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EN
Disability rights law has expanded over the past twenty years from near non-existence to developing into an international legal norm, particularly through the recent United Nations convention on the Rights of Persons with Disabilities. In this work, the authors examine the case of Lithuania and its process for determining when disabled persons lack legal capacity, as measured against the international legal standards applicable to this issue. The authors conclude by offering suggestions about how Lithuania may make determinations as to legal capacity in a way that is consistent with the emerging global legal standards on disability rights law.
EN
At the beginning the paper introduces the role of patient and the four features of the role, as formulated by T. Parsons and E. Freidson in their sociology works. Based on this concept of the role of the patient, the text argues in favour of recognising the mental illness as a real illness. (This recognition is not obvious and is often disputed.) Next, the paper explains the phenomenon of prejudices, and how they are formed. It is related to the stereotypes and the process of categorisation, and therefore the work presents these terms as well. Some specific examples of prejudice both against the mentally ill and psychiatry as such are also introduced. In the last chapter, the issue of stigma and stigmatisation related to the mental illness is presented. The focus is made on the etymology of the word “stigma” and its current use. The paper aims at clarifying the social status of the mentally ill, who suffer not only from their disease, but also from the above mentioned negative social phenomena such as prejudices and stigmatisation.
EN
In Slovakia, one in five people experiences mental disorder. Mental illness tends to start early in life, which makes it the most prevalent disease among people of working age. It accounts for a third of expenditures on disability benefits, increases unemployment and deepens poverty. There is a substantial gap in psychological care for patients who receive adequate treatment and those who need it, but do not get it. Provision of appropriate psychological therapy early on could prevent and reduce much of the negative impact of mental illness. The experiences from IAPT initiative in England where evidence based psychological therapies are made widely accessible can serve as a guide. IAPT initiative operates stepped care model with emphasis on starting with low intensity interventions. By using these principles, we can fill the gap between primary care and highly specialized treatment of mental disorders in Slovakia. Early psychological intervention can help people with depression, anxiety disorders and long-term psychological conditions to get well, improve quality of life and reduce unemployment and poverty.
SK
Na Slovensku trpí duševným ochorením jeden z piatich ľudí. Tieto ochorenia začínajú obvykle vo včasnejšom veku, a preto sú v produktívnom veku najčastejšie. Odhaduje sa, že sú zodpovedné za tretinu sociálnych výdavkov, zvyšujú nezamestnanosť a prehlbujú chudobu. Prítomný je tiež značný nepomer v psychologickej liečbe u pacientov, ktorí sú liečení primeranou liečbou, a tými, ktorí túto liečbu potrebujú, ale ju nedostávajú. Poskytnutie vhodnej psychologickej liečby včas môže zabrániť alebo obmedziť väčšinu negatívnych vplyvov duševných ochorení. Podnetom, na zlepšenie tohto stavu sú skúsenosti „Iniciatívy na zvýšenie prístupu k psychologickej liečbe (IAPT)“ v Anglicku, kde sa podarilo sprístupniť dôkazmi podloženú liečbu významnému počtu pacientov. IAPT iniciatíva používa model postupnej starostlivosti s dôrazom na začiatok liečby pomocou menej intenzívnych intervencií. Ak by sme postupovali podľa tohto modelu, mohli by sme vyplniť medzeru medzi primárnou starostlivosťou o duševné ochorenia a ich vysoko špecializovanou liečbou. Včasné psychologické intervencie môžu pomôcť uzdraviť sa ľuďom s depresiou, úzkostnými poruchami a pomôcť aj pacientom s chronickým ochorením, a takto zlepšiť ich kvalitu života, znížiť nezamestnanosť a chudobu.
EN
This case study uses three different frameworks of inquiry to examine Turtles All the Way Down by John Green (2017) with a disability lens. The analysis extends beyond the traditional medical/social dichotomy and considers how disability is tied to both agency and identity. Narratives and counter-narratives of disability are also investigated, as well as disability markers used in previous scholarship. The discussion concludes with an argument to include the novel in secondary English classes to create mental health allies.  A consideration for medical humanities scholars is also included to use Green’s text with patients with OCD, as a way for readers to find an identifiable protagonist.
EN
Discussion of: Anna Moszyńska. Listy z Pirny, 1850. Uzupełnione fragmentami dziennika oraz listami Piotra Moszyńskiego, [Anna Moszyńska. Letters from Pirna, 1850, supplemented with excerpts from the diary and letters from Piotr Moszyński], edited by Emilia Kolinko. The text discusses innovative editing techniques (together with the handwritten comments in personal documents), contrasted against existing writing practices and a short description of how Archiwum Kobiet [Women’s Archive] published books. The paper, among other things, discusses the relationship between the autobiographical works and the madness and exclusion of female authors. Other issues presented include restoring a deep relationship between the past, present and reality in the egodocuments and other works (biographies, calendars, commentaries).
PL
Omówienie książki Anna Moszyńska. Listy z Pirny, 1850. Uzupełnione fragmentami dziennika oraz listami Piotra Moszyńskiego, którą opracowała Emilia Kolinko. Tekst zawiera rozpoznanie kierunku zarysowującego się w nowatorskim edytorstwie (zachowującym rękopiśmienny kształt dokumentów osobistych), związków tej tendencji z różnymi praktykami filologicznymi oraz krótki opis założeń serii wydawniczej Archiwum Kobiet. W recenzji sformułowane zostały m.in. pytania dotyczące związków między dziełami autobiografistyki a szaleństwem i wykluczeniem kobiet autorek. Wśród innych zagadnień pojawiają się tematy przywracania głębokiej relacji między czasem przeszłym, teraźniejszym i realnością w egodokumentach oraz towarzyszących im pracach (biografiach, kalendariach, komentarzach).
EN
Depression is not a popular philosophical problem, despite the fact that it is one of the most frequent psychopathologies nowadays. The aim of the article is to consider the problem of depression as a philosophical one in terms of Cheshire Calhoun’s analytic work on depression and S.ren Kierkegaard’s philosophy of despair and anxiety. The author shows that the state of depression is connected to the sick man’s failure to be a living being due to the process that Calhoun calls “the defeat of an agency”. Calhoun claims that a man stops to be an active person because his will is disengaged due to his feeling of estrangement from his normative outlook of self-conception, his disbelief in the effectiveness of instrumental reasoning and lack of confidence in one’s security from misfortune and harm. The permanent state of this defeat leads to being disengaged from one’s very roots of being a motivated person. At this point living the being is opened to despair and anxiety, which are the means of creating a state of being as a “defeated agency”. The analysis of Kierkegaard’s work brings a new perspective of depression. A depressed person is one who is possessed by despair and anxiety. The analysis of different forms of despair and anxiety bring new light to the process of becoming depressed. It shows that the depressed person is in a permanent state of being “cut off” from life. This perspective leads to the conclusion that depression could be seen as Kierkegaard’s „Sickness Unto Death”.
EN
The main points are related to the cultural-anthropological (Michel Foucault) and theological contextualization of diseases (Jean-Claude Larchet) and their treatment in the Middle Ages. Based on the South Slavonic hagiographic literature, the terms physician and healer are defined and specified. The study focuses on the mental disease (insanity), which according to the methodology of Larchet is three types: somatic nature of madness, the madness of demonic origin, and madness of spiritual origin. Also partly concerns the problem of God fools’ insanity. 
EN
Empathetic perspective-taking is one of the main psychological mechanisms behind audiences’ engagement with narrative (Coplan 2004; Eder 2006). What happens, however, when a story confronts with a character whose emotions, motivations, and beliefs we fail to understand? This paper examines the phenomenon of “unreadable minds” (Abbott 2008) from a transmedial perspective: how do audiences relate to a character who defies all attempts at making sense of his or her identity despite being the main focus of a narrative? My case studies - the novel American Psycho (1991) by Bret Easton Ellis and the video game Hotline Miami (Dennaton Games 2012) - foreground two such characters: by calling attention to the opaqueness of their protagonists, they heighten the audiences’ interest in - and puzzlement at - their identity. In my comparative analysis I explore two dimensions that contribute to audiences’ sense of unknowability of the protagonists: the hallucinations and delusions experienced by both characters (an instance of what Bernaerts [2009] calls “narrative delirium”); and their extreme violence, which raises unanswered ethical questions. While bringing out the continuities between American Psycho and Hotline Miami, I also highlight how the interactivity of Hotline Miami makes the central paradox of relating to an unknowable character even more salient for the audience. In this way, I show that the video game medium has reached a level of interpretive complexity that can stand the comparison with literary fiction.
PL
Into his novel Smiritel’naya rubashka dlya geniyev Sergey Arno, a con-temporary Petersburg author, entered a number of reflections on the ongoing crisis in Russian as well as world literature. In the way characteristic of his style, Arno refers to the problem of mass culture, and raising the issue of cultural globalization composes the basis for the bizarre idea of making literature entirely dependent on economic factors. Submissive to authorities psychiatry would be considered a great contributor to the novel’s plot. The text, which evidently car-ries out the objectives of literary fiction, by applying certain techniques is gaining the strength of realism, the absurdity becomes apparent and the world depicted appears more and more plausible.
EN
The article explores the problem of reconstructing the experience of illness based on the narratives of people with mental disease. The research used the method of biographical interviews. The material consists of 16 biographical narratives of Dr J. Babiński Clinical Hospital patients. Their accounts form a coherent image of suffering caused by the illness included experiences preceding the disease, somatic symptoms, admission, and stay in the hospital. Thanks to the collected narratives, we have the opportunity to learn about the subjective experiences from the patient’s perspective, which is not present in the literature on psychopathology.
EN
This survey intends to critically inform the reader about new and further developments of criminological theories on causality and about how successful these theories have proved in empirical and practical terms during the last three decades. From the point of view of mainstream criminology the criminalbiological, criminalpsychological, criminalsociological, socialpsychological, victimological, critical-radical, feminist, postmodernist and integrated theories are being considered. Preceding this is a discussion of the theory of national choise, according to which criminality is based on a costprofit-analysis and which, empirically speaking, has not exactly held good. Among the criminalbiological approaches the theory of constitutional predisposition is being discussed which assumes an interaction between genes and environment to produce criminality. Since the studies on family, twins and adoption, while attempting to prove this interaction, show both theoretical and methodological shortcomings, this theory is being rejected. Under the headline of "criminalbiological theories" a discussion of mental illness and crime can be found. A psychiatrisation of crime is not held advisable: Only between 0.2 % and 2 % of all schizophrenic persons are arrested for violent crimes per year, which amounts 1.1 % to 2.3 % of the total arrests for violent crime. Among the criminalpsychological theories the following three approaches are being discussed: the psychopathological theory, the theory of criminal personality according to Hans Jürgen Eysenck and the biosocial theory of inherited criminal tendencies according to Sarnoff A. Mednick. It is proposed to give up the term "psychopathy'' altogether since it contradicts modern findings of dark field research that personality traits not socially desirable are restricted to and concentrated in only a small section of the human race. The theories of Eysneck and Mednick, according to which criminal behaviour is tfre result of interaction between certain social environmental factors and inherited predispositions of the central nervous system, have empirically not been sufficiently proven. The survey's emphasis lies on criminalsociological, socialpsychological and victimological theories. In the context o criminalsociological approaches the theories of social disorganization and of anomie are being discussed. A society is socially disorganized when social bonds dissolve, when social control breaks down and when interpersonal disorientation spreads among its members. The theory of social disorganization has been further developed inasmuch as the social structuring of delinquency areas has been described as a dynamic process and as the spiral-like social downfall and dereliction of a neighbourhood ("community crime career"). In empirical studies making use of data from accounts showing how people have become perpetrator or victim ("British Crime Surveys"), this theory of social disorganization has been widely confirmed. The theory of anomie has undergone further development by the adaptation of two new approaches: the theory of institutional anomie according to Steven F. Messner and Richard Rosenfeld and the theory of general strain according to Robert Agnew. The theory of institutional anomie underlines the extreme importance western societies ascribe to monetary success while at the same time not stressing the component of achieving this success by legal means. One institution – economy – assumes priority over all non-economic institutions such as family, education or politics, which on their part are only insufficiently capable of restricting the criminogenic pressure phenomenon, i.e. the overestimation of monetary success. According to the theory of general strain the incapability of reaching positively marked aims results in overstraining (pressure). This pressure can be measured by ascertaining the gap between aspirations (ideal aims) and expectations on the one hand and actual achievements and successes on the other. The socialpsychological theories, which are theories of social processes can be subdivided into theories of cognitive-social learning, control, interaction and life-course. According to the theory of cognitive-social learning a person acquires his/her behaviour by way of reinforcement and modeling. In self-reinforcement processes people both reward and punish themselves. Finally, this theory regards human learning as an active, cognitively controlled psychical process of assimilating experience. Criminal behaviour is learned by reaffirming (rewarding) it more than socially conforming behaviour. Delinquents acquire it in criminal subcultures, in which criminal behaviour is justified by means of neutralisation techniques as being "not really'' criminal. The theory of cognitive-social learning of criminal behaviour (the theory of differential reinforcement and imitation) has held good empirically and practically and has been complemented by the theory of crime seduction according to Jack Katz stating that the euphoria of criminal success is relevant factor. The robber f.i. is not only rewarded by his material profit but also by experiencing domination during the criminal act. Among the theories of control the theory of social bonds according to Travis Hirschi is widely appreciated in practical terms. Empirically speaking, however, it has not quite achieved what it promised. It has been further developed by the theory of self-control, according to which delinquents are persons with a low level of self-control as a result from ineffective and inadequate socialization. Another new development is the theory of control balance according to Charles R. Tittle. The central statement of this theory is that the amount of control a person is subjected to, as compared to the control this person exercises, influences both the probability of committing delinquencies and the possibility to commit certain types of crime. The theory of interaction, which is a theory of social process, has been converted in the seventies and eighties to a radical socialstructural labeling approach. Control institutions (f.i police, law-courts) are assumed to produce delinquency and criminality by selectively sanctioning the lower class in the order to preserve the power of the ruling class. In the nineties, however, the interaction theory is distancing itself from this radical power conflict approach and reverting to its original focus: its connection to the cognitive-social learning theory. The interaction theory has been supplemented by the Australian criminologist John Braithwaite. He regards shame as an essential means of informal social control and distinguishes between reintegrative and disintegrative shaming. The life-course-theories are new developments stemming from the late eighties and early nineties. According to these theories, delinquency and criminality develop in interactive processes spanning the whole cycle of life. Developmental crirninology focusses on the questions why people become delinquent (onset, activation), why their delinquencies continue (maintenance), why delinquencies often increase both in frequency and in seriousness (acceleration, escalation, aggravation) and, lastly, why people stop being delinquent (deceleration, desistance, termination). It is concept of casuality is dynamic and interactive. Personal and social damages cause delinquency and criminality which in their turn again result in personal and social damages. Basically, three life-course-theories have recently been developed: the interaction theory by Terence P. Thornberry, the theory of social turning-points by Robert J. Sampson and John H. Laub and the theory of criminal tendencies by David P. Farrington. Victimological theories open a range of completely new criminal-aetiological perspectives. For victimogenesis (enquiring into the causes for becoming a victim) the model of lifestyle-exposure and opportunity deals with the probability of individuals being in certain places at certain times and under certiatin circumstances and thereby meeting certain categories of people. The routine-activity-theory according to Lawrence E. Cohen and Marcus Felson distinguishes between three elements: a motivated offender, a suitable target and the absence of capable protectors (guardians) of this object against a violation. The routine-activity-approach accordingly predicts the highest risk of delinquency when the victim's suitability is highest: best social visibility, easiest access, strongest attraction and when the level of object observation is low. The routine-activity-theory has been further developed into a structural-choise model of victimization. Within this reconsidered and verified model the nearness and protection of a potential victim represent components of choise. The critical-radical school in modern criminology intends to develop an alternative to mainstream criminology and in the long run to replace mainstream criminology. While having achieved their first aim, thus far they have failed in thier second. The critical-radical school of thought can be divided into three theories: According to marxist theory the basis of crime can be found in the contradictions of capitalism oppresing and exploiting the working class. Crime originates in the basic conflict between the bourgeoisie and the working class, which is a conflict of power and interests. The anarchistic theory aims at showing that that kind of justice by which our modern1egal system defines itself is in reality a facade for an intrinsic system of institutionalized injustice. Left-wing realism holds a „theory” consisting of four variables: victim, offender, state agencies and the public. Without disregarding the victims of so-called street-crimes, radical realism is based not-only on comprehending the victimization of the offender by the state, but also on the understanding of victimizition of the working class by the working class. Feminist theories in criminology focus on the four following issues: the problem of generalization: It is questionable whether the criminological theories developed so far are readily applicable to women and girls; the problem of gender relations: an explanation is required on why women and girls; commit fewer and less serious crimes and delinquencies than man and boys and how significant a factor masculinity is for the genesis of crime; the victimalization problem: Both the manifestations and the causes of male physical and sexual violence towards woman have to be describeds much more accurately; the problem of equal treatment of man and woman in the criminal justice system: It is questionable whether the principles of masculinity or feminity, should define the climate of the criminal justice system. Constutive criminology is a postmodernist school. It questions the attempt of institutions and individuals to claim priority of ''expert'' knowledge. Truth to them is a form of domination. Linked with constitutive criminology is the peacemaking criminology, which tries to soothe human sufferings and reduce criminality in this way. Solutions of the criminal justice system are rejected as violent. Individual violence cannot be overcome through state violence. Integrated theories attempt to take the best of every ''middle-range" theory and combine this into a more comprehensive new theory. Finally, as an example of an integrated theory, John Hagan's theory of power control is put forward which aims at explaining the lower frequency and seriousness of woman's criminality and girls' delinquency by looking at patriarchy and class structures.
EN
The authors consciously abstain from using the term “schizophrenia” in the title and choose “melancholy,” a condition equated to depression by Albert Frederick’s contemporaries. The goal of the article is to answer the following questions: 1/ What was the illness of Duke Albert Frederick? 2/ What were the reasons for it? 3/ How was his illness diagnosed by his doctors and what treatments they prescribed? The working hypothesis converges with the findings of medical historians to date, stating that Albert Frederick was schizophrenic.
EN
The objective of this paper was to address the notion of family stigma related to mental illnesses and discuss relevant theoretical perspectives. The review of the literature performed in this study shows that concepts of “family stigma” and “stigma by association” are used interchangeably. Family stigma includes the prejudice and discrimination experienced by members of family of a person suffering from mental illness. For many families the stigmatization that surrounds mental illness is a central issue causing concern, anxiety, shame and self-blame. Moreover, family members can be considered somehow “contaminated” because of close relationship they have with the stigmatized mentally ill person in their family. It is shown that current research results indicate this type of stigma negatively affects family members and relatives. In the paper’s closure some educational programmes devoted to counteracting the family stigma linked to metal disorders are presented.
PL
Teza. Osoby chorujące psychicznie są grupą szczególnie narażoną na łamanie ich praw oraz stygmatyzację. Badania pokazują, że w naszym społeczeństwie wciąż dominują niechętne postawy wobec osób doświadczających problemów psychicznych, co niesie za sobą wiele negatywnych skutków. Edukacja antydyskryminacyjna może zredukować niechętne postawy społeczne. Omówione koncepcje. Skutkami stygmatyzacji są utrata lub niemożność podjęcia pracy, co w konsekwencji może być przyczyną ubóstwa. Stygmatyzacja jest też przeszkodą w zdrowieniu osób chorujących, może być przyczyną odtrącenia ze strony bliskich, a nawet prowadzić do prób samobójczych. Dzieje się tak mimo prowadzonych działań antydyskryminacyjnych i destygmatyzacyjnych. Wyniki i wnioski. Należy wprowadzić więcej działań antydyskryminacyjnych dotyczących osób chorujących psychicznie skierowanych do uczniów, studentów i całego społeczeństwa. Do tych inicjatyw należy w miarę możliwości angażować osoby doświadczające problemów psychicznych. Oryginalność. Stygmatyzacja osób chorujących jest zjawiskiem powszechnym, jest to też obszar zainteresowania wielu badaczy. Jednak nadal jest zbyt mało analiz, które zajmowałyby się badaniem podejmowanych działań antydyskryminacyjnych oraz opracowywaniem rekomendacji w tym zakresie.
EN
Thesis. People with mental illness are a group particularly vulnerable to violation of their rights and stigmatization. Studies show that our society is still dominated by reluctant attitudes towards people experiencing psychological problems, which has many negative consequences. Anti-discrimination education can reduce reluctant social attitudes. Concept discussed. The effects of stigmatization are the loss or inability to take up a job, which in consequence may lead to poverty. Stigmatization is also an obstacle to the recovery of people who are ill. It may be the cause of rejection from the family, and may even lead to suicide attempts. This is despite anti-discrimination and destigmatization activities. Results and conclusions. More anti-discrimination measures should be introduced for people suffer from mental illness, aimed at pupils, students and society as a whole. These initiatives should involve, where possible, people experiencing mental health problems. Originality. The stigmatization of people suffering from mental illness is a common phenomenon, and it is also an area of interest for many researchers. However, there are still too few analyses which would investigate anti-discrimination activities and develop recommendations in this area being undertaken.
Polonia Sacra
|
2020
|
vol. 24
|
issue 3
EN
The article, basing on researches, shows how, multidimensional stigmatization has an impact on the process of recovery for mentally ill persons. There is presented the social view of the mentally ill persons and its impact on auto-stigmatization of the patients. There is also described the complex situation of the families of mentally ill persons and the meaning of the “society network” in the recovery process. All these, in the context of responsibilities and possibilities of local (parish) and particular community (diocese) of the Church. Thanks to the stable (theologically, socially and economically) structures of its community, the Church significantly can enrich and stabilize the network of society of the mentally ill patients, what is very important in the process of their recovery and has fundamental impact for their welfare.
PL
W artykule na podstawie badań przedstawiono wpływ wielowymiarowego i wieloetapowego zjawiska stygmatyzacji chorych psychicznie na proces zdrowienia. Zarysowano społeczny obraz chorych psychicznie (stereotypy) i jego wpływ na autostygmatyzację. Przedstawiono złożoną sytuację rodzin chorych psychicznie i znaczenie sieci społecznej w procesie zdrowienia. Wszystko w kontekście zadań i możliwości wspólnoty lokalnej (parafia) i partykularnej (diecezje) Kościoła. Dzięki stabilnym (teologicznie, społecznie, ekonomicznie) strukturom wspólnotowym Kościół może w istotny sposób ubogacać i stabilizować sieć społeczną pacjentów chorych psychicznie. Jest to bardzo ważne w procesie zdrowienia i ma fundamentalny wpływ na ich dobrostan.
PL
Artykuł porusza najważniejsze zagadnienia związane z problematyką stosowania przymusu bezpośredniego w szpitalach psychiatrycznych. Opracowanie przedstawia sytuacje, w których dozwolone jest wszczęcie trybu przymusowego postępowania medycznego wobec osób stwarzających zagrożenie dla życia lub zdrowia własnego, najbliższego otoczenia bądź bezpieczeństwa powszechnego, wbrew ich woli. Gwarancję realizacji zasad poszanowania praw i wolności jednostki stanowią przepisy ustawy o ochronie zdrowia psychicznego dotyczące stosowania w granicach konieczności środków przymusu bezpośredniego.
EN
This paper discusses major issues related to the application of coercive measures in psychiatric hospitals. The situations are presented when a physician is authorized to initiate compulsory medical procedure against persons posing threat for their own life or health, their immediate surroundings or common security - against their own will. Provisions of the Mental Health Act regarding the application of direct coercive measures within the limits of necessity are vital guarantee of respecting the rights and freedoms of an individual.
PL
Artykuł ma stanowić konkluzję rozważań dotyczących specyfiki pracy z osobami z zaburzeniami natury psychicznej. W artykule przedstawione zostaną dane z przeprowadzonych autorskich badań na grupie n=100, w wieku średniej dorosłości wg. Levinsona. Dodatkowo zostały zrealizowane wywiady z osobami, które chorują psychicznie i przebywały w klinikach i szpitalach psychiatrycznych. Samobójstwo jest aspektem wielowymiarowym, może dotyczyć wielu osób. Próba samobójcza może mieć miejsce w każdym środowisku życia człowieka: dom rodzinny, praca czy miejsce publiczne. Konieczna jest profilaktyka, psychoedukacja oraz działania mające na celu zweryfikowanie czynników ryzyka i sygnałów ostrzegawczych. Badania przedstawiają sytuację osób, które na co dzień doświadczają problemów natury psychicznej. Artykuł ma wymiar teoretyczno-praktyczny, ze względu na możliwość stworzenia implikacji praktycznych. Praca stanowi wartościowy element do wykorzystania z osobami cierpiącymi na zaburzenia psychiczne, który może pomóc w kompleksowym oddziaływaniu w sytuacji kryzysowej.
EN
The article constitutes a conclusion of considerations regarding the specifics of working with people with mental disorders. The paper shows the data from research on the group n=100, in the middle adult age by Levinson. In addition, interviews were conducted with people who were mentally ill and in psychiatric clinics and hospitals. Suicide is a multidimensional aspect, it can affect many people. An attempt to commit suicide can take place in every environment of human life: a family home, a workplace, or a public place. Prevention, psychoeducation and actions to verify risk factors and warning signals are necessary. The research presents the situation of people who experience psychological problems on a daily basis. The paper has a theoretical and practical dimensions, due to the possibility of creating practical implications. Work is a valuable element to be used with people suffering from mental disorders, which can help in the complete treatment in a crisis situation.
EN
Mentally ill people experience an increased incidence of somatic complaints with various etiologies. Comprehensive care has a positive effect on the outcome of therapeutic procedure in the treatment of both mental and somatic disorders. In addition, it can significantly improve patients’ discipline in adhering to therapeutic recommendations. Holistic care should also be based on health education undertaken by all members of the therapeutic team. This is aimed at taking into account the patient’s health problems which are often marginalized – by both the patient himself and his lack of control over his own life, as well as by the therapeutic team who focuses mainly on the patient’s mental problems. Health education allows the patient to be prepared to share responsibility for his own health.
PL
Osoby chorujące psychicznie doświadczają zwiększonej zachorowalności na dolegliwości somatyczne o różnej etiologii. Kompleksowa opieka korzystnie wpływa na wynik postępowania terapeutycznego w leczeniu zarówno zaburzeń psychicznych, jak i somatycznych. Może ponadto znacząco poprawić dyscyplinę chorych w przestrzeganiu zaleceń terapeutycznych. Holistyczna opieka nad pacjentem powinna opierać się także na edukacji zdrowotnej podejmowanej przez wszystkich członków zespołu terapeutycznego. Ma to na celu uwzględnienie problemów zdrowotnych pacjenta, które często są marginalizowane – zarówno przez samego pacjenta z powodu jego stanu i braku kontroli nad własnym życiem, jak i przez zespół terapeutyczny, który pochyla się głównie nad problemami psychicznymi chorego. Edukacja zdrowotna pozwala na przygotowania pacjenta do współodpowiedzialności za własne zdrowie.
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