[Diagnosis and treatment of borderline disorders within the scope of inpatient psychiatric care].

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 approach which includes the behavior of the patient on the unit and the analysis of the therapeutic interaction, the borderline disorder is differentiated from the psychoses on the one side and the neuroses on the other. The specific treatment problems of borderline-patients are dealt with under the headings of regression, splitting, projective identification and acting out. The counter-transference problems of treatment teams are taken under special consideration. The last part of the article deals with treatment goals and therapeutic strategies in the psychiatric inpatient treatment of borderline patients and discusses possible modalities of adjunctive treatment.

journal_name

Psychiatr Prax

journal_title

Psychiatrische Praxis

authors

Lohmer M

subject

Has Abstract

pub_date

1990-09-01 00:00:00

pages

172-9

issue

5

eissn

0303-4259

issn

1439-0876

journal_volume

17

pub_type

杂志文章,评审
  • [Trial employment: a provisional work setting for psychiatric patients].

    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:

    authors: Längle G,Köster M,Mayenberger M,Günthner A

    更新日期:2000-05-01 00:00:00

  • [Health Care Situation and Barriers for Working with Children of Mentally Ill Parents from the Perspective of Adult Psychiatry in Germany - A Nationwide Survey].

    abstract::Objective The aim of the present study was to assess the health care situation and barriers to support minor children of mentally ill parents from the perspective of adult psychiatry in Germany. Methods Based on the German Hospital Register mental health practitioners of all psychiatric clinics in Germany were asked t...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0042-115824

    authors: Wlodarczyk O,Metzner F,Pawils S

    更新日期:2017-10-01 00:00:00

  • [Reform of psychiatry in Spain].

    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:

    authors: Pedrosa Gil F,Luderer HJ

    更新日期:2000-11-01 00:00:00

  • [Rehabilitative elements for the treatment of patients with mental disorders: are they considered in the development of guidelines?].

    abstract:OBJECTIVE:In the context of the current discussion of integrating rehabilitative elements into the (acute) treatment of patients with mental disorders, it is investigated what rehabilitative elements actually are and whether these elements are considered in existing guidelines. METHODS/RESULTS:An expert-based consensu...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2003-814990

    authors: Watzke B,Büscher C,Koch U,Schulz H

    更新日期:2005-03-01 00:00:00

  • [Stigma, stigma management, destigmatization].

    abstract::WHO and WPA recently inaugurated worldwide "anti-stigma-campaigns". On this background the exploration discrimination of against the mentally ill of the term stigma and its meaning is useful. Stigma dates from ancient Greece and was meant to be a visible sign of disgrace. Today stigma and stigma management are sociolo...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审

    doi:

    authors: Finzen A

    更新日期:2000-10-01 00:00:00

  • [Late rehabilitation of psychiatric patients].

    abstract::The results of a catamnestic study concerning patients of a psychiatric rehabilitation unit are reported. The patients were either longterm inpatients (mean duration of stay 8.5 years) or those, who had been transferred from the acute unit for lack of therapeutic progress and thus were probable to become longterm pati...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Rittmannsberger H,Schöny W

    更新日期:1986-09-01 00:00:00

  • [New strategies in schizophrenia: impact of endophentotypes].

    abstract::Despite the compelling evidence for a strong heritability of schizophrenia, the aetiology and genetic underpinnings of this disabling disease still remain unclear. Reasonable explanations for current problems in identifying candidate genes for schizophrenia are the complexity of its genetic background as well as the h...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2004-828480

    authors: Opgen-Rhein C,Neuhaus A,Urbanek C,Dettling M

    更新日期:2004-11-01 00:00:00

  • [Changes in the provision of psychiatric services at a psychiatric district hospital].

    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

    authors: Schaub R

    更新日期:2004-11-01 00:00:00

  • [Diagnostics and therapy of alcohol withdrawal syndrome: focus on delirium tremens and withdrawal seizure].

    abstract:INTRODUCTION:Delirium tremens and withdrawal seizures are serious complications of an alcohol withdrawal syndrome. This review presents the diagnostic procedures required in case of the occurrence of a withdrawal seizure and delirium tremens as well as possible treatment options including prophylactic medication regime...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,评审

    doi:10.1055/s-0030-1248443

    authors: Lutz UC,Batra A

    更新日期:2010-09-01 00:00:00

  • [Obstacles to innovation].

    abstract::Three publications by K.P. Kisker that appeared in the 'sixties of the present century are milestones along an important path of panoramic changes in the recent history of psychiatry. They are model reflections of the steps or stages towards a new approach to understanding the social system represented by the hospital...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Veltin A

    更新日期:1987-08-01 00:00:00

  • [Work with relatives at the psychiatric admission unit--report of experiences with a mixed syndrome family group].

    abstract::Therapeutical groups for relatives of psychiatric patients meanwhile are obligatory within strategies of psychiatric treatment. Up to a now most of the recent investigations refer to relatives of patients suffering from schizophrenia. The following article deleniates experiences with a therapeutic group for relatives ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Karschny J,Rosemeier B,Schubert M

    更新日期:1991-03-01 00:00:00

  • [Non-cognitive symptom profiles in dementia--experience from psychiatric services and memory clinics].

    abstract:OBJECTIVE:To assess the non-cognitive symptoms in 153 consecutive dementia patients admitted to our psychiatric ward or seen at the gerontopsychiatric ambulance and Memory Clinic. METHODS:We used the Global Deterioration Scale, the Hachinski Ischaemia Score, the Hamilton Psychiatric Rating Scale for Depression, and th...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Rainer M,Mucke HA,Masching A,Haushofer M

    更新日期:1999-03-01 00:00:00

  • [A brief instrument for the assessment of childhood abuse and neglect: the childhood trauma screener (CTS)].

    abstract:OBJECTIVE:There is a lack of a psychometrically sound screening questionnaire that assesses important dimensions of traumatic experiences during childhood and adolescence in a time-efficient way. Based on the German version of the "Childhood Trauma Questionnaire" (CTQ, 28 items) we developed a five-item self-report chi...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0031-1298984

    authors: Grabe HJ,Schulz A,Schmidt CO,Appel K,Driessen M,Wingenfeld K,Barnow S,Spitzer C,John U,Berger K,Wersching H,Freyberger HJ

    更新日期:2012-04-01 00:00:00

  • [Schizophrenic patients, who still live in psychiatric hospitals despite decades of deinstitutionalization. Part 1 of the Hessian Deinstitutionalisation Study].

    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

    authors: Franz M,Meyer T,Ehlers F,Gallhofer B

    更新日期:2002-07-01 00:00:00

  • [Criterion Validity of the German Version of the CES-D in the General Population].

    abstract:OBJECTIVE:The "Center of Epidemiologic Studies - Depression scale" (CES-D) is a well-known screening tool for depression. Until now the criterion validity of the German version of the CES-D was not investigated in a sample of the adult general population. METHODS:508 study participants of the Austrian general populati...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/a-0584-9803

    authors: Jahn R,Baumgartner JS,van den Nest M,Friedrich F,Alexandrowicz RW,Wancata J

    更新日期:2018-11-01 00:00:00

  • [Increasing prevalence of amphetamine--and methamphetamine-induced psychosis].

    abstract:OBJECTIVE:With changed consumer behaviour in the drug scene the psychiatric complications with the derivates of amphetamine increase. In some regions methamphetamin is particularly common. Flashbacks, which can be triggered by psychosocial stress, as well as the age of the usually young patients lead to the differentia...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2003-814996

    authors: Härtel-Petri R,Rodler R,Schmeisser U,Steinmann J,Wolfersdorf M

    更新日期:2005-01-01 00:00:00

  • [New Ways of Diagnosing ADHD in Adults].

    abstract::Objective Diagnosing Attention-Deficit-Hyperactivity Disorder (ADHD) in adults requires that ADHD has already been present in childhood. However, recall of ADHD-symptoms in childhood is fallible, for example influenced by mood. Furthermore, diagnostics need a procedure to handle oblivion and judgment biases. The Essen...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0043-100714

    authors: Grabemann M,Zimmermann M,Strunz L,Ebbert-Grabemann M,Scherbaum N,Kis B,Mette C

    更新日期:2017-05-01 00:00:00

  • [Heinrich von Kleist--crisis and creative overcoming].

    abstract::Heinrich von Kleist's life was shaken repeatedly by negative life-events, finally he committed suicide in his last life-crisis (1811). His work was mostly understood as descriptions of negative life-events and failed-being. In this article it will be shown that in at least two "crises" Kleist's work can be understood ...

    journal_title:Psychiatrische Praxis

    pub_type: 传,历史文章,杂志文章

    doi:10.1055/s-2001-15576

    authors: Schlimme J

    更新日期:2001-07-01 00:00:00

  • [Early termination of vocational rehabilitation for the severe mentally ill].

    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

    authors: Watzke S,Galvao A,Gawlik B,Hühne M,Brieger P

    更新日期:2006-04-01 00:00:00

  • [Assisted living for former long-term hospitalized psychiatric patients].

    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:

    authors: Schmidl F,Berghofer G,Lang A,Rudas S

    更新日期:2000-01-01 00:00:00

  • [Endangerment by the environment--on the origin and psychopathology of environmental anxiety].

    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:

    authors: Lübeck HD

    更新日期:1993-03-01 00:00:00

  • [Treatment of depressive patients in private practice--empirical results, health political and social conditions and recommendations].

    abstract::Although depression and symptoms of depression belong to the most common disorders in private practice, affected patients are not always diagnosed as early as possible in Germany and often not sufficiently treated. In order to improve the care for persons with depression it is necessary that family doctors are prepare...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2007-971026

    authors: Goesmann C,Bühren A,Neuy-Bartmann A

    更新日期:2007-09-01 00:00:00

  • [Friedrich Nietzsche: history of his illness. On the 100th anniversary of the death of the poet-philosopher].

    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:

    authors: Wilkes J

    更新日期:2000-04-01 00:00:00

  • [Financial burden on caregivers of schizophrenic patients: a comparison between parents and spouses].

    abstract:OBJECTIVE:Part II of this study will explore more accurately, how caregivers of schizophrenic patients perceive the financial burdens of the disease. METHOD:42 In-depth-interviews with parents and spouses of schizophrenic patients were analysed using a qualitative-interpretative technique. RESULTS:When talking about ...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-2002-30682

    authors: Jungbauer J,Mory C,Angermeyer MC

    更新日期:2002-05-01 00:00:00

  • [High utilisers with affective and schizophrenic disorders in the psychiatric health care system: a comparison between Eastern and Western Germany].

    abstract:OBJECTIVE:High utilisers of psychiatric services are defined as a group of patients showing a great amount of service use, especially inpatient care, consequently causing immense costs. There is a lack of studies investigating differences between East and West Germany. METHODS:Service use and psychopathology were exam...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:10.1055/s-0034-1369867

    authors: von Rad K,Puschner B,Spießl H,Grempler J,Janssen B,Becker T,Freyberger H

    更新日期:2014-10-01 00:00:00

  • [How to care for homeless mentally ill men in the community - a randomised intervention study].

    abstract:OBJECTIVE:The aim of the present study was to clarify whether the mediation of homeless persons identified as mentally ill into the sociopsychiatric or the help-seeking system can be facilitated by a short-term intervention. METHOD:Probands with at least one psychiatric diagnosis according to ICD-10 (73 % of the sampl...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-2004-834688

    authors: Längle G,Egerter B,Petrasch M,Albrecht-Dürr F

    更新日期:2006-07-01 00:00:00

  • [Concepts on the supraregional sociopsychiatric continuing education of female and male nurses within the competence of the "Landschaftsverband Westfalen-Lippe" (author's transl)].

    abstract::The new activities of nurses working in the field of psychiatry, resulting from the realisation of sociopsychiatric and sociotherapeutic concepts, have led to an expansion of the "job description" of the nursing personnel. Intensive measures for additinal training and continuing education will have to be taken to acqu...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Winkler WT

    更新日期:1979-11-01 00:00:00

  • [Neuroleptic treatment by the established psychiatrist. A report of experiences].

    abstract:PURPOSE:Contrary to in-patient psychiatric care, quality assurance in the area of psychiatrists in outpatient practice is hardly in use. METHODS:Neuroleptic therapy regarding the following quality criteria was examined for 6 months in an outpatient psychiatric practice: choice of neuroleptics, dosage and combination o...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Haberfellner EM,Rittmannsberger H

    更新日期:1998-11-01 00:00:00

  • [On the practice of cooperation between physician and psychologist in the psychiatric hospital (author's transl)].

    abstract::The increasing employment of graduates in psychology (Diplom-Psychologen) in psychiatric hospitals not only expands therapeutical facilities as a result of cooperation between psychologists and physicians; it also entails structural re-organisation both formally and in terms of contents, of behavioural rituals which h...

    journal_title:Psychiatrische Praxis

    pub_type: 杂志文章

    doi:

    authors: Bartmann U,Schröder HG

    更新日期:1980-05-01 00:00:00

  • [Attitude of family to clozapine].

    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:

    authors: Angermeyer MC,Boitz K,Löffler W,Müller P,Priebe S

    更新日期:1999-07-01 00:00:00