Petra Garlipp

Liebeswahn und Frégoli-SyndromEine Kasuistik

ZusammenfassungDie Kasuistik einer schizophrenen Patientin wird vorgestellt, bei der eine Koinzidenz von Liebeswahn und Frégoli-Syndrom vorlag und die interessante, in der Literatur bisher kaum beschriebene Symptomkonstellationen aufwies. Es ergaben sich sowohl Hinweise für organische als auch für psychische ätiopathogenetische Faktoren. Eine kombinierte psychotherapeutische und medikamentöse Behandlung zeigte Erfolge.SummaryA case report of a female schizophrenic patient is presented who showed a coincidence of erotomania and Frégoli syndrome with some interesting symptom constellations only rarely mentioned in the literature. Organic and psychodynamic factors were found in the etiopathogenesis of this disorder. A combination of psychotherapy and neuroleptic therapy was partly successful.

Indikationsstellung in Vorgesprächen einer psychiatrischen Tagesklinik

OBJECTIVE The aim of this study is to assess relevant patient- and therapist-associated traits for indication decision for a psychiatric day hospital. METHODS Therapeutic assessments concerning emotional experience, initial working relationship and disorder-related criteria were investigated after 155 preliminary talks at one day hospital. RESULTS A higher patient`s motivation and a current symptomatology predict a positive indication outcome. Patients who do not start treatment although a positive indication are significantly less motivated, a personality disorder is suspected more likely and the quality of the working relationship tends to be worse than in the admitted patients. CONCLUSIONS Preliminary talks have a selective function concerning the indication for day hospital treatment.