Abstract：
OBJECTIVE:Assessing long-term effects of a family systems therapy approach (systems therapy methods in acute psychiatry, SYMPA) on occupational stress and interdisciplinary cooperation of team members in three German psychiatric hospitals. METHODS:Pre-post-follow-up survey using the Maslach Burnout Inventory (MBI) and Team Climate Inventory (TCI) questionnaires complemented by semi-structured in-depth interviews (N = 56). RESULTS:Three years after implementing a family systems therapy approach, experienced work load and staff burnout remain significantly lower than before. Interdisciplinary cooperation was intensified and nursing staff status increased. Following systemic case conceptualisations and interventions the therapeutic alliance moved towards a need-adapted treatment approach. CONCLUSIONS:Seven years after implementation, the family systems therapy approach still included significantly lower workload burden, an intensified interdisciplinary cooperation, and a need-adapted treatment orientation that strengthens the alliance between staff and client system.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Haun MW,Kordy H,Ochs M,Schweitzer J,Zwack Jdoi
10.1055/s-0032-1327201subject
Has Abstractpub_date
2012-11-01 00:00:00pages
400-6issue
8eissn
0303-4259issn
1439-0876journal_volume
39pub_type
评论,杂志文章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：
更新日期：2000-10-01 00:00:00
abstract：OBJECTIVE:The clinical practice concerning the use of coercive measures in psychiatry should be compared. METHOD:A common documentation of physical restraint, seclusion, and medication by coercion was introduced among 10 hospitals. RESULTS:8.4 % of cases treated within the first 6 months of 2004 were exposed to coerc...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2005-866920
更新日期：2007-01-01 00:00:00
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
更新日期：2014-10-01 00:00:00
abstract：OBJECTIVE:How can patients and staff participate in redesigning psychiatric procedures through survey research? METHODS:Using interviews with circular-hypothetical questioning, 58 patients and 30 staff members of a psychiatric department of a general hospital were interviewed about their preferences for change and con...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2001-13264
更新日期：2001-05-01 00:00:00
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：
更新日期：1991-03-01 00:00:00
abstract：:Objective Therapy recommendations of relatives of individuals with psychotic disorders. Method A total of n = 52 inpatient relatives were interviewed about their attitude towards psychotherapy and antipsychotics. Results Over 80 % of the relatives recommended psycho- and pharmacotherapy. Concerns reduced recommendatio...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0042-102622
更新日期：2017-05-01 00:00:00
abstract：OBJECTIVE:There is some evidence that the treatment with new ("atypical") neuroleptics is associated with a higher frequency of hyperlipidemia. AIM:In this study the serum lipid levels of patients with chronic schizophrenia were investigated. METHODS:The serum lipid levels of 177 consecutively admitted schizophrenic ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2006-940056
更新日期：2007-07-01 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：:This study reflects the labour-situation of 67 DSM-III schizophrenic outpatients in an 8-year follow-up. About 50% of the patients had less than 20 hours of work a week on the average--most of them in work therapy or sheltered work-places. Many of them changed their location of work. Patients with an initially good pr...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1999-09-01 00:00:00
abstract：OBJECTIVE:Theoretical background and first results of a vocational rehabilitation program for unemployed persons with chronic psychiatric disabilities will be presented. The aim of the program is job-placement in the regular labour market. METHODS:After a 3-month preparatory period the participants were given the poss...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2002-22041
更新日期：2002-03-01 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：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
更新日期：2006-07-01 00:00:00
abstract：:Delirium--a state of acute or subacute confusion--is a common organic mental syndrome occurring predominantly in old age. The disorder is highly prevalent in psychiatric institutions, in general hospitals and nursing homes. Patients affected by delirium carry an increased mortality-risk and will become dependent on nu...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：
更新日期：1994-07-01 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：: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：:The conditions determining statutory offences as represented by indictable sex offences, have been amended and revised by the 4th Penal Reform Law of the Federal German Penal Code, in 1973, under the heading "Indictable Offences against Sexual Self-Determination". This heading, which is meant to convey a programme, ho...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1983-05-01 00:00:00
abstract：OBJECTIVE:The application of acetylcholinesterase (AChE) inhibitors seems to be constrained in the German health care system. We investigate the cost-effectiveness of the AChE inhibitor Galantamine for patients with Alzheimer's disease (AD) in a German context. METHOD:A Markov model as the decision theoretic framework...
journal_title：Psychiatrische Praxis
pub_type： 临床试验,杂志文章
doi：10.1055/s-2004-834709
更新日期：2005-04-01 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: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：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：: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：: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：
更新日期：1979-11-01 00:00:00
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：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：:The case of a 32-year old man suffering from a 10-year course of schizophrenia is presented. The man's delusions include the conviction of being of the opposite sex and thus, he applied for an operational correction of his gender according to the law of transsexualism. Based on the evident problems arising from this c...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1996-09-01 00:00:00
abstract：:All the different branches in forensic psychiatry have to face identical handicaps resulting from the difficulties in cooperation with the law-court. For the psychiatrist, his identity as a therapist is contradictory to his forensic tasks. The paper deals with the resulting dilemmata (partiality v. neutrality; diagnos...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：
更新日期：1988-03-01 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：:The present case study is a report on computer-based training approach in a male patient suffering from the de-Grouchy syndrome I (with a characteristic chromosomal deletion pattern), who along with psychotic symptoms displayed neuropsychological deficits. Participating in a well-established intervention programme aim...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1998-05-01 00:00:00
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
更新日期：2004-11-01 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
