Abstract:
OBJECTIVE:In Germany, outpatient care is provided exclusively by physicians in private practice. This privilege is very strictly observed, with only a few exceptions. While psychiatric hospitals are routinely permitted to establish outpatient clinics, psychiatric departments of general hospitals, even if they serve a catchment area, need a formal permission of the organisation of the physicians in private practice. The law requires proof for some kind of "demand". METHOD:In the catchment area of a recently founded psychiatric department of a rural general hospital, 44% of 131 medical practitioners answered a written questionnaire. RESULTS:Psychiatrists and psychologists objected to any kind of outpatient clinic, as expected. All the general practitioners and specialists, however, supported the idea. CONCLUSIONS:Physicians practising in the area do not agree with their organization's policy. Many of them favour the possibility to have selected patients cared for at the psychiatric outpatient clinic of the local hospital.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Böcker FMkeywords:
subject
Has Abstractpub_date
1999-11-01 00:00:00pages
299-302issue
6eissn
0303-4259issn
1439-0876journal_volume
26pub_type
杂志文章abstract:OBJECTIVES:This project evaluates whether a multidisciplinary consultation-liaison team with special geropsychiatric experience can help to reduce complex care problems in mentally ill nursing-home residents. METHODS:Prospective longitudinal study of patients living in 5 nursing homes in Germany, supplemented by exper...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0031-1276836
更新日期:2012-01-01 00:00:00
abstract::Deinstitutionalization (DI) of most of the chronic long-stay patients has taken place in the last decades in Germany. However, a "residual" group of patients often remains in psychiatric hospitals, with an ongoing controversy on an appropriate type of their care (community based vs. hospital). Clinical, functional and...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2002-32711
更新日期:2002-07-01 00:00:00
abstract::Primarily from the perspective of psychopharmacology, schizophrenic symptomatology has recently been dichotomized into "plus" and "minus" symptoms, although the role of cognitive dysfunctions has been regarded as particularly important for the diagnosis since the time of Eugen Bleuler. Many studies show that schizophr...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-2001-11577
更新日期:2001-03-01 00:00:00
abstract::Basing on a review of the literature and on own research, the authors examine the incidence rate of convulsions under neuroleptic treatment. In addition, the authors go into the neurophysiological and neuropharmacological mechanisms of the convulsive action of neuroleptics. An attempt is made to present information on...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1985-11-01 00:00:00
abstract::Based on legal jurisdiction, knowledge of the psychiatric-psychotherapeutic field and insight into the necessity of a new allocation of responsibilities in the overall therapeutic service of a clinic, the core areas of medical activities are defined for the first time, innovative organisational approaches to the reorg...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0031-1276945
更新日期:2011-11-01 00:00:00
abstract::In the context of discussions on the re-organisation of specialities in psychiatry and psychological therapy recent studies on the prevalence of psychogenic disorders in different psychiatric institutions are presented and compared with the communications available so far. Despite the availability of excellent psychot...
journal_title:Psychiatrische Praxis
pub_type: 社论,评审
doi:
更新日期:1997-05-01 00:00:00
abstract::Retrospectively 20% of more than 200 patients with myasthenia gravis reported being initially diagnosed as having a psychiatric disorder. Younger women are significantly most at risk of a psychiatric misdiagnosis whereas men are more often subject to somatic misdiagnoses. The sample's mean duration of the disease was ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1992-09-01 00:00:00
abstract::This study of aggressive behaviour of patients towards staff was conducted simultaneously for one year at four psychiatric hospitals. Until now there has been very little empirical research carried out in German speaking countries of aggression in psychiatric hospitals; the reasons for that are discussed. The results ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
abstract:OBJECTIVE:Systematic review of psychosocial interventions for high-risk family members with mental health problems in highly developed industrialized countries. METHODS:Systematic search in electronic databases as well as manual search for intervention studies. RESULTS:Interventions were effective in significantly re...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-0034-1370070
更新日期:2014-09-01 00:00:00
abstract::Based on the evaluation of case reports of 15 inpatients treated between 1971 and 1986 who had been suffering from persistent alcoholic jealousy mania for at least three years, the psychopathological characteristics of this disease are outlined to define two types of courses of the disturbance: on the one hand, the mo...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract:OBJECTIVES:There is still poor acceptance for pain without somatic causes, and patients with somatoform pain disorder carry a stigma per se. The aim of this study was to identify predictors of fear of stigma including depression, anxiety and somatisation among patients with somatoform pain disorder. METHODS:132 patien...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0032-1305096
更新日期:2012-08-01 00:00:00
abstract::Philippe Pinel is generally regarded as the leading con-founder of scientific psychiatry. His "chain liberation" of the insane is in this context often seen as breakbrough to an human conception of psychiatry. This article describes in two parts the historical backgrounds of Pinels activities and analyses the discipli...
journal_title:Psychiatrische Praxis
pub_type: 传,历史文章,杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::"Psychopathy" describes a type of personality disorder characterized by a dysregulation of emotion processing. Social behaviour, emotion regulation and competency are of particular relevance in forensic psychiatry. Structural-morphological and functional imaging studies prove that emotion regulation, aggressive-impuls...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-39769
更新日期:2003-05-01 00:00:00
abstract::Within the process of individual psychotherapy the author stresses the importance of understanding the initial everyday life view of "what is about being sick" for to establish a working, and cooperative setting. Thus, a three step procedure has been developed to guide the patient to a self responsible attitude toward...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1988-01-01 00:00:00
abstract::The influence exercised by personality factors on the course and success of drug therapy aimed at the treatment of mental diseases, as well as the therapeutic consequences resulting therefrom, are discussed in the case of patients with schizophrenic psychoses and endogenous depressions. Over and above this, special at...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract::Manic disorders and bipolar psychoses have long been underdiagnosed in child and adolescent psychiatry. Scientific research has been rare as well. In particular in adolescence and young adulthood bipolar disorders are not easy to diagnose. Therefore these disorders should be included in differential diagnosis as resea...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-2005-915327
更新日期:2006-03-01 00:00:00
abstract::Within a controlled intervention study with schizophrenic outpatients we investigated the question of whether regular attendance at psychoeducational training for medication management has an influence on patients' illness-related behavior. The patients in the treatment group show better outcome of compliance and some...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::The effectiveness of day hospital care of geriatric psychiatric patients was evaluated in a pilot study. The main aspect was the training of social competence, i.e. a training leading to growing personal independence of the demands of every day life, such as hygiene , fitness considering the household, etc. During day...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1984-03-01 00:00:00
abstract::Since the 1980's psychiatric care in Spain changed considerably (Reforma psiquiátrica española). In the course of this reform, many positive results were achieved. An extensive community network of mental health centres was build up which resulted in the majority of psychiatric patients being integrated in the Spanish...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:2000-11-01 00:00:00
abstract::An increase of intoxications in persons using psychoactive plants and mushrooms can be observed. Mainly adolescents are experimenting with this group of plants for its hallucinogenic effects and easy and cheap availability. A case of a toxic psychosis with hallucinations, disturbances of orientation and psychomotoric ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-39490
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVE:Depression is a common comorbidity of chronic pain and chronic pain represents a common additional symptom of depressed patients. The physiological basis is unknown. METHODS:We investigated the possible interrelation between autonomic dysfunction and altered pain perception in unmedicated patients (U1), afte...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2007-970974
更新日期:2007-09-01 00:00:00
abstract:OBJECTIVE:Findings about the association between working alliance and therapy outcome in Internet-based treatments are contradictory. Evidence for the working alliance in Internet-based treatment for Binge Eating Disorder is still missing and can help to elucidate this question. METHODS AND RESULTS:In an Internet-base...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0033-1343320
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:This study reports on the evaluation of the Bern Job Coach Placement program, a supported employment intervention, in the routine operation. METHODS:Administrative data of participants from the years 2005 to 2016 were analysed in terms of integration into the general labour market and in terms of achieving a...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-0915-3990
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVE:In order to develop gender-sensitive services, there is a need to better understand coping among men with depression. The study aims to analyze the meaning of gender- and work-related roles for illness theories and coping among men with depression. METHODS:Based on a latent class analysis of three types of m...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-1043-8126
更新日期:2020-03-01 00:00:00
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journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:2000-09-01 00:00:00
abstract::We report the case of a 48-year-old female whom we examined for legal culpability. The proband was taking the dopamine agonist pramipexole as a treatment for Parkinson's disease. In temporal association, she had committed numerous shoplifting offences.While pathological gambling, excessive shopping and hypersexuality ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0043-100024
更新日期:2017-04-01 00:00:00
abstract::The efficacy of flupentixol and risperidone were compared in a randomized double-blind study in 153 chronic schizophrenic patients. Flupentixol showed to be not inferior to risperidone concerning schizophrenic negative symptoms at week 8, 16 and 24. Positive symptoms and general psychopathology improved comparably, to...
journal_title:Psychiatrische Praxis
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:
更新日期:2003-05-01 00:00:00
abstract::Qualitative research methods give an opportunity to investigate the everyday reality of dealing with and understanding of chronic mental illness as a social reality in local context. By the reconstruction of the perspective of the mentally ill, their relatives and their professional caregivers we analyze the cultural ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1995-05-01 00:00:00
abstract:OBJECTIVE:In comparison to metabolic syndrome, edema seems to be a rare occurrence in antipsychotic treatment. METHOD:In this paper, we report on two subjects with psychotic disorders who were found to have peripheral edema during olanzapine therapy. DISCUSSION:The theoretical background and the relevance of this obs...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2008-1067420
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVE:To report about existing evidence of effectiveness of home treatment for severely mentally ill adults and implementation in Germany. METHODS:Systematic electronic and manual literature search. RESULTS:Compared to standard care, home treatment was equally or more efficacious with respect to general state of ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-0030-1248598
更新日期:2011-04-01 00:00:00