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Le Medecin Generaliste Face A Linstitution Psychiatrique
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Book Synopsis Le médecin généraliste face à l'institution psychiatrique by : Paul Coulon
Download or read book Le médecin généraliste face à l'institution psychiatrique written by Paul Coulon and published by . This book was released on 1975 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Les attentes des patients hospitalisés en psychiatrie vis-à-vis de leur médecin généraliste by : Marc Boutineau
Download or read book Les attentes des patients hospitalisés en psychiatrie vis-à-vis de leur médecin généraliste written by Marc Boutineau and published by . This book was released on 2019 with total page 67 pages. Available in PDF, EPUB and Kindle. Book excerpt: Les consultations de médecine générale d'ordre psychiatrique représentent entre 10 et 15% de l'activité des médecins généralistes en France et environ 15% des dépenses de l'assurance maladie. La prise en charge de ces patients est le plus souvent complexe, pluridisciplinaire et repose sur une bonne communication entre le médecin traitant et le psychiatre. Le rôle du médecin généraliste est multiple. Il comprend celui de premier recours, de prise en charge globale, de continuité des soins, de coordination de soins et de santé publique. Le suivi somatique des patients atteints de maladies psychiatriques sévères a fait l'objet de recommandations de bonnes pratiques en 2015. L'objectif de notre étude était de déterminer les attentes des patients hospitalisés en psychiatrie vis-à-vis de leur médecin généraliste. Étude qualitative réalisée à partir de 12 entretiens semi-dirigés réalisés auprès de patients hospitalisés à l'hôpital psychiatrique de Fitz-James, analysée selon la méthode de la théorie ancrée. Les résultats de l'étude mettaient en évidence des similitudes entre les attentes de patients psychiatriques et la population générale. Les patients interrogés attendaient un diagnostic et une prescription médicamenteuse. Une demande d'orientation adaptée était souvent retrouvée. Les patients attendaient de l'écoute et un altruisme de la part du médecin généraliste. Le médecin traitant avait également pour rôle de coordonner leurs soins et de les prendre en charge globalement. Il était demandé au médecin d'être disponible et de prendre son temps durant les consultations. La demande de soutien psychologique et de prise en charge sur le plan psychiatrique par le médecin généraliste était très variable. Les attentes des patients atteints de pathologies psychiatriques sont nombreuses et variées. Peu de patients interrogés étaient conscients de l'importance de leur suivi somatique. Le médecin généraliste reste le médecin de premier recours de ces patients dans la plupart des cas. Les attentes de ces patients présentaient également des particularités. La demande de soutien psychologique par le médecin traitant était variable et dépend en grande partie de la relation médecin-malade. De plus une dichotomie entre les problématiques relevant du somatique et celles relevant de la psychiatrie a été retrouvée chez plusieurs patients interrogés. Ces derniers n'évoquaient volontairement pas leurs troubles psychiatriques auprès de leur médecin généraliste lorsqu'ils sont déjà suivis par le psychiatre. Ces patients n'attendaient pas ou peu de prise en charge de la part du médecin généraliste sur cet aspect. Les problèmes d'ordres psychiatriques de ces patients étaient alors exclusivement pris en charge par le psychiatre. Le médecin généraliste doit être à l'écoute des patients présentant un trouble psychiatrique dans le but de former une alliance thérapeutique pour assurer son suivi somatique. Il peut initier la prise en charge psychiatrique de ces patients avant une orientation vers le psychiatre en fonction de la qualité de la relation médecin-malade et de ses propres compétences.
Download or read book World Hospitals written by and published by . This book was released on 1964 with total page 624 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Migration, Mental Health and Community Services by : Henry Philip David
Download or read book Migration, Mental Health and Community Services written by Henry Philip David and published by . This book was released on 1967 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Canadian Journal of Psychiatry written by and published by . This book was released on 1991 with total page 604 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Console and Classify by : Jan Goldstein
Download or read book Console and Classify written by Jan Goldstein and published by CUP Archive. This book was released on 1990-11-30 with total page 436 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book PASCAL explore written by and published by . This book was released on 1987 with total page 1088 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Inheriting Madness by : Ian Dowbiggin
Download or read book Inheriting Madness written by Ian Dowbiggin and published by Univ of California Press. This book was released on 1991-05-14 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: Historically, one of the recurring arguments in psychiatry has been that heredity is the root cause of mental illness. In Inheriting Madness, Ian Dowbiggin traces the rise in popularity of hereditarianism in France during the second half of the nineteenth century to illuminate the nature and evolution of psychiatry during this period. In Dowbiggin's mind, this fondness for hereditarianism stemmed from the need to reconcile two counteracting factors. On the one hand, psychiatrists were attempting to expand their power and privileges by excluding other groups from the treatment of the mentally ill. On the other hand, medicine's failure to effectively diagnose, cure, and understand the causes of madness made it extremely difficult for psychiatrists to justify such an expansion. These two factors, Dowbiggin argues, shaped the way psychiatrists thought about insanity, encouraging them to adopt hereditarian ideas, such as the degeneracy theory, to explain why psychiatry had failed to meet expectations. Hereditarian theories, in turn, provided evidence of the need for psychiatrists to assume more authority, resources, and cultural influence. Inheriting Madness is a forceful reminder that psychiatric notions are deeply rooted in the social, political, and cultural history of the profession itself. At a time when genetic interpretations of mental disease are again in vogue, Dowbiggin demonstrates that these views are far from unprecedented, and that in fact they share remarkable similarities with earlier theories. A familiarity with the history of the psychiatric profession compels the author to ask whether or not public faith in it is warranted.
Book Synopsis Policies and Practices for Mental Health in Europe by :
Download or read book Policies and Practices for Mental Health in Europe written by and published by WHO Regional Office Europe. This book was released on 2008 with total page 209 pages. Available in PDF, EPUB and Kindle. Book excerpt: This WHO report co-funded by the European Commission gives an overview of policies and practices for mental health in 42 Member States of the European Region. A large majority of countries have made significant progress over the past few years, and several are world leaders in mental health promotion, mental disorder prevention activities, service reform and human rights. Nevertheless, this report also identifies weaknesses in Europe, some systematic, such as a lack of consensus on definitions, and of compatible data collection, and others such as the need for development and investment across several areas. It identifies gaps in information where further work must be done, and is a baseline against which progress can be measured towards the vision and the milestones of the Mental Health Declaration for Europe. The data were obtained from the ministries of health of 42 European Member States. Over 150 figures and tables in the report demonstrate the diversity across the European Region, and allow country to country comparisons of indicators such as numbers of psychiatrists, financing, community services, training of the workforce, the prescription of anti-depressants and representation of users and carers.
Book Synopsis Recueils de jurisprudence du Québec by :
Download or read book Recueils de jurisprudence du Québec written by and published by . This book was released on 1989 with total page 1100 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The SAGE Handbook of Mental Health and Illness by : David Pilgrim
Download or read book The SAGE Handbook of Mental Health and Illness written by David Pilgrim and published by SAGE Publications. This book was released on 2011 with total page 569 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title integrates the conceptual, empirical and evidence-based threads of mental health as an area of study, research and practice. It approaches mental health from two perspectives - firstly as a positive state of well-being and secondly as psychological difference or abnormality in its social context.
Book Synopsis Continual Permutations of Action by : Anselm L. Strauss
Download or read book Continual Permutations of Action written by Anselm L. Strauss and published by Routledge. This book was released on 2017-09-08 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: Richard Bernstein expressed the view that pragmatism was ahead of its time; the same has been true of symbolic interactionism. These two closely related perspectives, one philosophical and the other sociological, place human action at the center of their explanatory schemes. It has not mattered what aspect of social or psychological behavior was under scrutiny. Whether selves, minds, or emotions, or institutions, social structures, or social change, all have been conceptualized as forms of human activity. This view is the simple genius of these perspectives. Anselm Strauss always took ideas pertaining to action and process seriously. Here he makes explicit the theory of action that implicitly guided his research for roughly forty years. It is understood that Strauss accepts the proposition that acting (or even better, interacting) causes social structure. He lays the basis for this idea in the nineteen assumptions he articulates early in the book--assumptions that elaborate and make clearer Herbert Blumer's famous premises of symbolic interactionism. The task Strauss put before himself is how to keep the complexity of human group life in front of the researcher/theorist and simultaneously articulate an analytical scheme that clarifies and reveals that complexity. With these two imperfectly related issues before him, Strauss outlines an analytical scheme of society in action. It is a scheme that rests not on logical necessity but on research and observation, and the concepts he uses are proposed because they do a certain amount of analytical work. One would be well advised to take Continual Permutations of Action very seriously.
Book Synopsis Cultural Consultation by : Laurence J. Kirmayer
Download or read book Cultural Consultation written by Laurence J. Kirmayer and published by Springer Science & Business Media. This book was released on 2013-08-15 with total page 365 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on a recently completed project of cultural consultation in Montreal, Cultural Consultation presents a model of multicultural and applicable health care. This model used clinicians and consultants to provide in-depth assessment, treatment planning, and limited interventions in consultation with frontline primary care and mental health practitioners working with immigrants, refugees, and members of indigenous and ethnocultural communities. Evaluation of the service has demonstrated that focused interventions by consultants familiar with patients’ cultural backgrounds could improve the relationship between the patient and the primary clinician. This volume presents models for intercultural work in psychiatry and psychology in primary care, general hospital and specialty mental health settings. The editors highlight crucial topics such as: - Discussing the social context of intercultural mental health care, conceptual models of the role of culture in psychopathology and healing, and the development of a cultural consultation service and a specialized cultural psychiatric service - Examining the process of intercultural work more closely with particular emphasis oto strategies of consultation, the identity of the clinician, the ways in which gender and culture position the clinician, and interaction of the consultant with family systems and larger institutions - Highlighting special situations that may place specific demands on the clinician: working with refugees and survivors of torture or political violence, with separated families, and with patients with psychotic episodes This book is of valuable use to mental health practitioners who are working in multidisciplinary settings who seek to understand cultural difference in complex cases. Psychiatrists, psychologists, social workers, nurse practitioners, primary care providers and trainees in these disciplines will make thorough use of the material covered in this text.
Book Synopsis Your Mindful Compass by : Andrea Maloney Schara
Download or read book Your Mindful Compass written by Andrea Maloney Schara and published by . This book was released on 2013-12-01 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Your Mindful Compass" takes us behind the emotional curtain to see the mechanisms regulating individuals in social systems. There is great comfort and wisdom in knowing we can increase our awareness to manage the swift and ancient mechanisms of social control. We can gain greater flexibility by seeing how social controls work in systems from ants to humans. To be less controlled by others, we learn how emotional systems influence our relationship-oriented brain. People want to know what goes on in families that give rise to amazing leaders and/or terrorists. For the first time in history we can understand the systems in which we live. The social sciences have been accumulating knowledge since the early fifties as to how we are regulated by others. S. Milgram, S. Ashe, P. Zimbardo and J. Calhoun, detail the vulnerability to being duped and deceived and the difficulty of cooperating when values differ. Murray Bowen, M.D., the first researcher to observe several live-in families, for up to three years, at the National Institute of Mental Health. Describing how family members overly influence one another and distribute stress unevenly, Bowen described both how symptoms and family leaders emerge in highly stressed families. Our brain is not organized to automatically perceive that each family has an emotional system, fine-tuned by evolution and "valuing" its survival as a whole, as much as the survival of any individual. It is easier to see this emotional system function in ants or mice but not in humans. The emotional system is organized to snooker us humans: encouraging us to take sides, run away from others, to pressure others, to get sick, to blame others, and to have great difficulty in seeing our part in problems. It is hard to see that we become anxious, stressed out and even that we are difficult to deal with. But "thinking systems" can open the doors of perception, allowing us to experience the world in a different way. This book offers both coaching ideas and stories from leaders as to strategies to break out from social control by de-triangling, using paradoxes, reversals and other types of interruptions of highly linked emotional processes. Time is needed to think clearly about the automatic nature of the two against one triangle. Time and experience is required as we learn strategies to put two people together and get self outside the control of the system. In addition, it takes time to clarify and define one's principles, to know what "I" will or will not do and to be able to take a stand with others with whom we are very involved. The good news is that systems' thinking is possible for anyone. It is always possible for an individual to understand feelings and to integrate them with their more rational brains. In so doing, an individual increases his or her ability to communicate despite misunderstandings or even rejection from important others. The effort involved in creating your Mindful Compass enables us to perceive the relationship system without experiencing it's threats. The four points on the Mindful Compass are: 1) Action for Self, 2) Resistance to Forward Progress, 3) Knowledge of Social Systems and the 4) The Ability to Stand Alone. Each gives us a view of the process one enters when making an effort to define a self and build an emotional backbone. It is not easy to find our way through the social jungle. The ability to know emotional systems well enough to take a position for self and to become more differentiated is part of the natural way humans cope with pressure. Now people can use available knowledge to build an emotional backbone, by thoughtfully altering their part in the relationship system. No one knows how far one can go by making an effort to be more of a self-defined individual in relationships to others. Through increasing emotional maturity, we can find greater individual freedom at the same time that we increase our ability to cooperate and to be close to others.
Book Synopsis Geographies of Exclusion by : David Sibley
Download or read book Geographies of Exclusion written by David Sibley and published by Routledge. This book was released on 2002-09-26 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: Analyses the construction of socio-spatial boundaries seen in gedner, colour, sexuality, age, lifestyle and disability, arguing that powerful groups tend to dominate space to create fear of minorities in the home, community and state.
Download or read book Dalhousie French Studies written by and published by . This book was released on 2006 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis The Politics of War Trauma by : Jolande Withuis
Download or read book The Politics of War Trauma written by Jolande Withuis and published by Amsterdam University Press. This book was released on 2010 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study compares the policies and attitudes toward the health consequences of World War II in eleven European countries: Austria, Belgium, Denmark, East Germany, France, Italy, Luxembourg, the Netherlands, Norway, Poland, and West Germany. It shows the remarkably asynchronous development in these countries of health care financing and treatment for war survivors, and of the patients’ perception of their own health. Using an innovative and multidisciplinary approach, Withuis and Mooij analyze postwar health care in the context of the European political climate at that time.