New Horizons

1989 ◽  
Vol 52 (5) ◽  
pp. 188-193 ◽  
Author(s):  
Rachel Norris

This paper describes the rationale for establishing a pre-work skills course for long-term unemployed people, who have a history of mental illness; discusses the course in detail, with data of the outcomes of three courses; and evaluates the course in general and future plans.

1998 ◽  
Vol 18 (6) ◽  
pp. 659-671 ◽  
Author(s):  
JOANNA MURRAY ◽  
GILL LIVINGSTON

An understanding of ways in which older carers' perceptions of their marital relationship and duty to their spouse underlie adjustment to care-giving is required for the development of acceptable and efficacious services for spouse carers. With this aim we conducted qualitative interviews with 20 spouses of older people with a mental illness identified in a representative community study. While carers acknowledged distressing changes in their spouse, a history of reciprocity and intimacy emerged, comprising positive themes and perceived continuity which favourably influenced adjustment to care-giving. Those who still experience closeness in the relationship see themselves as coping and are reluctant to accept formal help. Others describe long-term unhappiness in marriage and experience feelings of entrapment in the role of carer. They require early and comprehensive services. Hypotheses regarding these themes are proposed.


2016 ◽  
Vol 46 (16) ◽  
pp. 3397-3405 ◽  
Author(s):  
K. Beckman ◽  
E. Mittendorfer-Rutz ◽  
P. Lichtenstein ◽  
H. Larsson ◽  
C. Almqvist ◽  
...  

BackgroundSelf-harm among young adults is a common and increasing phenomenon in many parts of the world. The long-term prognosis after self-harm at young age is inadequately known. We aimed to estimate the risk of mental illness and suicide in adult life after self-harm in young adulthood and to identify prognostic factors for adverse outcome.MethodWe conducted a national population-based matched case-cohort study. Patients aged 18-24 years (n = 13 731) hospitalized after self-harm between 1990 and 2003 and unexposed individuals of the same age (n = 137 310 ) were followed until December 2009. Outcomes were suicide, psychiatric hospitalization and psychotropic medication in short-term (1-5 years) and long-term (>5 years) follow-up.ResultsSelf-harm implied an increased relative risk of suicide during follow-up [hazard ratio (HR) 16.4, 95% confidence interval (CI) 12.9–20.9). At long-term follow-up, 20.3% had psychiatric hospitalizations and 51.1% psychotropic medications, most commonly antidepressants and anxiolytics. There was a six-fold risk of psychiatric hospitalization (HR 6.3, 95% CI 5.8–6.8) and almost three-fold risk of psychotropic medication (HR 2.8, 95% CI 2.7–3.0) in long-term follow-up. Mental disorder at baseline, especially a psychotic disorder, and a family history of suicide were associated with adverse outcome among self-harm patients.ConclusionWe found highly increased risks of future mental illness and suicide among young adults after self-harm. A history of a mental disorder was an important indicator of long-term adverse outcome. Clinicians should consider the substantially increased risk of suicide among self-harm patients with psychotic disorders.


2002 ◽  
Vol 42 (4) ◽  
pp. 339-343 ◽  
Author(s):  
Sharon Riordan ◽  
Helen Smith ◽  
Martin Humphreys

In the context of a larger investigation of follow-up of a specific group of mentally disordered individuals, the study described here examined the characteristics of all 55 people conditionally discharged for the first time from a medium secure unit in the West Midlands over a 13-year period. A retrospective case note analysis was undertaken. The findings illustrate that these patients are a distinct group. They were mainly single men who had committed a grave offence. The majority had an extensive criminological history with early onset of offending and chronic mental illness. Fifty per cent of those with a criminal record had received at least one custodial sentence prior to the index offence. Co-morbid substance misuse was common, as was a history of self-harm. There were high levels of previous contact with psychiatric services and compulsory in-patient treatment. Most were detained under the Mental Health Act category of mental illness. A quarter had been transferred from a special hospital prior to conditional discharge into the community. The characteristics of this sample demonstrate clearly the need for the provision of long-term medium secure facilities and allied services.


2020 ◽  
pp. 509-513
Author(s):  
Elyn R. Saks

This chapter focuses on psychoanalysis and long-term psychoanalytic psychotherapy. Early in the history of psychoanalysis, strong claims were made that psychosis could be treated psychoanalytically. This chapter shows that the idea of psychodynamic treatment for psychosis is alive and well. And, even people with serious disorders such as schizophrenia can have work and relationship issues, just like everyone else; and these can be addressed in therapy, just like with everyone else. Psychodynamic treatment can help people identify what quality of life is for them; and how best to achieve it. Psychosis can go hand-in-hand with psychodynamic treatment in addition to medication. those who struggle with mental illness want what Freud noted that everyone wants—to work and to love.


2018 ◽  
Vol 1 (2) ◽  
pp. 328
Author(s):  
Peter Novoszath

<p><em>A previous system of community service in the public interest was replaced in 2011 in Hungary with a “public employment” system, in which the government temporarily employs disadvantaged, unemployed people who are healthy and able to work and who are within the age limits for working, but who, for whatever reason, have not had a stable workplace and have therefore relied on government subsidies, such as welfare without employment. Under the new program, these citizens have been gainfully employed by the government for a set period of time. The goal of public employment is to give a path for those workers who have been unemployed for a long time, and are disadvantaged in some way, to re-enter (or enter) the private job market. Workers are employed under favorable, </em><em>“</em><em>sheltered” conditions, however ones that begin to approach the conditions they can expect in the private market. All this helps the employed workers to improve their employability, as well as to maintain and improve their work skills. Today, the public employment system is not targeted primarily at those with severe disabilities. However, the regulations which establish this program do name members of this group as a target for the program, if they are currently undergoing rehabilitation.</em></p>


2020 ◽  
Vol 7 (3) ◽  
pp. 147-152
Author(s):  
Salman Ghaffari ◽  
◽  
Mehran Razavipour ◽  
Parastoo Mohammad Amini ◽  
◽  
...  

McCune-Albright Syndrome (MAS) is characterized by endocrinopathies, café-au-lait spots, and fibrous dysplasia. Bisphosphonates are the most prescribed treatment for reducing the pain but their long-term use has been associated with atypical fractures of cortical bones like femur in patients. We present a 23-year-old girl diagnosed with MAS. She had an atypical mid-shaft left femoral fracture that happened during simple walking. She also had a history of long-term use of alendronate. Because of the narrow medullary canal, we used 14 holes hybrid locking plate for the lateral aspect of the thigh to fix the fracture and 5 holes dynamic compression plate (instead of the intramedullary nail) in the anterior surface to double fix it, reducing the probability of device failure. With double plate fixation and discontinuation of alendronate, the complete union was achieved five months after surgery


Author(s):  
Johann P. Arnason

Different understandings of European integration, its background and present problems are represented in this book, but they share an emphasis on historical processes, geopolitical dynamics and regional diversity. The introduction surveys approaches to the question of European continuities and discontinuities, before going on to an overview of chapters. The following three contributions deal with long-term perspectives, including the question of Europe as a civilisational entity, the civilisational crisis of the twentieth century, marked by wars and totalitarian regimes, and a comparison of the European Union with the Habsburg Empire, with particular emphasis on similar crisis symptoms. The next three chapters discuss various aspects and contexts of the present crisis. Reflections on the Brexit controversy throw light on a longer history of intra-Union rivalry, enduring disputes and changing external conditions. An analysis of efforts to strengthen the EU’s legal and constitutional framework, and of resistances to them, highlights the unfinished agenda of integration. A closer look at the much-disputed Islamic presence in Europe suggests that an interdependent radicalization of Islamism and the European extreme right is a major factor in current political developments. Three concluding chapters adopt specific regional perspectives. Central and Eastern European countries, especially Poland, are following a path that leads to conflicts with dominant orientations of the EU, but this also raises questions about Europe’s future. The record of Scandinavian policies in relation to Europe exemplifies more general problems faced by peripheral regions. Finally, growing dissonances and divergences within the EU may strengthen the case for Eurasian perspectives.


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