[The parents and their schizophrenically ill son--a study on person perception].
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Biomedical subjects
Publications and source records attributed to M C Angermeyer.
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Verbal samples of 30 schizophrenics were analyzed using the Social Alienation--Personal Disorganization (Schizophrenic) Scale developed by Gottschalk and Gleser (1969). The psychopathological status of all patients had been assessed in a semistandardized interview (Present State Examination, Wing et al., 1974). A relatively close relationship was found between 'productive' or 'plus' symptoms and syndromes of psychosis and the scores on the content analytic scale. On the other hand, no significant relationship existed with the 'minus' symptomatology and no relationship with the 'residual syndrome' and the neurotic syndromes. The Schizophrenic Scale may allow a sufficiently reliable estimate of the degree of psychosis. There was no significant effect attributable to sociodemographic factors and to the course of illness (disregarding the duration of the present hospitalization).
Following the phenomenological approach to interaction in psychiatrically disturbed families a personality questionnaire ('Giessen Test') was used to assess the views three family members (father, mother, son) had of themselves and of each other. These views may be regarded as quite stable results of interaction processes, so that conclusions about family interaction patterns may be drawn from the level of concordance of any two of them. Comparisons were made between families in which a son had been hospitalized for the first time with a diagnosis of schizophrenia and those in which a son had been hospitalized for surgical treatment, n = 30 in each category. The psychiatric patients did not on the whole give distorted personality descriptions. But in the index families the relationship between father and son was found characteristically different from that in the control families. This fact is interpreted as a reaction of the father to the deviant behaviour of the son, who did not conform with the male sex-role expectations of the father. The father as it is could not then identify with his son as a father usually does and perhaps necessarily should. The answers of the mothers partly confirm this conclusion. With regard to the parental dyad, the findings suggest that the fathers' needs for reciprocal consideration are not met by their wives.
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The article describes some of the prerequisites necessary for deciding whether a psychiatric patient can be returned to his family after inpatient treatment or whether further rehabilitation is preferably promoted via a transitional hostel. The (partly subconscious and not verbally expressed) conflicts, interests, desires and expectations of the persons involved are also discussed. In a regionalized care system developed on a sociopsychiatric basis, the dynamic aspects of solving a problem unfold within the triangle: Patient--Relatives--Therapeutic team. This network should be maintained even if the decision is in favour of a transitional hostel, and should be developed further particularly if the transitional function of the hostel is expected to produce a rehabilitative effect.
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BACKGROUND: Psychoeducational workshops for families of depressive patients emphasize the provision of information about the patient's illness and methods of coping with it effectively. However, intervention programmes for the specific needs of patients' spouses are rare. To further explore the situation of patients' spouses we examined how spouses of depressive patients view illness behaviour and what kind of further information they need. METHOD: Interview data from 54 spouses of patients with unipolar depression were analysed as part of the baseline assessment of a study on the economic and health burden experienced by families with mentally ill relatives. RESULTS: Results are discussed in terms of the consequences of spouses' illness models for designing psychoeducational workshops for the families of depressive patients. The results document the great need for negotiated partnership between families and professionals. Furthermore, the need for educating the public about the disorder and its psychosocial costs for the patients' families is highlighted.
AIM OF THE STUDY: A newly developed group intervention programme was evaluated with regard to its effectiveness to decrease the burnout symptoms of the partners of depressed patients. METHODS: Within a period of six months, a group of 66 persons has taken part in the intervention for a total of twelve group sessions. A control group consisted of 50 persons without any intervention. Burnout was assessed using the German version of the Maslach Burnout Inventory (MBI). To evaluate the time effect, the burnout dimensions were used as independent variables in random effects models. RESULTS: Over the analyzed period of time no significant positive effect was measured on any of the assessed burnout dimensions. CONCLUSIONS: An increased inclusion of depressed patients in the intervention as well as an increased intensity and a lowering of the admission threshold for the heavily burdened relatives could increase the effectiveness of the program.
Recruitment procedures may exert a considerable influence on the outcome of health surveys in the elderly. Their impact on the prevalence of dementia will be measured in an epidemiological field study in a sample of 1,692 randomly selected individuals (75+). Face-to-face interviews were conducted using SIDAM (structured interview for the diagnosis of dementia of Alzheimer type, multi-infarct dementia and dementias of other etiology according to ICD-10 and DSM-III-R). Furthermore, proxy interviews were performed with relatives of fragile and functionally dependent individuals. Considering face- to-face interviews of community-dwelling individuals, a prevalence of moderate and severe dementia of 5.3% was found. When including information on respondents by proxy and institutionalized individuals, the prevalence rate increased to 6.3 and 10.5%, respectively. It will be argued that covering the whole population in question and ensuring high response rates are central issues to minimize selection bias.
It is the aim of this paper to discuss the ethical roots of the concept of quality of life and the historical background of its introduction into mental health service evaluation research. It will be argued that the original broad meaning of the quality of life concept has been brought closely in line with the clinical view, neglecting the ethical and the societal dimensions of this concept. In conclusion, expansion of the scope of quality of life research in psychiatry from a clinical to a societal perspective will be suggested. On the basis of this argument, seven research questions concerning the most important nonclinical factors influencing the quality of life of mentally ill patients will be formulated.
The institutional career of all patients over 60 years admitted to a German state hospital during a period of 3 years is investigated with special emphasis on gender differences. It is also studied whether in both genders the kind of the psychiatric disorder, the overall somatic status and the living arrangements are of different importance for the duration of the first hospitalization and the decision to discharge the patient or to transfer him to a nursing home.