Psychiatrische Praxis
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Psychiatrische Praxis · Oct 2005
Biography Historical Article[A newspaper analysis of psychiatry in 1913].
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Psychiatrische Praxis · Jul 2005
Case Reports[Self-immolation as an effort of self-rescue during a psychotic episode].
Self-immolation as reported in the literature usually happens in the context of suicide acts or political martyrdom. We report a case in which a patient during a first psychotic episode attempted to immolate herself: she covered her legs with pieces of clothing and set them a fire. Severe burning made amputation of both her legs necessary, one above, one below the knee. ⋯ She acted under the influence of imperative acoustic hallucinations encouraging her and pressing her to proceed. Antipsychotic treatment with clozapine resulted in complete remission of all psychotic symptoms. Other than during psychosis the patient didn't believe in life on other planets, had no fantasies about the end of the earth, no contact with sects and no religious or cultural motives for self-immolation.
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Catatonia is a neuropsychiatric syndrome characterized by mental, motor and behavioral symptoms. It occurs in up to 18 % of acute admissions and is most frequently associated with affective and psychotic disorders. ⋯ Despite this, they are often not recognized in clinical practice, are not part of the therapeutic strategy and thus remain untreated. The following article is intended to give a review of the most pertinent questions related to the diagnosis and treatment of catatonia in order to improve clinicians' ability to recognize and treat catatonic symptoms and syndromes adequately.
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The present study aimed at gathering information on the lifetime prevalence and impact of stalking on victims in a German community. ⋯ Stalking seems to be a relevant problem in Germany. Physicians have to become experts in this issue since victims frequently ask them for help.