[Arson as a symptom of borderline personality disorder].
Explore the source record for details and available documents.
Adult↗
Biomedical subjects
H Haltenhof
Publications and source records attributed to H Haltenhof.
[Evaluation and utilization of complementary medical procedures--a survey of 793 physicians in general practice and the clinic].
It is well known that complementary medicine is demanded by numerous patients and used by many doctors. In a representative postal survey of 793 female and male doctors working in practices and hospitals in the town and in the district of Kassel we could confirm the wide distribution of these procedures, especially as far as doctors in practice are concerned. It was the special interest of our study to analyse the motives for the use and the indications and to ask for a detailed and differential assessment of 18 complementary techniques.
Adult↗
[Tricyclic antidepressants in depressed patients with cardiovascular diseases: a contraindication?].
Depressive disorder and cardiovascular diseases occur quite frequently together in the same patient, especially in older patients. On the one hand depressions can increase the risk of cardiovascular diseases, on the other hand cardiac disease can lead to depressive disorders in need of treatment. Thus the problem of prescribing tricyclics for patients with cardiovascular diseases is of great clinical relevance. In our review we summarize first of all the important cardiovascular effects of tricyclics in healthy persons and patients with cardiovascular diseases. Indications and (relative) contraindications for this medication with respect to cardiovascular disorders and proposals for diagnostic procedures in the beginning and during the course of antidepressant medication are following. Finally we present some recommendations for the treatment of tricyclic-induced side effects.
Antidepressive Agents, Tricyclic↗
The evaluation of life event data.
Data from three life event studies are compared. The interviews covered events that occurred within a period of 2 years before interview. The same inventory was used in each of the studies. Samples were drawn from depressives, myocardial infarction patients and an industrial worker population. The patient groups were interviewed twice within 4 weeks. Fewer than 50% of the total number of events reported in the retests were recorded twice. For events reported in both interviews the correlations of subjective appraisals were only moderate. There is considerable fall-off for reports of events occurring more than 6 months before interview. It was expected that the severest events would have the lowest, and the least severe ones the highest frequencies. Instead, inappropriate labels of the rating scales led to clusterings of severity ratings at their extreme points. Numbers of events and severity ratings were positively correlated with measures of depression.
Adult↗
[Depression in Parkinson disease. A literature review].
Depressive disorders occur in Parkinson's disease in about 40%. They often manifest--not seldom preceding diagnosis of Parkinson's syndrome--like monopolar depression. Their cause has not yet been explained in a satisfactory way. Neurotransmitter disturbances are discussed as well as psychogenic factors. There seems to be a subtype of Parkinson's disease with more frequent depression, which is characterized by increased rigidity and bradykinesia, lower age at onset and family history of Parkinson's disease. Especially antidepressants, but also sleep deprivation and electroconvulsive therapy are efficient. The review is illustrated by a case report.
Depressive Disorder↗
[Coping with depression: how do depressed patients manage their illness? Review of the literature].
In this review first of all and relating to the paradigm of salutogenesis some principles of coping research and some different aspects of the relation between depression and coping are discussed. A survey of studies on coping with depression is following. In this context conceptual and methodical issues are especially considered, which are in our opinion responsible for the fact, that psychic, particularly depressive disorders are--in comparison with somatic and psychosomatic diseases--so seldom object of empirical coping research. Finally some therapeutic conclusions are deducted from the presented data.
Adaptation, Psychological↗
[The significance of the Balint-group work: a review of the literature and an empirical study in Unterfranken].
The group work initiated by Michael Balint aims at a comprehensive understanding of the doctor-patient-relationship and a patient-centered medicine. In a review of the literature some studies are presented, which focus on results of Balint work and changes in the participants of this group method. An empirical study of 436 physicians in Unterfranken shows that about 9% have participated in Balint work. Attitudes and motivations of the participants and setting and results of Balint work are studied as well as notions and knowledge of those, who have not done Balint work yet. The study demonstrates positive results in most of the participants.
Adult↗
[Ethical aspects of psychotherapy].
There are many ethical problems in theory and practice of psychotherapy. Aims of therapy, effectiveness, side effects and modalities of therapy are discussed in detail. The dependency of these aspects from anthropological considerations and understanding of illness is stressed. As far as side effects of psychotherapy are concerned abuse of the patient by the psychotherapist is distinguished from those potentially harmful effects which are due to the specific process of psychotherapy. The relationship of psychotherapy to psychopharmacotherapy is discussed in a special passage.
Ethics, Medical↗
[Achievement motivation in essential hypertension: an empirical study].
The influence of achievement-motivation on hypertonia was investigated by a psychometric questionnaire for achievement-motivation with four scales: achievement-motivation, steadiness and diligence, positive examination-anxiety and negative examination-anxiety. The sample of 53 persons was drawn by chance out of an unbiased set of hypertonic patients. Mean by age: 45 years; part of female: 28 subjects; part of male: 25 subjects; vocational school: 16 subjects; high-school: 20 subjects; academics: 20 subjects. The sample of the hypertonic patients was compared with a matched sample of normotonics, concerning sex, age, and education and also with the sample for the construction of the questionnaire. There were significant differences (p = .05) of the hypertonics in the scales achievement-motivation, steadiness and diligence, and positive examination-anxiety but no difference in negative examination-anxiety. The results were discussed with regard to neurophysiological activation theory.
Achievement↗
[Psychosocial competence of general practitioners in managing psychiatric patients: initial results of a questionnaire study].
OBJECTIVE: Given the frequency of patients with psychosocial problems and mental disorders in primary care our study focuses on the relationship between the psychosocial qualifications of general practitioners and their management of these patients. METHOD: A questionnaire was sent to all general practitioners in Hessen asking for sociodemographic and profession-related data as well as their psychosocial competence and their procedure during a regular day in practice. Based on 396 questionnaires we compared five groups of general practitioners with different psychosocial qualifications, proportionate incidence of diagnoses, medical procedures and referrals to specialists and hospitals. RESULTS: The average age of the participants of our study is 45 years, they have been working for 14 years. 163 general practitioners without and 59 with a special interest in psychosocial qualification and 174 psychosocially qualified physicians participated in the study. Of a total of 65 patients seen during the reference day 18 were diagnosed as suffering from mental disorders. Their number increased with greater psychosocial competence of the physicians. Psychosomatic and reactive disorders are the most frequent mental disorders to be seen in primary care with nearly 60%. Verbal therapy is often applied, procedures of the so-called psychosomatic basic care and prescription of psychotropic drugs play only a minor role. Nearly every fourth patient is referred to other specialists, referrals for inpatient treatment occur with 1.3% only. DISCUSSION: Because of the low response rate our study is not representative. Nevertheless the results permit some conclusions concerning the relationship between psychosocial qualification of general practitioners and their management of patients with mental disorders.
Clinical Competence↗