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EN
The article presents reflections on the deinstitutionalization in relation to trends in psychiatry and social services for people with mental illnesses on the bases of the latest “Pan-EU Guidelines transition from institutional care to the care provided at the local level”. It is available in all EU languages at www.deinstitutionalisationguide.eu.
EN
The paper investigates a new Polish regulation which requires doctors’ permission to use force during medical treatment. It begins with an overview of the former regulations and the dilemmas, especially those associated with patients with medical disorders treated in non-psychiatric hospitals. The second section focuses on the problems with a new procedure regarding the use of force against patients who are treated in psychiatric and non-psychiatric hospitals and are not able to produce legally binding consent. It also looks at the differences between the current and the former procedures. The article concludes that the new regulation has not improved patients’ safety and management of hospitals.
3
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New media in art therapy

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EN
The article aims to show possible uses of new media in art therapy. Based on the art therapy process, it describes practical uses of new media in therapy for patients in long-term hospitalization in a daycare ward of a psychiatric hospital. The use of new media in therapy for a woman diagnosed with autism is presented. In the case of interventions for people in long-term hospitalization, a series of workshops included 16 sessions, and in the case of individual art therapy for the person diagnosed with autism - 12 sessions. The introduction of new media to art therapy resulted in the activation of creative powers, a sense of agency and self-control, objectivization of reality, and self-observation.
PL
In this article I analyze Eric Kandel’s intellectual frameworks for psychiatry from the perspective of non-reductionist materialism. I briefly present Kandel’s program and its main features and then, after introducing various types of non-reductionist materialism, I focus on incorporation the philosophical view into a purely scientific program. The main goal of this paper is to show that a philosophical component is necessary for holistic approaches to the philosophy of mind.
EN
Suicide is a type of behaviour which assumes the need of overcoming the instinct of self-preservation, as well as overcoming the natural fear of death; it is therefore an act which is in contradiction with basic human instincts. Scientists looking for the answer to the question, what makes people decide that they want to end their life, focus on different aspects of the problem, and as a consequence it is possible to distinguish several directions of suicidal behaviour analysis; they include, among others, psychiatric and psychological directions. Psychiatry analyses suicide in the context of psychological disorders of a person. Psychology studies self-destructive behaviours with particular focus on human psychology, motivation, personality and consciousness of the made decision. Findings of those sciences will be the subject of this article.
XX
The following paper will examine how (male) speakers in William Wordsworth’s “The Baker’s Cart” and “Incipient Madness,” which eventually became reworked into “The Ruined Cottage,” narrate the histories of traumatised women. It will be argued that by distorting the women’s accounts of suffering into a didactic lesson for themselves, the poems’ speakers embody the tension present in the chief psychiatric treatment of the Romantic period, moral therapy, which strove to humanise and give voice to afflicted subjects, at the same time trying to contain and eventually correct their “otherness.”
EN
The universal task of hermeneutics is to understand things that are not easy to put into the horizon of human’s everyday expectations. It is especially important for the psychoanalytically oriented hermeneutics that deals with “things” – let it be neurosis, psychosomatosis, borderline or psychosis – that are closed to the common sense. This article tries to exhibit it on some therapeutical case studies. The relationship to language is central both for the creation the proper pathology and for the therapy of the disease.
EN
Background: Nurses’ professional self and job satisfaction directly affect their professional practices. For this reason, it is important to find out about their perceptions of their professional self, the factors that affect and are affected by the professional self, and nurses’ job satisfaction. Purpose: The aim of this study was to determine the relationship between the professional self-concept and job satisfaction of nurses working in psychiatry clinics. Material and Methods: The universe of this descriptive and correlational study was the psychiatric nurses in Turkey and its sample comprised of 103 nurses employed in the psychiatry clinics and polyclinics of university hospitals randomly selected from provinces representing the seven geographical regions in Turkey. The data collection tools used in the study were Information Form, Professional Self Concept Scale and Nursing Job Satisfaction Scale in Nurses. Results: Psychiatric nurses have a high professional self-concept and moderate job satisfaction. There is a statistically significant positive correlation between the professional self-concept and job satisfaction of nurses. Conclusion: Professional self-concepts and job satisfaction of psychiatric nurses are affected by demographic characteristics and these two variables are related to each other.
EN
In the contemporary humanities there is still a problem with the understanding of the great texts of Western Mysticism – the common interpretations oscillate between taking the mysticism as the pathology or as the supernormality. Different researchers, including psychiatrists, psychologists, theologians and philosophers, are usually presenting theories that are either too narrow or not enough critical. In my paper I am analyzing some traditional theories of mystical experience and try to expand the discussion by taking the perspective of anthropologically-oriented philosophy of culture. The advantage of this approach is to take into consideration a broader context where any attempt at classifying the mystical experience as pathological is excluded. Therefore, it is possible to defend its originality and authenticity while using reasonable and critical methods.
PL
Psychoeducation is currently used in many areas of life, including psychiatry. It is difficult to imagine the modern process of treating people with mental disorders without the use of psychoeducation as a necessary, permanent element of this process, in addition to pharmacotherapy and psychotherapy. Psychoeducational programs are used primarily in the treatment of people with schizophrenia spectrum disorders and those suffering from bipolar affective disorder (BPAD). These programs are not only directed to the patient, but they are also addressed to their family members and friends. The article presents the possibilities of using selected psychoeducational programs, including the PEGASUS program, the Barcelona Psychoeducation Program and the Krakow Program for People with BPAD, as well as limitations of their application. The goals of these programs, their structure and effectiveness were also presented.
EN
The aim of my article is to analyze the concepts and phenomena of diagnosis and recognition, often considered to be semantically identical. While in psychiatric practice such an identity does not necessarily have adverse effects, in the anthropological and cultural domains identification of diagnosis and recognition may cause stigmatization, or other undesirable consequences. The article attempts to justify this thesis.
EN
The aim of this article is to show the course of medical studies of Stanisław Przybyszewski at the Royal University of Friedrich Wilhelm in Berlin with respect to the possibilities of him acquiring knowledge about mental illnesses that could have been used by this Polish-German writer in his subsequent novels to create protagonists immersed in madness. The author of the article analyses the materials of Berlin University from the time when Przybyszewski was its student (1889–1893). The analysed documents are the list of lecturers, and the lists of subjects included in the programme of studies. Additional material presented in the article include psychiatric books from the nineteenth and twentieth centuries. Analysing these books allows us to broaden the knowledge about the issues most likely discussed during the lectures, and about what the author of Dzieci Szatana could have possibly learnt about the then-known mental diseases. Analysis of the official forms from the University of Friedrich Wilhelm indicates that the would-be psychiatrist had an opportunity to take part in classes dealing with neurology and mental illnesses. My research shows that Berlin University may have provided Przybyszewski knowledge about melancholy (depression), neurasthenia and hysteria, and about the medical use of such drugs as morphine and opium. This article presents knowledge which will allow us to put under even closer analysis pieces of work of the author of Confiteor from the perspective of psychological aberration of characters.
EN
The term “anti-psychiatry” was coined in 1912 by Dr. Bernhard Beyer, but only popularized by Dr. David Copper (and his critics) in the midst of a widespread cultural revolt against involuntary hospitalization and in-patient psychiatry during the 1960s and 1970s. However, with the demise of the old-fashioned mental hospital, and the rise of Big Pharma (with all its attendant evils), the term “anti-psychiatry” has outlived its usefulness. It survives merely as a term of abuse or a badge of honor, depending on the user and what rhetorical work this label is expected to perform. Those who use the term nowadays generally have a polemical axe to grind, and seldom understand the term’s origins or implications. It is time that serious scholars retire this term, or to restrict its use to R.D.Laing’s followers in the Philadelphia Associates and kindred groups that sprang up in the late 1960s and 1970s.
EN
The article engages the topic of the religious values of Hispanic immigrant charismatic Catholics, or carismáticos, and how these values manifest when carismáticos suffer from chronic depression. Their religious values prompt carismáticos to understand chronic depression as spiritual misalignment, which in turn prompts spiritual realignment and religious healing as the most effective means to address this mental illness. As a result, the carismáticos’ religious experiences lead them to conclude that psychotherapy is ultimately ineffective. While the carismáticos are beginning to make room for psychiatric medicine, they still perceive psychotherapists as holding values that irretrievably conflict with charismatic religious values. Engaging Bergin’s 1980 article “Psychotherapy and Religious Values,” this current article shares Bergin’s concern regarding the rift between religious values and psychotherapist’s values, and suggests the need for a more communal, religious approach to psychotherapy amongst practitioners of charismatic Catholicism.
EN
The aim of this series of articles is to identify and characterize the main linguistic and struc-tural features of medical case reports in the field of psychiatry and psychology. The series of papers is divided into to two parts: theoretical and empirical. The main purpose of the first part is to present the theoretical background of the discourse of psychiatry and psychology as well as the characteristics of case reports of these disciplines. In the paper, the present authors also demonstrate the structure of the case reporting of psychiatry and psychology, including the instruction for authors given by the American Psychological Association. Also, the narrative approach, the patient’s stories appearing in these texts as well as one of the main elements of the case reports, i.e. ‘case conceptualization’ are discussed. The second part will be an empirical one. The main research question is whether the case reports of psychiatry and psychology are typical representatives of the microgenre or whether they are different with respect to particular levels of the texts. The case reports of psychiatry and psychology will be compared with the case reports of clinical and surgical disciplines, for instance from cardiology or otorhinolaryngology.
EN
The aim of this series of articles is to identify and characterize the main linguistic and structural features of medical case reports in the field of psychiatry and psychology. The series is divided into to two parts: theoretical and empirical. The main purpose of the first part is to present the theoretical background of the discourse of psychiatry and psychology, including the characteristics of case reports of these disciplines and instructions for authors for preparing this type of text, as well as the narrative approach, case conceptualization etc. The second part is an empirical one. The main research question is whether the case reports of psychiatry and psychology are typical representatives of the microgenre or whether they are different with respect to particular levels of the texts. The present authors focus on the structure of case reports and their rhetorical character – the way of presenting particular information and its linguistic representation. The psychiatric and psychological case reports will be compared with the case reports from clinical and surgical disciplines, for instance cardiology or otorhinolaryngology. The study presents both differences and similarities between the two types of case reports, which are illustrated with representative examples from the research material.
EN
This paper argues that in the case of mental illnesses whose somatic bases are not known or do not exist, a promising route to understand mental illness is to see it as the lack of a patient’s engagement with some moral values that are necessary for a good human life. The paper explains how the first-person perspective, which is constitutive for mental illnesses, makes it impossible to provide an adequate, third-person explanation of the pathological. Because of its irreducible first-personal nature, mental illness must be understood (also) in terms of a moral harm to the patient, and so an integration of ethics and psychiatry (at least at the level of practice) is required. This view is further illustrated with A. Kępiński’s idea of psychiatry as therapy with moral values.
EN
The aim of this article is to discuss possible directions of interdisciplinary studies on obsessive-compulsive disorder. It is proposed that while examining the cognitive basis of the disorder one’s beliefs about the way cognitive processes work and the actual functioning of these processes should be taken into consideration, with executive functions in particular. Interdisciplinary studies combining psychiatry, clinical psychology and cognitive sciences may not only improve the understanding of the nature of cognitive processes, but also provide important data on how they are associated with specific symptoms of mental disorders. From a broader perspective such an approach may be potentially useful in developing new therapeutic techniques.
EN
Objectives The objectives of this study included evaluating and reporting on the initial impact of the COVID-19 pandemic and preventive measures in the form of a lockdown on self-poisoning tendencies in northern Poland. Material and Methods The authors retrospectively analyzed medical records of all patients (N = 2990) admitted to the Pomeranian Center of Toxicology in 2018–2020. Of those, further analysis included 2140 patients who had been admitted because of a suicide attempt by self-poisoning. The authors also selected a group of 40 patients on the basis of a self-reported direct relationship of the suicide attempt with the COVID-19 pandemic or the imposed lockdown. Results The rates of suicide attempts in toxicological patients over the years ranged 68.18–75.3%. The patients were predominantly female, with age between M±SD 33.2±16.9 and 36.0±16.4. Each year, over 60% of patients were admitted during their first attempt and were treated psychiatrically prior to their attempt, with differences observed in the COVID-19-related group. The alcohol intoxication during the suicide attempt was confirmed in 37.40–43.53% of the patients, with a higher rate of 52.50% observed in the COVID-19-related group. The main self-reported reason for the suicide was a romantic relationship conflict or breakup, and a conflict and/or violence in the family. The most frequent agents were over-the-counter painkillers, antidepressants, antipsychotics and benzodiazepines or Z-drugs. Conclusions During the initial year of the COVID-19 pandemic, there was a fall of suicide attempts by self-poisonings in northern Poland, significant only in the case of women. The self-reported reasons were similar in all years, with mainly minor changes. There was also an increase in attempts made using benzodiazepines or Z-drugs seen in 2020 and in the COVID-19-related group. The authors believe that there is a need for multi-center, large-scale prospective studies that would provide better insight into the pandemic-related suicidal trends.
EN
Antoni Kępiński's work on the KZ syndrome has not been so far a subject of thorough scientific research. In this paper Kępiński's work is investigated regarding two aspects of this problematic. In addition to questions concerning the patient-doctor relationship in psychiatry, the article focuses on the possible extension of the subject area of psychiatry. Kępiński's work suggests important conclusions at this point. Many psychiatric disorders, but especially the symptom complex of the KZ syndrome, are not only the result of individual experiences but also the individual values and the individual view of the patient on his suffering. This requires a high ethical competence of the physician. In addition, the example of the KZ syndrome demonstrates the effects that social formation can have on the individual psyche. Psychiatry must therefore tackle questions that extend its existing subject area.
DE
Antoni Kępińskis Arbeiten zum KZ-Syndrom sind bis heute kaum Gegenstand wissenschaftlicher Untersuchungen. Im vorliegenden Beitrag werden Kępińskis Arbeiten hinsichtlich zweier Fragekomplexe untersucht. Neben Fragen zum Patient-Arzt-Verhältnis in der Psychiatrie steht eine Erweiterung des Gegenstandsbereiches der Psychiatrie im Fokus des Textes. Dabei legen Kępińskis Arbeiten wichtige Schlüsse nahe. Viele psychiatrische Erkrankungen, insbesondere aber der Symptomkomplex des KZ-Syndroms, sind nicht nur Folge individueller Erfahrungen, sondern durch die individuellen Wertevorstellungen und den individuellen Blick des Patienten auf sein Leiden geprägt. Im Zentrum einer psychiatrischen Behandlung muss daher die Selbstermächtigung des Patienten stehen, sich seiner eigenen Wertestrukturen wieder bedienen zu können. Dazu ist eine hohe ethische Kompetenz des Arztes notwendig. Zudem wird am Beispiel des KZ-Syndroms deutlich, welche Auswirkungen gesellschaftliche Formationen auf die individuelle Psyche haben können. Die Psychiatrie muss somit Fragen aufgreifen, die ihren bisherigen Gegenstandsbereich erweitern.
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