Chronification of neuroses--on the critical phase of the inpatient-ambulatory care transition

The contribution deals with the critical transition from ward treatment and follow-up care as an outpatient. Patients with primary psychic maldevelopment are compared with those of a secondary psychic development. Changes in symptoms and personality were measured with a battery of tests during a pre-post follow-up study (intervals of eight weeks between tests). Special attention is paid to changes after discharge from hospital and deterioration, which was common among the patients with secondary psychic maldevelopment, is discussed.     

Subjective quality of life of surgically treated glioma patients undergoing polychemotherapy

25 patients with glioma were questioned as to how they apprehended and appreciated their state of health and their psychosocial situation 1 1/2 years (s = 4 months) after the start of their postoperative polychemotherapy. In their opinion, their health was relatively good, that is, they claimed to suffer little pain, few complaints, little feeling of inadequacy, few fears for the future. They regarded the mode of treatment as being somewhat more inconvenient. Such an unexpectedly positive response, in view of the poor prospect, raises the question as to its provenance. A significant cause is seen in the organic psycho-syndrome, and its significance is made the subject of the concluding discussion, with reference to adaptation mechanisms and specifics of the illness.