Swiss Archives of neurology, psychiatry and psychotherapy

Edition 2024/01

Browse through the articles and gain new insights!

SANP

Patienten als transformative Kraft in der Psychiatrie

Editorial
Daniele Zullino
Published on 14.12.2023
Daniele Zullino
Seien wir ohne weiteres ein bisschen utopisch: Entscheidungsmächtige Patienten könnten schliesslich zu transformativen Kräften zur Überwindung von Reformwiderständen werden. Die (teilweise) Übertragung von Strategie- und Planungsbefugnissen an Patienten ist zwar anspruchsvoll, aber notwendig.
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SANP

Wenn keiner ahnt, wie krank du bist

First Person Account
Andrea Ammann
Published on 14.12.2023
Andrea Ammann

Ich erinnere mich ganz genau an diesen besonderen Abend im Mai 2004. Es war ein Tag wie so viele andere zuvor. Ich hatte 1 kg Brot – fett bestrichen mit 250 g Butter und einem Glas Konfitüre – und 500 g Schokoladenkekse in mich reingestopft. Um besser kotzen zu können, folgte noch ein Liter Eiscreme und viel Wasser. Mein Alltag war beherrscht von der Bulimie. An diesem Abend sollte sich alles verändern.

Andreas Steck
Published on 14.12.2023
Andreas Steck

The intuition of a link between creativity and mental disorders is old, what is new now is the contribution of neuroscience. There seems to be a common vulnerability to mental disorders and creativity. Genetic studies confirm this link between madness and creativity, demonstrating the direct influences of genetic factors on creativity as opposed to the sharing of an environment. However, the development of creativity involves many other determinants. While creativity can sometimes be linked to mental disorders and thus due to psychopathological family factors, this is neither a prerequisite nor a necessary condition for the development of creativity.

Philippe Golay, et. al.
Published on 14.12.2023
Philippe Golay
+5

Short, accurate, rapidly completed psychometric tests are in high demand in psychiatry. Time is always limited. Researchers often try not to overburden patients included in studies measuring many variables. However, shorter psychometric tests may demonstrate poorer reliability or lower sensitivity. Computerised adaptive testing (CAT) could be a solution to this important trade-off.

Chantal Ruchti, et. al.
Published on 14.12.2023
Chantal Ruchti
+1

Trauma-related disorders such as post-traumatic stress disorder or dissociative identity disorder have a prevalence of 2%. Therefore, they should not be underestimated. To this date, no study in Switzerland has addressed the care situation of traumatic patients and descriptively analyzed it. The aim of this cross-sectional study is to identify the state of the in- and outpatient care for traumatized people in German-speaking Switzerland.

Peter Felleiter, et. al.
Published on 14.12.2023
Peter Felleiter
+2

In the Swiss pharmaceutical market, supply shortages for individual medicines are becoming increasingly frequent. In 2021, this affected Sevre-Long®, a drug used for many patients under opioid agonist therapy (OAT). Due to the exhaustion of local stock quantities at Lucerne Psychiatry, the affected patients had to be switched to the only other approved morphine preparation effective over 24 hours (Kapanol®) in spring 2022. We retrospectively investigated the type and frequency of complications as well as subjectively described problems of under- or overdose in the period of four weeks after this forced switch of the opioid agonist.

Céline Bourquin, et. al.
Published on 14.12.2023
Céline Bourquin
+1

Settings offering services by liaison psychiatry (LP) and associated human resources have increased over the last decades. While the psychiatric consultation activity has grown, the psychiatric liaison (LI) activity, aiming to build a bridge between psychiatric and medical expertise and to transfer knowledge to support clinicians who care for the medically ill, is still doomed to a shadowy and stagnant existence. In this commentary, we focus on the challenges LP, and especially LI are facing and call for a change in perspective to tackle those.

Michael Rufer, et. al.
Published on 14.12.2023
Michael Rufer
+1

Welche Rolle spielt die Psychotherapie in der Psychiatrie und was charakterisiert ärztliche Psychotherapie? Prof. Dr. med. Michael Rufer, Chefarzt Klinik Zugersee und ehemaliger Präsident des Weiterbildungsvereins Psychiatrie und Psychotherapie Zürich, Zentral-, Nord- und Ostschweiz im Gespräch mit Karl Studer.