scholarly journals COMPLEX MEDICAL-PSYCHOLOGICAL AND SOCIAL SUPPORT OF PARTICIPANTS OF COMBAT

Author(s):  
Костянтин Аймедов ◽  
Валерій Наумов

Introduction. This work provides the results of author’s own research which are based on the analysis of characteristics of the post-stress personality disorders (PSD) taking into account the comorbid addictive behaviour among military personnel.During the study, it was found with PSD, the most pronounced addictions are cannabinoid, alcoholic and psychostimulants dependencies. Taking into account the tendency to increase number of people with psychopathological disorders and addictive behaviour manifestations in the modern Ukraine, the problem of prevention, treatment and support of people who were in the ATO area is acute now.Goal. Determination of markers of medical, psychological and social support.Research methods: theoretical, socio-demographic, clinical and psychopathological, psychodiagnostic, follow-up, clinical and anamnestic, statistical.Results. In order to develop a model of pharmacotherapy for this group of persons, during the 2014-2018 years, 219 people were examined at the age from 21 to 56 years, of which 18 persons were not included in the study according to the inclusion/exclusion criteria. Of surveyed people (201 persons), 59 people were diagnosed with PSD, including 32 people with comorbid adductions.We carried out a screening diagnostic assessment of the needs of servicemen, during which we identified the main requests for the need for corrective measures, their attitude and desire to take part in an experimental program to restore normal social life and restore normal life. According to the results of the study, it was found that the spectrum of needs covers all three spheres of a person’s life: biological, psychological and social. It was possible to identify the main targets of psychotherapy and draw up a plan of the main activities. The general goal of psychocorrectional measures for each of the studied groups was the restoration of normal processes of life of the individual and the restoration of normal social interaction.Conclusions. The developed measures gave us the opportunity to effectively influence all links of pathogenesis, based on the biopsychosocial model of addiction. In the process of treatment, taking into account the recommendations of the MOH on the treatment of military personnel, were improved certain stages of pharmacotherapy as the basis for further active psychosocial and psychosocial support, which will create the basis for the normalization of their livelihoods and the possibility of military-professional recovery.

2021 ◽  
Vol 6 (1) ◽  
pp. e000760
Author(s):  
Pernille Axel Gregersen ◽  
Mikkel Funding ◽  
Jan Alsner ◽  
Maja H Olsen ◽  
Jens Overgaard ◽  
...  

ObjectiveTo explore living with heritable retinoblastoma, specifically survivors’ perceived role of regular follow-up at a retinoblastoma survivorship clinic.Methods and analysisAdult survivors of heritable retinoblastoma were recruited from the Retinoblastoma Survivorship Clinic, Aarhus University Hospital. Ten survivors participated in individual explorative, semistructured interviews. Thematic data analysis was conducted.ResultsFive key themes relating to vision, social life, family, second cancer risk and the healthcare system were identified. Subthemes relating to the Retinoblastoma Survivorship Clinic included the retinoblastoma coordinator, cancer risk, psychosocial support and genetic knowledge. The retinoblastoma-related physical and psychosocial issues influenced survivors’ everyday living; however, the opportunity to live a normal life varied considerably, with the majority experiencing no major limitations. The need for specialised management and a coordinator was emphasised to be the main value of the Retinoblastoma Survivorship Clinic.ConclusionDespite reporting an overall normal life and no major limitations in daily living activities, our data confirm that heritable retinoblastoma impacts several aspects of daily living. Uniquely, this study demonstrates that the main value of the Retinoblastoma Survivorship Clinic was a specialised contact person and coordinator in the healthcare system, providing continuous and necessary management and guidance after retinoblastoma treatment, and for all aspects of health related to heritable retinoblastoma. The needs of heritable retinoblastoma survivors are complex and extensive, and the specific role of the healthcare system to support survivorship should be prioritised, specialised and multidisciplinary.


In a paper published last year the authors described a method by which it is possible to recognise the red blood corpuscles of any individual ox and to differentiate them from those of any other member of the same species. The method depends upon the fact that if a highly polyvalent isohæmolytic serum is treated repeatedly with the red blood corpuscles of any individual of the species for which the serum has been made, it entirely loses its hæmolytic action for the corpuscles of all other individuals of the same species. Such a serum therefore constitutes, so to speak, a specific reagent for the corpuscles of the individual for which it has been prepared, and by its means one is enabled to follow up and to identify these corpuscles even in the presence of corpuscles of other individuals.


1924 ◽  
Vol 70 (290) ◽  
pp. 362-375 ◽  
Author(s):  
Ian D. Suttie

There is a type of social psychology which finds the explanation of man's social behaviour in a hypothetical “disposition” of his mind. This motive-complex is conceived as specialized for the function of adapting conduct to social life, and as being in itself relatively closely integrated, developing and functioning as a whole. Of this hypothetical “gregarious instinct” McDougall goes so far as to say: “For it is highly probable that instinctive dispositions are Mendelian units” (Journ of Abn. Psych, and Soc. Psych., vol. xvi, p. 316). This plainly suggests that the unity of the social disposition (its existence as a discrete factor in development) is to be regarded as antedating experience—that it is an ultimate datum for psychology not susceptible to analysis, and is not a derivative of any other known motive such as “love,” “fear,” or “hope of reward.” This “instinct” interpretation of social behaviour has been criticized on many grounds (as unfruitful for psychology and incompatible with biological fact); but of course the demonstration of a Mendelian transmission of the social disposition would compel us to regard it as an element of character. Our conception of mental development and of the “socialization” of the individual, of the relative significance of upbringing as compared with organic endowment and our whole psycho-pathology depend upon our acceptance or rejection of McDougall's view. If he is right in regard to the germinal “unit” determination of the social disposition, criminological studies should offer verification. I propose, therefore, to consider how far we are justified in regarding moral insanity and moral imbecility as true “morbid entities.”


2004 ◽  
Vol 10 (6) ◽  
pp. 828-834 ◽  
Author(s):  
KEVIN DUFF ◽  
MIKE R. SCHOENBERG ◽  
DOYLE PATTON ◽  
JAMES MOLD ◽  
JAMES G. SCOTT ◽  
...  

Repeated neuropsychological assessments are common with older adults, and the determination of clinically significant change across time is an important issue. Regression-based prediction formulas have been utilized with other patient and healthy control samples to predict follow-up test performance based on initial performance and demographic variables. Comparisons between predicted and observed follow-up performances can assist clinicians in determining the significance of change in the individual patient. In the current study, multiple regression-based prediction equations for the 5 Indexes and Total Score of the RBANS were developed for a sample of 223 community dwelling older adults. These algorithms were then validated on a separate elderly sample (N = 222). Minimal differences were present between observed and predicted follow-up scores in the validation sample, suggesting that the prediction formulas are clinically useful for practitioners who assess older adults. A case example is presented that illustrates how the algorithms can be used clinically. (JINS, 2004, 10, 828–834.)


Author(s):  
Ekaterina L'vovna Kabakhidze

Among the neologisms actively used in youth environment, one come across multiple words with negative connotation, which are used to describe aggressive behavior or destructive emotional state. Aggression, conflict, alienation are the markers of modern society, which infiltrate all spheres of social life, including the system of education, which on the one hand is influenced by the external environment, while on the other is the mechanism for harmonization of public relations, formation of moral and ethical attitudes, as well as worldview values of the society. The ongoing anthropological crisis, which actualized the problem of conflictogenity in the sphere of higher education, laid the groundwork for this research. The goal of this article lies in the analysis and review of foreign research dedicated to the causes of conflicts that occur in the academic environment, as well as the mechanisms for their settlement. The author employs the combination of descriptive, comparative methods, classification, and introspection methods for the development of original perspective on the topic. Having provided the philosophical-psychological foundations of the modern anthropological crisis, and its conflictogenity in the system of higher education on the individual and institutional levels, the author classifies the types of conflicts along with the ways for overcoming them, and gives  special attention to such that may find their application in the Russian educational space. The main result of this research lies in the description of the types of conflicts in the academic environment, methods of their settlement, as well as practical recommendations for eliminating conflicts in the Russian universities. The novelty of this article consists in the systemic description of problematic field of the research – conflictogenity in the system of higher education, and determination of the mechanisms for overcoming conflict situations, considering national, cultural, and administrative specificity of higher education institutions in the Russian Federation.


2015 ◽  
Vol 24 (3) ◽  
pp. 74-85
Author(s):  
Sandra M. Grether

Individuals with Rett syndrome (RS) present with a complex profile. They benefit from a multidisciplinary approach for diagnosis, treatment, and follow-up. In our clinic, the Communication Matrix © (Rowland, 1990/1996/2004) is used to collect data about the communication skills and modalities used by those with RS across the lifespan. Preliminary analysis of this data supports the expected changes in communication behaviors as the individual with RS ages and motor deficits have a greater impact.


1970 ◽  
Vol 6 (1) ◽  
pp. 184-193
Author(s):  
Ольга Віговська

У статті теоретично обґрунтовано феномен конструктивного самозбереження особистості як ознаки самоактуалізації, розкриття власного потенціалу і побудови перспективи розвитку особистості та емпірично виявлено ознаки психологічної детермінації домінуючого інстинкту у конструктивній самореалізації жінок з різним соціальним статусом. Зазначено, що проблема самозбереження асоціюється з особливостями прояву інстинкту самозбереження людини, але потреби вищого порядку зумовлюють соціальну природу її поведінки, яка локалізована у найвищій точці самореалізації. Теоретично обгрунтовано, що самореалізація визначає тенденцію раціональної організації життя людини та проявляється у її почутті задоволеністю життям. З’ясовано, що психологічну основу конструктивного самозбереження становлять індивідуально-типологічні характеристики людини, які відображають психофізіологічні та психосоціальні резерви самореалізації особистості. Розроблена програма емпіричного дослідження, а також комплекс використаних методів математичної обробки результатів дослідження дає змогу конкретизувати психологічний зміст детермінації домінуючого інстинкту у конструктивній самореалізації жінок вікового діапазону 35-45 років та з різним соціальним статусом. У жінок, які виховують проблемну (хвору) дитину, домінує інстинкт "егофільного типу", що виражається у їх надмірному егоцентризмі і супроводжується низькими показниками самоактуалізації, на відміну від досліджуваних жінок, які виховують здорових дітей і у яких на фоні вираженої тенденції до самоактуалізації домінує базовий інстинкт "дослідницького типу" та "лібертофільного типу". This article theoretically proves constructive phenomenon of self identity as signs of self-disclosure own potential and prospects of development of individual construction. In addition, it empirically showes signs of psychological determination of the dominant instinct in a constructive self-determination of women with different social statuses. It was noted that the issue of self-preservation is associated with the peculiarities of manifestation of self-preservation instinct of man, but it needs higher-order cause social nature of the behavior that is localized at the highest point of self-realization. It theorized that self-realization determines the trend of rational organization of human life and manifests itself in its sense of life satisfaction. It was found that the psychological basis of constructive self-preservation of the individual make individually-typological characteristics of a person that reflect physiological and psychosocial reserves of self-realization. The developed program of empirical research, as well as the methods used complex mathematical processing of results of research allows to specify the content of the psychological determination of the dominant instinct of constructive self-realization а women age range of 35-45 years and with different social status. Women who bring up the problem child dominates the instinct of self-preservation, which is reflected in their excessive self-centeredness, and is accompanied by low levels of self-actualization, as opposed to the study of women who are raising healthy children and that against the backdrop of a pronounced tendency to self-actualization, dominated by basic instinct "research type" and "independent type."


Author(s):  
Rachel Ablow

The nineteenth century introduced developments in science and medicine that made the eradication of pain conceivable for the first time. This new understanding of pain brought with it a complex set of moral and philosophical dilemmas. If pain serves no obvious purpose, how do we reconcile its existence with a well-ordered universe? Examining how writers of the day engaged with such questions, this book offers a compelling new literary and philosophical history of modern pain. The book provides close readings of novelists Charlotte Brontë and Thomas Hardy and political and natural philosophers John Stuart Mill, Harriet Martineau, and Charles Darwin, as well as a variety of medical, scientific, and popular writers of the Victorian age. The book explores how discussions of pain served as investigations into the status of persons and the nature and parameters of social life. No longer conceivable as divine trial or punishment, pain in the nineteenth century came to seem instead like a historical accident suggesting little or nothing about the individual who suffers. A landmark study of Victorian literature and the history of pain, the book shows how these writers came to see pain as a social as well as a personal problem. Rather than simply self-evident to the sufferer and unknowable to anyone else, pain was also understood to be produced between persons—and even, perhaps, by the fictions they read.


Author(s):  
O. Yu. Atkov ◽  
S. G. Gorokhova

The individual dynamics of the allostatic load index was revealed mainly due to changes in the glucose level, body mass index, which makes it applicable for assessing the short-term adaptation to the stay in the conditions of shift work


INFO ARTHA ◽  
2017 ◽  
Vol 1 (1) ◽  
pp. 17-34
Author(s):  
Fadlil Usman

Probity audit is an independence assessment activity to ensure the goods/services procurement processes have been implemented consistently appropriate with the principle of upholding integrity, uprightness, honesty and fulfill certain occur legislation aimed for improving the accountability for the use of public sector fund. Probity audit is done in real time simultaneously with the goods/services procurement process. This study aims to evaluate the suitability of the implementation of probity audit conducted by BPKP Headquarter as agency that initiated the implementation of probity audit in Indonesia compared with the Probity audit Guidelines for Procurement of Goods/Services as criteria. The results of this study indicate that the implementation of probity audit conducted by BPKP Headquarter has been implemented adequately, but there are activities that do not fit the criteria, especially in the activities of the determination of the scope of the audit, the preparation of working papers and the follow-up monitoring of the audit results. Probity audit merupakan kegiatan penilaian (independen) untuk memastikan bahwa proses pengadaan barang/jasa telah dilaksanakan secara konsisten sesuai dengan prinsip penegakan integritas, kebenaran, kejujuran dan memenuhi ketentuan perundangan yang berlaku yang bertujuan meningkatkan akuntabilitas penggunaan dana sektor publik. Probity audit dilakukan secara real time yaitu bersamaan dengan pelaksanaan pengadaan barang/jasa. Penelitian ini bertujuan untuk melakukan evaluasi kesesuaian pelaksanaan probity audit yang dilakukan oleh BPKP Pusat selaku instansi yang menginisiasi pelaksanaan probity audit di Indonesia dibandingkan dengan kriteria berupa Pedoman Probity audit Pengadaan Barang/Jasa Pemerintah. Hasil dari penelitian ini menunjukkan bahwa pelaksanaan probity audit yang dilakukan oleh BPKP Pusat sudah dilaksanakan secara memadai, namun masih terdapat hal yang belum sesuai dengan kriteria terutama dalam kegiatan penentuan ruang lingkup audit, penyusunan kertas kerja dan pemantauan terhadap tindak lanjut hasil audit.


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