World Social Psychiatry最新文献_第5页

Debate: Suicide is a Societal, not a Mental Health or Even a Public Health Problem 辩论:自杀是一个社会问题，而不是心理健康问题，甚至不是公共健康问题

World Social Psychiatry Pub Date : 2021-09-01 DOI: 10.4103/wsp.wsp_62_21

D. Goel, Brian Dennis, Alok Sarin

引用次数: 0

Challenges for Ibero-American Psychiatry from a Moral Standpoint 从道德角度看伊比利亚-美洲精神病学的挑战

World Social Psychiatry Pub Date : 2021-09-01 DOI: 10.4103/wsp.wsp_52_21

F. Lolas

{"title":"Challenges for Ibero-American Psychiatry from a Moral Standpoint","authors":"F. Lolas","doi":"10.4103/wsp.wsp_52_21","DOIUrl":"https://doi.org/10.4103/wsp.wsp_52_21","url":null,"abstract":"Departing from the notion that psychiatry as a discipline renovates through invention, innovation, and transformation, this paper presents an approach to the syncretic characteristics of Ibero-American psychiatry stressing the essential role of translation in the reception, adoption, and implementation of knowledge and practices developed in other regions of the world. This applies both to scientific and humanistic dimensions of psychiatry, considering that as a praxiology or science of actions deals with embodied persons embedded in cultures that need to be considered in the process of diagnosis, treatment, and prevention. This involves translational humanities considering that basic axioms concerning human nature need a reflective equilibrium between beliefs, constructs and real conditions of practice. The innovations put forward by Ibero-American psychiatry, and expressed through modifications in institutions and concepts, can be studied against the background of the moral determinants of health, a comprehensive concept beyond the usual conceptualization of social determinants. The limitations imposed by scarce resources, shortage of trained practitioners, political instability, poverty, and economic dependence are a reminder that the challenges ahead are not only technical but moral as well.","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129982780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Need for a Paradigm Shift to Person-Centered Medicine during Pandemic Times 大流行时期向以人为本的医学模式转变的必要性

World Social Psychiatry Pub Date : 2021-09-01 DOI: 10.4103/wsp.wsp_55_21

R. Kallivayalil, A. Enara

{"title":"The Need for a Paradigm Shift to Person-Centered Medicine during Pandemic Times","authors":"R. Kallivayalil, A. Enara","doi":"10.4103/wsp.wsp_55_21","DOIUrl":"https://doi.org/10.4103/wsp.wsp_55_21","url":null,"abstract":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection has completely changed how the world looks at medicine. Unfortunately, the larger focus has been on the physical health only – epidemiology, clinical features, prevention of transmission, and management and there is very little focus on mental health and stigmatization. The 2019 coronavirus disease (COVID-19) has caused universal psychosocial impact by causing emotional disturbances, economic burden, and financial losses on a massive scale. Effects such as posttraumatic stress disorder, depression, anxiety, obsessive–compulsive symptoms, and insomnia in the post infection period have been reported among COVID-19 survivors. With disease progression, clinical symptoms become severe and infected patients may develop psychological problems. With exponential growth in the number of daily COVID-19 cases since March, 2021, India reported more than 400,000 new cases daily on May 1, 2021. India's COVID-19 surge could have become a regional disaster impacting all of south Asia. However, India has successfully avoided that disaster by strengthening the surveillance systems, imposing travel restrictions, lockdowns, and mandatory travel quarantine for individuals returning from infected areas. These were necessary to control the spread of SARS-CoV-2. The situation in India required urgent, bold measures and close cooperation between India and the global community. Currently, free vaccinations for the whole population are being given. With 1.4 billion people, this is going to be a massive effort. The pandemic and the aftermath need a paradigm shift from our traditional medical care models to one that is person centered. A person-centered model of care will be best solution here and all across the world. This is especially so, when we are fighting a disastrous pandemic.","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125122227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Can Microfinance-Based Poverty Alleviation Programs Help Patients with Severe Mental Illness? 基于小额信贷的扶贫项目能帮助患有严重精神疾病的患者吗?

World Social Psychiatry Pub Date : 2021-09-01 DOI: 10.4103/wsp.wsp_57_21

A. Javed, F. Naeem

{"title":"Can Microfinance-Based Poverty Alleviation Programs Help Patients with Severe Mental Illness?","authors":"A. Javed, F. Naeem","doi":"10.4103/wsp.wsp_57_21","DOIUrl":"https://doi.org/10.4103/wsp.wsp_57_21","url":null,"abstract":"Background: While the social security programs offer financial assistance to patients with severe mental illness in high-income countries, no such systems exist in low- and middle-income countries. During recent years, poverty alleviation programs have been found to alleviate poverty in many countries. However, such programs have not been tried in persons with severe mental illness. We report 1-year outcomes of a microfinance program to alleviate poverty in patients with schizophrenia in a low-income country. Objectives: The objectives were to assess the feasibility and acceptability of a poverty alleviation program and to study the effect of the program on clinical and financial variables. Methods: Twenty-five (25) unemployed, young persons (19–35) with severe mental illness living with the family were recruited into a microfinance-based poverty alleviation program. Feasibility was assessed through recruitment and retention. Psychopathology and functioning were assessed through Positive and Negative Syndrome Scale (PANSS), Brief Psychiatric Rating Scale, and Global Assessment of Functioning at baseline and 12 months. Results: The program was feasible and acceptable, with excellent recruitment and retention rates. There were statistically significant improvements in PANSS-positive symptoms (P < 0.000), PANSS-negative symptoms (P < 0.000), PANSS-general score (P < 0.000), and functioning (P < 0.001). At 12 months, participants earned an average of $USD 40/month, with an average of $USD 10 spent on medication, $USD 12.5 on loan repayment, and $USD 17.5 contribution to family living. Conclusions: Poverty alleviation programs can be used to help younger persons with severe mental illness. However, this study has numerous limitations, and there is a need to conduct definitive trials in this area.","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126050846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Lessons from COVID-19 Pandemic and Social Psychiatry COVID-19大流行和社会精神病学的教训

World Social Psychiatry Pub Date : 2021-09-01 DOI: 10.4103/wsp.wsp_53_21

R. Murthy

引用次数: 0

Early Career Psychiatry Section – World Association of Social Psychiatry – History and Future Directions 早期职业精神病学部分-世界社会精神病学协会-历史和未来方向

World Social Psychiatry Pub Date : 2021-09-01 DOI: 10.4103/wsp.wsp_48_21

A. Enara, D. Banerjee, A. Tripathi

引用次数: 1

Rethinking Recovery in Mental Illness - Integrating Physical and Mental Health 重新思考心理疾病的康复-整合身心健康

World Social Psychiatry Pub Date : 2021-09-01 DOI: 10.4103/wsp.wsp_59_21

K. Muliyala, P. Murthy

引用次数: 1

Anthropology, Social Psychiatry, and Mental Health 人类学，社会精神病学和心理健康

World Social Psychiatry Pub Date : 2021-09-01 DOI: 10.4103/wsp.wsp_54_21

R. Bennegadi

引用次数: 0

Challenges to the Medical World during Pandemic: Looking for Innovations 大流行期间医学界面临的挑战:寻求创新

World Social Psychiatry Pub Date : 2021-09-01 DOI: 10.4103/wsp.wsp_49_21

R. Chadda, R. Bennegadi

引用次数: 0

A Process Narrative of Developing a Mobile App (Saksham) for Patients with Schizophrenia and Related Disorders in Low-Resource Settings 在低资源环境下为精神分裂症及相关疾病患者开发移动应用程序(Saksham)的过程叙述

World Social Psychiatry Pub Date : 2021-09-01 DOI: 10.4103/wsp.wsp_67_21

M. Sood, Nishtha Chawla, T. Shukla, Rekha Patel, Pushpendra Singh, M. Mohan, S. Singh, R. Chadda

{"title":"A Process Narrative of Developing a Mobile App (Saksham) for Patients with Schizophrenia and Related Disorders in Low-Resource Settings","authors":"M. Sood, Nishtha Chawla, T. Shukla, Rekha Patel, Pushpendra Singh, M. Mohan, S. Singh, R. Chadda","doi":"10.4103/wsp.wsp_67_21","DOIUrl":"https://doi.org/10.4103/wsp.wsp_67_21","url":null,"abstract":"Schizophrenia and related psychotic disorders cause significant disability and burden. Majority of these patients receive minimal psychosocial care. Globally, there has been explosive growth of telecom network with high internet penetration even in low-resource settings like India that has the second largest network in the world. Mobile apps for these patients have been designed in high-income countries. The studies from low and middle-income countries are lacking. Over this background, we aimed to develop a mobile app for patients with schizophrenia and related disorders for a funded project by an interdisciplinary team comprising of mental health professionals and computer science engineers. The plan was to conduct focused group discussions (FGDs) to assess needs and viewpoints of the stakeholders, followed by designing of text-based modules that would be digitally transformed into mobile-based application for use by the intended participants. Six key domains were identified in FGDs for intervention: medication adherence, activities of daily living, promoting physical health, engagement in meaningful work, building of social and support networks, and psychoeducation. We developed a mobile app (Saksham) for both patients with schizophrenia and their caregivers in English and Hindi. The development process was complex and passed through many phases. Saksham app was subsequently deployed in the research project. In this paper, we document the process of designing the mobile app with an aim to guide future developers and sensitize them about the inherent complexities in this endeavor.","PeriodicalId":285109,"journal":{"name":"World Social Psychiatry","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131205270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0