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Biomedical subjects

M Bergener

Publications and source records attributed to M Bergener.

At least 37 records · Page 2Linked to original sources
PubMed1986

[Compulsory commitment of psychiatric patients from the viewpoint of physicians and judges--exemplified by the use of the psychiatric law of North Rhine and Westphalia].

For several years now a working team of judges and physicians has been tackling the questions involved in the compulsory hospitalisation of mentally diseased patients. In the course of this teamwork the deficiencies and drawbacks of hospitalisation legislation have become glaringly evident. The problems of hospitalisation by law and under the legislation practised by Guardianship Courts, are compared by juxtaposition. It will be necessary to employ the principles of family law if the principle of care and need of treatment should receive priority over that of the potential danger to society (which dominates present hospitalisation legislation). However, before any adequate measures can be taken, it will be absolutely necessary to effect essential changes in the "law on care and protection of mentally ill patients" that has been in force in North Rhine Westphalia since the end of 1969. It will also be necessary to change the practices observed in enforcing this law.

Commitment of Persons with Psychiatric Disorders↗
PubMed1985

[Research in psychiatric clinics and departments].

The purpose of this article is to stimulate a discussion on the present-day contribution made by research in non-university psychiatric hospitals and its possible achievements if these hospitals were better equipped with funds. The senior physicians of such hospitals and of the Departments of Psychiatry of General Hospitals were asked in writing to find out present research activities. The following topics represented focal points of research: Evaluation of psychiatric care structures, Therapy, Psychiatry and legislation, Personnel, Family members, self-help, non-professionals. The article goes into detail in selected cases in respect of research foci and methods. Pointers are given to problems requiring further research with regard to psychiatric care structures.

Follow-Up Studies↗
PubMed1983

[Geriatrics--a missing discipline? On the need for interdisciplinary care services for psychiatric geriatric patients].

An ever increasing part of inhabitants, not only in industrial countries, will have an age of more than sixty years. This implies severe problems in the planning of services since care for the elderly comprises besides the medical aspects also psychological and social dimensions which are all three interconnected and make multidimensional diagnostics and therapy an absolute necessity. Therefore the problems can only be solved in an unified approach. The specialist in Geriatrics has not only to have the knowledge and skills of a specialist in Internal Medicine and Psychiatry. It is necessary to include Geriatric topics into the curricula for physicians where they are not yet found, even not in the newly released curriculum for the General Pracitioner. It is absolutely necessary to close this gap and even more urgent to furnish alternatives for the care of the elderly. In the framework of an integrated care concept (Bergener) the care for somatically ill demented patients is of a special importance.

Aged↗
PubMed1983

[Multidimensional evaluation of clinical geriatric psychiatry exemplified by the therapy-modifying effect of ecological variables].

The study describes the multidimensional approach of an evaluation project and analyses the ecological milieu as perceived by the personal of one closed, open and semi-stationary ward respectively by way of a ward atmosphere inventory (Stationsbeurteilungsbogen - SBB - by Engel et al.). The results point to very differing ecological milieus on closed and open wards. Open wards of the fully stationary and the semi-stationary type, however, display only isolated yet prominent differences. The discussion of these results takes into consideration the diagnostically different groups of patients on wards of differing degree of institutionalization, accounts for the burdensome task of running a closed ward, and points to prerequisites of a more adequate care for demented patients.

Aged↗
PubMed1982

[Clinical aspects of geriatric psychiatry].

Cause and development of psychic disorders during old age today cannot be explained merely on the basis of a degenerative organic brain process alone but have to be viewed under the aspects of multimorbidity with biologic-somatic factors, biographic and social determined situations as well. The disease of old age does develop in the sense of a multifactorial genesis. Besides that exogenous bodily-factors, e.g. inflammatory disease, cardio-vascular diseases do play an important role. In judging the psychopathology one always has to consider the possibility that the behavior of the sick and old person could be an attempt to adjust to his own reduced abilities to the environmental situation. In view of the multidimensional aspects it became more difficult to categorize the processes of the aged. Single findings will have to be coordinated in the future on various levels in a multidimensional interdisciplinary research effort.

Aged↗
PubMed1980

A biological concept for diagnosis, treatment and therapy control of endogenous psychoses.

A multidimensional concept of diagnosis and treatment of mental disorders is presented. Major contributions to basic research come from pharmacological experiments. Clinical outcome in treatment of endogenous depression can be assessed by rating scales and psychophysiological tests and correlated with the serum level of drug. In the case of maprotiline there seems to be a correlation between serum level and clinical outcome.

Age Factors↗