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Care of alcoholics in a general psychiatric admissions ward
120 neighborhood. They are also responsible for establishing an adequate teaching and consultancy program for physicians, nurses, and the public in their area. 12) Care of alcoholics in a general psychiatric admissions ward FRANZEN, G., HOLM, M., OLOFSSON, S., and RORSMAN, B. Oppen Vard, St. Lars Sjukh., Sweden Lakartidningen 78(6), 440--444, 1981 Since January 1, 1977, there has been a law in Sweden allowing the police, besides taking charge of an intoxicated person in a public place who is unable to take care of himself or constitutes a danger to himself or others, to procure adequate medical and psychiatric treatment. To this end, numerous detoxiflcation centers have been instituted on a trial basis. The article describes such treatment in a general psychiatric admissions ward in a moderate-sized psychiatric hospital. Twenty-eight percent of a total of more than 900 detainees were treated during one year. Different patterns of alcohol dependence were observed within different age groups. A total of 18% of those admitted were transferred to some type of continued inpatient care. Some of those discharged have received hospitalbased follow-up treatment but most of them have unfortunately not been reached because of a lack of ambulatory aftercare resources. Various viewpoints and suggestions are discussed for more effective follow-up treatment and aftercare. THE ROLE OF THE HEALTH PROFESSIONAL 13) Respect for the patient and medical progress DURAND, C. Switzerland Bull. Schweiz. Akad. Med. Wiss. 36(4--6), 333-339, 1980 The psychological aspects of medical ethics are described and analyzed in terms of the doctor-patient relationship. Analyzing the patient's needs, the doctor ceases to regard him as an object for his diagnostic and therapeutic procedures and makes him the subject; this implies respect for his person and his rights. From this psychological and ethical perspective, questions of patient information, professional secrecy, therapy transfer, and the doctor's authority are discussed. Psychiatry poses specific problems both in practice (admission of patients to hospital although their illness prevents them from giving their consent) and in its theory (is mental illness real). Ethical problems force the practitioner to reconsider his concept of man and his options in respect of freedom.
14) The patient care crisis in community mental health centers: A need for more psychiatric involve. ment BERLIN, R. M., KALES, J. D., HUMPHREY, F. J. II, and KALES, A. Dept. Psychiat.", Hershey Med. Cent., Hershey, Pa., U.S.A. Am. J. Psychiatry 138(4),450-454, 1981 The authors examine the role of psychiatrists in community mental health centers and suggest that extensive psychiatric involvement is needed to ensure proper patient care. Within the context of four basic clinical models--social, psychological, behavioral, and biomedical--they describe the psychiatrists' unique clinical skills in history taking, differential diagnosis, case formula!ion, use of psychopharmacologic agents, and provision of leadership in patient care. Five case reports illustrate instances in which psychiatric intervention corrected serious problems in diagnosis and treatment that otherwise would have resulted in inadequate care or harm to the patient. 15) The doctor as placebo CLYNE, M. B. Balint Sot., Southall, United Kingdom J. Pharmacother. 1(1), 21-23, 1977 Placebo and placebo effect have different meanings in pharmacology and in clinical practice. The action of almost all drugs, especially of psychopharmaea, has a placebo component. Drug effects are altered by relationship and emotional contents, especially by the doctor, one of the most powerful "drugs." Human responses to psychopharmaea are often inexplicably variable, and cannot be understood without taking into account the effect of the doctor and of the relationship between the doctor and the patient. It is therefore of the utmost importance to study the pharmacology of the drug, "doctor," in therapeutics, both in isolation and in its relationship to medicaments. Drugs, that is, chemical compounds administered for therapeutic purposes, and not only psychopharmaea, are also able to affect relationships and emotions. These effects, often disregarded, should also be studied, not least because the alteration of relationships (for example, the doctor-patient relationship) and emotions will seeondarily influence the pharmacological action of the pharmaca. 16) Physician and teacher (German) HARTUNG, K. Lehrst. Humanbiol., Inst. Biol., Teehn Univ., Berlin, West Germany (9#. Gesundheitswes. 42(7), 455-462, 1980 It is expected of the school medical officer that he
PATIFNT CC}|IN.~FI I I N G A N D
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14) The patient care crisis in community mental health centers: A need for more psychiatric involve. ment BERLIN, R. M., KALES, J. D., HUMPHREY, F. J. II, and KALES, A. Dept. Psychiat.", Hershey Med. Cent., Hershey, Pa., U.S.A. Am. J. Psychiatry 138(4),450-454, 1981 The authors examine the role of psychiatrists in community mental health centers and suggest that extensive psychiatric involvement is needed to ensure proper patient care. Within the context of four basic clinical models--social, psychological, behavioral, and biomedical--they describe the psychiatrists' unique clinical skills in history taking, differential diagnosis, case formula!ion, use of psychopharmacologic agents, and provision of leadership in patient care. Five case reports illustrate instances in which psychiatric intervention corrected serious problems in diagnosis and treatment that otherwise would have resulted in inadequate care or harm to the patient. 15) The doctor as placebo CLYNE, M. B. Balint Sot., Southall, United Kingdom J. Pharmacother. 1(1), 21-23, 1977 Placebo and placebo effect have different meanings in pharmacology and in clinical practice. The action of almost all drugs, especially of psychopharmaea, has a placebo component. Drug effects are altered by relationship and emotional contents, especially by the doctor, one of the most powerful "drugs." Human responses to psychopharmaea are often inexplicably variable, and cannot be understood without taking into account the effect of the doctor and of the relationship between the doctor and the patient. It is therefore of the utmost importance to study the pharmacology of the drug, "doctor," in therapeutics, both in isolation and in its relationship to medicaments. Drugs, that is, chemical compounds administered for therapeutic purposes, and not only psychopharmaea, are also able to affect relationships and emotions. These effects, often disregarded, should also be studied, not least because the alteration of relationships (for example, the doctor-patient relationship) and emotions will seeondarily influence the pharmacological action of the pharmaca. 16) Physician and teacher (German) HARTUNG, K. Lehrst. Humanbiol., Inst. Biol., Teehn Univ., Berlin, West Germany (9#. Gesundheitswes. 42(7), 455-462, 1980 It is expected of the school medical officer that he
PATIFNT CC}|IN.~FI I I N G A N D
HFAI TH i:[111rATIrIKI