Swiss Archives of neurology, psychiatry and psychotherapy

Edition 2024/2

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06.02.2024
Congenital Portocaval Shunt as a Cause of Encephalopathy
Issue 2024/2

Congenital Portocaval Shunt as a Cause of Encephalopathy

A 74-year-old woman was brought to the emergency department because of a cognitive decline in the past two months. She presented evidence of metabolic encephalopathy on physical examination. In laboratory investigations, the patient only had a slightly abnormal liver function without hyperammonemia. Computed tomography (CT) of the head and lumbar puncture were unremarkable. Magnetic resonance imaging of the brain revealed a symmetric T1-weighted hypersignal in the globus pallidus and cerebral peduncles, suggestive of a hepatic encephalopathy. CT scan of the abdomen and chest revealed an important portocaval shunt. Laxative medication and rifaximin were introduced with good outcome. Closure of the shunt was performed by the interventional radiology team.

06.02.2024
Evaluation et prise en charge des situations de jalousie amoureuse excessive
Issue 2024/2

Evaluation et prise en charge des situations de jalousie amoureuse excessive

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.

19.02.2024
L’impact sur la santé mentale des professionnels travaillant en psychiatrie
Issue 2024/2

L’impact sur la santé mentale des professionnels travaillant en psychiatrie

Data was collected between July and the end of November 2021 via an online questionnaire among mental health professionals in Europe. The Swiss data was collected via the same online questionnaire, which was widely distributed at a local level thanks to the efforts of professional associations, psychiatric institutions and health schools. The questionnaire was divided into three sections: organizational adaptations, use of digital tools, and professional and personal experience of the health crisis.

12.02.2024
Le psychodrame hospitalier d’identification au patient: pour tenter de comprendre
Issue 2024/2

Le psychodrame hospitalier d’identification au patient: pour tenter de comprendre

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.