Swiss Archives of neurology, psychiatry and psychotherapy

Edition 2024/02

Browse through the articles and gain new insights!

SANP

Marked by Anorexia – A Portrait

Editorial
Silke Bachmann
Published on 17.04.2024
Silke Bachmann
The drawing on the cover page was created by a young man suffering from anorexia and offers an insight into his perspective of the condition. I recommend delving into the compelling case study, where the piece and its interpretations are described in detail. Allow me to add some remarks on the drawing and its representation of anorexia expanding beyond the individual perspective to broader implications.
Read more
Anonyme
Published on 17.04.2024
Anonyme

Ma maman, une suissesse, issue de la bourgeoisie, était fille unique. Dynamique, généreuse, solaire, elle occupait un poste de laborantine dans un centre médical. Lorsqu’elle rencontra mon père, originaire d’une petite ville en Espagne, il était charmant et gentil. Il travaillait comme aide-maçon en Suisse romande. Séduite, ma maman avait eu le coup de foudre pour mon père et bien qu’elle fût déjà fiancée avec un autre jeune homme, elle le quitta...

Emmanuel Escard, et. al.
Published on 17.04.2024
Emmanuel Escard
+1

Healthcare professionals take care of victims of excessive jealousy, but also deal with jealous people who suffer and want to change their behavior. Most of the time, patients do not come to us to talk specifically about jealousy, but the subject can be raised in appropriate contexts, for example following a violent incident (e.g., in the emergency department, traumatology, gynecology or pediatrics) during a consultation with a specialist on alcohol, psychiatry or geriatrics, at a family planning clinic, during a prenatal consultation or during couples therapy.

Mauro Silva, et. al.
Published on 17.04.2024
Mauro Silva
+4

Strokes following a suicide attempt are rare and seem to affect younger patients presenting with more severe strokes and higher medium-term mortality. While carotid dissection emerged as the predominant cause, several other stroke mechanisms have been identified.

Fabrice Herrera, et. al.
Published on 17.04.2024
Fabrice Herrera
+4

Hospitalized patients can be difficult to meet with and understand while going through their suffering. Patients and their caregivers can find themselves locked into a kind of “non-meeting” during the hospital stay. In other cases, there may be a “hyper-meeting” in the hospital, with problematic attitudes and behavior or adverse reactions to hospital staff. Faced with such situations and others, where something is preventing the usual process of discussion within the team from working, a patient identification psychodrama has been set up for caregiver staffs. It is about having a place where the group can work together, help each other, and discuss the experiences they have had with a patient.

Philippe Pfeifer, et. al.
Published on 17.04.2024
Philippe Pfeifer
+1

Gemäss einer Schätzung der Schweizerischen Vereinigung Psychiatrischer Chefärztinnen und Chefärzte (SVPC) und niedergelassener Psychiater:innen läuft die Schweiz Gefahr, ab etwa dem Jahr 2030 substantiell zu wenig in der Praxis niedergelassene Psychiater:innen zu haben. Dies steht im Gegensatz zu internationalen Trends, die ein zunehmendes Interesse von Kandidat:innen am Fach Psychiatrie und Psychotherapie verzeichnen.

Nicolas Nagysomkuti Mertse, et. al.
Published on 17.04.2024
Nicolas Nagysomkuti Mertse
+2

In this report, we present the case of a talented anorectic patient whose artistic expression of his anorexia gave us an exceptional insight into the pain he experienced. Based on his artwork, we designed an illustrated visual analogue scale (VAS) that allowed us to assess the control of the disease over his mind and thus the clinical progress from a psychotherapeutic point of view. By comparing the progression of the VAS with the Body Mass Index (BMI), we were able to identify the tipping point at which the patient regained control and provide targeted support to maintain it, perceived as very helpful by the patient. A VAS assessing anorexia's control over the mind is a simple and readily available tool that factors in the psychiatric background of the disease. It could be a good complement to the BMI as a clinical outcome parameter and should be further explored.

Charles Bonsack, et. al.
Published on 17.04.2024
Charles Bonsack
+1

La psychiatrie sociale a-t-elle encore un sens et un avenir? Le professeur Charles Bonsack, du Centre hospitalier universitaire vaudois et de l’Université de Lausanne, président de la Société suisse de psychiatrie sociale (so-psy.ch), répond à nos questions.