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Abstracts fra Bibliotek for Læger 3/2013

14. sep. 2018
4 min.

 

Originalartikel: LSD-behandling i dansk psykiatri
Jens Knud Larsen

The case of LSD treatment in Denmark

Bibl Læger 2013;205:224-265.

From 1959, around 400 patients were treated with LSD (lysergic acid diethylamide) in Denmark, nearly all of them at the Department of Psychiatry, Frederiksberg Hospital. Already during the first years of treatment one homicide, two suicides, and four attempted suicides were reported. Further, one of the earliest treated patients experienced a psychotic breakthrough and pressed charges against the responsible psychiatrists. In 1976, the Danish Court rules against his contention. In 1983, a journalist from the newspaper Information accidentally became aware of the nearly forgotten case. Through a long number of critical articles on the subject he was later awarded with the prestigious Cavling Price. Meanwhile, the LSD treatment had become a matter of political discussion in the Danish Parliament. In 1986 the LSD Damages Law was passed, and thereby patients treated with LSD could apply for reparatory compensation. In total, 154 patients out of 176 applicants received economic compensation for LSD inflicted damages. This article presents unpublished archival data and documents that show how international warnings about the medical use of LSD were systematically ignored by leading Danish psychiatrists.

Originalartikel: To nye metoder til etablering af sammenhængende patientforløb 

- Relationel koordinering samt InterProfessionel Læring og Samarbejde
Per E. Jørgensen, Jette S. Holtzmann, Tine Lundbak & Helle K. Iversen

Two new methods in health care coordination: relational coordination and Interprofessional education and collaboration

Bibl Læger 2013;205:266-79.

Many patients experience their treatment in the health care system as fragmented and incoherent – both in the hospitals and in the transfer of care delivery between hospitals and primary care. This lack of coordination reduces the quality of the health care. We need to change the work flow in the health care system in a way that increases the coordination of care delivery and improves the patient involvement. Relational coordination and interprofessional education and collaboration [IPEC] are new promising methods that are likely to help us obtain these goals. Relational coordination and IPEC were developed independently but have much in common. Both concepts seek to increase the coordination and quality of health care by improving the collaboration among different professions in a team, and both concepts aim to improve this collaboration by promoting shared goals, shared knowledge, mutual respect and optimal communication. The major difference between the two concepts is that IPEC has a more distinct focus on patient involvement. This paper gives an introduction to relational coordination and IPEC and describes how the methods are currently used in Denmark.

Et billede fra min hverdag
Eunice McWere

Originalartikel: Læger og sygdom hos Moliére – satiren som våben
Hans Adserballe

Doctors and Illness in Molière’s Comedies -The Satire as a Weapon

Bibl Læger 2013;205:282-311

The main objective of the article is an analysis of the comedies of the world-famous French author Molière (1622-73), including his satire on the medical doctors. The satire is a witty castigation. What are the origins and the purpose of this aggression? The history and literature of the phenomenon from the Antiquity to the Classicism are outlined as an inspiration for Molière. In particular Montaigne is an important source. A survey of the conditions and the work of the doctors in the 17th century is necessary for the understanding of the comedies and the satire. Five comedies with pronounced satire on the doctors are described and analyzed with a special weight attached to the most famous comedy of this character, The Imaginary Invalid. A number of characteristic features in the primitive, medical behavior are reviewed, highly amusing entertainment for the spectators. Molière himself was increasingly ill, maybe another incitement for his satire, and he died during the performance of The Imaginary Invalid. An attempt is made to a comparison with today’s accusation of the doctors, demonstrating that the dubious and sometimes risky conduct of the Molière-doctors still may exist within some fields – for the benefit of our joy following the old comedies. Hopefully they will survive.

Kvartalets genstand
Morten A. Skydsgaard

Originalartikel: Søren Kierkegaards sygdom og død – Havde han Potts paraplegi?
Jens Staubrand & Kaare Weismann

Søren Kierkegaard’s illness and death - Did he suffer from Pott´s paraplegia?

Bibl Læger 2013; 205:314-26

 

The Danish philosopher Søren Kierkegaard died only 42-years-old after admission to The Royal Frederik’s Hospital in Copenhagen. He was admitted because of a sudden paresis of his legs and urinary incontinence. It has been discussed whether Søren Kierkegaard suffered from tuberculosis, a neurological disease or some other unknown disorder. Pott’s paraplegia, which has not been mentioned before as cause of his death, was described in a publication from 1779 by the English surgeon Percivall Pott. He speculated that a degenerate disease of the spine destroyed nerves supplying legs, bladder and rectal functions. The patients always had a curved spine. It has been debated whether Søren Kierkegaard had a curved spine or a hump, as clearly depicted in the satirical press. A painting by the Danish artist Luplau Janssen shows him bending over his writing desk with his head low between the shoulders due to his kyphotic spine. Søren Kierkegaard’s hump, the palsy of his lower limbs and the urinary incontinence could be explained by Pott’s paraplegia, which we suggest as the most likely cause of his death.