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Biomedical subjects

M A Monden

Publications and source records attributed to M A Monden.

4 recordsLinked to original sources

[Conditional discharge of three committed psychiatric patients; the ambulatory practice].

Three patients, two women aged 54 and 38 years and a man aged 39, of whom the first suffered from a schizoaffective disorder with hyperthyroidism and the others from schizophrenia, were admitted by virtue of the Wet Bijzondere Opneming in Psychiatrische Ziekenhuizen (BOPZ; Bill on Compulsory Admission to Psychiatric Hospitals). They were discharged under conditions of the BOPZ. The conditions were discussed with the patient, the psychiatric hospital, the outpatient department and the general practitioner. The three patients did well. This conditional discharge reopens the discussion on ambulatory compulsory treatment in the Netherlands.

Adult↗

[A patient with a psychiatric disorder who refuses treatment of a somatic disease].

A woman aged 58 had been suffering for 11 years from a rodent ulcer to the face. The patient, who suffered from a delusional disorder associated with a personality disorder not otherwise defined, had all that time refused medical treatment. She was admitted by virtue of the Wet Bijzondere Opnemingen in Psychiatrische Ziekenhuizen (BOPZ; Bill on Compulsory Admission to Psychiatric Hospitals) because of 'major self-neglect with risk of death'; also, substitute permission was obtained from her son for somatic treatment by virtue of the Wet op de Geneeskundige Behandelingsovereenkomst (WGBO; Decree on the Medical Contract). It was found that the ulcer was no longer amenable to treatment.

Carcinoma, Squamous Cell↗

[Mental decompensation during vacation abroad].

OBJECTIVE: To inventory psychiatric syndromes occurring during holidays and reported to an alarm centre. DESIGN: Descriptive. SETTING: Office of SOS-International Amsterdam. METHOD: The files of 393 insured travellers who approached the alarm centre with psychiatric problems between January 1985 and January 1990 were studied. All diagnoses were reconstructed and classified according to DSM-III-R. RESULTS: Data of 380 patients could be retrieved. The mean age of the 154 men was 36, of the 226 women 37 years. The reports of psychiatric decompensation came from 43 different countries: 43.5% of them from Spain and Greece. On the average the reports came 10.2 days after the start of the holidays. 55% travelled alone and 45% in a group. Paranoid disorder was the most frequent diagnosis (21.2%). Schizophrenia was diagnosed in 8.4%. In 65% of all cases the disorder was a relapse. CONCLUSION: The relapse rate was comparable to those of earlier reports. Many patients travelled alone. The longer the distance travelled, the greater the probability that people turn to an alarm centre for help. Patients with a schizophrenic disorder are less successful in reaching their holiday destination.

Adult↗