PubMed HealthSearch

Biomedical subjects

H F Späte

Publications and source records attributed to H F Späte.

At least 19 recordsLinked to original sources

[Occupational problems of patients with manic-depressive disease].

The paper deals with the professional rehabilitation of cyclothymic patients with the aid of a semi-standardized interview of patient and superior direct at the place of employment. Half the patients had considerable professional problems consisting in requirements too low or too high and in lack of understanding on the past of the fellow workers. There is a connection between professional dissatisfaction and the numbers of recidives. Nearly all chiefs and associates wished more information about social manners towards the patient and about questions of his working capability and maximum stress. The results underline the necessity to include in the process of rehabilitation. Individual communication of the physician coworkers and with the patient is recommended as the most efficient form.

Adult

[The Rodewischer declarations 1963 and 1983--expression of the responsibility of the entire society for rehabilitation of psychiatric patients].

A short historical overview shows, that different human societies approach in a different way to the social problems connected with the existence of mental ill persons. The declarations of congresses of socialist countries psychiatrists in Rodewisch/GDR in 1963 and 1983 reflect the main lines of treatment, rehabilitation and position in the socialist society of mental ill people. There are also outlined the tasks with regard to rehabilitation for the next years.

Commitment of Persons with Psychiatric Disorders

[Psychosocial aspects of the long-term management of Parkinson patients].

1309 hospitalised parkinsonian patients were examined in respect of mental changes and the consequences for their participation in the life of the community. The paper expresses the association of their disability with the degree of rigidity, tremor, akinesis, and the gravity of the overall disorder.

Activities of Daily Living

[Magical thinking in suicidal acts].

This paper declines the anthropological and philosophical background for understanding the less understandable: suicide. Though 'understanding' (in terms of the one who wants to understand) implies the rules of its own (i.e. rationalistic) casted beyond the reefs of knowing the author tries to find traces to make up a new perspective of the horizon. With examples from his therapeutical work, and quoting mythology, and historically famous cases thinking within the terms of suicide is delined, and consequences hereof are stated.

Fantasy

[Medical ethics and forensic psychiatric assessment].

The legally determined role of psychiatric expert in court is described. As a necessity he always is confronted with ethical problems as regards professional discretion and instruction. In any case--proband may be ill or not--human rights and dignity have to be taken care of.

Confidentiality

[Performance failure in middle age--tasks of current research].

Scientific interest has, in recent years, been increasingly directed towards the diagnosis of a failure to achieve during middle age. Some theoretical aspects of failure to achieve during middle age are discussed on the basis of a psycho-social unity of the personality.

Achievement

[The Marxist-Leninist concept of personality and its significance for the integration of psychiatric patients].

The Marxist view of man as the "ensemble of social relations" is a prerequisite for understanding the personality of the mentally handicapped. The dialectic relationship between biological and social events permits the conclusion that restrictedly developed versions of the personality must be accepted as natural. The particular obligation of society is to ensure the all-round integration, encouragement and care of such handicapped persons. The task of the medical fraternity is to establish a comprehensive system to prevent such handicaps.

Germany, East

[Ethical principles and moral norms of psychiatric care in a socialistic society].

Ethical postulates, which are intended to serve as orientation points for personal conduct, must be formulated clearly as demands, be related to the system of values on which they are based, and point out clearly the consequences of their being ignored and must therefore be connected with moral bans. The authors have tried to formulate such postulates for the most important ethical problems facing psychiatry in the GDR. These moral guidelines, which naturally infer moral bans, offer fuel for discussion as one step towards the establishment of a comprehensive code of ethics for psychiatrists.

Ethics, Medical

[Normative and legal procedure prerequisites in the commitment of psychiatric patients in relation to Paragraph 6 of the Commitment Law of East Germany].

An analysis has revealed the following typical mistakes in the application of article 6 of the Commitment Act: Commitment is often not preceded by an interview with the patient. Many of the patients committed under article 6 would have agreed to hospitalisation anyway. In most cases, the reasons given for commitment under the Act are inadequate and too vague. The patients are not usually given the commitment order in writing. The district medical officers often fail to inform the local councils or the state attorney. The patients are very rarely instructed of their rights. In many cases the demands placed on the hospital responsible for treatment are inadmissible, such as commitment to closed wards or requests for indefinite hospitalisation.

Commitment of Persons with Psychiatric Disorders

[Social and medical characteristics of psychiatric patients admitted by the district physician].

The medical and social backgrounds of the 323 patients admitted to the County Psychiatric and Neurological Hospital Bernburg by committal order (Art. 6 of the Committment Act of the GDR) are analyzed. During these nine years such committals accounted for between 3.1 and 6.5% of all psychiatric admissions. The most frequent causes were schizophrenia (55.1%), alcohol addiction (10.5%) and geropsychiatric disorders (9.3%). Only 2% of the 323 patients concerned were committed indefinitely by court order after the initial six week term had expired. The study establishes the humanitarian nature of the Committal Act and the success of its practical application.

Adult