Abstract：
:A therapeutic dwelling community (TDC) which has been in existence for more than 3 years, is described in respect to its history of origin and development outside existing psychiatric institutions or facilities. After having been confronted with the unsatisfactory follow-up care of a group of relatively young, in most cases only medium-term hospitalized schizophrenic patients, the initiators of TDC developed a concept which was destined to strike a balance between care and activation of self-aid within the TDC in order to promote the mental stability and autonomy of the former patients. A description is given of the tension arising from the concept, between the claims on the part of the residents for care to be given to them on the one hand, and the expectations on the part of the guiding personnel with regard to the self-aid potential of the inhabitants, the description being given for different levels. The structure, dynamics and results of group activities within the TDC are also described. In this connection, an attempt is made to show up the individual and group-referred limits of self-regulation of the inhabitants and of the therapeutic interventions; overstepping these limits endangers individual management of the TDC. An attempt is made to derive conclusions on the basis of the collected experience, which may be of importance for similar projects in respect of structure, financial jurisdiction, admission criteria etc.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Engelke W,Haselbeck Hsubject
Has Abstractpub_date
1980-05-01 00:00:00pages
72-80issue
2eissn
0303-4259issn
1439-0876journal_volume
7pub_type
杂志文章abstract：OBJECTIVE:ECT is an effective and safe therapy with fast response for depressive disorders. Nevertheless it's mostly used for therapy resistance. In antidepressive treatments fast response may be related with antidepressive efficacy. We studied, if earlier ECT could result in a shorter hospital stay period after the tr...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0030-1248600
更新日期：2011-02-01 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：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
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：:Based on legal jurisdiction, knowledge of the psychiatric-psychotherapeutic field and insight into the necessity of a new allocation of responsibilities in the overall therapeutic service of a clinic, the core areas of medical activities are defined for the first time, innovative organisational approaches to the reorg...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0031-1276945
更新日期：2011-11-01 00:00:00
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
更新日期：2002-07-01 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：: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：:In-patient suicide research in Germany during the 70 (th) and 80 (th) years of the last century found an overall increase of in-patient suicides in psychiatric hospitals. Nowadays, more differentiated discussions of the problem are recommended. ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2003-39742
更新日期：2003-05-01 00:00:00
abstract：:Within the process of individual psychotherapy the author stresses the importance of understanding the initial everyday life view of "what is about being sick" for to establish a working, and cooperative setting. Thus, a three step procedure has been developed to guide the patient to a self responsible attitude toward...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1988-01-01 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:Drop-outs, respectively unplanned discharges in psychiatric therapy are often explained by so-called lack of insight into the disease or difficult circumstances of admission. We were interested in the question how often drop outs are noticed in a voluntarily day clinic setting where nearly all psychiatric dis...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2001-16874
更新日期：2001-09-01 00:00:00
abstract：OBJECTIVE:Although English is medicine's lingua franca, practising physicians in Germany express the need for articles in German. This study aimed at surveying the number and characteristics of German-language psychiatric journals in Germany. METHODS:Journals were identified by the standard handbook "Fachmedien Gesund...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0031-1276955
更新日期：2012-01-01 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：:The authors give an actual survey about suicides and suicide rates in Germany, Bavaria and Upper Frankonia. Their special interest are significant trends in the last years. These trends will be shown and shortly described. ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：2003-05-01 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：: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：OBJECTIVE:Systematic review of psychosocial interventions for high-risk family members with mental health problems in highly developed industrialized countries. METHODS:Systematic search in electronic databases as well as manual search for intervention studies. RESULTS:Interventions were effective in significantly re...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：10.1055/s-0034-1370070
更新日期：2014-09-01 00:00:00
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
更新日期：2017-10-01 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：: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：BACKGROUND:Aggression management trainings for staff have been implemented in many organizations of mental health care and disability care. The efficacy of such programmes has rarely been analysed. METHODS:A systematic review was conducted which contains all published evaluation studies on aggression management traini...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：10.1055/s-2006-940063
更新日期：2007-01-01 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：:One of the highest rates of suicide occur in German-speaking countries and particularly in Saxonia. There are grounds for the assumption that the fact has been caused by a careful recording of suicides in this country since 1829. The paper describes the development of rates of suicide and the changes of the suicidal m...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1994-09-01 00:00:00
abstract：:A mobile child and youth psychiatric service is presented that concerned with the mental health care of a county with a population of 239,000 inhabitants. This kind of service was conceived especially to meet the demands of rural regions which are high, as empirical investigations about administrative and real prevale...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1990-05-01 00:00:00
abstract：OBJECTIVE:Shared decision-making during the course of treatment is important for people with severe mental illness. However, there is still insufficient knowledge about how people with mental illness view decisions, what kind of decisions are made and how patients experience and perceive the process of participation in...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0032-1327251
更新日期：2013-01-01 00:00:00
abstract：:Records of violent behaviour and its sequels gain increasing interest as a matter of quality assurance. The paper presents scales and instruments applied in psychiatric institutions until now. While problems of reliability are solved sufficiently, there are major problems of validity in the measurement of violence. To...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1998-09-01 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：:OBJECTIVE: The aim of our study was to investigate the influence of antidepressants on psychomotor function related to car driving abilities. METHOD: Depressive inpatients (n = 64) were investigated under steady state plasma level conditions. Data were collected with the ART 90 (Act and React Testsystem) measuring vis...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2003-39765
更新日期：2003-05-01 00:00:00
abstract：PURPOSE:Evaluating the establishment of social psychiatry services (SPS) in Saxony was part of a public health research project. METHOD:One of the variables in a specifically designed assessment instrument--used in 8 SPS during the period 08/95-01/97--was the retrospective statement concerning changes in the client's ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1999-05-01 00:00:00
