{"title":"Pathways to mental healthcare in high-income and low-income countries","authors":"E. Sorketti, N. Zuraida, M. H. Habil","doi":"10.1192/S1749367600003775","DOIUrl":"https://doi.org/10.1192/S1749367600003775","url":null,"abstract":"Understanding the way in which people seek care for mental disorders is important for planning services, training and referral mechanisms. Pathways to care fall broadly into three categories: via primary care physicians; via native healers; and via patient choice (patients can have direct access to mental health professionals). The pattern and nature of access to service in low-income countries are different from those in high-income countries. In many societies, deep-seated cultural beliefs on the part of patients and families about the causes of mental disorders are a major barrier to the receipt of modern psychiatric care.","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"10 1","pages":"45 - 47"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1192/S1749367600003775","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66152829","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}
{"title":"Australia's mental health legislation.","authors":"Kenneth C Kirkby, Scott Henderson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Australia has a generally progressive approach to mental health law, reflective of international trends in human rights. Responsibility for most legislation is vested in the six States and two Territories, a total of eight jurisdictions, such that at any given time several new mental health acts are in preparation. In addition there is a model mental health act that promotes common standards. Transfer of orders between jurisdictions relies on Memoranda of Understanding between them, and is patchy. State and Territory legislation is generally cognisant of international treaty obligations, which are themselves the preserve of the Federal Parliament and legislature. UK legislation has had a key influence in Australia, the 1959 Mental Health Act in particular, with its strong emphasis on voluntary hospitalisation, prefacing deinstitutionalisation.</p>","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"10 2","pages":"38-40"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6735097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141728540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of religion and culture on mental disorders among Egyptians.","authors":"Wafaa Gadelkarim, Manal El-Maraghy, Akeem Sule","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This review looks at the long-established customs and religious beliefs, as well as social and family structures, affecting the symptoms of psychiatric disorders among Egyptian people. It considers reactions to emotional distress and dysfunctionality. Some light is also shed on the healthcare system.</p>","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"10 2","pages":"48-50"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/76/44/IP-10-48.PMC6735091.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41223218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Physical and mental illnesses: implications of similarities and differences for services and law","authors":"Sean Roche","doi":"10.1192/S1749367600003684","DOIUrl":"https://doi.org/10.1192/S1749367600003684","url":null,"abstract":"It appears self-evident that psychiatry should be classified as a particular specialty within the broader field of medicine. Psychiatrists, being first and foremost doctors, have undertaken an identical basic training to their physician and surgical peers and, as in general medicine and surgery, the biomedical model is a central pillar of psychiatric practice. Within psychiatry, signs and symptoms are elicited, diagnoses made and very often physical interventions (in the form of psychotropic agents) are employed. However, familiar institutional conventions can conceal the fact that psychiatry suffers from greater uncertainty regarding its conceptual foundations than other fields of medicine. In fact, the conceptual challenges arising within psychiatry are reflected in its thriving field of philosophy, and although there exists a dedicated philosophy of medicine, no other specialty is equal to psychiatry’s breadth of conceptual debate.","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"10 1","pages":"28 - 30"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66151667","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}
{"title":"Attitudes towards sexual minorities among Chinese people: implications for mental health","authors":"Joseph Wu, D. Kwok","doi":"10.1192/S1749367600003714","DOIUrl":"https://doi.org/10.1192/S1749367600003714","url":null,"abstract":"Heterosexuality continues to be regarded and adopted as a norm in the majority of Asian societies. In Hong Kong, lesbians and gay men are still encountering unfavourable attitudes from the general public (such as stereotyping and discrimination). This paper briefly reviews the legal and cultural context and notes in particular the situation in schools.","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"10 1","pages":"33 - 34"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1192/S1749367600003714","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66151983","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}
{"title":"Dangerousness and mental health treatment: civil commitment in the USA","authors":"M. Vitacco, J. Degroot","doi":"10.1192/S1749367600003751","DOIUrl":"https://doi.org/10.1192/S1749367600003751","url":null,"abstract":"Civil commitment standards in the USA have undergone dramatic changes over the past 50 years. The relevant statutes have largely focused on treatment, but how this treatment has been administered and the placement of individuals undergoing commitment have been dynamic. There have also been changes in commitment as it relates to sexual offenders and individuals deemed not competent to proceed to trial. As legislatures strive to find a balance between mandated treatment and civil liberties, changing standards of commitment provide opportunities for scholarship and research.","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"10 1","pages":"40 - 42"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66152443","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}
{"title":"Dangerousness and mental health treatment: civil commitment in the USA.","authors":"Michael J Vitacco, James Degroot","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Civil commitment standards in the USA have undergone dramatic changes over the past 50 years. The relevant statutes have largely focused on treatment, but how this treatment has been administered and the placement of individuals undergoing commitment have been dynamic. There have also been changes in commitment as it relates to sexual offenders and individuals deemed not competent to proceed to trial. As legislatures strive to find a balance between mandated treatment and civil liberties, changing standards of commitment provide opportunities for scholarship and research.</p>","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"10 2","pages":"40-42"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/db/5f/IP-10-40.PMC6735096.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41223217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sources of anxiety about (and among) sexual minorities in Africa","authors":"M. Epprecht","doi":"10.1192/S1749367600003726","DOIUrl":"https://doi.org/10.1192/S1749367600003726","url":null,"abstract":"There is a perceived increase in incidents of rhetoric, legislation and vigilantism against sexual minorities and their allies across Africa. This ‘African homophobia’ is counter to human rights conventions, public health best practices and sound economic development. The paper reviews areas of progress as well as the broad economic and cultural contexts for the experiences of African sexual minorities.","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"10 1","pages":"35 - 37"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66152227","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}
{"title":"Physical and mental illnesses: implications of similarities and differences for services and law.","authors":"Sean Roche","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It appears self-evident that psychiatry should be classified as a particular specialty within the broader field of medicine. Psychiatrists, being first and foremost doctors, have undertaken an identical basic training to their physician and surgical peers and, as in general medicine and surgery, the biomedical model is a central pillar of psychiatric practice. Within psychiatry, signs and symptoms are elicited, diagnoses made and very often physical interventions (in the form of psychotropic agents) are employed. However, familiar institutional conventions can conceal the fact that psychiatry suffers from greater uncertainty regarding its conceptual foundations than other fields of medicine. In fact, the conceptual challenges arising within psychiatry are reflected in its thriving field of philosophy, and although there exists a dedicated philosophy of medicine, no other specialty is equal to psychiatry's breadth of conceptual debate.</p>","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"10 2","pages":"28-30"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f0/20/IP-10-28.PMC6735093.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41223219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Health and homosexuality: a world-view","authors":"D. Skuse","doi":"10.1192/S1749367600003696","DOIUrl":"https://doi.org/10.1192/S1749367600003696","url":null,"abstract":"InternatIonal PsychIatry Volume 10 Number 2 may 2013 nexus (family therapy, occupational therapy, social support). More broadly, psychiatric public health should address the social matrix at a population level; such a therapeutic framework is provided by the ‘ecological public health’ articulated by Lang & Rayner (2012), which integrates material, bio logical, social and cultural aspects in understanding the determinants of disease. This raises the issue of the purpose of mental health law, which tends to relate to ‘risk’. Attention is therefore narrowed to individuals, but this forecloses consideration of those social factors that have brought a person before the law or a mental health review tribunal. There are examples in medicine of the healthpromoting use of law, such as the restriction of tobacco advertising and in Scotland the minimum pricing of alcohol. The Marmot review found social inequality to be detrimental to physical and mental health (Marmot et al, 2010). Perhaps greater public funds should be dedicated to policies or laws that modify the ‘meaningful’ aspects of the social matrix in the promotion of mental well-being.","PeriodicalId":88529,"journal":{"name":"International psychiatry : bulletin of the Board of International Affairs of the Royal College of Psychiatrists","volume":"25 1","pages":"30 - 30"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66152193","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}