Některé užitečné prvky komunikace

MUDr. Radkin Honzák, CSc.

Psychiatr. praxi. 2014;15(2):51  

Suicidal behavior and self harming associated with eating disorders

doc.PhDr.Jana Kocourková, MUDr.Jiří Koutek, Ph.D.

Psychiatr. praxi. 2014;15(2):55-57  

Eating disorders are significantly associated with suicidal behavior. Anorexia nervosa has the highest rates of completed suicide, whereas suicide attempts and self harming behavior are easily found among patients with bulimia nervosa. Risk factors are associated with depression, bordeline personality disorder and substance abuse. Patients with eating disorders should be obligatory assesed for suicidal ideation and self harming behavior.

Risks and drawbacks of administering antipsychotic drugs in long-term care in patients with dementia

doc.MUDr.Iva Holmerová, Ph.D., MUDr.Robert Rusina, Ph.D., doc.MUDr.Roman Jirák, CSc.

Psychiatr. praxi. 2014;15(2):58-61  

The article deals with the issues and risks of taking antipsychotic drugs in the long-term care in patients with dementia. It provides basic information on prescribing antipsychotic drugs, their indications as well as the risks in these patients. Also presented are some data concerning the prescription of antipsychotic drugs both in our country and abroad. The authors highlight the need for a comprehensive approach to the management of behavioural and psychological symptoms of dementia (BPSD), including psychosocial approaches and a detailed analysis of the particular situation, and especially the need to pay attention to possible physical...

If you label me, go with your therapy to hell! Borderline personality disorder and stigma

PhDr.Marie Ocisková, Mgr.Zuzana Sedláčková, prof.MUDr.Ján Praško, CSc., doc.MUDr.Klára Látalová, Ph.D., MUDr.Dana Kamarádová, Ph.D.

Psychiatr. praxi. 2014;15(2):62-67  

Introduction: Borderline personality disorder is associated with numerous symptoms that interfere with interpersonal relationships. Both mental health professionals and the general population often think negatively about patients suffering from this disorder, which may worsen the creation and maintenance of the supporting therapeutic relationship. Method: Research and review articles were identified using the Web of Science, Medline and Scopus. Keywords were represented by terms “borderline”, “stigma”, “internalized stigma”, “therapy”, “treatment”, “psychotherapy” and “psychosocial...

Food refusal in geriatric psychiatry

MUDr.Vanda Franková, MUDr.Petra Stanková, MUDr.Jana Nyklesová

Psychiatr. praxi. 2014;15(2):68-70  

Food refusal is a common symptom in geriatric psychiatry. It may have several causes, mostly it’s a symptom of depression, psychosis or dementia. But it’s neccessary to think also of somatic causes of food refusal. The article presents a few case examples where the main symptom is the food refusal with different causes.

Mobbing - Serious Problems in Work Relations, With Special Reference to Health Care Settings

PhDr.Pavel Harsa, Ph.D., Mgr.Marek Macák, MUDr.Dana Kertészová, MUDr.Pavlína Chrenková, Mgr.Jiří Michalec, Mgr.Nina Nechanická, Mgr.Hana Krupníková, Mgr.Stanislava Bačkovská, PhDr.Radek Ptáček, Ph.D., doc.MUDr.Ilja Žukov, CSc.

Psychiatr. praxi. 2014;15(2):71-74  

The article talks about the manifestations of mobbing, specific fr contemporary society and health care settings. The authors summarize and describe various displays of violence, bullying, mobbing, bossing, and other forms of problem behavior in the context of work relations. They point out the dangers of such behaviour and its growing occurence, supplying their assertions with the outcomes of several research projects. In the article, they provide a definition of the perpetrators of mobbing, its victims, the way mobbing is usually played out, and the ways to prevent and solve these types of situations.

Tianeptin abuse

MUDr.Martin Hýža, MUDr.Martina Čechová

Psychiatr. praxi. 2014;15(2):75-77  

Antidepressants are generally thought to be non-adictive agents. However, there are exceptions in the group of older dopaminergic drugs like tranylcypromine and amineptine. Since 90s, there are some information in the literature regarding the tianeptine abuse, also in very high dosages. A stimulating effect is supposed. These findings are in opposition to the former recommendations for the clinical use of tianeptine in the patients with addiction and concurrent depressive or anxious symptoms. The literature review is followed by our own case report.

Legal capacity and its restriction. Nullity of legal action

MUDr.Jiří Švarc, Ph.D.

Psychiatr. praxi. 2014;15(2):87-89  

The article summarizes the principle of legal capacity according to the new Civil Code No. 89/2012. Restriction of legal capacity should protect the mentally ill; for this purpose, it is not necessary to deprive someone of legal capacity (as in Czech Rep.). The new Civil Code enables only to restrict legal capacity in certain situations (while preserving the person's legal capacity for everything else). Even a person with restricted legal capacity can still manage his own affairs. Legal capacity can be restricted only in the interest of a mentally ill person. For example, the act of voting cannot harm the person and it is therefore useless...

How does a family therapist work in the case of eating disorders?

MUDr.Vladislav Chvála, PhDr.Ludmila Trapková

Psychiatr. praxi. 2014;15(2):77-80  

A case of eating disorder treatment is reported that can be used to illustrate that it is worth insisting on working with the whole family, i. e. not only with the patient with an eating disorder herself, but with her parents at the same time. In this case, the whole therapy consisted of five sessions and the central topic was the struggle whether or not the father would get involved. Successful treatment was finished shortly after the father had been persuaded to cooperate. The text was written little by little as a therapist’s notes from the individual sessions with minimal stylistic revisions and with several explanatory notes. The...

Values and cognitive behavioral therapy

prof.MUDr.Ján Praško, CSc., PhDr.Marie Ocisková, Mgr.Jana Vyskočilová, PhDr.Zuzana Sedláčková, MUDr.Petr Možný

Psychiatr. praxi. 2014;15(2):81-87  

Values have an intentional quality that connected the various moments of the life in a meaningful journey. The influence the needs, withes, preferences and also that one believes to be important or not. Each individual has its own more or less conscious value system as a result of a value orientation. The awareness of the values may be an effective self-regulation. Cognitive behavioral therapy is focused on practical problem solving and goals in the life through the changes of the cognitive processes, behavior and emotional responses. The changes of these processes are often related to the change of some life values, otherwise it would not...