Detlef Bunk

Detlef Bunk
University of Duisburg-Essen - LVR Clinic · Child and Adolescent Psychiatry

Dr. phil., Dipl. Psychologist, certified psychotherapist (adults and children)
Supervisor in therapist training / education and systemic therapy

About

35
Publications
14,954
Reads
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487
Citations
Additional affiliations
January 1990 - May 2003
University of Duisburg-Essen
Position
  • 1990-2003 Head of Ambulant Treatment Unit
January 1981 - June 2003
University Hospital Essen
Position
  • Senior Researcher / Psychologist
Description
  • Cognitve dysfunction, long term follow up schizophrenia research, ADHD, Systemic Therapy

Publications

Publications (35)
Article
Knapp 60% der von uns untersuchten Patienten mit einer kindlichen Schizophrenie (Erkrankungsbeginn zwischen 7 und 14 Jahren) zeigten bereits prämorbid Auffälligkeiten ihrer emotionalen und sozialen Entwicklung. Es bestand eine signifikante Korrelation zwischen hohen M-PASScores einerseits und frühem Erkrankungsalter, schleichendem Beginn und Negati...
Article
Full-text available
Childhood-onset schizophrenia (COS, age of onset between 7 and 14 years) is a rare and severe form of the disorder. The prevalence is about 1 / 50 of the rate of adult-onset schizophrenia. In COS-children emotional, cognitive and behavioural abnormalities are often seen years before illness onset. Premorbid symptoms including social withdrawal, iso...
Conference Paper
Full-text available
The relevance of problemsolving research for Systemic Therapy and Supervision (in German).
Article
Full-text available
Objective: The premorbid development of 44 DSM IV-diagnosed childhood-onset schizophrenia (COS-) patients of the ESSEN long-term study is screened for behavioral peculiarities. The empirical approach shall identify symptoms of premorbid disorders that extend the behavioral domains covered by the Modified Premorbid Adjustment Scale (M-PAS) which foc...
Article
Full-text available
The main results of two long-term studies of the Essen project of early onset schizophrenia are presented. 44 patients with childhood onset schizophrenia (COS) and 44 patients with adolescent onset schizophrenia (AdOS) were psycho- pathologically investigated after a follow-up time of 42 years and I 5 years, respectively. ln about 50 % of the COS a...
Conference Paper
Full-text available
Rechenschäche ist nicht per se als Krankheit einzustufen. Für uns als Kliniker ist bedeutsam festzustellen, inwieweit das Kind unter seinem Handicap leidet und demzufolge stützende psychotherapeutische Maßnahmen und eine familiäre Beratung im Umgang mit Lernmißerfolgen erfordert. Folgt man dem Erlass des Kultusministers NRW bezüglich der Lese-Rech...
Article
Full-text available
The problems children with attention-deficit/hyperactivity disorder (ADHD) encounter in tasks measuring inhibitory control are often theoretically related to deficits in cognitive processes. This study investigated the effects of different motivational incentives on the ability of children to inhibit intended or ongoing actions. In a large German i...
Article
Full-text available
Research on communication skills in psychotic patients demonstrates that in dialogues schizophrenics neglect the needs of the listener. There are only few linguistic studies which investigate the speech of schizophrenic children and adolescents. The verbal and non-verbal communication of schizophrenic, neurotic, and healthy adolescents during a pro...
Article
Full-text available
This study reports on the long-term course of 11 patients (6 girls, 5 boys) with childhood onset schizophrenia (COS, age at onset < 10 years). Patients were examined twice (mean follow-up period 38 years after onset). The premorbid development is assessed in terms of the Modified Premorbid Adjustment Scale (M-PAS) and additionally described by dist...
Conference Paper
Full-text available
Lecture on the 3rd International Conference on PSYCHOLOGICAL TREATMENTS FOR SCHIZOPHRENIA, Oxford England, 23rd & 24th September 1999, Institute of Psychiatry, The University of Manchester. Abstract: In 11 COS patients (age of onset < 11 years) Eggers et al. (2000, in press) observed a wide range of striking premorbid symptoms which could not be ex...
Article
Full-text available
Summary: A classification system tends to differentiate utterances of the test persons (healthy, neurotic and schizophrenic adolescents, n = 10) as well as of the experimenter in a standardized conversation situation as to whether they correspond to the expectations of the communication partners. Shifts of the discourse objective can be identified....
Article
Full-text available
We present the results of a 42 year long-term follow-up of 44 patients (19 males, 25 females) with childhood-onset schizophrenia (COS, age at onset: 7-14 years) who could be traced for a second follow-up examination 27 years after the first follow-up. Data from interviews, clinical records, premorbid and social disability assessments were evaluated...
Article
Full-text available
The symptom dimensions of childhood-onset schizophrenia (COS) are described by focussing on the clinical features of 44 patients at onset of illness during the first episode and at follow-up investigation 42 years after onset. All subjects were re-diagnosed according to DSM IV. The symptomatology was evaluated with the Positive and Negative Symptom...
Article
Full-text available
Summary: Learning-, motor skills-, or communication disorders are diagnosed when the individual's achievement on standardized tests in one of these developmental scopes is below that expected for age, schooling, level of intelligence. These specific developmental delays are risk factors for later psychiatric disorders. Differential diagnosis must e...
Article
Full-text available
Forty-four first-admission patients with childhood-onset schizophrenia (age at onset < or = 14 years) were examined retrospectively for 30 clinical symptoms using the Positive and Negative Syndrome Scale (PANSS; 15). A principal component analysis with varimax rotation was applied to the full item set of this scale and revealed five orthogonal inde...
Article
Full-text available
Forty-four first-admission patients with childhood-onset schizophrenia (age at onset ≤14 years) were examined retrospectively for 30 clinical symptoms using the Positive and Negative Syndrome Scale (PANSS;15). A principal component analysis with varimax rotation was applied to the full item set of this scale and revealed five orthogonal independent...
Article
Full-text available
Examined factors for assessing childhood-onset schizophrenia. Human Ss: 44 male and female German adults (childhood-onset schizophrenia). Ss were examined retrospectively for schizophrenic symptoms. Cognition affect, social withdrawal, anti-social behavior, excitement and reality distortion were assessed as orthogonal symptom groups. The relation b...
Article
Full-text available
We present the results of a 42 years long-term follow-up of 44 patients (19 males, 25 females) with childhood onset schizophrenia (COS, age at onset: 7 - 14 years). The 44 patients could be traced for a 2(nd) follow-up examination 27 years after the first follow-up. 13 patients of the original sample of 57 had died or moved away with unknown destin...
Article
Full-text available
This article presents results of a 42-year long-term followup of 44 patients (19 males, 25 females) with childhood-onset schizophrenia. Age at onset ranged from 6 to 14 years (mean =11.8 years). The patients and their first-degree relatives were interviewed in 1994, 27 years after the first followup, by the same investigator with the Present-State...
Article
Full-text available
This study focuses on psychiatric disorders following extreme traumatisation experienced by children born during the Holocaust in World War II. According to numerous epidemiological investigations and case studies on survivors who lived through the Holocaust as children or in adulthood, these traumatic experiences are associated with a higher risk...
Article
Full-text available
Untersuchungsgegenstand sind die Nachwirkungen extremer psychophysischer Belastungen als Folge national-sozialistischer Verfolgungsmaßnahmen bei Personen, die während der Verfolgung ihrer Eltern oder kurz davor geboren wurden. In epidemiologischen Studien und Verlaufsuntersuchungen wurde bei überlebenden Erwachsenen und Kindern wiederholt ein erhöh...
Article
Full-text available
Conditioned blocking tests for the use of superfluous (irrelevant) information in task-solving. Paranoid psychotic, obsessive-compulsive and healthy subjects usually showed normal blocking, but non-paranoid subjects tended to learn about the superfluous stimulus. Attenuated blocking was usually associated with increased dopamine utilization measure...
Chapter
Full-text available
SUMMARY / OJECTIVE: Creative problem-solving behavior in an everyday situation is rarely investigated in psychiatric disorders. Problem-solving requires the production of information about the contradicting properties of the problem to develop new actions (operators) for avoiding loss of control over the situation. Decreasing control leads to an em...
Article
Full-text available
The Background Interference Procedure (BIP) is an improved psychological test to discriminate brain damaged and non brain damaged adults. In the present study the efficiency of the BIP was compared to the psychometric standard for children, the Göttinger Formenreproduktions-Test, in a sample of 14 girls and 26 boys between 7 and 13 years with minim...
Book
Der Ansatz dieser empirisch vergleichenden Untersuchung von Detlef Bunk ist gegenüber bisherigen Forschungen durch drei Innovationen gekennzeichnet: Theoretisch wird Problemlösen im Rahmen einer systemischen Betrachtungsweise untersucht. Im Mittelpunkt stehen nicht separate Informationsverarbeitungstrategien, sondern die Organisation mehrerer kog...
Chapter
The use of current research methods for the study and analysis of records deriving from longitudinal studies of patients’ illnesses gives rise to a number of problems for which there are no simple satisfactory solutions. In the process of diagnosis one is faced with a range of events and symptoms that appear during the course of the illness. The me...
Article
Full-text available
Die Arbeit geht aus von der ätiologischen Bedeutung perzeptiv-kognitiver Dysfunktionen für psychotische Erkrankungen des Kindes- und Jugendalters. Es wird der Frage nachgegangen, ob sich drei verschiedene psychiatrische Patientengruppen hinsichtlich der allgemeinen Intelligenz, der visuellen Figur-Hintergrunddifferenzierung und anderer cerebraler F...

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