Psychiatrische Praxis最新文献

The study examines the media portrayal of schizophrenia and psychosis in the Frankfurter Allgemeine Zeitung in the years 2004, 2013, and 2023. The focus was on metaphorical usage of the terms, their contextualization in relation to criminal offenses, and the depiction of treatment options.The analysis is based on a systematic full-text review of 709 articles, categorized according to predefined thematic criteria.The findings indicate a decline in metaphorical usage from 44.9% in 2004 to 30.8% in 2023, alongside a marked increase in criminal associations from 20.3% to 39.9%. Treatment options were addressed in only 18.5% of the articles.Despite some positive developments, the reporting still reflects stigmatizing tendencies. Closer communication between psychiatric professionals and media practitioners appears to be an important starting point for reducing stigmatizing reporting.

The aim of this study is to investigate the presence and career position of women in psychiatry and neurology in the GDR as fundamental preliminary work.A quantitative survey of female authors was conducted in the only GDR journal "Psychiatrie, Neurologie und Medizinische Psychologie". This was the most obvious publication option for GDR professionals.The number of publications by women increased significantly from 1968 onwards. Nevertheless, of the 5,662 publications between 1949 and 1990, only 18.12% were written by or with women. The 20 women with the most publications can be identified for the first time.It stands to reason that women gained a greater presence in psychiatry and neurology in the GDR in the second half of the 1960s. Some women will also have increasingly attained higher positions here, as they functioned as scientific publicists. Nevertheless, the presence of women remains low in comparison to men, both quantitatively and qualitatively.

This report describes a patient with a history of recurrent depressive disorder and restrictive anorexia nervosa. In the context of a depressive episode, increased appetite led to refeeding syndrome with consecutive Wernicke encephalopathy following previous food deprivation due to anorexia. The pathophysiology is based on increased thiamine consumption during a sudden transition to an anabolic metabolic state. Wernicke's encephalopathy should be considered even in cases of nonspecific symptoms associated with any type of malnutrition, especially since the encephalopathy can be triggered by refeeding syndrome. Appropriate therapeutic measures to prevent consequential damage must be taken immediately (B1 vitamin and electrolyte replacement, as well as dietary supplementation).

The author and playwright Johannes Schlaf (1862-1941) is considered one of the most important representatives of the literary movement of "naturalism." It is already known that Schlaf had to be treated in psychiatric institutions several times from 1892 to 1898 due to a mental illness. His medical records from the Altscherbitz Provincial Asylum for the Insane in Schkeuditz near Leipzig, where he spent a total of twelve months between 1895 and 1897, now made accessible here, provide new insight into the nature and extent of his illness, as well as into the inner workings of this institution, which was considered internationally exemplary at the time. After his release from Altscherbitz in 1898, a dispute erupted between Schlaf and the poet Arno Holz (1863-1929) over the authorship of a jointly written work. Holz publicly exposed Schlaf's "mental illness" in an attempt to discredit him. Schlaf, in turn, attempted to ward off this stigmatization by portraying his illness as a mere "nervous crisis."

A 48-year-old man sought professional help following a suicide attempt very belatedly and severely injured. High shame associated with undiagnosed developmental disorder and pedoteleiophilia initially aggravated suicidality and impeded contact to the help system. Over the course of treatment, a strong therapeutic relationship was established, enabling referral to outpatient psychiatric care and the Dunkelfeld therapy and support project for individuals with pedophilic tendencies.

This scoping review examines the effects of medical and vocational psychiatric rehabilitation on resilience, self-stigmatization, and quality of life in adults.Scoping review following JBI guidelines with searches in PubMed, PubPsych, and REHABDATA, plus supplementary searches.From n=1.247 titles, n=38 studies were included, of which n=36 (94,74%) address vocational rehabilitation services and n=16 (42,11%) medical ones. Resilience is strengthened through relationship building and shared decision-making. Self-stigma is reduced through peer support and empowerment, while quality of life can improve through employment.Recovery-oriented approaches with individual goal setting show positive effects on all three dimensions and support the paradigm shift toward holistic life enhancement.

Prompted by the inhumane and insufficient care conditions, a reform movement began to emerge at the University Hospital Leipzig starting in the 1960s. In Germany as well as in Leipzig, psychiatric care was dominated by the imbalance between asylum and university psychiatry, characterized by hierarchy, a lack of cooperation, and separated areas of responsibility. In contrast, there existed an independent and poorly developed extramural care system. Starting in 1974, the Leipzig reform group reorganized the city's mental health care system based on the sector model, aiming to establish a community-based, low-barrier, and less hierarchical psychiatry. Sectorization meant introducing a territorial obligation to provide inpatient care and a reorganization of outpatient and inpatient structures. Although imperfect, the sectorization in Leipzig was an attempt to humanize psychiatric care and grant greater quality of life and self-determination to people with mental illnesses.

Due to fluctuations in suicidal symptoms over time, assessments covering brief periods are essential. This study aims to validate a modified version of the Suicidal Ideation and Behavior Scale (SIBS), focusing on a one-week survey period (SIBS-7d).The SIBS-7d was tested on N=139 patients (41.7% female; age in years M=40.2, SD=15.8) with regard to its psychometric properties. Participants were interviewed within seven days of inpatient admission.A confirmatory factor analysis confirmed the expected one-dimensional structure. The internal consistency was excellent. There was a positive correlation with the Beck Scale for Suicidal Ideation.The findings indicate the suitability of the SIBS-7d for assessing acute suicidal ideation and behavior.