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R Vecht-van den Bergh

Publications and source records attributed to R Vecht-van den Bergh.

9 recordsLinked to original sources
PubMed1993

[Neurological conversion disorders in older children].

BACKGROUND: Conversion symptoms with a neurological character are not unusual in children. Little is known about prognosis. This study aimed to determine the outcome in a group of children with conversion. PATIENTS AND METHODS: Over the period 1979-1989 35 children from 6 to 16 who met DSM-III-R criteria for conversion were selected from the case-records of the Child Neurology department of the University Hospital in Leiden. Case histories were analysed and 20 patients were interviewed at home and a standard questionnaire was used additionally. RESULTS: Conversion symptoms disappeared with time in 15 patients. In comparison with the control group, patients with conversion scored higher on nervousness. CONCLUSION: Conversion disorder runs a favourable course. The place of child psychiatric treatment should be analysed prospectively.

Adolescent↗
PubMed1984

Psychiatric consultations in a Dutch university hospital: a report on 1814 referrals, compared with a literature review.

A report is presented of four years of psychiatric consultations with inpatients in the University Hospital Leyden, The Netherlands. The characteristics of these 1814 consultations are compared with a comprehensive review of 42 publications (mostly from the United States) on psychiatric referral patterns in general hospitals. Compared to the literature, the present study covers a long period of investigation and a high number of consultations in quite a large hospital. Yet, the figures in this report are surprisingly similar to the median numbers that can be compiled from the literature. There is, however, a striking lack of conformity in the classifications used by authors in reporting reasons for referral, psychiatric diagnoses, and the actions of psychiatric consultants. A plea is made, therefore, for better definition and classification of patients seen by consultation-liaison services.

Adolescent↗
PubMed1983

[Bulimia].

Explore the source record for details and available documents.

Adolescent↗
PubMed1982

Automutilation of the cornea. I. Ophthalmological aspects.

Automutilation of the cornea occurs more frequently than is generally supposed. The patient, particularly at his first visit, certainly will not reveal the cause of the cornea lesion. In two University Eye Clinics 19 patients were seen in whom the diagnosis of automutilation of the cornea could be made. It is important for the ophthalmologist to bear the possibility of automutilation in mind. In 6 of our patients corneal grafts were performed. All these grafts failed because of further automutilation. Corneal transplantation is certainly not indicated; these operations were performed because the patient's true condition had not been spotted in time. Better forms of treatment are tarsorrhaphy or the application of closely occluding bandages. In this way fair results were obtained in 2 cases. It is wrong to force the patient to a confrontation (i.e. to tell him that automutilation is suspected). Confrontation can lead to more severe mental disorders. In all cases psychiatric treatment is absolutely essential. The ophthalmological prognosis for this condition is poor and psychiatric help is quite often refused.

Adult↗
PubMed1982

Automutilation of the cornea. II. Psychiatric aspects.

In connection with a number of ophthalmological patients in whom automutilation was seen, the background to this behaviour is considered. It is usually seen in patients with a borderline personality. Automutilants differ from simulants. In practice, it is important to avoid confrontation and to look out for 'splitting'. Psychiatric treatment is seldom successful.

Borderline Personality Disorder↗