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EN
The commented judgment concerned the disclosure of disability symbol on the disability certificate. The complainant, both in the constitutional complaint and during the proceedings, claimed the symbol 02-P (mental illnesses) was stigmatising. Although the Constitutional Tribunal decided on non-constitutionality of the challenged provisions, the commented judgment caused the further stigmatisation of persons with mental illnesses. Organs still placed other symbols on the disability certificate, as they did not lose competences in this scope, and all symbols (specified in the challenged regulation) maintained their force, with the exception of 02-P. In practice, every certificate included the cause of disability. In case of persons like the complainant, the information on the cause of disability had a negative character, as the lack of a symbol was also an information on the state of health. The judgment shall therefore be evaluated negatively.
PL
The article focuses on the theoretical frame of the speech therapy care problem in various mental illnesses. It presents psychiatric disorders particularly associated with speech and communication problems and diversifies the character of speech disorders in psychiatry, indicating that they can oscillate between variously intensified language pathology and different ways of thinking and speaking; as such, they may be permanent or may disappear spontaneously after the episode of the disease is managed. The study defines the relationship between speech and mental disorders, and lists their short- and long-term effects in mental illnesses. Subsequently, it proceeds to circumscribe the place of a speech therapist in an interdisciplinary team, specifies what the logopaedic diagnosis in the process of a mental disorder is, and indicates other roles of a speech therapist in the broadly understood diagnostic and therapeutic process, e.g. the preventive one. The article formulates general goals and guidelines for speech therapy in mental disorders and discusses those aspects of the treatment which are closely related to the patient and the place of speech therapy care. The article concludes that speech pathologists in psychiatry have a chance to consolidate their position. The conditions which have to be met in order to do so are: the profound description and interpretation of speech disorders in psychiatry, the balanced assessment of diagnostic and therapeutic possibilities, and cooperation within an interdisciplinary team.
PL
The article focuses on the theoretical frame of the speech therapy care problem in various mental illnesses. It presents psychiatric disorders particularly associated with speech and communication problems and diversifies the character of speech disorders in psychiatry, indicating that they can oscillate between variously intensified language pathology and different ways of thinking and speaking; as such, they may be permanent or may disappear spontaneously after the episode of the disease is managed. The study defines the relationship between speech and mental disorders, and lists their short- and long-term effects in mental illnesses. Subsequently, it proceeds to circumscribe the place of a speech therapist in an interdisciplinary team, specifies what the logopaedic diagnosis in the process of a mental disorder is, and indicates other roles of a speech therapist in the broadly understood diagnostic and therapeutic process, e.g. the preventive one. The article formulates general goals and guidelines for speech therapy in mental disorders and discusses those aspects of the treatment which are closely related to the patient and the place of speech therapy care. The article concludes that speech pathologists in psychiatry have a chance to consolidate their position. The conditions which have to be met in order to do so are: the profound description and interpretation of speech disorders in psychiatry, the balanced assessment of diagnostic and therapeutic possibilities, and cooperation within an interdisciplinary team.
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EN
This study is based on the WHO’s conception of health as optimal physical, mental and social well-being. The paper outlines historical changes in the structure of illness incidence. General causes of rising illness incidence are: the lengthening of human life expectancy (illustrated by international statistics), inadequate diet (especially obesity), and physical inactivity (the ‘wellness’ movement). The increasing occurrence of mental illness is analyzed on the basis of several tendencies. These are: weaker adaptability of the human organism to abrupt changes in life; the mass disintegration of the human personality in industrial countries; the consequences for harmonious co-habitation of the enormous differentiation of personalities; individuals’ lifestyle in the so-called performance society; consequences of changes in traditional values.
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