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Biomedical subjects

B Voges

Publications and source records attributed to B Voges.

11 recordsLinked to original sources

[The attitude of medical students to psychiatric patients].

Numerous studies conducted during the past decades indicate that the public's attitude toward the mentally ill is strongly prejudiced. Since the attitude of the general public also has an effect on community-based psychiatric care, we must ask how public opinion might be influenced. One possible approach could be through so called key community leaders--those who are highly respected in society because of their competence in a particular area. Doctors belong to this group of people. For this reason we questioned medical students, as future key community leaders, with respect to their attitudes toward the mentally ill within the framework of their first contact with psychiatric patients during their studies. In order to make a direct comparison possible, we interviewed a sample of the Mannheim population who live in a part of the city where a variety of complementary facilities have been set up. The comparison shows that medical students do not have a more positive attitude toward the mentally ill; in fact, in certain areas they have an even more negative attitude toward the mentally ill than the general population has. We were not able to establish what effect teaching has with respect to changing attitudes.

Adolescent

[Using natural helping systems].

Professional psychiatric help alone is not sufficient especially in the treatment of chronic mental illness. One must offer additional support also known as social support or social network. Informal helpers are family members, friends, civilian helpers, self-help groups with contracts to media and political levels and so on. In spite of different aims they have a great deal in common such as free-of-charge help, assistance to professional helpers not as their substitutes, and being in touch with normal everyday life. Any tensions between professional and informal helpers should be relieved in a constructive manner. Support by informal carers must also be assessed although it is difficult to find the correct approach, since so many variables are involved. The significance of promoting a social network for mental health becomes particularly evident in view of the reduction of the social network in persons suffering from schizophrenia.

Caregivers

[Alcohol consumption and its significance in therapeutic residences for psychiatric patients].

We conducted a study on alcohol consumption habits in the five therapeutic homes for the mentally ill in Mannheim. Through assessment by their case managers we obtained data from 136 residents. Frequent alcohol use is currently reported in 12.5%. This group of frequent alcohol users is characterized by a higher proportion of men, higher age at entry into the institution and a lower dosage of neuroleptic medication. No significant relation is found with regard to the age at onset of disease, the rehospitalisation rate and the general life satisfaction. Severe problems through alcohol use are seen only isolated but in all clients with an earlier diagnosis of alcohol abuse. According to our results alcohol abuse in therapeutic homes is reported less frequently than in other populations of chronic mentally ill clients. It might be suspected that mentally ill patients with additional alcohol problems are not adequately provided with housing in the complementary care system. Verification is needed whether through the development of specific offers this deficit can be regressed.

Adult

[Leisure and social contact clubs for psychiatric patients--an assessment of club members].

55 visitors from five recreation and social clubs for mentally ill clients have been described, related to some sociographic data including the number of times the club is frequented, the duration of membership in the club as well as the source of information. They were asked to give their opinions on the frequency and the duration of the meetings and the quality of the clubrooms, the care and the programmes. They give the reasons for attending the clubs and the resulting main effects. They make wishes and complaints about the clubs. The results of the questioning are compared to the description of tasks and aims of clubs as seen from the professional point of view in order to find conformities and/or differences. On the whole a consensus is to be seen. Differences can be ascertained, where the professional aim is mainly of therapeutic nature. Such a target does not meet the needs of the visitors. For them the social aspect is of main importance in a surrounding offering protection, acceptance, understanding and support.

Adult

Effect of vigabatrin (GVG) on serotonin (5-HT) uptake and release of human platelets in vitro.

In platelets from healthy persons the effect of gamma-vinyl-GABA (GVG) on 5-HT uptake, storage, release and the kinetic parameters Km and Vmax of platelet 5-HT high affinity uptake was investigated in vitro. 5-HT uptake, storage and release in response to increasing GVG concentrations (0-7.74 mM) at a constant incubation time (60 min) and in dependence on time (0-90 min) at a constant GVG concentration (7.74 mM) remained unchanged. Concerning the high affinity 5-HT uptake, GVG (7.74 mM) caused a slight decrease of Vmax from 83.3 +/- 35.0 (SD) pmol 5-HT/10(8) pl./min to 77.0 +/- 33.4 (SD) pmol 5-HT/10(8) pl./min and a significant elevation of Km from 4.2 +/- 1.1 (SD) x 10(-7) M to 6.7 +/- 1.8 (SD) x 10(-7) M (P < 0.002) to about 160% of the control. This means a competitive inhibition of 5-HT uptake induced by GVG. Altogether, the effects of GVG on platelet 5-HT transport appear to be weak. An alteration of the platelet 5-HT system was demonstrated only at therapeutically nonrelevant high GVG concentrations. If platelets represent a model for 5-HT transport processes in presynaptic serotonergic neurons it is concluded that GVG has no effect on serotonergic activity.

Adult

Psychopathology and psychotherapy in chronic physically ill patients.

Within the scope of psychosomatic medicine somato-psychic diseases are of great importance theoretically as well as practically, especially in view of problems dealing with the patient's attitude toward his illness and his coping with the disease. Among the somato-psychic illnesses chronic physical diseases are of primary interest. The knowledge of their general and specific psychological and psychopathological symptoms are of great importance for a better understanding of these patients and in view of a favourable direction in therapy. This is demonstrated in the form of extracts with three groups of the chronic physically ill: (1) hemophiliacs; (2) patients on regular hemodialysis treatment and following renal transplantation, and (3) diabetics.

Adolescent