[A life-threatening psychosis].
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Biomedical subjects
Publications and source records attributed to R M Silbermann.
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Despite the development of psychopharmaceutical therapy, post partum delirium was difficult to treat. The patients remained psychotic for long periods and the course was of the disease capricious due to the many relapses. A comparative study of two groups, one consisting of 6 patients and the other of 13, all with a typical post partum delirium was carried out. The symptomatic treatment of this syndrome with a combination of perfenazine and lithium carbonate produced relatively favorable results in our clinic. For the time being, at any rate, it seems to be the medication of choice.
Within a psychiatric hospital it has been attempted to realize a maximum number of the elements of the therapeutic community. Problems here are the short median stays of patients and the rapid turnover of both patients and staff. What is more, a basic problem of the therapeutic community was encountered, namely that the interests of the individual patient and of the patients as a group are considered as identical. Thus there came about the development of the principle of separate responsibility, whereby a division of responsibility is made between the individual patient and the unit. Work is carried out by multidsiciplinary and largely democratized teams.
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