally distributed across all ICD-9 personality disorder types. They were also significantly younger than both the non-borderline and the ICD-9 personality disorder patients. The relationship between borderline personality disorder criteria and age might thus be of a greater relevance than the relationship between these criteria and a clinical type.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00346086
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