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3. Family adaptation to institutionalised mentally retarded patients. A preliminary report on an Italian population

Author

Clerici, M., Bertrando, P., Beltz, J., Fornara, A., Iraci, A., Steiner, V., and Cazzullo, C.L.

Subjects
Mentally disabled persons -- Family, Psychotherapy patients -- Family, Family psychotherapy -- Research, Psychology and mental health, Sociology and social work
Abstract

Family interactive patterns were investigated in the relatives of 20 mentally retarded patients institutionalised in two centres in Northern Italy. Expressed emotion (EE) was used as evaluation instrument. The results show a surprisingly high rate (45%) of high EE, even in relatives of patients who did not live inside the family. High EE was positively correlated to the presence of behavioural disorders in the patients, as already shown for children with conduct disorders. Treatment implications are discussed; there is an opportunity for the implementation of a family psychoeducational approach, aimed both at managing the behavioural consequences of the disorder and at enhancing rehabilitation programmes.

Published
1998

4. Toronado — A New Breed

Author

Beltz, J. B., Watt, A. K., Diener, J. H., Weidman, W. A., Schultz, R. J., Doidge, J. R., and Marquis, D. P.

Published
1967

10. „Als oben der Himmel noch nicht existierte“: kosmologische Vorstellungen im alten Mesopotamien, in: Kosmos. Weltentwürfe im Vergleich, Zürich: Museum Rietberg

Author

Beltz, Johannes, Museum Rietberg, Beltz, J ( Johannes ), Museum Rietberg, ( ), Krüger, Thomas, Uehlinger, Christoph; https://orcid.org/0000-0002-0511-6315, Beltz, Johannes, Museum Rietberg, Beltz, J ( Johannes ), Museum Rietberg, ( ), Krüger, Thomas, and Uehlinger, Christoph; https://orcid.org/0000-0002-0511-6315

Published
2014

14. Gabapentin (GBP) versus Valproato (VPA) as an adjunct to neuroleptics in the treatment of acute symptoms

Author

Alberti, GG, Garini, R, Marzolini, M, Beltz, J, Felcher, A, Greco, MI, Maresca, G, Alberti, G, Garini, R, Marzolini, M, Beltz, J, Felcher, A, Greco, M, and Maresca, G

Subjects
acute manic symptoms, pharmacotherapy, gabapentin (GBP) versus valproato (VPA)
Abstract

This published report yelded promising results, but the interpretations of therapeutic role of GBP in mania was difficult because the drug was always associated to a wide range of other agents, whose dose was not mainteined uncharged during the study. The objective of our study was to asses the efficacy and safety of GBP versus VPA in adjunct of a fixed dose of neuroleptics in patients hospedalized because of an outburst of acute manic symptoms.

Published
1998

15. Efficacy and tolerability of gabapentin (GBP) versus valproato (VPA) as add-on therapy to neuroleptics in the treatment of acute maniac symptoms

Author

Alberti, GG, Garini, R, Marzolini, M, Beltz, J, Felcher, A, Greco, MI, Maresca, G, Alberti, G, Garini, R, Marzolini, M, Beltz, J, Felcher, A, Greco, M, and Maresca, G

Subjects
manic synptoms, pharmacotherapy, gabapentin (GBP) versus valproate (VPA)
Abstract

The published reports yelded promising results, but the interpretation of the therapeutic role of GBP in mania was difficult because the drug was already associated to a wide range of other agents, whose dose was not manteined uncharged during the study. The objective of our study was to assess the efficacy and safety of GBP versus VPA in adjunct to a fixed dose of neuroleptics (NL) in patients hospetalized because of an evidence of acute manic synptoms.

Published
1998

17. L'intervento di crisi in ambito istituzionale: proposta di un dispositivo terapeutico

Author

Beltz, J, Cassani, E, Cirri, M, COLOMBO, MARCO, Felcher, A, Ferruta, A, Morandi, S, Neri, L, Vezzoso, A, Beltz, J, Cassani, E, Cirri, M, Colombo, M, Felcher, A, Ferruta, A, Morandi, S, Neri, L, and Vezzoso, A

Subjects
reparto psichiatria, no al ricovero, interventi terapeutici urgenti
Abstract

Il centro crisi, in funzione dal 1987 nell'ambito di un Servizio psichiatrico di diagnosi e cura in Milano, si propone di offrire un intervento terapeutico breve, intensivo e a breve termine nei casi che presentino vissuti di urgenza che hanno indotto i pazienti ad agiti di rottura del loro contesto esistenziali o in presenza di sintomi somatici intensi. L'intervento terapeutico realizzato da uno o più terapeuti del servizio,consiste in colloqui con il paziente ravvicinati nel tempo, nell'eventuale somministrazione diurna terapia farmacologica, contatti di chiarimento con l'ambiente familiare o di lavoro, all'interno del quale ha avuto origine la crisi.

Published
1995

19. Mental retardation and family environment: role of emotional factors [Ritardo mentale e ambiente familiare: ruolo dei fattori emotivi.]

Author

Clerici, M, Beltz, J, Bertrando, P, Fornara, A, Garavaglia, R, Iraci, A, Merati, O, Steiner, V, Cazzullo, CL, Clerici, M, Beltz, J, Bertrando, P, Fornara, A, Garavaglia, R, Iraci, A, Merati, O, Steiner, V, and Cazzullo, C

Subjects
mental retardation, family relations, MED/25 - PSICHIATRIA
Abstract

The authors present data from an experimental study conducted on 20 institutionalized mentally handicapped adult patients. Relevant family variables were investigated by means of the Expressed Emotion (EE) scales, then compared with similar variables obtained in a matched sample of 20 schizophrenic patients and their families. Results show, in relatives of mentally handicapped patients, a higher rate of Warmth than in relatives of schizophrenics (p = 0.009), while other EE scales appear to reach similar values in both groups. Within the mentally handicapped family group, a higher rate of Emotional Over-involvement (p = 0.046) is shown by relatives of patients treated with neuroleptic drugs. The presence of high Warmth and Emotional Over-involvement, together with low Criticism and Hostility, may be interpreted as adaptation by the families to an organic disease with very early onset, clearer ad less rejecting than schizophrenia.

Published
1993

23. Expressed emotion and Milan systemic intervention: a pilot study on families of people with a diagnosis of schizophrenia

Author

Bertrando, P, Cecchin, G, Clerici, M, Beltz, J, Milesi, A, Cazzullo, C, Cazzullo, CL, CLERICI, MASSIMO, Bertrando, P, Cecchin, G, Clerici, M, Beltz, J, Milesi, A, Cazzullo, C, Cazzullo, CL, and CLERICI, MASSIMO

Abstract

This article presents the results of a pilot, study carried out on families of people with a diagnosis of schizophrenia (high-frequency users of psychiatric services) using a standardized version of systemic family intervention based on the Milan Approach ('Circular Interview'). We used expressed emotion (EE) to compare and assess two homogeneous samples of families, a treatment group (n =10) and a control group (n = 8). We found that families participating in circular interviews showed a reduction in criticism, while 30% of their members with a diagnosis of schizophrenia relapsed. Families not receiving treatment showed no changes in EE levels, while 62.5% of their members with a diagnosis of schizophrenia relapsed. Although the difference in relapse rates is not statistically significant, these results justify further studies on the use of nondirective systemic intervention with families of people with a diagnosis of schizophrenia. © 2000 The Association for Family Therapy and Systemic Practice.

Published
2006

25. Introduction: Text and Context

Author

Malinar, Angelika, Beltz, Johannes, Frese, Heiko, Malinar, A ( Angelika ), Beltz, J ( Johannes ), Frese, H ( Heiko ), Malinar, Angelika, Beltz, Johannes, Frese, Heiko, Malinar, A ( Angelika ), Beltz, J ( Johannes ), and Frese, H ( Heiko )

Published
2004

35. Efficacy and tolerability of gabapentin (GBP) versus valproato (VPA) as add-on therapy to neuroleptics in the treatment of acute maniac symptoms

Author

Alberti, G, Garini, R, Marzolini, M, Beltz, J, Felcher, A, Greco, M, Maresca, G, Alberti, GG, Greco, MI, Alberti, G, Garini, R, Marzolini, M, Beltz, J, Felcher, A, Greco, M, Maresca, G, Alberti, GG, and Greco, MI

Abstract

The published reports yelded promising results, but the interpretation of the therapeutic role of GBP in mania was difficult because the drug was already associated to a wide range of other agents, whose dose was not manteined uncharged during the study. The objective of our study was to assess the efficacy and safety of GBP versus VPA in adjunct to a fixed dose of neuroleptics (NL) in patients hospetalized because of an evidence of acute manic synptoms.

Published
1998

36. Gabapentin (GBP) versus Valproato (VPA) as an adjunct to neuroleptics in the treatment of acute symptoms

Author

Alberti, G, Garini, R, Marzolini, M, Beltz, J, Felcher, A, Greco, M, Maresca, G, Alberti, GG, Greco, MI, Alberti, G, Garini, R, Marzolini, M, Beltz, J, Felcher, A, Greco, M, Maresca, G, Alberti, GG, and Greco, MI

Abstract

This published report yelded promising results, but the interpretations of therapeutic role of GBP in mania was difficult because the drug was always associated to a wide range of other agents, whose dose was not mainteined uncharged during the study. The objective of our study was to asses the efficacy and safety of GBP versus VPA in adjunct of a fixed dose of neuroleptics in patients hospedalized because of an outburst of acute manic symptoms.

Published
1998

37. Family adaptation to institutionalised mentally retarded patients. A preliminary report on an italian population

Author

Clerici, M, Bertrando, P, Beltz, J, Fornara, A, Iraci, A, Steiner, V, Cazzullo, C, Cazzullo, CL, Clerici, M, Bertrando, P, Beltz, J, Fornara, A, Iraci, A, Steiner, V, Cazzullo, C, and Cazzullo, CL

Abstract

Family interactive patterns were investigated in the relatives of 20 mentally retarded patients institutionalised in two centres in Northern Italy. Expressed emotion (EE) was used as evaluation instrument. The results show a surprisingly high rate (45%) of high EE, even in relatives of patients who did not live inside the family. High EE was positively correlated to the presence of behavioural disorders in the patients, as already shown for children with conduct disorders. Treatment implications are discussed; there is an opportunity for the implementation of a family psychoeducational approach, aimed both at managing the behavioural consequences of the disorder and at enhancing rehabilitation programmes

Published
1998

40. Expressed emotion and schizophrenia in Italy. A study of an urban population

Author

Bertrando, P, Beltz, J, Bressi, C, Clerici, M, Farma, T, Invernizzi, G, Cazzullo, C, Cazzullo, CL, CLERICI, MASSIMO, Bertrando, P, Beltz, J, Bressi, C, Clerici, M, Farma, T, Invernizzi, G, Cazzullo, C, Cazzullo, CL, and CLERICI, MASSIMO

Abstract

Forty-two schizophrenic patients and their close relatives took part in an Italian replication study of expressed emotion (EE). The patients were selected from the psychiatric ward of a general hospital in Milan and were subsequently followed up for nine months. All patients attended a community service clinic as out-patients, and all but one were prescribed neuroleptics for the duration of the study. Relatives were assigned to the high-EE group if they scored 4 or 5 on the emotional overinvolvement (EOI) scale, or showed hostility, or made six or more critical comments. On this basis, 18 (42%) families were rated as low EE and 24 (57%) as high EE. At follow-up, the admission rate for the 9-month period was significantly higher for the high-EE group (P < 0.05). Furthermore, significantly fewer patients were readmitted from families showing high warmth (P< 0.05). The presence of high warmth appeared to be associated with a lower admission rate, even in high-EE families.

Published
1992

47. Expression émotionelle: de la recherche aux traitements psycho-sociaux

Author

Clerici, M, Beltz, J, Bressi, C, Bertrando, P, Invernizzi, G, Cazzullo, CL, Clerici, M, Beltz, J, Bressi, C, Bertrando, P, Invernizzi, G, and Cazzullo, C

Subjects
expressed emotion, MED/25 - PSICHIATRIA
Abstract

Over a four year period, the Schizophrenia Research Association (A.R.S. - Associazione Ricerche sulla Schizofrenia) has drawn up a multi-dimensional plan of action for the families of schizophrenic subjects. The basic points of this plan revolve around advice to the family and group therapy for family members, split into 'informative' and 'relationship orientation' sessions. Conducting an assessment of Expressed Emotion on family members admitted to these groups, it was observed that their emotional make-up is very different from that of family members of schizophrenics selected on the basis of casual criteria. Therefore, we are proposing a strategy which takes into account the emotional make-up of the family member in dictating therapists' action in terms of each family member

Published
1989

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