Abstract：
:Indirect care for gerontopsychiatric patients by means of patient-centered group discussions under the heading "How to deal with Difficult Patients" is presented as a succession of case reports concerning the progress and course of the first year of a team counselling project in a home for aged persons. The theoretical results outline the framework of such patient-centred group discussions with the following cornerstones: Specialist training or continuing education, supervision, sociopsychiatric counselling and advising the institution; these topics are dealt with in detail. Our model of group discussions is subdivided into the following patient-centred developmental stages: Initiation, acceptance of the psychiatric line of thought, increasing specialist competence. Our paper supplies pointers with regard to the demands made on the discussion leaders, together with hints as to which factors connected with the individual cornerstones and developmental stages should be given special attention. It became evident that these group discussions help to impart more knowledge to the individual partners of the team and hence promote a greater amount of understanding of the psychological patterns of linkups in the development of each patient, thus enabling the medical staff to respond better and more adequately to the psychological needs of the individual patient. As the feeling grows in each individual that he can now cope better with the demands his profession makes on him, a feeling of satisfaction also grows among the team members and there is less job fluctuation.(ABSTRACT TRUNCATED AT 250 WORDS)
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Wetzikon AEsubject
Has Abstractpub_date
1987-11-01 00:00:00pages
185-91issue
6eissn
0303-4259issn
1439-0876journal_volume
14pub_type
杂志文章abstract：BACKGROUND:Homicide-suicide and domestic homicide without consecutive suicide might be regarded as an extreme form of domestic violence. According to the national crime-register, however, there might be some relevant differences between the perpetrators of the two. METHOD:The files of all cases of homicide-suicide (n ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0030-1266127
更新日期：2011-08-01 00:00:00
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：
更新日期：1986-09-01 00:00:00
abstract：:The planning of health care is primarily an administrative task. Service research supports the health administration in this task by supplying empirical data to objectify the need for care and ways to cater for that need. In this, service research on the one hand draws on descriptive and analytical data of epidemiolog...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：
更新日期：2000-09-01 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：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：: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：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：: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：OBJECTIVE:This study reports on the evaluation of the Bern Job Coach Placement program, a supported employment intervention, in the routine operation. METHODS:Administrative data of participants from the years 2005 to 2016 were analysed in terms of integration into the general labour market and in terms of achieving a...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/a-0915-3990
更新日期：2019-09-01 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：: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：OBJECTIVE:Due to increasing health care expenditures the discussion about advantages and disadvantages of new methods for resource allocation in mental health care has been intensified. A promising model is the Regional Budget for Mental Health Care, which is currently being examined in Schleswig-Holstein. The present ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2004-834736
更新日期：2005-05-01 00:00:00
abstract：OBJECTIVE:In Germany, outpatient care is provided exclusively by physicians in private practice. This privilege is very strictly observed, with only a few exceptions. While psychiatric hospitals are routinely permitted to establish outpatient clinics, psychiatric departments of general hospitals, even if they serve a c...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1999-11-01 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：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：: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：: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：
更新日期：1980-05-01 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：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：:The effectiveness of day hospital care of geriatric psychiatric patients was evaluated in a pilot study. The main aspect was the training of social competence, i.e. a training leading to growing personal independence of the demands of every day life, such as hygiene , fitness considering the household, etc. During day...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1984-03-01 00:00:00
abstract：:Basing on a review of the literature and on own research, the authors examine the incidence rate of convulsions under neuroleptic treatment. In addition, the authors go into the neurophysiological and neuropharmacological mechanisms of the convulsive action of neuroleptics. An attempt is made to present information on...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1985-11-01 00:00:00
abstract：:Based on personal experience, the new Italian law on psychiatric hospitals and its practical application is reported. The political aspect of "new" psychiatry is critically mentioned. ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1981-05-01 00:00:00
abstract：AIM OF THE STUDY:Investigation of the perspective of medical assistants (MA) regarding their participation in behaviour-therapy oriented interventions in family practice. METHOD:15 MA (w, 39.5 years old), case managers in a general practitioner supported exercise programme for patients with panic disorder (ICD-10: F41...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/a-1310-2389
更新日期：2020-12-03 00:00:00
abstract：:The article reports on a catamnestic examination of patients of a crisis intervention center at a general hospital, conducted during the period from 1.5.1977 to 31.5.1978. A total of 560 admissions was recorded comprising 492 patients. Examination was carried out via an open questionnaire, plus data taken from the hos...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1980-08-01 00:00:00
abstract：OBJECTIVE:To assess the eating behaviour, quality of life and changes in life style in 46 female patients with eating disorders, discharged from our psychosomatic unit at least six month ago. METHODS:Patients meeting the criteria for DSM-IV anorexia nervosa or bulimia nervosa completed the "Lancashire Quality of Life ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2001-10501
更新日期：2001-01-01 00:00:00
abstract：OBJECTIVE:General and specific deficits in the recognition of facial expressed emotions of ADHD and controls were examined. METHODS:Affect recognition abilities were assessed with the FEEL-Test in a sample of 138 adults with ADHD and 40 healthy controls. RESULTS:Adults with ADHD showed deficits in recognition of the ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0034-1387570
更新日期：2016-05-01 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：:The report describes the inpatient and out-patient treatment facilities for alcoholics in a defined catchment area and the experience gathered by the initiation of out-patient group therapy for a group of alcoholics at the general community hospital in Offenbach/Main. The goal of the group therapy at the hospital was ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1994-01-01 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:gamma-Hydroxybutyrat (GHB) is used medically for narcolepsy and as a narcotic. It is also a rare illegal drug. In this case report the development of a GHB-dependency against the background of a primary alcohol dependency is described. METHODS:Based on established alcohol withdrawal scales (AWSS by Wetterlin...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0028-1090089
更新日期：2009-10-01 00:00:00
