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 to answer a 37-item questionnaire. Overall, 441 practitioners of 239 psychiatric clinics participated in the cross sectional study. Results Most important barriers were high workload, scarce resources, patient-focused treatment, missing expertise as well as insufficient awareness. Conclusions More resources, training, clear declaration of competence and coordination of services are necessary to implement family sensitive services in psychiatric clinics. :Ziel der Studie Versorgungssituation und -hindernisse bei der Unterstützung von Kindern psychisch erkrankter Eltern aus Sicht der Erwachsenenpsychiatrie. Methode Deutschlandweite Querschnittsbefragung von 441 Ärzten und Psychologen aus 239 Fachkrankenhäusern. Ergebnisse Hindernisse waren hohe Arbeitsbelastung, knappe Ressourcen, patientenfokussierte Behandlung, fehlende Fachkenntnisse, unzureichendes Problembewusstsein. Schlussfolgerung Mehr Ressourcen, Weiterbildungen, klare Zuständigkeitserklärungen und Koordination sind Voraussetzungen für die Implementierung familienfokussierter Angebote.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Wlodarczyk O,Metzner F,Pawils Sdoi
10.1055/s-0042-115824subject
Has Abstractpub_date
2017-10-01 00:00:00pages
393-399issue
7eissn
0303-4259issn
1439-0876journal_volume
44pub_type
杂志文章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::Community care and sectorisation, specialisation and differentiation, integration of psychiatric and other medical services, crises intervention and emergency psychiatry--and patient's choice--are basic issues of the organisation of psychiatric services. They are discussed and evaluated in respect of the Region of Man...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1996-03-01 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:The purpose of this article is to discuss various aspects of the concepts of luck and happiness within the field of psychiatric nursing. METHODS:Personal factors, work characteristics and work environment were included and combined with case studies from a local hospital. RESULTS:Fortune and happiness of ps...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0044-102189
更新日期:2018-07-01 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: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: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::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::605 German psychiatrists were asked what they consider important ingredients of the quality of life of schizophrenic patients. Most frequently, quality of life was associated with social integration. Work, social contacts and acceptance on the part of their environment were considered particularly important in this re...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1997-03-01 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::In an open clinical trial patients with full-developed delirium tremens were treated either by controlled infusion of clomethiazol (n = 21) or by intravenous injections of clorazepate (n = 20). Acute symptomatic quickly decreased after a few days and medication could be reduced. By adding haloperidol a further stabili...
journal_title:Psychiatrische Praxis
pub_type: 临床试验,杂志文章
doi:
更新日期:1992-01-01 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::Patients are mostly passive utilizer of the health-care-system. They are confronted with a supply of medical service and they are allowed to show their satisfaction with it retrospectively. Our medical system has in future to develop itself from an effective perspective to an utilizer orientated medicine. Orientation ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:2003-05-01 00:00:00
abstract::This article is intended as a contribution towards interpreting the development of psychiatric symptoms as a final result of disturbed processes of communication. We should like to point out that the importance of communication for normal and abnormal behaviour has been established both from the viewpoints of sociopsy...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1987-09-01 00:00:00
abstract::The frequency of residential placements in homes and households contrasts with the scarcity of its evaluation with respect to therapeutical effects. In order to facilitate evaluative studies, relevant structural elements and suggestions for a typology are discussed as well as methodological problems. Examples of empir...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1984-09-01 00:00:00
abstract::Huntington's Disease, a neuropsychiatric disorder with dominant inheritance and late manifestation is related to multiple psychosocial problems of the affected person, his life partner as well as their children (so-called individuals at risk). During a five years project the authors contacted 131 persons, directly and...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1996-05-01 00:00:00
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
更新日期:2018-11-01 00:00:00
abstract:UNLABELLED:The German Adaptation of the Verona Service Satisfaction Scale: An Instrument for Patients' Satisfaction with Mental Health Care. AIM:Measuring effectiveness and quality of care became an important topic in psychiatry. Considering that objective criteria were not sufficient in the past, the subjective persp...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2001-17791
更新日期:2001-10-01 00:00:00
abstract::Structure and functioning of a group therapy comprising all patients of a psychiatric ward is described in terms of psychoanalytic and group dynamics, behaviour therapy and cognitive psychology. 34 acutely-ill patients with heterogenic diagnoses reported their experiences with this group technique at day of discharge....
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:
更新日期:1982-09-01 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: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::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: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
更新日期:2002-05-01 00:00:00
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:
更新日期:1998-11-01 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:INTRODUCTION:Is it necessary to understand your vis a vis or is it enough to meet, to get in touch? Awareness of the different perception of reality is important. INTERINDIVIDUELL: Defined as basic requirements for getting in touch, mutual modelling and interchange were "Knowing your own world", "Being curious about th...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-2003-38550
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVE:To provide information about occurrence and patterns of geriatric morbidity and need for long-term care in patients newly diagnosed with dementia compared to controls without dementia. METHODS:An analysis of administrative data was conducted to compare the geriatric outpatient diagnoses and the patterns of c...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章
doi:10.1055/s-0032-1305010
更新日期:2012-07-01 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::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::In this paper criteria for the assessment of the ability of psychiatric patients to give an informed consent are presented. Legal and medical aspects including jurisdiction are discussed. Some elements for a judgement of an informed consent are proposed. ...
journal_title:Psychiatrische Praxis
pub_type: 杂志文章,评审
doi:
更新日期:1993-09-01 00:00:00