Abstract：
:Starting with Ciompis model of "affect logic" I want to show that affective, cognitive and behavioral patterns, once emerged in psychosis, subsequently tend to repetition and chronification on account of psychological, social but also neuronal plasticity. In the discussion about reasons of the chronification process, negative symptoms become more and more relevant. Beside the primary negative symptoms, patients develop coping strategies to avoid a new relapse. These secondary negative symptoms, however, should not only be understood as an adaptation effort of internal "disturbing factors", but also of external ones, caused by the surroundings. Therefore, the patient's behavior should not be seen detached from his context. To see negative symptoms also as coping strategy has major therapeutical implications for community psychiatry, because of the involved option that negative symptoms can be replaced by more curative and less disabling behaviour, i.e. they are accessible to therapeutical efforts. That means for community psychiatry, however, to develop itself out of its deficit oriented treatment paradigm and to increase its therapeutical ambitions.
journal_name
Psychiatr Praxjournal_title
Psychiatrische Praxisauthors
Hoffmann Hsubject
Has Abstractpub_date
1995-01-01 00:00:00pages
3-8issue
1eissn
0303-4259issn
1439-0876journal_volume
22pub_type
杂志文章,评审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：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：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: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...
journal_title：Psychiatrische Praxis
pub_type： 评论,杂志文章
doi：10.1055/s-0032-1327201
更新日期：2012-11-01 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：:Within a controlled intervention study with schizophrenic outpatients we investigated the question of whether regular attendance at psychoeducational training for medication management has an influence on patients' illness-related behavior. The patients in the treatment group show better outcome of compliance and some...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1993-07-01 00:00:00
abstract：OBJECTIVE:Interdisciplinary analysis of the consequences of laws and legal practice for mental health conditions of asylum seekers and psychiatric care. METHODS:Based on the case study of a Kurdish woman with complex trauma-related psychiatric disorder, who had been in psychiatric hospital care for 25 months, the lega...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0035-1552730
更新日期：2016-04-01 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：: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：: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：:The segregation of sexes in an acute psychiatric unit was followed up by means of a research survey. Patients and staff members were questioned about the ward climate before and after changing the admission procedure. The male patients merely noticed a decreased influence of sexual problems on the ward atmosphere. The...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：1996-11-01 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：: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 report the rare case of a 19-year old man, first diagnosed with schizophrenia but finally shown to have subacute sclerosing panencephalitis (SSPE). Initial symptoms were hallucinations and negative symptoms until the onset of a seizure. Changes in the CSF, MRI, EEG and increasing neurological symptoms led to the co...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-2003-39751
更新日期：2003-05-01 00:00:00
abstract：INTRODUCTION:Folie à deux describes a rare psychiatric disorder of mostly closely related persons. The main feature of this disease is the unconditional adoption of the delusions of the primarily diseased person by the second person. This disturbance most frequently originates from a paranoid schizophrenia. METHOD:Our...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0029-1220338
更新日期：2010-01-01 00:00:00
abstract：BACKGROUND:Psychotherapy is an essential part of treating people with mental illness. However, the implementation of psychotherapeutic interventions in the field of inpatient psychiatric treatment remains well behind demand. At the same time, the use of psychotherapeutic interventions by other professional groups - suc...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/a-0801-3847
更新日期：2019-04-01 00:00:00
abstract：:Despite of the frequency of depressive disorders among the population, forensic aspects of depression are rare and usually focussed on suicidal behaviour, especially the so-called homicide-suicide (homicide followed by suicide). Today therapeutic strategies are seen in the first stage of dealing with depressed homicid...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章,评审
doi：
更新日期：1997-11-01 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：:Pregabalin is a substance which modulates monoamine release in "hyper-excited" neurons. It binds potently to the α2-δ subunit of calcium channels. Pilotstudies on alcohol- and benzodiazepine dependent patients reported a reduction of withdrawal symptoms through Pregabalin. To our knowledge, no studies have been conduc...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0032-1305042
更新日期：2012-10-01 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：:Recently, a putative functional polymorphism (-141C Ins/Del) in the 5'-flanking region of the dopamine D2 receptor was found. An association of the Ins allele with schizophrenia has been described in a Japanese sample. In the present study this association was examined in a German schizophrenia patient population. In ...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：2003-05-01 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
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：: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:To examine the association of diagnosed depression with the utilization of health care services and preventive measures among men and women in the general population in Germany. METHODS:Cross-sectional analysis of data from a representative telephone survey (men N = 18,675, women N = 24,518, 18 years and old...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0042-122327
更新日期：2019-03-01 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：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 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：OBJECTIVES:There is still poor acceptance for pain without somatic causes, and patients with somatoform pain disorder carry a stigma per se. The aim of this study was to identify predictors of fear of stigma including depression, anxiety and somatisation among patients with somatoform pain disorder. METHODS:132 patien...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：10.1055/s-0032-1305096
更新日期：2012-08-01 00:00:00
abstract：:This paper describes a standardized assessment-procedure for the so-called "Gemeindepsychiatrische Verbünde" in Germany (GPV-Documentation), which are regional combines of community-based mental health care services. It is the first procedure in Germany which puts data on psychiatric care offers, needs for care and se...
journal_title：Psychiatrische Praxis
pub_type： 杂志文章
doi：
更新日期：2000-03-01 00:00:00
