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Das Liaisonpsychiatriekonzept

  • T. A. Famularo
  • Ch. P. Kimball
  • H. Speidel
  • B. Aronow
  • F. Balck
  • M. Dvořák

Zusammenfassung

Liaisonpsychiatrie1 ist der Teil der allgemeinen Psychiatrie, der mit den anderen medizinischen Disziplinen, üblicherweise innerhalb eines allgemeinen Krankenhauses, zusammenarbeitet. Die Geschichte der Wechselbeziehung zwischen Psychiatrie und anderen medizinischen Fachgebieten ist durch geringe Kommunikation und Isolation gekennzeichnet. Mit dem Wachstum des psychiatrischen Arbeitsfeldes verstärkte sich die Neigung, abnormes Verhalten mit Begriffen zu erklären, die sich deutlich von den allgemeinmedizinischen Beschreibungen unterscheiden. Hinzu kommt, daß die meisten Hypothesen der Psychiatrie nicht ohne weiteres beweisbar waren, da psychologische Erklärungen und Konzepte nicht naturwissenschaftlichen Methoden unterlagen. Diese Abgrenzung der Methoden, der Ideologie und des Vokabulars begrenzte jede positive Zusammenarbeit. Die Liaisonpsychiatrie entwickelte sich gerade deshalb aufgrund der Notwendigkeit, die Patientenversorgung über den Weg eines integrierteren Konzepts der Medizin zu verbessern. Im allgemeinen liefert das Liaisonkonzept ein Modell für:
  • Die Ausdehnung der Psychiatrie auf das gesamte Krankenhaus,

  • die Konsiliartätigkeit,

  • einen umfassenden Ansatz der Patientenversorgung,

  • die Lehre,

  • eine allgemeine Systemanalyse,

  • die Forschung.

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Literatur

  1. Alexander F (1950) Psychosomatic medicine. Norton, New York.Google Scholar
  2. Andreason NC, Winokur G (1979) Secondary depression, familial, clinical and research perspective. Am J Psychiatry 136:62–66.Google Scholar
  3. Armstrong SH (1978) P Psychosomatics 1913:169–171.Google Scholar
  4. Bok S (1976) Personal directions for care at the end of life. N Engl J Med 295:367–369.PubMedCrossRefGoogle Scholar
  5. Bonney S, Finkelstein FO, Lytton B, Schiff M, Steele TE (1978) Treatment of end-stage renal failure in a defined geographic area. Arch Intern Med 138/10:1510–1513.CrossRefGoogle Scholar
  6. Carrol BJ (1978) Neuroendocrine procedures for the diagnosis of depression. In: Garattini S (ed) Depressive disorders. Schattauer, Stuttgart New York.Google Scholar
  7. Cay, Vetter N, Philip AE et al. (1972) Psychological status during recovery from an acute heart attack. J Psychosom Res 16:425.PubMedCrossRefGoogle Scholar
  8. Cleghorn JM (1974) Organization of psychosocial care in a teaching hospital. Psychother Psychosom 23:55.PubMedCrossRefGoogle Scholar
  9. Cooper B, Morgan HG (1973) Epidemiological psychiatry. Thomas, Springfield.Google Scholar
  10. De-Nour AK (1979) Adolescents’ adjustment to chronic hemodialysis. Am J Psychiatry 136/4A:430–433.Google Scholar
  11. Eastwood MR, Trevelyan M (1972) Relationship between physical and psychiatric disorder. Psychol Med 2:363.PubMedCrossRefGoogle Scholar
  12. Eaton JS, Goldberg R, Rosinski E et al. (1977) The educational challenge of consultation, liaison psychiatry. Am J Psychiatry [Suppl] 134:20–23.Google Scholar
  13. Eisenberg L (1977) Psychiatry and society: Sociobiological synthesis. N Engl J Med 296:903–910.PubMedCrossRefGoogle Scholar
  14. Engel K (1978) Testing cooperation in parents with children destined for home dialysis. Psychother Psychosom 30/1:28–36.CrossRefGoogle Scholar
  15. Famularo RA, Kimball CP (1983) LNB Liaison psychiatry consideration in renal hemodialysis patients with acute organic cerebral disease. Levy NB (ed) Psychonephrology II, Plenum, New York.Google Scholar
  16. Farmer CJ, Snowden SA, Parsons V (1979a) The prevalence of psychiatric illness among patients on home hemodialysis. Psychol Med 9/3:509–514.CrossRefGoogle Scholar
  17. Farmer CJ, Bewick M, Parsons V, Snowden SA (1979b) Survival on home hemodialysis: Its relationship with physical symptomatology, psychosocial background and psychiatric morbidity. Psychol Med 9/3:515–523.CrossRefGoogle Scholar
  18. Greenhill MH (1977) The development of liaison programs in Psychiatr. Med. Brunner/Ma-zel, New York.Google Scholar
  19. Greenhill M, Kilgore S (1950) Principles of aletherdology in teaching the psychiatric approach to medical house officers. Psychosom Med 12:38–48.Google Scholar
  20. Gurland BJ, Granz VH, Fleiss JL et al. (1972) The study of psychiatric symptoms in systemic lupus erythematisus. Psychosom Med 34:199.PubMedGoogle Scholar
  21. Hall B, Gardner ER, Stickneg SK et al (1980) Physical illness manifesting as psychiatric disease. Arch Gen Psychiatry 37:989–995.PubMedGoogle Scholar
  22. Holland FF (1979) Ethics for a clinical investigator: Non primum non nocere. Am J Med 66:554–555.PubMedCrossRefGoogle Scholar
  23. Jenkins CD (1976) Recent evidence supporting psychological and social risk factors for coronary disease, parts I, II. N Engl J Med 294:987–990, 294:1033-1038.PubMedCrossRefGoogle Scholar
  24. Kaplan De-Nour A, Czaczkes JW (1978) Nurses’ rejection and acceptance of patients. A study of a chronic hemodialysis unit. Ment Health Soc 4/1-2:85–94.Google Scholar
  25. Kaufman RM (1958) The role of the psychiatrist in a general hospital. Psychoanal Q 27:367.Google Scholar
  26. Kellider R (1966) Psychiatric ill health following physical illness. Br J Psychiatr 1:78.Google Scholar
  27. Kimball CP (1977) The ethics of a personal medicine. Med Clin North Am 61/4:867–877.Google Scholar
  28. Kimball CP, Famularo RA (1980) The experience of hemodialysis and renal transplantation. Gen Hosp Psychiatry 2:70–80.PubMedCrossRefGoogle Scholar
  29. Kirkegard C, Bjorum N, Cohn D et al. (1978) Thyrotrophon releasing hormone stimulation test in manic depressive illness. Arch Gen Psychiatr 35:1017–1021.Google Scholar
  30. Kolath GB, Marz JL (1976) Epidemiology of heart disease searches for causes. Science 194:509–513.CrossRefGoogle Scholar
  31. Korany EK (1979) Morbidity and rate of undiagnosed physical illness in a psychiatric clinic population. Arch Gen Psychiatr 36:414–419.Google Scholar
  32. Krakowski AJ (1973) Doctor-doctor relationship III. A study of feelings influencing the vocation and it’s task. Psychosomatics 14:156.PubMedGoogle Scholar
  33. Krawkowski AJ (1975) Consultation — liaison psychiatry. A psychosomatic service in the General Hospital. Int J Psychiatry Med 6:283–292.CrossRefGoogle Scholar
  34. Levy NB (1978) Psychological sequela to hemodialysis. Psychosomatics 19/6:329–331.Google Scholar
  35. Levy NB (1979a) Psychological problems of the patient on hemodialysis and their treatment. Psychother Psychosom 31/1-4:260–266.CrossRefGoogle Scholar
  36. Levy NB (1979b) The teaching of liaison psychiatry in the hemodialysis center. Bibl Psychiatr 159:141–144.PubMedGoogle Scholar
  37. Lipowski ZJ (1969) Psychosocial aspects of disease. Am Intern Med 71:1197.Google Scholar
  38. Lipowski ZJ (1974) Consultation-liaison psychiatry: An overview. Am J Psychiatry 131:623.PubMedGoogle Scholar
  39. Livesley WJ (1979) Psychiatric disturbance and chronic hemodialysis. Br Med J IV/2(6185):306.CrossRefGoogle Scholar
  40. Lowry MR (1979) Frequency of depressive disorder in patients entering home hemodialysis. J Nerv Ment Dis 167/4:199–204.CrossRefGoogle Scholar
  41. Lowry MR, Atcherson E (1979) Characteristics of patients with depressive disorder on entry into home dialysis. J Nerv Ment Dis 167/12:748–751.CrossRefGoogle Scholar
  42. Maguire GP, Granville-Grossman KL (1968) Physical illness in psychiatric patients. Br J Psychiatry 115:1365.CrossRefGoogle Scholar
  43. Maguire GP, Julier DL, Hawton KE et al. (1974) Psychiatric morbidity and referral on two general medical wards. Br Med J I:268.CrossRefGoogle Scholar
  44. McIntryre S, Romano J (1975) Is there a stethoscope in the house (And is it used)? Arch Gen Psychiatry 34:1147–1151.Google Scholar
  45. McKegney FP, Lange P (1971) The decision to no longer live on chronic hemodialysis. Am J Psychiatry 128:267.PubMedGoogle Scholar
  46. Miller F, Patterson M (1979) Psychiatric complications of renal dialysis disequilibrium: Case report. Am J Psychiatry 136/10:1330.Google Scholar
  47. Moos R (1977) Coping with physical illness. Plenum, New York.Google Scholar
  48. Outka G (1974) Social justice and equal access to health care. J Relig Ethics 2/1:11–32.Google Scholar
  49. Parsons V (1978) The ethical challenges of dialysis and transplantation. Practitioner 220/ 1320:871–877.Google Scholar
  50. Pasnau RO (1975) Consultation liaison psychiatry. Grune & Stratton, New York.Google Scholar
  51. Poznanski EO, Miller E, Salguero C, Kelsh RC (1978) Quality of life for long-term survivors of end-stage renal disease. JAMA 239/22:2343–2347.CrossRefGoogle Scholar
  52. Pritchard MJ (1979) Measurement of illness behavior in patients on hemodialysis and awaiting cardiac surgery. J Psychosom Res 23/2:117–130.CrossRefGoogle Scholar
  53. Procci WR, Hoffman Kl, Chatterjee SN (1978) Sexual functioning of renal transplant recipients. J Nerv Ment Dis 166/6:402–407.CrossRefGoogle Scholar
  54. Rabinowitz S, Van Der Spuy HI (1978) Selection criteria for dialysis and renal transplant. Am J Psychiatry 135/7:861–863.Google Scholar
  55. Sachar EJ (1975) Evidence for neuroendocrine abnormalities in the major mental illnesses. In: Freedmax DX (ed) Biology of jamjor psychosis. Raven, New York.Google Scholar
  56. Sadler HH, Davison L, Carroll C et al. (1971) The living, genetically unrelated kidney donor. Semin Psychiatry 3:86–101.PubMedGoogle Scholar
  57. Schlesser MA, Lumokur G, Sherman BM (1980) Hypothalamic pituitory-adrenal AXW activity in depressive illness. Arch Gen Psychiatr 37:737–743.PubMedGoogle Scholar
  58. Shubert O, McKegney F (1976) Psychiatry consultation education. Arch Gen Psychiatr 33:1271–1273.Google Scholar
  59. Speidel H, Koch U, Balck F, Kniess J (1979) Problems in interaction between patients undergoing long-term hemodialysis and their partners. Psychother Psychosom 31/1-4:235–242.CrossRefGoogle Scholar
  60. Spitzer RL, Skodol AE, Gibbon M et al. (1981) DSM III case book. American Psychiat. As-soc, Washington.Google Scholar
  61. Szklo M (1976) Psychosocial factors and the risk of myocardial infarctions in white women. Am J Epidemiol 103:312–320.PubMedGoogle Scholar
  62. Thomas CB, Greenstreet RI (1973) Psychobiological characteristics in youth as predictors of the disease states-suicide, mental illness, hypertension, coronary heart disease and tumor. Hopkins Med J 182:16–43.Google Scholar
  63. Viederman M, Rusk GH (1977-1978) The influence of early deprivation on regressive behavior in the hospital: A clinical case conference. Int J Pschiatry Med 8:303–314.CrossRefGoogle Scholar
  64. Visotsky HM, Hamburg DA, Goss MA et al. (1961) Coping behavior under extreme stress. Arch Gen Psychiatry 5:423–488.PubMedGoogle Scholar
  65. Waitzkin H, Stoeckle J (1972) The communication of information about illness. Adv Psychosom Med 8:180–215.PubMedGoogle Scholar
  66. Weddington WW Jr (1978) Dementia dialytica. Psychosomatics. 19/6:367–370.Google Scholar
  67. Weissman M, Klerman G (1978) Epidemiology of mental disorders. Arch Gen Psychiatry 35:705–712.PubMedGoogle Scholar
  68. Winokur G (1979) Familial (Genetic) subtypes of pure depressive disease. Am J Psychiatry 136:911–913.PubMedGoogle Scholar
  69. Abram HS (1969a) Psychotherapy in renal failure. Curr Psychiatr Ther 9:86.PubMedGoogle Scholar
  70. Abram HS (1969b) The psychiatrist, the treatment of chronic renal failure, and the prolongation of life: II. Am J Psychiatry 126:157–167.PubMedGoogle Scholar
  71. Abram HS (1974) Psychiatric reflections on adaption to respective dialysis. Kidney Int 6:67–72.PubMedCrossRefGoogle Scholar
  72. Alexander L (1976) The double-bind theory and hemodialysis. Arch Gen Psychiatry 33:1353.PubMedGoogle Scholar
  73. Aronow B, Balck F, Dvořák M, Speidel H (in Vorbereitung) Erfahrungen auf Dialysestationen. In: Arbeitsbericht des Teilprojektes A 23, SFB 115, Präventive Psychotherapie bei Patienten vor Beginn und in der Anfangsphase der Hämodialyse.Google Scholar
  74. Balck FB, Aronow B, Bredehöft J, Dvořák M, Meins W, Speidel H (1981) Betrachtungen zur Psychopathologie der chronischen Niereninsuffizienz. Therapiewoche 31:1001–1005.Google Scholar
  75. Becker J, Brown ER, Walker L (1977) Dialysis staff opinion survey. Dial Transplant 6:.Google Scholar
  76. Bion WR (1971) Erfahrungen in Gruppen und andere Schriften. Klett, Stuttgart.Google Scholar
  77. Campbell DR, Sinka BK (1980) Brief group psychotherapy with chronic hemodialysis patients. Am J Psychiatry 137:1234–1237.PubMedGoogle Scholar
  78. Cramond WA (1970) The psychological problems of renal dialysis and transplantation. In: Hill OW (eds) Modern trends in psychosomatic medicine — 2. Butterworths, London, p 278.Google Scholar
  79. Cramond WA, Knight PR, Lawrence JR (1967) The psychiatric contribution to a renal unit undertaking chronic haemodialysis and renal homotransplantation. Br. J Psychiatry 113:1201–1212.CrossRefGoogle Scholar
  80. Czaczkes JW, Kaplan De-Nour A (1978) Chronic hemodialysis as a way of life. Brunner-Ma-zel, New York.Google Scholar
  81. Daly RJ (1970) Psychiatric aspects of maintenance hemodialysis. Proceed. IVth Int. Congr. Nephrol. Stockholm, Vol 3. Karger, Basel München New York, p 121.Google Scholar
  82. Dvořák M, Balck F, Aronow B, Speidel H (1981) Psychotherapie bei chronisch Kranken. Diagnostische Ergebnisse und ein therapeutisches Modell für Dialysepatienten. In: Michaelis W (Hrsg): Bericht über den 32. Kongr. Dtsch. Ges. Psychol., Zürich. 1980. Hogrefe, Göttingen, S 726–729.Google Scholar
  83. Dvořák M, Balck F, Aronow B, Speidel H (in Vorbereitung) Supervision eines Dialyseteams. In: Arbeitsbericht des Teilprojektes A 23, SFB 115, Präventive Psychotherapie bei Patienten vor Beginn und in der Anfangsphase der Hämodialyse.Google Scholar
  84. Freyberger H, Speidel H (1976) Die supportive Psychotherapie in der klinischen Medizin. Bibl Psychiatr 152:141–169.PubMedGoogle Scholar
  85. Fried FE, Danks LR, Beavert CS (1976) Preventing emotional problems in a dialysis team. Dial Transplant 5:68–72.Google Scholar
  86. Goldsteien AM (1972) The subjective experience of denial in an objective investigation of chronically ill patients. Psychosomatics 13:20–22.Google Scholar
  87. Halper JS (1971) Psychiatric observations in a chronic hemodialysis program. Med Clin North Am 55:177–191.PubMedGoogle Scholar
  88. Kaplan De-Nour A (1980) The hemodialysis unit. Adv Psychosom Med 10:132–150.Google Scholar
  89. Kaplan De-Nour A (1981) Prediction of adjustment to chronic hemodialysis. In: Levy NB (ed) Psychonephrology 1. Psychological factors in hemodialysis and transplantation. Plenum, New York London, pp 117–132.Google Scholar
  90. Kaplan De-Nour A, Czaczkes JW (1971) Professional team opinion and personal bias. A study of a chronic hemodialysis unit team. J Chronic Dis 24:533–541.CrossRefGoogle Scholar
  91. Kaplan De-Nour A, Czaczkes JW, Lilos P (1972) A study of chronic hemodialysis teams; differences in opinions and expectations. J Chronic Dis 25:441–448.CrossRefGoogle Scholar
  92. Kaplan De-Nour A, Czaczkes JW (1974) Bias in assessment of patients on chronic dialysis. J Psychosom Res 18:217–221.CrossRefGoogle Scholar
  93. Kaye R, Leigh H, Strauch B (1973) The role of the liaison psychiatrist in a hemodialysis program: A case study. Psychiatr Med 43:313–321.CrossRefGoogle Scholar
  94. Koch U, Balck F, Speidel H (1982) Psychische Probleme von Hämodialysepatienten und ihren Partnern. In: Beckmann D, Davies-Osterkamp S, Scheer JW (Hrsg) Medizinische Psychologie-Forschung für Klinik und Praxis. Springer, Berlin Heidelberg New York, S 310–336.Google Scholar
  95. Lefebvre P, Nobert A, Crombez C (1972) Psychological and psychotherapeutical reactions in relation to chronic hemodialysis. Can Psychiatr Assoc J 17:9–13.Google Scholar
  96. Lipowski ZJ (1983) Aktuelle Probleme des psychosomatisch-psychiatrischen Konsiliar-und Liaisondienstes. Psychother Med Psychol 33:3–13.Google Scholar
  97. Marshall JR (1974) Effective use of a psychiatric consultant on a dialysis unit. Postgrad Med 55:121–125.PubMedGoogle Scholar
  98. McKegney FP, Beckhardt RM (1982) Evolution research in consultation-liaison psychiatry. Review of the literature: 1970-1981. Gen Hosp Psychiatry 4:197–218.PubMedCrossRefGoogle Scholar
  99. Shea ES, Bogdan DF, Freeman RB, Schreiner GE (1965) Hemodialysis for chronic renal failure. — IV. Psychological considerations. Ann Intern Med 62:558–563.PubMedGoogle Scholar
  100. Short MJ, Wilson WP (1969) Roles of denial in chronic hemodialysis. Arch Gen Psychiatry 20:433–437.PubMedGoogle Scholar
  101. Speidel H (1976a) Die Arbeit des Psychosomatikers in Dialysezentren. Krankenhausarzt 49:648–654.Google Scholar
  102. Speidel H (1976b) Zur psychologischen Situation des Pflegepersonals bei Heimdialyse und Heimdialysetraining. Therapiewoche 26/7:1043–1046.Google Scholar
  103. Speidel H (1977) Die Balint-Gruppe. Voraussetzungen, Theorie und Methodik. Therapiewoche 27/40:6946–6961.Google Scholar
  104. Speidel H (1980) Konsultations-und Liaisondienste. Verh Dtsch Ges Inn Med 86:1503–1505.Google Scholar
  105. Speidel H (1983) Balint group work and final conclusions. Adv Psychosom Med 11:198–204.PubMedGoogle Scholar
  106. Speidel H, Balck F, Koch U (1978a) Psychische und psychosoziale Probleme der chronischen Hämodialyse. Therapiewoche 28:8262–8279.Google Scholar
  107. Speidel H, Koch U, Balck F (1978b) Dauerdialysebehandlung und Patient. In: Albert FW, Jutzier GA, Traut F (Hrsg) II. Symposion der nephrologischen Arbeitsgruppe Homburg-Kaiserslautern. Homburg/Saar, 24. 2. 1978. Wiss. Information der Freseniusstiftung, Bad Homburg, Beitr. 5, S 13–27.Google Scholar
  108. Speidel H, Koch U, Balck F, Knieß J (1981) Empirical questionnaire survey of the situation of hemodialysis patients and their partners in various dialysis settings. In: Levy NB (ed) Psy-chonephrology 1. Psychological factors in hemodialysis and transplantation. Plenum, New York, pp 147–167.Google Scholar
  109. Strain JJ (1980) Impediments to psychological care of the chronic renal patients. In: Levy NB (ed) Psychonephrology 1. Psychological factors in hemodialysis and transplantation. Plenum, New York London, pp 19–34.Google Scholar
  110. Taylor GJ (1972) Chronic renal failure, home dialyis and the liaison psychiatrist. CMA 106:1318–1320.Google Scholar
  111. Wise TN, Goldberg RL (1981) Group dynamics in liaison psychiatry. J Psychiatr Treat Evol 3:501–505.Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1985

Authors and Affiliations

  • T. A. Famularo
  • Ch. P. Kimball
  • H. Speidel
  • B. Aronow
  • F. Balck
  • M. Dvořák

There are no affiliations available

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