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Biomedical subjects

A Finzen

Publications and source records attributed to A Finzen.

54 records · Page 3Linked to original sources
PubMed1987

[From psychiatry enquiry to postmodern psychiatry].

The large-scale "Psychiatry Inquiry", or inquest, held in the Federal Republic of Germany in the 'seventies, represented a great step forward in the reformation of psychiatric patient care. However, the general consensus of opinion about the future development crumbled and fell apart by the end of the 'seventies. On the one hand, there was the demand for dissolving the psychiatric large-scale hospital whereas on the other hand the ancient type of lunatic asylum or mental hospital re-entered through the backdoor: therapy wards were separated spatially from care wards without the slightest regard for the modern concepts of mental illness, its treatment and its course. This article tries to point out that both tendencies are an expression of today's "postmodernistic thinking". They offer illusions of solutions, i.e. they simulate solutions in the sense of the postmodern technique of "as though" and do not pay any heed to the interests of the mental patient himself.

Deinstitutionalization↗
PubMed1984

[Ambulatory psychiatric treatment and suicide].

From the few publications available in literature it is evident that suicide risk in psychiatric patients is considerably higher after their discharge from hospital than during inpatient treatment. The present study covers 21 recorded suicides of patients in a hospital outpatient ward for preliminary care and aftercare of psychiatric diseases. This figure represents 0.8% of all treated patients and corresponds to a suicide rate of 600 per 100.000 treatment episodes. At the time of suicide, 13 of these patients were still in outpatient treatment and 3 in the clinic. The others had been transferred or had discontinued treatment. Almost two-thirds suffered from psychoses belonging to the schizophrenic disease pattern. Contrary to what has been reported in literature, most of the suicides (almost two-thirds) occurred more than twelve months after their last hospital discharge.

Adult↗
PubMed1984

[Psychiatric treatment and suicide. Can psychiatric treatment prevent patient suicide?].

Suicidality is a frequent accompanying symptom in mental diseases. The prevention of suicide is considered as a task which must be a matter of course to a psychiatric hospital. However, it is an established fact that suicides by patients occur in all psychiatric institutions. In this manner, suicide by a patient is liable to be interpreted as a question of guilt to prove that the therapist has failed in his task. On the other hand, it is naturally impossible to advocate the prevention of suicide at any price. The psychiatric hospital is bound to respect the patients' dignity. At the same time, the question arises whether suicidality among psychiatric patients is merely an expression of a diseased state of mind or also an understandable reaction to the social problem arising out of the disease. It is imperative that the therapists face the suicidality of their patients fairly and squarely and that they should place less emphasis on restrictions suppressing the patient than on an active and positive influence exercised by therapy, so that suicide by a patient can be avoided not only in the hospital but also after the patient's discharge.

Guilt↗
PubMed1979

[Family therapy--encounters with a therapeutic fashion (author's transl)].

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. The present family therapy boom is considered to be a kind of fashion. In the long run, however, family therapy as such will prove to be an important tool within the therapeutic spectrum. A cause for concern is the high demand made on the training and skill of family therapists. This deters those who had always considered family therapy as an integral part of their work in everyday paractice. This results in a plea for remaining close to actual practical conditions. The article close with recommendations for reading up relevant literature.

Family Therapy↗
PubMed1978

[Psychiatric treatment under unfavorable conditions (author's transl)].

This paper reports on the first 12 months during which a large psychiatric hospital was undergoing reorganization and reform, resulting outwardly in a reduction of the number of occupied beds from 870 to 730, and in an increase in the number of admissions from 2100 to 2800. Despite sociopsychiatric orientation of the reformatory measures, medical and biological steps were taken first. Second in importance were the matters concerning reorganization in the sense of a differentiation between the various treatment groups. This was associated with the parallel development of initial socio-therapeutic approaches.

Germany, West↗