Clinical neuroscience and psychosocial rehabilitation

2016 ◽  
Vol 33 (S1) ◽  
pp. S374-S374
Author(s):  
A.G. Vaccaro ◽  
F. Manfrin ◽  
C. Zoppellaro ◽  
A. Catania

There is a physical world and a world of meanings, symbols and social relationships. Neuroscience considers brain as a biological machine. Social science studies the human relationships.Nowadays we know cerebral processes underlying several aspects of social behavior.Cerebral damages or dysfunctions can influence the social behavior, as well as the social experiences can shape the development, structuring and functioning of the brain and, consequently, condition the further responses of the individuals to the social events. Humans are embodied subject. In an objective sense we are bodies with a brain, in a subjective sense we are individuals in a social world. This is a relevant matter for all the medical sciences, not only for psychiatry.The real-life functioning of individuals with schizophrenia shows deficits in several daily-life abilities, in social relationships and in the work activities. According to literature and clinical practice, basic criterions are: bio-psycho-social vulnerability, stressful life events, coping strategies as well as social and relational competence.Neurocognitive activity shows a straight correlation, albeit indirect, with the real-life functioning. Positive symptoms, negative symptoms and disorganized behavior can considerably influence the real-life functioning. While social and relational competence, the general functioning and resilience are protective factors that can positively condition real-life functioning. Moreover, welfare services (i.e. assisted job placement; disability subsidies; etc.) and a good family and social network can considerably influence the results.According to the results above, we can affirm the importance to adopt integrated and personalized therapeutic-rehabilitative program for the treatment of schizophrenia and other serious mental disorders.Disclosure of interestThe authors have not supplied their declaration of competing interest.

2017 ◽  
Vol 3 (2) ◽  
pp. 184
Author(s):  
Sari Herleni

This article describes about the figure of children world in a short story “Anggrek Rara” written by Ina Inong, by connecting the social structure in the text and in the real life. After analyzing the social structure in the story, it is found that the plot of this story was the progressive plot, the background was from the social fact that came from inner house and outer house, otherwise the central character were Rara and Bunda. By analyzing social structure of text, it was found that a family (home) is the serious and formal environment while outer house is free and non formal. The result of the research showed that the children short story “ Anggrek Rara” was expected to give the figure outlines of the children world.AbstrakPenelitian ini membahas tentang gambaran dunia anak dalam cerita pendek anak “Anggrek Rara” karya Ina Inong dengan menghubungkan struktur sosial teks dalam karya dan struktur sosial teks dengan realitas. Melalui analisis struktur sosial dalam karya terungkap bahwa alur cerita ini merupakan alur lurus, latar terdiri dari fakta sosial yang bersumber dari rumah dan di luar rumah, sedangkan tokoh Rara dan Bunda adalah tokoh sentral. Melalui analisis struktur sosial teks dengan realitas terungkap bahwa keluarga (rumah) merupakan lingkungan yang sifatnya serius dan formal, sedangkan di luar rumah bahkan bersifat bebas dan non formal. Hasil yang diperoleh dari analisis ini menunjukkan bahwa cerita pendek anak “Anggrek Rara” dianggap mampu memberikan garis-garis besar gambaran kehidupan dunia anak.


2020 ◽  
Vol 8 (1) ◽  
pp. 75
Author(s):  
Ardhian Indra Darmawan ◽  
Shanti Wardhaningsih

Setiap manusia yang ada di dunia memiliki keyakinan yang dianut. Spiritual  adalah dasar dari kehidupan manusia dalam aktivitas kehidupan di dunia. Salah satu peristiwa yang terjadi dalam kehidupan adalah hubungan sosial antar manusia.  Perkembangan manusia dimulai dari bayi, balita, anak-anak, remaja, dewasa sampai lanjut usia. Masa remaja adalah fase transisi yang berada diantara fase anak - anakmenuju fase dewasa. Setiap fase perkembangan manusia dipengaruhi oleh beberapa faktor, salah satunya adalah faktor lingkungankeluarga dan spiritual. Abad 21 memberikan potensi adanya pergeseran nilai emosional dan sosial remaja ke arah negatif, seperti pergaulan bebas yang dilakukan oleh remaja. Data diambil  melalui PubMed, ProQuest, dan Google Cendekia menggunakan kata kunci: spiritual, sikap spiritual orang tua, perilaku sosial dan seksual remaja. Hasil dari delapan artikel yang diperoleh, diidentifikasi sebanyak empat tema, yaitu Spiritual dalam hubungan sosial, spiritual dalam perilaku dan kesehatan mental remaja, perilaku seksual berdasarkan budaya dan yang terkahir yaitu kontrol spiritual dalam perilaku dan pendidikan seksual. Hakekat dari nilai yang sosial yang terkandung dalam spiritual mampu memberikan dampak bagi kehidupan sosial remaja. Peran tingkat pengetahuan dan aplikasi nilai spiritual oleh orang tua dan lingkungan remaja tinggal mampu memberikan dampak bagi perilaku sosial remaja.  Perilaku sosial remaja yang didalamnya terdapat perilaku untuk memenuhi kebutuhan biologisnya yaitu perilaku seksual.  Remaja yang pengalaman hidupnya belum banyak, maka berisiko salah dalam mengambil keputusan untuk memenuhi kebutuhan dalam kehidupannya termasuk hubungan sosialnya. Meningkatnya pemahaman nilai spiritual akan mampu mengontrol perilaku yang dilakukan oleh remaja untuk memenuhi kebutuhan sosialnya. Kata kunci: peran spiritual, perilaku sosial dan seksual, remaja SPIRITUAL ROLE DEALING WITH SOCIAL AND SEXUAL BEHAVIOR OF YOUTH ABSTRACTEvery human being in the world have adopted beliefs. Spirituality is the foundation of human life in the world's life activity. One of the events that happen in life is the social relationships between people. Human development begins from infants, toddlers, children, teenagers, adults to elderly. Adolescence is a transitional phase that is between phases of a child - the child towards the adult phase. Each phase of human development is influenced by several factors, one of which is a spiritual family and environmental factors. The 21st century provides the potential for a shift in adolescent emotional and social values in the negative direction, such as promiscuity conducted by adolescents. Data retrieved via PubMed, ProQuest, and Google Scholar using keywords: spiritual, spiritual attitudes of parents, social behavior and sexual. Results from the eight articles obtained, four themes were identified, namely spiritual in social relationships, spiritual behavior and mental health of adolescents, sexual behavior based on culture and finally spiritual control in sexual behavior and education. The nature of the social values contained in the spiritual can provide an impact on the social life of adolescents. The role of the level of knowledge and application of spiritual values by parents and the environment of adolescents living is able to have an impact on adolescent social behavior. Adolescent social behavior in which there is behavior to meet biological needs, namely sexual behavior. Teenagers, whose life experiences are not many, then risk making the wrong decision to meet the needs in their lives, including social relationships. Increased understanding of spiritual values will be able to control the behavior carried out by adolescents to meet their social needs. Keywords: spiritual behavior, adolescents, adolescent sexual behavior 


2016 ◽  
Vol 33 (S1) ◽  
pp. S567-S567
Author(s):  
D. Palumbo ◽  
A. Mucci ◽  
G. Piegari ◽  
M. Chieffi ◽  
A. Mazza ◽  
...  

IntroductionPeople with schizophrenia exhibit deficits in neurocognitive and social cognitive (SC) processes which limit their social reintegration. SC was found to mediate in part the impact of neurocognitive dysfunctions on real-life functioning.ObjectiveThe purpose of this study was to implement a new intervention for patients with schizophrenia, the Social Cognition Individualized Activities Lab (So.C.I.A.L.) which trains both social cognition and neurocognitive functions.AimsTo determine the efficacy of the So.C.I.A.L in improving SC by a comparison with a validated cognitive remediation (CR) intervention: the Social Skills And Neurocognitive Individualized Training (SSANIT).MethodsNine stabilized patients accepted to participate in this pilot study. Five were randomized to So.C.I.A.L. and 4 to SSANIT. The two programs were matched for the overall treatment duration (20 weeks), as well as frequency and duration of the sessions. Both interventions included individual sessions of neurocognitive individualized training; So.C.I.A.L included group sessions on Emotion Recognition and Theory of Mind, while SSANIT group sessions of Social Skills Individualized Training.ResultsNo group difference was found for changes in neurocognition, while a significant group effect was observed for changes in SC, due to improvement only in the So.C.I.A.L. group.ConclusionsThe study results showed a specific effect of the So.C.I.A.L. on SC, beyond the effect on neurocognition. Further studies are needed to assess the impact of So.C.I.A.L. on real-life functioning in a larger group of subjects.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S276-S276
Author(s):  
Bernardo Haguiara ◽  
Gabriela Koga Tonsig ◽  
Simão Kagan ◽  
Daniel Cavalcante ◽  
Cristiano Noto ◽  
...  

Abstract Background Negative symptoms are associated with a range of poor clinical and real-life functioning outcomes in people with schizophrenia. The division of negative symptoms into two separate factors, named “expressive deficits” and “social amotivation” could enable more accurate analysis and the development of new therapeutic tools. We aim to investigate whether the different symptoms that make up the negative dimension at baseline differently predict treatment response in first episode psychosis (FEP) antipsychotic naïve patients. Methods Patients with FEP (n=80), without previous use of antipsychotics, were recruited at an emergency service in São Paulo, Brazil, between 2014 and 2019. Individuals were assessed at admission and after 10 weeks of follow-up. Patients with schizophrenia, schizoaffective disorder and schizophreniform disorder were included. The diagnosis was confirmed using the Structured Clinical Interview for DSM-IV Disorders (SCID-I). Patients were evaluated with the Positive and Negative Syndrome Scale (PANSS) at the baseline and after 10 weeks of treatment. The “expressive deficits” factor was defined as the sum of the six following items of the PANSS: N1 (blunted affect), N3 (poor rapport), N6 (lack of spontaneity and flow of conversation), G5 (mannerisms and posturing), G7 (motor retardation), G13 (disturbance of volition). The “social amotivation” factor was defined as the sum of N2 (emotional withdrawal), N4 (passive/apathetic social withdrawal) and G16 (active social avoidance). To evaluate treatment response, we used the difference between the PANSS score at baseline and after ten weeks of follow-up (delta-PANSS). We performed three linear regressions, one using the “expressive deficits” factor, one using the “social amotivation” factor and another using the total negative symptom score at baseline. Results The mean age was 26.01 years old (SD ± 7.2), and the majority was male (58.75%). “Expressive deficits” (p=0.005, R-squared=0.084, F-test=8.28, β=8.24, df=78), “social amotivation” (p=0.009, R-squared=0,072, F-test=7.14, β=5.59, df=78); and negative symptoms (p=0.002, R-squared=0.105, F-test=10.23, β=9.08, df=78) at baseline behaved similarly in relation to delta-PANSS. All measures of negative symptoms are highly correlated to PANSS total at both time points. Discussion The results were different from our initial hypothesis of worse outcome for patients with higher expressive negative symptoms. We found that negative symptoms overall and both subdomains are highly correlated to PANSS total in acute phase in early stages, what can explain the association to better outcomes with antipsychotic treatment. Longer follow-up can help us to investigate whether differences between the subdomains of negative symptoms can be observed in more stable patients.


2016 ◽  
Vol 15 (2) ◽  
pp. 103
Author(s):  
Nuriyatul Lailiyah

In real life we often took identity as something given. Social media gave users the opportunity to present themselves as they wished. Social media gave chances to people to choose the kind of person they wished to be in social medai. People could then construct their identity the same as or different from their true selves in the real world.This study aimed to identify and understand the self-presentation of social media users in the construction of identity in social media and identity in real life. The study was conducted through the methods of phenomenology and avatar research. Data was gathered by by in-depth interviews and observations in informants social media accounts.The results showed several findings, namely: construction of identity in social media take the positive part of identity in the real world, informants consistently set a certain image in the social media in match to their expectations, social media became a mean of users personal branding. Informants also divided into two categories: first, the group that consistently maintain the image they were trying to build. second, groups that occasionally appeared different from the image they wanted to construct.


1966 ◽  
Vol 18 (2) ◽  
pp. 371-378 ◽  
Author(s):  
David Mann ◽  
Melvin Cohen ◽  
David M. Engelhardt ◽  
Norbert Freedman ◽  
Reuben A. Margolis

A system for the assessment of traits characterizing the social interaction of patients in the family setting has been briefly described. This system attempts to measure the relationship between the patient and the relaive who is being interviewed concerning the patient's behavior. Using a method of coding to evaluate the respondent's answers to various open-ended questions, we are able to delineate those characteristics of the patient's behavior which are most salient to the relative and most indicative of the relationship between the relative and the patient. This system is presently being used to study the behavior of schizophrenic outpatients in a clinic setting in which the primary method of treatment is ataractic therapy. It is assumed that for psychiatric outpatients changes in their social relationships at home are as important as changes in their mental status. The social traits are being used both as predictors of change in the patient's behavior and as indices measuring the effects of treatment on social behavior. At present, we are gathering data which indicates that the social traits are reliable and valid scales, and that they are useful in the study of schizophrenic outpatients.


2017 ◽  
Vol 41 (S1) ◽  
pp. S96-S96
Author(s):  
P. Bucci ◽  
S. Galderisi ◽  
A. Rossi ◽  
P. Rocca ◽  
A. Bertolino ◽  
...  

IntroductionAn impairment of premorbid adjustment (PA) has been regarded among poor prognostic indicators of schizophrenia. Some discrepancies in the literature suggest the usefulness of further characterizations of its impact on different aspects of the disease.AimsThe present study aimed to investigate the association of poor PA with psychopathology, neurocognition and real-life functioning in patients with schizophrenia recruited within the multicenter study of the Italian network for research on psychoses. functioning during childhood and adolescence (early adjustment) was assessed also in a group of healthy controls (HC) and one of unaffected relatives of patients (UR).MethodsGroup comparisons were performed between patients with poor and those with good PA. Differences in frequency of poor early adjustment were investigated among patients, HC and UR.ResultsPatients with poor PA, as compared to those with good PA, showed earlier age of onset, more severe negative symptoms and disorganization, greater impairment on all cognitive domains with the exception of attention/vigilance and worse real-life functioning in the considered areas (interpersonal relationships, community activities and work abilities). The pattern of poor early adjustment was more frequent in patients with respect to UR and HC and, to a less degree, in UR with respect to HC.ConclusionsOur findings confirm that poor PA in schizophrenia is associated with poorer illness outcome, and offer a further characterization of PA impact on different psychopathological and cognitive domains. They also suggest that poor early adjustment is a candidate endophenotype of schizophrenia, occurring in patients and their unaffected relatives.Disclosure of interestThe authors have not supplied their declaration of competing interest.


Profanações ◽  
2018 ◽  
Vol 5 (1) ◽  
pp. 24 ◽  
Author(s):  
Vinícius Nicastro Honesko

A partir da apresentação da noção de crise no âmbito das humanidades, o presente ensaio pretende tecer algumas análises sobre os modos de gestão e governo dessa crise. Para tanto, investiga o deslocamento de problemas epistêmicos nas ciências (físicas e sociais) para o campo do governo no âmbito do controle das populações. Apresenta como os modos de leitura das probabilidades nas ciências acaba, no domínio do social, funcionando como uma maneira de gerir o real. Mostra como essa problemática se desenvolve e ganha em efetividade a partir das noções de cibernética. Por fim, aponta como o mecanismo do governo toma uma dimensão de totalidade no contemporâneo e, diante disso, aponta para modos de resistência a partir na noção de ingovernável. AbstractFrom the presentation of the notion of crisis within the humanities, the present essay intents to weave some analysis of the manners of management and government of this crisis. Therefore, it investigates the displacement of the epistemic problems on sciences (both physical and social) to the government field within the control of populations. It presents how the readings of probabilities in sciences work as a manner of manage the real on the social domain. It shows the development of this problem and exhibits how it grows on effectivity after the expansion of the cybernetics. It indicates how the mechanism of government takes a dimension of totality in the contemporaneous. Lastly, after these analysis, it aims to the manners of resistance based on the concept of ungovernable.


2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Farid Wajdi Ibrahim

<p>Abstract: The interpretation of ushuluddin is how the human relationship with God and man to man to avoidinequality, the human beings should be able to put himself as aservant of God ('abd) are always subjecting themselve stoper form the ritualworship. However, as a zon human politicon the human being should also capable in understanding social phenomena that occurinthe community, andprovide the solutions to the problems that occurin the community in the real life, as well ashow to create the social conditions to be prosperous society that is blessed by the Almighty.</p>


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