[Childhood traumatization, dissociation and nonsuicidal self-injurious behavior in borderline personality disorder]. / Gyermekkori traumatizáció, disszociáció és szándékos fizikai önsérto viselkedés borderline személyiségzavarban.

INTRODUCTION: Childhood traumatization plays a significant role in the etiology of borderline personality disorder. Studies found a significant association between childhood traumatization, dissociation, and nonsuicidal self-injurious behavior. AIM: The aim of our study was to assess dissociation and nonsuicidal self-injury among borderline inpatients and to reveal the association between childhood traumatization, dissociation, and self-injurious behavior. METHOD: The sample consisted of 80 borderline inpatients and 73 depressed control patients. Childhood traumatization, dissociation and self-injurious behavior were assessed by questionnaires. RESULTS: Borderline patients reported severe and multiplex childhood traumatization. Cumulative trauma score and sexual abuse were the strongest predictors of dissociation. Furthermore, we have found that cumulative trauma score and dissociation were highly predictive of self-injurious behavior. CONCLUSION: Our results suggest that self-injurious behavior and dissociation in borderline patients can be regarded as indicators of childhood traumatization. Orv Hetil. 2017; 158(19): 740-747.

[Introduction to the lecture of Karoly Ozsvath].

No abstract available.

The two-faceted nature of impulsivity in patients with borderline personality disorder and substance use disorder.

BACKGROUND: Impulsivity, which has been the subject of extensive debate in psychiatric research, is a clinically important concept, especially with respect to Borderline Personality Disorder (BPD) and Substance Use Disorders (SUD). The current study aims to examine the presence of two aspects of impulsivity (self-reported impulsivity and delay discounting) in patients with BPD, SUD (alcohol use=AUD or drug use=DUD) and the combination of both disorders (BPD+SUD). METHODS: Patients were recruited from eight different mental health treatment service facilities. A total of 345 participants were assessed and divided into six groups: (1) healthy controls (non-BPD, non-SUD), (2) patients with BPD (non-SUD), (3) DUD (non-BPD), (4) AUD (non-BPD), (5) BPD+AUD and (6) BPD+DUD. RESULTS: The behavioural measure of impulsivity is more conservative than the results of self-reported impulsivity. Furthermore, ANOVA indicated that BPD and SUD have significant effects on self-reported impulsivity, even when demographic variables, income, other psychiatric symptoms or depression are considered as covariates. On the other hand, the main effects of BPD and SUD are mediated by psychiatric symptoms and depression when delay discounting is considered as a dependent variable. CONCLUSIONS: When self-reported, impulsivity is over-estimated as compared to reports based on behavioural measures. These results provide support for the notion that impulsivity is not a unitary construct, and that it instead has different manifestations in BPD and SUD patients.

[Sándor Ferenczi. Notes on a house purchase. 1930, 2011]. / Ferenczi Sándor. Egy házvetel margójára. 1930, 2011.

In 1983, just before his death, as the last official act of Pal Juhasz, the president of the Hungarian Psychiatric Association, placed a plaque to commemorate Sandor Ferenczi, the Hungarian psychiatrist and psychotherapist. In 2011 the Sándor Ferenczi Society, initiating an international collaboration, bought Sándor Ferenczi's original consulting office in his own villa, to establish a workplace, archive, and research centre there. The consulting office has been a significant station in the life work of the mature Ferenczi; his clinical and scientific work there had a significant influence on his colleagues and the development of modern psychoanalysis. We follow the vicissitudes of the purchase of the villa, the existential circumstances of the first psychoanalysts in their various historical phases, Ferenczi's invitations abroad, their impact on his relationships to Freud and colleagues. We follow Ferenczi's popularity in the International Psychoanalytic Association, in the light of his presidential candidacy, and the role of the villa in the fulfillment of Ferenczi's life work.

[Work load and work related stress factors among Hungarian psychiatrists]. / A munkamegterhelés és a munkával kapcsolatos stressztényezok a magyarországi pszichiáterek körében.

BACKGROUND: This study represents the continuation of previous research published in Psychiatria Hungarica in two papers, "The health of psychiatrists in Hungary" and "Hungarian psychiatrists' views on their career and future", which evaluated the quality of life of Hungarian psychiatrists. AIMS: To explore work-related stressors including workload among psychiatrists in Hungary. METHODS: Epidemiological study of a sample of psychiatrists (N=220) to explore the objective and subjective dimensions of workload and the level of burnout. RESULTS: We have found high prevalence of work-related stressors both in terms of objective factors (e.g., high number of work hours and multiple employment) and subjective factors (e.g., feeling stressed, over-loaded with work, lack of peer support, effort-reward inbalance). We have also found low levels of personal accomplishment, one of the dimensions of burnout. CONCLUSIONS: High levels of workload and work stress may adversely impact psychiatrists' health status and may thus have a negative effect on patient care, which may have significant public health consequences in terms of morbidity and mortality.

[Image of their careers and of the future of Hungarian psychiatrists]. / A hazai pszichiáterek pálya- és jövôképe.

AIM: Former studies call the attention to the somatic and mental dangers of the medical profession. There are some international data relating to the special risk factors of psychiatrists, but only a few Hungarian data are available. The evaluation of the image of the career is necessary because of the social changes and modifications of the health care system. METHODS: An anonymous questionnaire screening was performed by the support of the Hungarian Psychiatric Association in 2006. The questionnaire included sociodemographic data, items of the image of the career, questionnaires of the health status and work stress. The present paper summarizes the data relating to the career. RESULTS: The questionnaire was completed by 220 persons (60 males, 160 females). The mean age is 46.9 years. 59.4% of the males and 51.6% of the females work in a clinical/hospital setting, 22-22.9% in outpatient departments. 53.5% of the males and 51.3% of the females have at least two board examinations. In the career preference the personal interest was dominant (males: 86.2%, females: 71.0%). 89.3% of the males and 84.4% of the females would choose again the psychiatry. 35.0% of the males and 23.7% of the females plan to work abroad in five years. In the background of the migration tendency the better financial and work circumstances are predominant (72.5% and 28.8%), but special professional causes also play a role. The intention to come back is high (males: 81.0%, females: 86.8%). CONCLUSION: The data suggest a high level of professional call. However, the high rate of migration tendency relate to the insufficient work circumstances and low level of the social appreciation.

[Psychiatric and somatic morbidity among Hungarian psychiatrists]. / A magyarországi pszichiáterek egészségi állapota.

BACKGROUND: A growing body of evidence in the international literature suggests that the prevalence of psychiatric morbidity including suicide is high among psychiatrists. Based on these data, we hypothesised that the prevalence of psychiatric and somatic morbidity is higher among psychiatrists in Hungary compared to the other graduate population. Aims. To assess the psychiatric and somatic health status of psychiatrists in Hungary. METHODS: Data for this epidemiological study were collected from 160 female and 60 male psychiatrists using questionnaires. 1,754 white collar female and male workers from a representative survey (Hungarostudy 2002) and 407 representative physicians served as controls. RESULTS: We found that the prevalence of chronic somatic morbidity among both female and male physicians was significantly higher than that in the respective control groups. The prevalence of malignancies, diabetes, renal impairment, depression, hypertension, myocardial infarction and cardiovascular diseases, other infectious diseases, allergies and gastrointestinal ulcers was higher among male psychiatrists compared to controls. Female psychiatrists exhibited higher prevalence of malignant diseases, liver disease, depression, hypertension, myocardial infarction, other infectious diseases, bronchial asthma, other pulmonary and cardiovascular diseases, allergies, gastrointestinal diseases including ulcer, ophthalmologic and gynecological disorders compared to the other graduate and female physician population. A significantly higher prevalence of maternal reproductive morbidity including miscarriage, therapeutic termination of pregnancy, high-risk pregnancy among female psychiatrists was found compared to women in the control groups. CONCLUSIONS: The prevalence of psychiatric and somatic morbidity is higher among physicians compared with that in the normative population. Furthermore, female physicians consumed more anxiolytics, reported exhaustion more frequently, and exhibited poorer health maintenance behaviours than male colleagues. Increased mortality among Hungarian physicians may be attributed to high prevalence of somatic and psychiatric morbidity and inattentive health behaviours.

[The way out from crisis--from the closing of the National Psychiatric and Neurologic Institute (OPNI) to Semmelweis University]. / A válságlói kivezetô út--az OPNI megszûnésétôl a Semmelweis Egyetemig.

In our recent article we attempt to sum up the circumstances of the closing-down of the National Psychiatric and Neurologic Institute (OPNI). We intend to summarize the values that may disappear by the liquidation of the institute and try to explore the possibilities how to keep them alive in the future. Most of the divisions can operate further under the umbrella of the Semmelweis University; the modus operandi and the role of the University are also covered in this article.