Psychiatrische Praxis
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Psychiatrische Praxis · Jan 1994
Comparative Study[Withdrawal treatment of drug dependent patients with the aim of achieving abstinence].
The treatment of patients who are dependent on drugs is undergoing a conceptual change, and in this connection more attention is being paid to a qualified withdrawal and weaning. More than 200 withdrawals are being performed annually in the U2 section of the Department of Psychiatry of the University of Basel. The authors report on the composition of the patient groups, their withdrawal symptoms and the therapy offered. In respect of the continually too frequent discontinuations of therapy attention is drawn to the need for a really efficient pharmacotherapy.
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Psychiatrische Praxis · Nov 1986
[Psychiatric emergency care and crisis intervention--concepts, experiences and results].
Psychiatric emergencies and life crises are located at opposite ends of a broad scale of stages requiring acute help: Emergency cases need immediate medical care in order to prevent danger to life. For the same reason, immediate hospital admission and additional treatment of risks of internal medicine have to be provided, if necessary. Crises often have not only mental but also social aspects. ⋯ Suicidal attempts or intentions account for about 30% of the service users, marriage crises for about 25% and alcohol problems also for about 25%. The development of complementary care in Mannheim has led to a parallel increase in the proportion of chronically mentally ill living in complementary facilities. This clearly indicates that a 24-hour emergency and crisis intervention service is a compulsory prerequisite for the implementation of an efficient system of complementary care for the mentally ill.
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Psychiatrische Praxis · Mar 1985
[Significance of expert-guided groups for relatives in psychiatry].
Psychiatric interest in relatives of patients was concentrated in the past on their pathogenetic and etiological influence on mental illness. The medical paradigma of mental illness did not account for relatives affliction in psychic disturbance of their family member. Against this a community care oriented approach involves relatives into psychiatric care, particularly under the aspects of coping strategies and rehabilitative sources. ⋯ Results indicated that relatives are concerned with a series of problems. Participating in relative groups facilitates coping with these problems. Expert-guided and relative centered groups were found helpful, discharging and encouraging for relatives.
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A review is presented of recently developed forms of therapeutic work with relatives of psychiatric patients. Using the dimensions of "dominance of the expert" and "dominance of the relative" a typology of work with relatives is presented, which besides different forms of group work encompasses also "family therapy" at the one end of the spectrum and "self-help" at the other end.
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Psychiatrische Praxis · Sep 1982
Case Reports[1st experiences with a group for relatives--correlation between communication styles of the participants and the person and interaction of the group leaders].
The authors, a psychologist (Renate Siedow) and a male nurse (Jürgen Bombosch) both of whom are co-workers in the Department of Social Psychiatry of Berlin Free University, conducted for the first time a group meeting of relatives of psychiatric patients for a period of ten study units of two hours each. This programme was carried out within the framework of the Adult Education Programme of Berlin Free University. The methods used consisted of psychodrama and group discussions. ⋯ The interaction between the families is shown by means of two examples. The personal situation of the group leaders and their relation to each other are explained and interrelated. The course of the group discussions is described.