scholarly journals Engagement of Russian Mental Health Professionals in the Development of WHO’s ICD-11

10.17816/cp79 ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 17-22
Author(s):  
Tahilia J. Rebello ◽  
Maya A. Kulygina ◽  
Valery N. Krasnov ◽  
Kathleen M. Pike ◽  
Geoffrey M. Reed
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Russian Federation ◽  
Health Professionals ◽  
Clinical Utility ◽  
Large Scale ◽  
Neurodevelopmental Disorder ◽  
Field Studies ◽  
The World ◽  
The Russian Federation

The World Health Organization (WHO) has officially approved the next version of its global diagnostic system, the International Classification of Diseases and Related Health Problems, Eleventh Revision (ICD-11). Processes to implement the ICD-11 are now underway. Developing the ICD-11 chapter on Mental, Behavioural and Neurodevelopmental Disorders, in line with WHOs core priorities to enhance the clinical utility, reliability, and global applicability of the guidelines, necessitated a large-scale scientifically-rigorous research program. Such a program of global field studies engaged mental health professionals from across the world, with substantial contributions from clinicians in the Russian Federation. This paper systematically highlights the substantive roles played by Russian clinicians in all steps of development of the mental, behavioural, and neurodevelopmental disorder guidelines, including their participation in the following: 1) early formative field studies that informed the organizing principles and overarching structure of the ICD-11; 2) large-scale online studies that used a case-controlled methodology to evaluate the guidelines clinical utility and the accuracy with which the new ICD-11 guidelines could be applied by global clinicians; 3) an online network of mental health professionals who provided direct feedback on the ICD-11 to WHO (also known as the Global Clinical Practice Network, www.globalclinicalpractice.net) with over 16,000 members from 160 countries, and with the Russian Federation being in the top five most represented countries in the network; 4) clinic-based field studies that tested the reliability and clinical utility of the ICD-11 diagnostic guidelines; and 5) development and participation in training programs that prepare clinicians in implementing the diagnostic guidelines in clinical settings. In these many ways, Russian clinicians have substantively and directly contributed to efforts to maximize the clinical usefulness, consistency, acceptability, and applicability of the ICD-11s mental, behavioural, and neurodevelopmental disorder guidelines. This substantial engagement of clinicians will conceivably facilitate the adoption and use of the guidelines by clinicians in the Russian Federation and other Russian-speaking countries, as the ICD-11 is implemented over the coming years.

TO THE QUESTION OF RESPONSIBILITY FOR TORTURE IN THE RUSSIAN FEDERATION

2020 ◽  
Vol 10 (2) ◽  
pp. 103-106
Author(s):  
ASTEMIR ZHURTOV ◽  
Keyword(s):  
Human Rights ◽  
Russian Federation ◽  
Large Scale ◽  
Human Life ◽  
International Standards ◽  
World Community ◽  
The World ◽  
Long Time ◽  
Protection Of Human Rights ◽  
The Russian Federation

Cruel and inhumane acts that harm human life and health, as well as humiliate the dignity, are prohibited in most countries of the world, and Russia is no exception in this issue. The article presents an analysis of the institution of responsibility for torture in the Russian Federation. The author comes to the conclusion that the current criminal law of Russia superficially and fragmentally regulates liability for torture, in connection with which the author formulated the proposals to define such act as an independent crime. In the frame of modern globalization, the world community pays special attention to the protection of human rights, in connection with which large-scale international standards have been created a long time ago. The Universal Declaration of Human Rights and other international acts enshrine prohibitions of cruel and inhumane acts that harm human life and health, as well as degrade the dignity.Considering the historical experience of the past, these standards focus on the prohibition of any kind of torture, regardless of the purpose of their implementation.

Psychosocial Needs of Torture Survivors

1991 ◽  
Vol 25 (4) ◽  
pp. 481-490 ◽  
Author(s):  
Derrick Silove ◽  
Ruth Tarn ◽  
Robin Bowles ◽  
Janice Reid
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychosocial Rehabilitation ◽  
Traumatic Experiences ◽  
Torture Survivors ◽  
Psychosocial Needs ◽  
Western Countries ◽  
The World ◽  
Widespread Interest

Growing recognition that the world faces a modern epidemic of torture has stimulated widespread interest amongst mental health professionals in strategies for the treatment of survivors. In this article we outline the distinctive experiences of torture survivors who present for treatment in western countries. These survivors are usually refugees who, in addition to torture, have suffered a sequence of traumatic experiences and face ongoing linguistic, occupational, financial, educational and cultural obstacles in their country of resettlement. Their multiple needs call into question whether “working through” their trauma stories in psychotherapy will on its own ensure successful psychosocial rehabilitation. Drawing on our experience at a recently established service [1], we propose a broader therapeutic aim.

scholarly journals LICENSED ANTHRAX VACCINES AND EXPERIMENTAL PREPARATIONS AT THE STAGE OF CLINICAL TRIALS

2017 ◽  
pp. 112-126
Author(s):  
N. I. Mikshis ◽  
P. Yu. Popova ◽  
A. P. Semakova ◽  
V. V. Kutyrev
Keyword(s):  
Clinical Trials ◽  
Russian Federation ◽  
Large Scale ◽  
Next Generation ◽  
The World ◽  
High Pathogenicity ◽  
The Russian Federation ◽  
Manufacturing Technologies ◽  
Anthrax Vaccines ◽  
Epidemiological Situation

High pathogenicity of anthrax agent combined with unique insensitivity of its spore forms to environmental stresses class it among extremely dangerous biological agents. Registered and effectively used anthrax vaccines made invaluable contribution to the improvement of epidemiological situation around the world. Nevertheless, neglect of non-specific prophylaxis may result in dramatic scenarios and require large-scale measures on rectification of the consequences. Efforts on the development of next-generation vaccines are aimed at safety build-up, decrease in frequency of administration, and enhancement of manufacturing technologies. The review contains the key information on licensed anthrax vaccines designed for medical use, both in the territory of the Russian Federation and abroad. Among multiple experimental developments emphasized have been preparations manufactured by various biopharmaceutical companies in compliance with GMP standards, at different phases of clinical trials in 2016.

Goldwater

2020 ◽  
pp. 174-184
Author(s):  
Dan P. McAdams
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Presidential Election ◽  
Psychiatric Diagnosis ◽  
Public Officials ◽  
Mental Health And Illness ◽  
The World ◽  
Health And Illness ◽  
The One

As a short digression into the world of psychiatric diagnosis, the chapter “Goldwater” discusses the controversy over whether or not mental health professionals should diagnose President Trump with a mental illness, such as narcissistic personality disorder (NPD). The chapter’s title recalls the 1964 U.S. presidential election wherein the results of a survey of psychiatrists were published in an American magazine, concluding that the Republican candidate Barry Goldwater was mentally unfit to hold office. Goldwater later sued the magazine, and the case led to what has become known as the Goldwater Rule, prohibiting psychiatrists from diagnosing public officials from afar. The chapter makes a clear distinction between psychiatric diagnosis, which adopts the language of medicine and illness, on the one hand, and psychological commentary on the other. The latter conception better characterizes what the current book aims to accomplish. Psychological commentary draws from psychological science to develop a personality portrait of a person, without diagnosis and without judgment regarding mental health and illness. Moreover, Donald Trump is much stranger than any psychiatric label can convey.

International Themes in Psychotherapy Integration

2019 ◽  
pp. 448-473
Author(s):  
Beatriz Gómez ◽  
Shigeru Iwakabe ◽  
Alexandre Vaz
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Psychotherapy Integration ◽  
Historical Background ◽  
The Past ◽  
Current Climate ◽  
The World ◽  
Training And Research ◽  
Sociopolitical Issues

Interest in psychotherapy integration has steadily expanded over the past decades, reaching most continents of the world and more mental health professionals than ever. Nevertheless, a country’s cultural and historical background significantly influences the nurturance or hindrance of integrative endeavors. This chapter seeks to explicate the current climate of psychotherapy integration in different continents and specific countries. With the aid of local integrative scholars, brief descriptions are presented on integrative practice, training, and research, as well as on cultural and sociopolitical issues that have shaped this movement’s impact around the world.

Psychiatry without Asylums: Origins and Prospects in Italy

1983 ◽  
Vol 13 (1) ◽  
pp. 119-129 ◽  
Author(s):  
Paolo Crepet ◽  
Giovanni De Plato
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Mental Hospital ◽  
Institutional Reform ◽  
Mental Hospitals ◽  
The World ◽  
Private Citizens

In 1978, Italy became the first country in the world to pass a law eliminating mental hospitals and replacing them with services in the community. This victory was in large part due to the foresight and commitment of psychiatrist Franco Basaglia and his colleagues, whose work showed how psychiatric assistance could be realized in practice without asylums and without force and violence. This article analyzes why the anti-institutional reform took place in Italy when it did, and reviews twenty years of reform activity involving an alliance between democratic mental health professionals, politicians, workers' organizations, and private citizens. Although the reform gives psychiatry the opportunity to transform itself into a science of liberation, conservative political and scientific forces are attempting to maintain the logic of the asylum and replace the mental hospital with other institutions which continue to practice segregation in a decentralized form. The outcome of this radical experiment in creating a nonrepressive psychiatry remains uncertain.

scholarly journals THE MAIN CHALLENGES, THREATS AND DANGERS FOR MODERN UKRAINIANNESS

2020 ◽  
pp. 50-59
Author(s):  
Tetiana Voropayeva
Keyword(s):  
Russian Federation ◽  
Armed Conflict ◽  
Large Scale ◽  
Poverty Line ◽  
Industrial Complex ◽  
Current Crisis ◽  
Relevant Today ◽  
The World ◽  
The Russian Federation ◽  
Ukrainian Society

The article is devoted to the study of the biggest challenges, threats and dangers for modern Ukrainianness. The issue of challenges, threats and dangers facing Ukraine and Ukrainianness since 1991 is very relevant today. Scientists who work in the field of crisisology distinguish the concepts of «challenges», «threats», «dangers», «crises», «risks», «catastrophes», «collapse», «wreck», etc. The theoretical and methodological basis of our study is a combination of scientific potential of crisisology, conflictology and Ukrainian studies. Crisisology, conflictology and Ukrainian studies face the task of transdisciplinary understanding of the essence and severity of these challenges, threats and dangers, which are relevant in many areas such as military-defense, geopolitical, demographic, state-building, spiritual worldview, ecological, economics, energy, information, cultural and artistic, linguistic, moral and ethical, scientific, nation-building, educational, political and legal, social, territorial, technological, financial, etc. To these are added threats and dangers: 1) large-scale war with Russia; 2) total spread of COVID-19 in Ukraine; 3) the implementation of a new geostrategic course in Russia (called «geopolitical revenge»); 4) spreading the ideology of the «Russian world», intensifying new attempts by the Russian Federation to dismember Ukraine, supporting separatization and federalization of Ukraine; 5) possible escalation of the Russian-Ukrainian and Armenian-Azerbaijani conflicts, which could lead to a new global confrontation and even a world war; 6) ineffective fight against corruption in Ukraine; 7) the lack of a proper response from the authorities to the need to immediately end Russia’s information and psychological war against Ukraine; 8) destruction of small and medium business and further financial and economic stratification of Ukrainian society; 9) procrastination with the solution of the poverty problem (in conditions when about 60% of Ukrainians are below the poverty line); 10) possible man-made disasters in Ukraine; 11) possible transformation of Ukraine from a subject into an object of international relations; 12) possible rejection of European integration; 13) discrediting the Orange Revolution and the Revolution of Dignity, in order to spread Russian narratives about the coup in Ukraine; 14) intensification of interfaith conflicts in Ukraine; 15) inadequate decision-making by incompetent authorities (threat of economic decline and large-scale financial crisis in Ukraine, possible change in Ukraine’s vector of development, threat of capitulation, refusal of the authorities to resolve the «Ukrainian crisis» (which began after Russia’s aggression and has become a factor influencing the security of Europe and the world) from the standpoint of Ukraine as a subject, not an object); 16) refusal to solve the problems of internally displaced persons; 17) possible «freezing» of the Russian-Ukrainian armed conflict in order to further destabilize Ukraine; 18) strengthening of geopolitical and geoeconomic instability, intensification of intercivilizational and geopolitical confrontation in the world; 19) possible decline of democracy and rise of authoritarianism in Ukraine; 20) expansion of the border with Russia (in case of its absorption of Belarus); 21) possible disintegration of Ukrainian society and world Ukrainiannes; 22) further violation of international law by the Russian Federation; 23) exacerbation of the economic and migration crisis in Europe; 24) radicalization of part of the Islamic world; 25) due to the collapse of the USSR. The challenges, threats and dangers facing Ukrainians can unfold at the global, continental and national levels. Ukrainians must find adequate answers to modern challenges and mechanisms to minimize threats and dangers; ensure stable economic growth; to create a powerful system of national security, army and defense-industrial complex; find ways to ensure national interests in the current crisis; to develop optimal models for resolving the Russian-Ukrainian armed conflict, reintegrating the population of the occupied territories and restoring the territorial integrity of Ukraine.

EXTERNAL FACTORS OF GEOPOLITICAL PROCESSES IN THE SOUTH OF RUSSIA IN THE CONTEXT OF GLOBALIZATION AND REGIONALIZATION

2020 ◽  
pp. 5-22
Author(s):  
Igor Dobaev
Keyword(s):  
Russian Federation ◽  
Soft Power ◽  
Large Scale ◽  
The South ◽  
Hard Power ◽  
The World ◽  
Federal Districts ◽  
The Russian Federation ◽  
External Forces ◽  
North Ossetia

Russia is the largest country in the world, a civilization state, with its unique geopolitical code. To change this course, the identity of our country, to force it to wander in the wake of the geopolitical and foreign policy aspirations of other centers of power, a number of geopolitical projects based on “hard power”, “soft power” as well as “soft power” are being implemented in the Russian Federation and beyond its external borders. At the same time, due to the large-scale territory of Russia, the presence of its internal regions that are different in their characteristics, various projects are deployed by external forces in various directions. This article discusses the geopolitical projects of the main external forces projecting their influence on the South of Russia - the territories of the constituent entities of the Russian Federation that are part of the Southern and North Caucasian federal districts. There are eight republics there: Adygea, Daghestan, Ingushetia, Kabardino-Balkaria, Kalmykia, Karachay-Cherkessia, Crimea, North Ossetia-Alania and Chechnya, two territories - Krasnodar and Stavropol and three regions - Astrakhan, Volgograd and Rostov; in total 14 subjects of Russia.

The World the Revolution Made

Madhouse ◽  
2017 ◽  
Author(s):  
Jennifer L. Lambe
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Social Engineering ◽  
Psychological Change ◽  
Mental Transformation ◽  
The World ◽  
Psychological Transformation ◽  
The Revolution

Chapter 6 argues that the project of mental transformation in the service of revolution transpired largely beyond the institution. Imbued with the utopian spirit of social engineering, mental health professionals mobilized to implement their plans for psychological transformation. Nevertheless, as psychiatrists in particular discovered, this was a project that the revolutionary leadership itself planned to direct, and in many cases they were forced to take a backseat to its sui generis reeducation experiments. The end result was the unmistakable politicization of psychological change, as an assemblage of psychiatric concepts, language, and practice imbued official expectations and popular experiences of the revolutionary moment.

Alcohol Use Among Mental Health Professionals in China: A Nationwide Cross-sectional Survey

2020 ◽  
Author(s):  
Rui Tao ◽  
Feng Jiang ◽  
Kaiyuan Min ◽  
Tingfang Liu ◽  
Yuanli Liu ◽  
...  
Keyword(s):  
Mental Health ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Northeast China ◽  
Large Scale ◽  
Online Survey ◽  
Clinical Psychologists ◽  
Male Sex

Abstract Aim To survey the use of alcohol, and its correlates by mental health professions in China, a nation where there is rapid increase in alcohol consumption and problems. Methods As a part of a large-scale, nation-wide online survey of healthcare professionals, we collected demographic variables and other health-related variables anonymously. The Alcohol Use Disorder Identification Test-Concise (AUDIT-C) was used to collect data on alcohol use. Results 13,980 mental health professionals completed the survey (4382 doctors, 9339 nurses and 259 clinical psychologists), representing 64% of the total targeted. Respondents were predominantly female (75.1%). Alcohol consumption was reported by 41.8% of participants (by 53.9% of doctors, 36.2% of nurses and 40.5% of clinical psychologists). Based on the cut-off scores of the AUDIT-C (≥3 for women and ≥4 for men), 7.5% were classified as probable alcohol misusers in the past year, and the rates were 10.2% in doctors, 6.3% in nurses and 5.8% in clinical psychologists. Multiple logistic regression showed that male sex (OR = 3.772; CI = 3.206–4.439), being a doctor (OR = 1.259; CI = 1.052–1.506), being divorced or widowed (OR = 1.979; CI = 1.467–2.666), having an associate degree or less (OR = 1.809; CI = 1.040–3.147), working in Northeast China (OR = 1.538; CI = 1.281–1.848) and the habit of smoking (OR = 3.345; CI = 2.280–3.967) were significantly associated with alcohol misuse. Conclusions Alcohol use and misuse were relatively common among mental health professionals in China, and male sex, being a doctor, with lower education, working in Northeast China and cigarette smoking were significant associations. Awareness and interventions are recommended to promote healthier use of alcohol in this professional group, especially among risk subgroups.

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