Abstract：
:Factitious disorders have been reported in 0.5 - 1 % of general hospital patients. It often takes several years until the disorder is detected. During this period, enormous health care cost can arise not least out of iatrogenic self-induced mutilations and related secondary somatic complications. Apart from surgeons and physicians, consultation-liaison (C-L) psychiatrists are particularly called on to diagnose factitious disorders at an early stage in order to avoid unnecessary diagnostic and therapeutic procedures, treatment dropout and doctor shopping. This article gives an overview of clinical features and treatment approaches in C-L psychiatry settings.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Rothenhäusler HB,Kapfhammer HPdoi
10.1055/s-2002-34656keywords:
subject
Has Abstractpub_date
2002-10-01 00:00:00pages
381-7issue
7eissn
0303-4259issn
1439-0876journal_volume
29pub_type
杂志文章abstract：OBJECTIVE:In a cross-sectional study in 79 schizophrenic patients the quality of life (QOL) of a group of community-based patients under supervision of an outpatient unit (n = 47) and a group of long-stay patients in an inpatient rehabilitation centre in the same area (n = 32) was compared. METHODS:The patients' QOL w...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1999-01-01 00:00:00
abstract：:Changes in the provision of psychiatric services within the last decennials are probably best understood if the impact of national socialism on clinical psychiatry is regarded. Many psychiatrists took part in the "Aktion T4" the organised killing of their patients, at least they did not resist campaigns directed to ki...
journal_title：Psychiatrische Praxis
pub_type： 历史文章,杂志文章
doi：10.1055/s-2004-828483
更新日期：2004-11-01 00:00:00
abstract：AIM:To date, to our knowledge there are no studies regarding attitudes and experiences of outpatient medical personnel during a pandemic. This study's aim was to evaluate the impact of the COVID-19 pandemic in March 2020 on German psychiatrists and neurologists. METHODS:An e-mail and fax-based short survey of 2,072 pr...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/a-1159-5575
更新日期：2020-05-01 00:00:00
abstract：:The purpose of this study was to develop a behavioral rehabilitation program for patients with long-term nonspecific symptoms following craniocerebral trauma. In 47 patients we analyzed symptoms typical of "illness behavior" (e.g. complaining tendency, depression, irritability, psychosomatic pain, problems in job perf...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1977-11-01 00:00:00
abstract：:A rehabilitation programme at the University Clinic of Social Psychiatry, Berne, is described. The facility includes a half-way house and sheltered home in a suburb, where 20 psychiatric long-stay patients are trained for an independent life in the community. In a follow-up study 80 patients, mostly chronic schizophre...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1988-05-01 00:00:00
abstract：:Characteristics of the present ecological threat concerning the mind of men are described. Some psychiatric cases are given describing on one hand psychotic patients whose concern about the endangered natural environment is more accidental, whereas in other patients the feeling to be threatened has been resulted in ps...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1993-03-01 00:00:00
abstract：OBJECTIVE:Although English is medicine's lingua franca, practising physicians in Germany express the need for articles in German. This study aimed at surveying the number and characteristics of German-language psychiatric journals in Germany. METHODS:Journals were identified by the standard handbook "Fachmedien Gesund...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0031-1276955
更新日期：2012-01-01 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：:Following the boom in Group Therapy, the Federal Republic of Germany now experiences a similar boom in Family Thera;y. An attempt is made in the present article to show the stepwise progress from individual to group psychotherapy and finally to family therapy, and to describe and calssify the family therapy approach. ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1979-05-01 00:00:00
abstract：OBJECTIVE:Patients from opioid maintenance treatment (OMT) may taper off from opioids during rehab treatment. It is investigated whether this option improves treatment outcomes in particular for those patients who are affected by psychiatric or somatic comorbidity, or by social problems. METHODS:Multicenter study with...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/a-0883-2690
更新日期：2019-07-01 00:00:00
abstract：OBJECTIVE:There are only some reports about discharge letters addressed to patients. By a case report benefits and potential of letters to patients should be shown. METHOD:The presented case report describes the hospital stay of a 19 year old patient suffering from schizophrenia. RESULTS:The case report indicates tha...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2005-866986
更新日期：2006-09-01 00:00:00
abstract：:Polish psychiatry was since its origin deeply influenced by German (Austrian) and Russian psychiatry. After the German assault Polish psychiatric patients were the first victims of mass executions, and the first to be killed by new developed "gassing" technology. Especially cruel was the fate of Jewish patients. Germa...
journal_title：Psychiatrische Praxis
pub_type： 历史文章,杂志文章
doi：10.1055/s-0034-1370066
更新日期：2014-07-01 00:00:00
abstract：AIM:Evaluations of clozapine treatment by relatives of schizophrenic patients were assessed as part of an exploratory study and compared with the patients' own assessment. METHOD:46 relatives of individuals suffering from schizophrenia were questioned by means of a problem-centred interview. RESULTS:In addition to th...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1999-07-01 00:00:00
abstract：:We present the theoretical basis and results of a comprehensive research project concerning the psychotherapeutic treatment of sexual offenders in an ambulant setting. The therapeutic sample (n = 86) consists of patients with the following symptoms: exhibitionism, child molestation and sexual aggressive acts towards w...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1983-09-01 00:00:00
abstract：OBJECTIVE:Although there is growing evidence for clinical effectiveness of crisis resolution teams (also called Home Treatment Teams) for patients with severe psychotic disorders, a lot of studies suffer from poor model fidelity, which leads to an ignorance of specific effective factors. METHODS:Here we present the im...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0034-1387633
更新日期：2016-09-01 00:00:00
abstract：:Two perspectives of mental health care in Leipzig are outlined. Critical aspects of deinstitutionalization are discussed from the point of view of an office-based Nervenarzt (neurologist and psychiatrist). The limitations of office-based practice in providing care for the severely mentally ill (SMI) are described, i.e...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：
更新日期：2000-09-01 00:00:00
abstract：:The term "Social Psychiatry" was first used in English in 1917 by E. E. Southard. Six years before, in 1911 Max Fischer, director of Wiesloch Mental Hospital near Heidelberg employed the terms "Sozialpsychiatrie" and "Soziale Psychiatrie" in German. ...
journal_title：Psychiatrische Praxis
pub_type： 传,历史文章,杂志文章
doi：
更新日期：1995-07-01 00:00:00
abstract：OBJECTIVE:Estimates for the proportion of involuntary admissions and coercive measures applied in general mental health care and in residential care for the elderly were developed. Sector-specific rates and quotas for Germany as a whole and for the sixteen Federal States were calculated, and the change of these indicat...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2006-952010
更新日期：2007-04-01 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：:The author tries to convey an idea of the process which takes place during art therapy, quoting examples from her own work with mentally diseased patients. She considers the visual message resulting from the work of art created by the patient, as a process of communication which takes place between the patient and the...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1980-02-01 00:00:00
abstract：:Although there were multiple initiatives to modify course and outcome of schizophrenia by optimizing present psychopharmacologic strategies many unsolved problems still exist. There is no doubt that first generation antipsychotics reduce positive symptoms of psychosis but the impact on negative symptoms or disturbance...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2004-828473
更新日期：2004-11-01 00:00:00
abstract：OBJECTIVE:This study examined illness beliefs of the lay public associated with the diagnostic labels burnout and depression. METHODS:Representative population survey in Germany 2011, using unlabelled case vignettes of a person suffering from depression. Following presentation of the vignette, respondents were asked o...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0034-1387365
更新日期：2015-11-01 00:00:00
abstract：:We report the rare case of a 19-year old man, first diagnosed with schizophrenia but finally shown to have subacute sclerosing panencephalitis (SSPE). Initial symptoms were hallucinations and negative symptoms until the onset of a seizure. Changes in the CSF, MRI, EEG and increasing neurological symptoms led to the co...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2003-39751
更新日期：2003-05-01 00:00:00
abstract：:A therapeutic dwelling community (TDC) which has been in existence for more than 3 years, is described in respect to its history of origin and development outside existing psychiatric institutions or facilities. After having been confronted with the unsatisfactory follow-up care of a group of relatively young, in most...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1980-05-01 00:00:00
abstract：OBJECTIVE:Currently, substantial effort is made to establish prevention as one of the main parts of the German health care system. In this context we investigated the current role of prevention in social-psychiatric research. METHODS:We analysed original papers published in the journal Psychiatrische Praxis in the yea...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,meta分析
doi：10.1055/s-2005-915232
更新日期：2005-10-01 00:00:00
abstract：OBJECTIVE:A systematic review on empirical results of studies that assess Quality of Life (QoL) in schizophrenic patients. METHOD:A systematic overview of the literature is provided with focus on schizophrenic patients under deprived living conditions. RESULTS:No consistent relationships are found between objective l...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：10.1055/s-2006-940194
更新日期：2006-10-01 00:00:00
abstract：:Since the end of the 1990s the Westfälische Klinik Lengerich has offered an inpatient psychiatric treatment of an psychiatric ill parent--combined with a pedagogic attendance of the child taken along. The following article describes our experience in that matter, from a ward concentrated on psychotherapy. In selected ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2001-12672
更新日期：2001-04-01 00:00:00
abstract：AIM:The aim is to investigate the association between sociodemographic characteristics and the interactive health literacy and the time to treatment of social anxiety disorder. METHODS:An online survey of N = 311 patients was carried out (response rate 54.1 %). Descriptive statistical analysis and a logistic regressio...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/a-1294-0950
更新日期：2020-11-24 00:00:00
abstract：OBJECTIVE:Little is known about the effectiveness and the cost of care for patients treated in vocational rehabilitation programs,although vocational therapy is an essential part of inpatient treatment and community care of patients with schizophrenia. METHODS:As a part of a randomised controlled trial in 5 centres, t...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1055/s-2006-951949
更新日期：2007-07-01 00:00:00
abstract：:OBJECTIVE: The aim of our study was to investigate the influence of antidepressants on psychomotor function related to car driving abilities. METHOD: Depressive inpatients (n = 64) were investigated under steady state plasma level conditions. Data were collected with the ART 90 (Act and React Testsystem) measuring vis...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2003-39765
更新日期：2003-05-01 00:00:00
