Introduction: Relevance of the Age of Onset of Mental Disorders to Research in Psychiatry and to the Organization of Services for People with Mental Illness

Author(s):  
Giovanni de Girolamo ◽  
Patrick D. McGorry ◽  
Norman Sartorius
Author(s):  
Amar Akbar ◽  
Imam Zainuri ◽  
Lilik Ma'rifatul Azizah ◽  
Kyle Dornhofer

Purpose - This article aims to give an opinion on the cause of still the case of pasung in Indonesia, physical restraint and reduction in people with mental illness (called pasung in indonesia), still found in indonesia, government program ” indonesia free of pasung” still can not erase indonesia from pasung. Design/methodology/approach -The approach to literature study causes the escape especially social stigma that occurs to make the case of the pipe still continues to exist Findings -The findings of many literature studies suggest that social stigma is a cause of social restraint in patients with severe psychiatric disorders Originality/value -The value of this study envolve Empowering people with mental disorders through social intervention can reduce the side effects of antipsychotic drugs and simultaneously help self-stigma in people with mental disorders


2011 ◽  
Vol 199 (5) ◽  
pp. 367-372 ◽  
Author(s):  
Matthias C. Angermeyer ◽  
Anita Holzinger ◽  
Mauro G. Carta ◽  
Georg Schomerus

BackgroundBiological or genetic models of mental illness are commonly expected to increase tolerance towards people with mental illness, by reducing notions of responsibility and blame.AimsTo investigate whether biogenetic causal attributions of mental illness among the general public are associated with more tolerant attitudes, whether such attributions are related to lower perceptions of guilt and responsibility, to what extent notions of responsibility are associated with rejection of people who are mentally ill, and how prevalent notions of responsibility are among the general public with regard to different mental disorders.MethodA systematic review was conducted of representative population studies examining attitudes towards people with mental illness and beliefs about such disorders.ResultsWe identified 33 studies relevant to this review. Generally, biogenetic causal attributions were not associated with more tolerant attitudes; they were related to stronger rejection in most studies examining schizophrenia. No published study reported on associations of biogenetic causal attributions and perceived responsibility. The stereotype of self-responsibility was unrelated to rejection in most studies. Public images of mental disorder are generally dominated by the stereotypes of unpredictability and dangerousness, whereas responsibility is less relevant.ConclusionsBiogenetic causal models are an inappropriate means of reducing rejection of people with mental illness.


2022 ◽  
Vol 1 (1) ◽  
pp. 55-62
Author(s):  
Jenny Marlindawani Purba ◽  
Sri Eka Wahyuni ◽  
Mahnum Lailan Nasution ◽  
Evi Karota Bukit

ABSTRAKPeningkatan kasus COVID 19 dan penerapan pemberlakuan pembatasan kegiatan masyarakat di Kota Medan mengakibatkan kegiatan pelayanan kesehatan jiwa masyarakat terhenti. Salah satu prioritas masalah di wilayah kerja Puskesmas Sunggal adalah gangguan jiwa. Situasi saat ini banyak penderita yang tidak teratur minum obat, tidak kontrol ke puskesmas atau rumah sakit, mengalami kekambuhan dan tidak mematuhi protokol kesehatan bila keluar rumah serta tidak produktif. Kegiatan ini bertujuan untuk meningkatkan fungsi sosial dan keterampilan orang dengan gangguan jiwa. Target khusus yang ingin dicapai adalah perubahan perilaku dari ODGJ dan keluarga di wilayah kerja Puskesmas Sunggal Medan. Metode yang digunakan adalah ceramah, diskusi dan tanya jawab, home visit, pengembangan bakat dan minat pasien berupa pelatihan dan pendampingan pembuatan sabun cair. Hasil yang diperoleh dari kegiatan ini adalah 12 orang dari 15 ODGJ (80%) dapat mengontrol gejala pskotik, kontrol teratur ke puskesmas sebelum obat habis dan mempunyai keterampilan membuat sabun cair serta mampu mengembangkan keterampilan lainnya sesuai dengan minat dan bakat masing-masing. Rehabilitasi psikosoial memberikan dampak positif bagi peningkatan fungsi kognitif, psikomotor dan afektif orang dengan gangguan jiwa. Keberhasilan program ini membutuhkan partisipasi aktif dari semua pihak. Kata Kunci : Rehabilitasi, psikososial, orang dengan gangguan jiwa, bermartabat  ABSTRACTThe increase in cases of COVID 19 and the implementation of restrictions on community activities in the city of Medan resulted in community mental health service activities being stopped. One of the priority problems in the work area of the Sunggal Health Center is mental disorders. The current situation was people with mental illness did not regularly take medication, did not go to the community health center or hospital to see the Doctor, experience relapses and did not comply with health protocols when leaving the house, and was unproductive. The activity aims to improve the social functioning and skills of people with mental disorders. The specific target to be achieved is to change the behavior of ODGJ and their families in the working area of the Sunggal Community Health Center, Medan. The methods used were lectures, discussions and questions and answers, home visits, identifying talents and interests of patients in the form of training and assistance in making liquid soap. The results of the activities were 12 from 15 of people with mental illness (80@) can control psychotic symptoms, regularly visit "the puskesmas" before the drugs run out and have the skills to make liquid soap, and are able to develop other skills according to their respective interests and talents. Psychosocial rehabilitation has a positive impact on improving the cognitive, psychomotor, and affective functions of people with mental disorders. The success of this program requires the active participation of all parties. Keywords: rehabilitation, psychosocial, people with mental illness, dignity


Author(s):  
Michelle N. Harris ◽  
Leah E. Daigle

Given the focus on research assessing violence among people with mental illness, other forms of deviance such as illegal street market offending have been relatively ignored. As such, the prevalence and risk factors for illegal street market offending among those with mental disorders is unknown. Utilizing the MacArthur Risk Assessment Study, the prevalence of illegal street market offending among this population is assessed along with the risk factors for engaging in this type of behavior. These factors are investigated for their generality in predicting violent offending to see if there are unique risk factors associated with illegal street market offending. Results indicate that factors related to money, factors related to substance usage, and general factors related to offending are significantly associated with illegal street market offending. Theoretical implications and future research are discussed.


Author(s):  
George Szmukler

Mental health law discriminates against people with mental illness when it comes to detention and involuntary treatment. This is evident when we compare such law with that applying in the rest of medicine, certainly in countries with well-developed legal systems. Mental health law fails to respect patient ‘autonomy’ (or self-determination) in the same way as it does in the rest of medicine. Furthermore, a confusion between a person’s health interests and the protection of others results in laws permitting the preventive detention of people with mental disorders—probably uniquely so—on the basis of ‘risk’ of harm, without any offence having been committed. Though people with mental illness are responsible for a very small percentage of violent offences, they can be preventively detained—on grounds reserved for them—while people without a mental illness—equally risky to others or even more so—cannot.


2014 ◽  
Vol 29 (6) ◽  
pp. 390-395 ◽  
Author(s):  
Matthias C. Angermeyer ◽  
Herbert Matschinger ◽  
Mauro G. Carta ◽  
Georg Schomerus

AbstractPurposeTo examine the evolution of the perception of the stigma attached to mental illness in Germany since 1990 up to the present.Subjects and methodsPopulation surveys were conducted in the old German States (former Federal Republic of Germany) in 1990, 2001, and 2011. The perception of stigma attached to people with mental illness was assessed with the help of Link's perceived discrimination and devaluation scale.ResultsIn the 2011 survey, less mental illness stigma was perceived by respondents than in the previous surveys. In the eyes of the German public, the devaluation and rejection of people with mental illness has substantially decreased since 1990.DiscussionThe perception of a decline of the stigmatization is in contrast to the development of the German public's attitudes towards persons with mental disorders, which remained unchanged or even worsened.ConclusionPerceived and personal attitudes towards persons with mental illness have developed differently, and it remains to be seen whether perceptions of less public stigma will ultimately be followed by improved personal attitudes.


2013 ◽  
Vol 203 (2) ◽  
pp. 146-151 ◽  
Author(s):  
Matthias C. Angermeyer ◽  
Herbert Matschinger ◽  
Georg Schomerus

BackgroundOver the past decades, psychiatry, as a science and a clinical discipline, has witnessed profound changes.AimsTo examine whether these changes are reflected in changes in the public's conceptualisation of mental disorders, the acceptance of mental health treatment and attitudes towards people with mental illness.MethodIn 1990 and 2011, population surveys were conducted in Germany on public attitudes about schizophrenia, depression and alcohol dependence.ResultsAlthough the public has become more inclined to endorse a biological causation of schizophrenia, the opposite trend was observed with the other two disorders. The public's readiness to recommend help-seeking from mental health professionals and using psychotherapy and psychotropic medication has increased considerably. Attitudes towards people with schizophrenia worsened, whereas for depression and alcohol dependence no or inconsistent changes were found.ConclusionsThe growing divide between attitudes towards schizophrenia and other mental disorders should be of particular concern to future anti-stigma campaigns.


BJPsych Open ◽  
2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Kristina Adorjan ◽  
Oliver Pogarell ◽  
Dorothee Streb ◽  
Frank Padberg ◽  
Christian Erdmann ◽  
...  

Background Psychiatry is facing major challenges during the current coronavirus disease 2019 (COVID)-19 pandemic. These challenges involve its actual and perceived role within the medical system, in particular how psychiatric hospitals can maintain their core mission of attending to people with mental illness while at the same time providing relief to overstretched general medicine services. Although psychiatric disorders comprise the leading cause of the global burden of disease, mental healthcare has been deemphasised in the wake of the onslaught of the pandemic: to make room for emergency care, psychiatric wards have been downsized, clinics closed, psychiatric support systems discontinued and so on. To deal with this pressing issue, we developed a pandemic contingency plan with the aim to contain, decelerate and, preferably, avoid transmission of COVID-19 and to enable and maintain medical healthcare for patients with mental disorders. Aims To describe our plan as an example of how a psychiatric hospital can share in providing acute care in a healthcare system facing an acute and highly infectious pandemic like COVID-19 and at the same time provide support for people with mental illness, with or without a COVID-19 infection. Method This was a descriptive study. Results The plan was based on the German national pandemic strategy and several legal recommendations and was implemented step by step on the basis of the local COVID-19 situation. In addition, mid- and long-term plans were developed for coping with the aftermath of the pandemic. Conclusions The plan enabled the University Hospital to maintain medical healthcare for patients with mental disorders. It has offered the necessary flexibility to adapt its implementation to the first and second waves of the COVID-19 pandemic in Germany. The plan is designed to serve as an easily adaptable blueprint for psychiatric hospitals around the world.


Author(s):  
Amar Akbar ◽  
Imam Zainuri ◽  
Lilik Ma'rifatul Azizah ◽  
Kyle Dornhofer

Purpose - This article aims to give an opinion on the cause of still the case of pasung in Indonesia, physical restraint and reduction in people with mental illness (called pasung in indonesia), still found in indonesia, government program ” indonesia free of pasung” still can not erase indonesia from pasung. Design/methodology/approach -The approach to literature study causes the escape especially social stigma that occurs to make the case of the pipe still continues to exist Findings -The findings of many literature studies suggest that social stigma is a cause of social restraint in patients with severe psychiatric disorders Originality/value -The value of this study envolve Empowering people with mental disorders through social intervention can reduce the side effects of antipsychotic drugs and simultaneously help self-stigma in people with mental disorders


2020 ◽  
Vol 4 (3) ◽  
pp. 104-113
Author(s):  
Marcos Almirón ◽  
Iván Barrios ◽  
Marcelo O’Higgins ◽  
Israel González ◽  
João Mauricio Castaldelli-Maia ◽  
...  

Introduction: Physiotherapy improves the quality of life in people with mental disorders through the optimization of their physical and mental health. This study aimed to determine the knowledge of physiotherapists about the provision of Physiotherapy services to people with mental disorders, about the role of Physiotherapy in the treatment of physical illnesses of mentally ill persons and in the treatment of the mental disorder itself. Methodology: A descriptive, observational, cross-sectional, and prospective study was conducted. 187 physiotherapists practicing in Paraguay, of both sexes, were surveyed. The data collection instrument was a Spanish version of the survey used by Andrew et al., which was adapted. Results: 46.52% of physiotherapists stated that Physiotherapy is useful to manage the physical symptoms of people with mental disorders. 55.61% reported that they needed more information and/or training on managing physical conditions affecting these people. 75.94% declared that they were aware that Physiotherapy can be used as treatment for some mental disorders, mainly as an adjuvant treatment to both pharmacotherapy and psychotherapy (54.55%). Participants scored anxiety disorders (23.88%), major depression disorder (21.99%) and Alzheimer's disease (21.48%) as those conditions that could most benefit from a physiotherapeutic intervention. Also, 21.93% of the respondents reported the need of more information on how to interact and communicate with people with mental disorders. Conclusion: There are gaps in the knowledge of physiotherapists in Paraguay about the provision of Physiotherapy to people with mental disorders. An adequate training and education of physiotherapists on mental illness is encouraged.


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