Abstract:
:This is the rare case of a woman first diagnosed with Huntington's disease at the age of 86. She was first seen at our hospital in 1999 for evaluation of dementia. Prior to her hospitalization, she had been treated with Melperone for restlessness. There was no essential psychopathology other than mild dementia (MMSE 21). A neurological work-up identified generalized involuntary movements and genetic testing revealed 40 CAG repeats. Over the course of the next several years, the patient began to exhibit the full range of symptoms associated with Huntington's disease, such as severe involuntary movements and progressive dementia. In the end, she was bed-ridden and only able to utter a few unintelligible words and she succumbed to an infection in 2003 at the age of 89, almost 4 years after her initial diagnosis of Huntington's disease. This case points to the need to consider Huntington's disease as a differential diagnosis even when evaluating the geropsychiatric population. It is particularly important to isolate involuntary movements which cannot be attributed to tardive dyskinesia in those who have been treated with neuroleptics in the past.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Jähnel Mdoi
10.1055/s-2004-828455keywords:
subject
Has Abstractpub_date
2004-11-01 00:00:00pages
S134-6eissn
0303-4259issn
1439-0876journal_volume
31 Suppl 1pub_type
杂志文章abstract::Migrants belong to the hard-to-reach group in health and preventive care. Essential criteria for the sustainable effectiveness of preventive and health promotion consist in the proper selection of target groups and successfully approaching them. The knowledge of possible barriers that make the access to preventive car...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2007-986194
更新日期:2007-10-01 00:00:00
abstract:OBJECTIVE:To determine the conditional factors underlying a premature termination of vocational rehabilitation programs. METHODS:123 rehabilitation participants were assessed prospectively regarding sociodemographic and psychopathological variables, level of functioning, subjective health, intellectual and work capaci...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2005-915245
更新日期:2006-04-01 00:00:00
abstract::Starting with Ciompis model of "affect logic" I want to show that affective, cognitive and behavioral patterns, once emerged in psychosis, subsequently tend to repetition and chronification on account of psychological, social but also neuronal plasticity. In the discussion about reasons of the chronification process, ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:1995-01-01 00:00:00
abstract::Borderline-patients compose a group of severe problem-patients on psychiatric inpatient units. Among other topics this concerns the difficult differential diagnosis, attitudes of demandingness and entitlement, feelings of depressive despair, acting out and impulsive behavior. Using a process oriented diagnostical appr...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:1990-09-01 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::We present the development of an 9-year therapeutic relationship with a patient suffering from epilepsy and a severe personality disorder. Despite serious doubts in the beginning the patient gained an unexpected degree of independence. The development of the case indicates that it was decisive to prevent discontinuati...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:The physical environment of mental health institutions is regarded as a therapeutic agent within the treatment. There is only little scientific evidence on the consequences of architecture and design on psychiatric patients available. METHODS:A systematic review was conducted on studies from adult mental he...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-0033-1360032
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVE:Diagnoses-related clinical case grouping for an estimation of resource consumption for psychiatric inpatients analogue to the somatic medicine till now did not lead to sufficient prediction of costs. However, this is required when regarding increasing health costs from the economic perspective. METHOD:We inv...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0029-1220355
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVES:The aim of the study is the evaluation of essential characteristics of patients who entered the sheltered group homes of the Psychosozialen Dienst (PSD) in the city of Vienna after the establishment of sectorized psychiatric out-patient care facilities. METHOD:Eighty patients who lived in these group homes ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract:OBJECTIVE:The study aims to investigate organized and ritual child sexual abuse (i. e. networking perpetrator groups with ideological frameworks). METHODS:A qualitative content analysis was conducted on 33 reports by victims and contemporary witnesses. Inductive categories were formed with regard to the question, whic...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-1123-3064
更新日期:2020-07-01 00:00:00
abstract::We present the legislation of the compulsory admission and treatment of mentally ill persons in the Swiss canton of Basle-City. We inquired retrospectively the requests of the clinic and the appointed time given by the psychiatric court of appeal in the year 2000. With 320 compulsory admissions there were 118 appeals....
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-38606
更新日期:2003-04-01 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::Project HOpeS aims to establish a special support service for students with mental health problems in Hamburg, Germany, modelled on a programme designed by the university of Münster. Students with mental health problems have to cope with reduced cognitive productivity, damaged self-confidence, stigmatisation, lack of ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2002-19675
更新日期:2002-01-01 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::It was the establishing of associations of parents and friends of mentally handicapped persons that started, above all in the 50's and 60's, in many countries direct and intensive endeavours for the improvement of their social situation. In this context the major goals are the normalisation of their living conditions ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1981-08-01 00:00:00
abstract::As of 1.1.2002 a new documentation system (AmBADO) has been introduced to the out-patient departments of all Bavarian psychiatric clinics. With the use of this new system, practitioners are for the first time allowed to collect data concerning structure, process, and outcome parameters in this field of care. A pilot s...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-39758
更新日期:2003-05-01 00:00:00
abstract:INTRODUCTION:Folie à deux describes a rare psychiatric disorder of mostly closely related persons. The main feature of this disease is the unconditional adoption of the delusions of the primarily diseased person by the second person. This disturbance most frequently originates from a paranoid schizophrenia. METHOD:Our...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0029-1220338
更新日期:2010-01-01 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::Several studies [5,6] on the prevalence of psychiatric disorders among migrants describe a higher rate of schizophrenic disorders. Other studies [2,3] as well as DSM-IV [1] point out that affective disorders with psychotic symptoms can be misdiagnosed as schizophrenic or schizoaffective disorders. We report on a patie...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract:BACKGROUND:Psychotherapy is an essential part of treating people with mental illness. However, the implementation of psychotherapeutic interventions in the field of inpatient psychiatric treatment remains well behind demand. At the same time, the use of psychotherapeutic interventions by other professional groups - suc...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/a-0801-3847
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVE:The study aims to assess the acceptance, chances and barriers of an online self-management program (moodgym) for depression from the perspective of experts and patients in inpatient psychiatric settings. METHODS:Paper-pencil interviews were conducted with n = 181 depressed inpatients (n = 181, pre-post-asses...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0043-117049
更新日期:2018-07-01 00:00:00
abstract::The philosopher Friedrich Nietzsche was one of the most famous patients in the psychiatric hospital Jena. Between 1889 and 1890, Otto Binswanger und Theodor Ziehen treated the progressive paralysis of Friedrich Nietzsche whose 100th anniversary of death is on 25th August 2000. After Nietzsche's death, an animated disc...
journal_title:Psychiatrische Praxis
pub_type: 传,历史文章,杂志文章
doi:
更新日期:2000-04-01 00:00:00
abstract::A patient with chronic paranoid schizophrenia with delusions of infestation and of grandeur type, developed polydipsia in the course of his illness which ended up in acute life-threatening water intoxication. Apart from somatic causes like SIADH, which are discussed in literature, water-intoxication could psychodynami...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1998-01-01 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::Providing information about the disease and the way of coping with it has a central position in therapeutic interventions with families. By giving basic knowledge about schizophrenia to relatives we developed the practical conception of the psychoeducative relatives' group (information-group), a structured program, wh...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract::Pregabalin is a substance which modulates monoamine release in "hyper-excited" neurons. It binds potently to the α2-δ subunit of calcium channels. Pilotstudies on alcohol- and benzodiazepine dependent patients reported a reduction of withdrawal symptoms through Pregabalin. To our knowledge, no studies have been conduc...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0032-1305042
更新日期:2012-10-01 00:00:00
abstract::The situation of persons with mental illness, who work in workshops for the handicapped, and the problems they have to deal with, are discussed. Concepts of the psychology of work, which nearly have not been recognized in the field of vocational rehabilitation are described. In a study in several workshops the relatio...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1992-11-01 00:00:00
abstract:OBJECTIVE:This study investigates the effects of probationary work for psychiatric patients in community-based small businesses during their inpatient or day care. METHODS:Patients were evaluated for working capacity, psychopathology, motivation for work and patient satisfaction (n = 69). RESULTS:The results confirm ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:2000-05-01 00:00:00
abstract:OBJECTIVE:To provide an overview of empirical findings with regard to compulsive hoarding. METHODS:A systematic literature search of medical and psychological journals was conducted using PubMed. Relevant publications from the reference lists and recent books were also identified and included. RESULTS:The article rev...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:10.1055/s-0029-1223364
更新日期:2010-05-01 00:00:00
abstract::Kufs' disease is a very rare type of neuronal ceroid lipofuscinosis. A case of a 52 year old man with dementia is described. The cause for patient's dementia was the adult type (Kufs' disease) of neuronal ceroid lipofuscinosis. The diagnosis based on the histopathological post mortem-examination of the brain-tissue. A...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1994-11-01 00:00:00