scholarly journals Descentralización de los cuidados en Salud Mental: un espacio de reflexión. / Decentralization of cares in mental health: a space for reflection.

2017 ◽  
pp. 395
Author(s):  
Belén Pascual-Vera
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Social Environment ◽  
Mutual Support ◽  
Collective Management ◽  
Palabras Clave ◽  
Health Dimension ◽  
The Social ◽  
Salud Mental

Resumen: Aunque la dimensión de salud está mediada por el contexto social, los modelos de atención hegemónicos priorizan la profesionalización e individualización de los cuidados, y la atención desde el entorno social permanece invisibilizada. En este trabajo se presenta un análisis sobre la centralización de los cuidados en salud mental, partiendo de la dicotomía entre cuidados profesionales e informales; y se proponen algunas consideraciones respecto a cómo descentralizar los cuidados. Se plantea la necesidad de revalorizar el papel del entorno social, y generar herramientas de gestión colectiva de la salud-enfermedad. Palabras clave: cuidados, salud mental, cuidadores, apoyo mutuo, revisión crítica. Abstract: Although of health dimension is mediated by the social context, hegemonic models prioritize the professionalization and individualization of cares, and the role of social environment remains invisible. This paper presents a reflection on the centralization of cares in mental health, starting from the dichotomy between professionalized and informal cares. Some reflections on how mental health care could be decentralized were also consider. Revaluating the role of the social environment, and generate tools of collective management of health-disease are suggested. Keywords: cares, mental health, mutual support, caregiver, critical review.

The wider social system

2021 ◽  
pp. 238-281
Author(s):  
Robbie Duschinsky ◽  
Sarah Foster
Keyword(s):  
Mental Health ◽  
Social Environment ◽  
Social System ◽  
Public Mental Health ◽  
Epistemic Trust ◽  
School Based ◽  
System P ◽  
The Social ◽  
The Individual

Critics have alleged that in attempting to adapt to the individual-centric environment of contemporary health provision, mentalization-based therapy itself has been complicit with the atomization of society. Conversations with his colleague Peter Fuggle and Dickon Bevington at the Anna Freud Centre have also had a profound role in highlighting to Fonagy the importance of the wider social system around the individual. Pursuing these questions, this chapter begins by examining the growing attention to the social environment shown by Fonagy and colleagues, and especially their exploration of the role of friends and friendships for mentalization and epistemic trust. It will then examine the reflections and research by Fonagy and collaborators on public mental health. The researchers’ hopes regarding school-based prevention will be given particular attention, and the chapter will also show how this work has shaped Fonagy’s efforts as a policy influencer. Finally, the chapter will appraise the considerations offered by Fonagy and colleagues of the role of culture, in particular the issue of whether attention to cultural processes should be regarded as mentalizing, non-mentalizing or as not mentalizing, and whether organizations and societies can themselves be said to institutionalize cultures of mentalizing or non-mentalizing.

scholarly journals Saúde e redes vivas de cuidado integral na atenção básica: articulando ações estratégicas no território/Health and networks live of primary care: articulating strategic actions in the territory

2017 ◽  
Vol 1 (3) ◽  
pp. 269-281
Author(s):  
Thayane Pereira da Silva Ferreira ◽  
Carmen Teresa Costa
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Occupational Therapy ◽  
Methodological Approach ◽  
Strategic Actions ◽  
Comprehensive Health ◽  
Salud Mental ◽  
Means Of Production

O estudo propõe um debate sobre o cuidado em saúde mental na atenção básica, partindo do entendimento de que a produção do cuidado se dá em redes, não apenas institucionais, mas redes vivas e de potência criativa. O percurso metodológico se deu por meio da cartografia, de modo que foi possível rastrear o território para além dos serviços de saúde. Como meio de produção de dados utilizaram-se os diários de campo produzidos na vigência de doze meses do projeto de extensão: Saúde Mental na atenção básica- desafio e necessidade, desenvolvido em uma unidade integrada de saúde da família de um município do estado da Paraíba. A vivência e atuação no território se deram inicialmente pelo mapeamento das redes de cuidado territoriais, como também a problematização das ações de cuidado na atenção básica, com o intuito de ampliar o debate sobre o papel das redes vivas no cuidado em saúde. Tal discussão possibilitou o desenvolvimento de ações em saúde pautadas na integralidade do cuidado, coesão social, produção de vida. Estes resultados apontam para a necessidade em se pensar ações compartilhadas e inseridas no território, tendo em vista que a saúde envolve também os territórios existenciais pelos quais os sujeitos circulam e produzem relações. A terapia ocupacional tem contribuído significativamente na consolidação deste cuidado. The study proposes a debate on mental health care in primary care, based on the understanding that the production of care takes place in networks, not only institutional, but also living networks and creative power. The methodological approach was through the mapping, so it was possible to trace the territory beyond the health services. As a means of production, data field diaries were  produced in the presence of twelve months of the extension project: Mental Health in the primary care - challenge and need, developed in an integrated health unit family in a municipality of state of Paraíba. The experience and operation in the territory was given initially by mapping of care networks available in the territory, as well as the questioning of care actions in primary care, in order to broaden the debate on the role of living networks in health care. This discussion enabled the development of health actions based on integrality of care, social cohesion, production of life in primary care. These results point to the need to think about shared and embedded actions in the territory, with a view that health also involves the existential territories for which individuals circulate and produce relations. Occupational therapy has significantly contributed to the consolidation of territorial care.Keywords: Comprehensive health care; Primary health care; Social network; Mental health, Occupational therapy. El estudio propone un debate sobre el cuidado en salud mental en la atención básica, basado en el entendimiento de que la producción de la atención se lleva a cabo en las redes, no sólo institucional, sino redes vivas y con poder creativo. El enfoque metodológico fue a través de la medio de la cartografía, por lo que fue posible rastrear el territorio más allá de los servicios de salud. Como medio de producción de datos se utilizaron diarios de campo producidos en la vigencia de doce meses del proyecto de extensión: Salud Mental en la atención básica -  desafio y necesidad, desarrollado en una unidad de salud de la familia integrada un condado en el estado de Paraiba. La experiencia y las operaciones en el territorio fue dado inicialmente por el mapeo de las redes de atención disponibles en el territorio, así como el cuestionamiento de las acciones de atención en la atención primaria, con el fin de ampliar el debate sobre el papel de las redes vivas en el cuidado de la salud. Esta discusión permitió el desarrollo de las acciones de salud basados en la atención integral, la cohesión social, la producción de vida. Estos resultados apuntan a la necesidad de pensar acciones compartidas en el territorio, teniendo en cuenta que la salud involucra también los territorios existenciales por los cuales los sujetos circulan y producen relaciones. La terapia ocupacional ha contribuido significativamente en la consolidación de este cuidado.Palabras clave: Asistencia integral de salud; Atención primaria de salud; Red social; Salud mental, Terapia ocupacional.

The Role of the Social Environment on Physical and Mental Health of Older Adults

2012 ◽  
Vol 26 (1-3) ◽  
pp. 290-307 ◽  
Author(s):  
Julie A. Norstrand ◽  
Allen Glicksman ◽  
James Lubben ◽  
Morton Kleban
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Social Environment ◽  
Physical And Mental Health ◽  
The Social

LA BÚSQUEDA DE LA SALUD MENTAL EN LA TRADICIÓN INDOECUATORIANA.

2015 ◽  
Vol 3 (3) ◽  
Author(s):  
Silvia Sady Kennedy Vaughn
Keyword(s):  
Mental Health ◽  
Health Psychology ◽  
Health Care ◽  
South America ◽  
Historical Data ◽  
Historical Records ◽  
Correct Information ◽  
Western Influence ◽  
Palabras Clave ◽  
Salud Mental

Este ensayo reflexivo propone la búsqueda de la epistemología de los ancestros Indo-ecuatorianos sobre el cuidado en la salud mental. El deseo es conocer la  realidad amero indígena del sur, desde la verdadera  perspectiva ancestral sin la  influencia del occidente.  Estos conocimientos nos dejarán ver a ese alter,  a través de su conocimiento y no a través de nuestra visión influenciada por la colonización, que aún  perdura  después de 500 años.  La bibliografía de la salud mental en Sudamérica vista desde el amerindio es pobre, y en  la existente se observa la falta del  entendimiento, aceptación  y objetividad; la mayoría de esos estudios fueron realizados por investigadores extranjeros  en otros idiomas. Esta pobreza determina que  en los anales históricos no exista información correcta o si la hay, es incompleta. Estos saberes deben encontrarse  antes que los mismos desaparezcan, antes que olvidemos que existieron razas y etnias  nativas, con conocimientos que los ayudaron a sobrevivir las vicisitudes de la colonización. Desde la perspectiva de la salud mental sólo un individuo sano mentalmente pudo sobrellevar los abusos físicos y mentales que ocurrieron durante la conquista. La propuesta es de realizar un estudio  profundo del entendimiento sobre salud mental y las técnicas utilizadas por los indoamericanos, en especial de Ecuador ,  en su tratamiento de la salud mental para proveer a la ciencia con datos históricos, no solo como anécdota de la misma, sino también como técnicas terapéuticas quizás más ponderosas de lo que imaginamos.   Palabras Clave: Indo Ecuatoriano, Amerindio, Interculturalidad, Salud Mental, Psicología   ABSTRACT   This reflexive essay focuses on the search for the epistemology of the Indo-Ecuadorian ancestryabout mental health care.  The desire is to know the southern Amerindian reality from the ancestral perspective, without any western influence.  This data will let us see that alter through their knowledge, and not through our vision influenced by colonization, even 500 years later. Literature on mental health in South America since the Amerindian,is poor, and in  present literature, a lack of understanding, acceptance, and objectivity has been observed, most of these studies were carried out by foreign investigators in other languages.  Such poorness determines that in the historical records there was no correct information, or if there was, it was not complete.  Such knowledge must be found before they disappear or before we forget that there were races and ethnicities with knowledge that helped them to survive the vicissitudes of colonization.  From the perspective of mental health, only a mentally healthy man could overcome the physical and mental abuse suffered during the conquest. The proposal is to carry out a profound study of understanding on mental health and the techniques used by Indo Americans, especially in Ecuador, in their treatment of mental health to provide science with historical data, not only anecdotal, but also as therapeutic techniques perhaps more powerful that we imagine.   Keywords: Indo-Ecuadorian, Amerindian, Interculturalism, Mental Health, Psychology.   Recibido: septiembre de 2015Aprobado: noviembre de 2015

Social reinsertion: comparative study between the hospital assistance and in the caps under the point of view of the user

2010 ◽  
Vol 4 (4) ◽  
pp. 1695
Author(s):  
Karlla Kelline De Lima Barbosa ◽  
Monique Feitosa De Souza ◽  
Iracema Da Silva Frazão ◽  
Fernanda Jorge Guimarães
Keyword(s):  
Mental Health ◽  
Mental Disease ◽  
Psychiatric Hospitals ◽  
Point Of View ◽  
University Hospital ◽  
The Social ◽  
Salud Mental ◽  
The University ◽  
The City

ABSTRACT        Objective: analyze the opinion of users assisted in the CAPS in the city of Camaragibe/Pernambuco, about the way the social reinsertion is approached in the psychiatrics hospitals and substitutive services. Method: it is a research with quantitative approach, done with 33 users in treatment in the regimen non intensive in CAPS, having among other criteria of inclusion, users, with historic of internship in psychiatric hospitals. Data were collected through questionnaire, which were tabulated in Excel and analyzed with the aid of SPSS 15.0 program. This study was approved by the Ethics Committee of the University Hospital Oswaldo Cruz (protocol number 005/08). Results: the users interviewed perceived the CAPS as a service that contributes for the reinsertion in the family and in the community. In this therapeutic set, they receive qualifications to develop financial autonomy, while in the closed hospitals does not seem to exist such worry. Conclusion:  it can be perceived that the users interviewee have clarity about the role of the CAPS, that is revealed as an efficient strategy in the treatment of people with mental disease, because besides doing the clinical attendance, it facilitates the social insertion of their users. Descriptors: mental health; mental health services; rehabilitation; deinstitutionalization; mental health assistance.RESUMOObjetivo: analisar a opinião dos usuários assistidos no CAPS do município de Camaragibe/Pernambuco, sobre a forma como a reinserção social é abordada nos hospitais psiquiátricos e serviços substitutivos. Método: pesquisa de abordagem quantitativa, realizada com 33 usuários em tratamento no regime não intensivo no CAPS, tendo como outros critérios de inclusão, usuários com histórico de internamento em hospital psiquiátrico. Os dados foram coletados por meio de questionário, os quais foram tabulados no Excel e analisados com o auxílio do programa SPSS 15.0. Estudo aprovado pelo Comitê de Ética em Pesquisa do Hospital Universitário Oswaldo Cruz (número de protocolo 005/08). Resultados: os usuários entrevistados perceberam o CAPS como um serviço que contribui para a reinserção na família e na comunidade. Nesse set terapêutico, eles recebem capacitações para desenvolverem autonomia financeira, enquanto que nos hospitais fechados não lhes parece existir tal preocupação. Conclusões: percebe-se que os usuários entrevistados têm clareza sobre o papel do CAPS, que se revela como uma estratégia eficaz no tratamento de pessoas com transtorno mental, pois além de realizar o acompanhamento clínico, favorece a reinserção social dos seus usuários. Descritores: saúde mental; serviços de saúde mental; reabilitação; desinstitucionalização; assistência em saúde mental.RESUMENObjetivo: analizar la opinión de los usuarios asistidos en el CAPS del municipio de Camaragibe/Pernambuco, acerca de la forma como la reinserción social es abordada en los hospitales psiquiátricos y en los servicios substitutivos. Método: se trata de una investigación con abordaje cuantitativo, realizada con 33 usuarios en tratamiento en régimen no intensivo, teniendo entre otros criterios de inclusión, usuarios con histórico de internación en hospital psiquiátrico. Los datos fueron recolectados a través de cuestionario, que fueron tabulados en Excel y analizados con la ayuda del programa SPSS 15.0. Este estudio fue aprobado por el Comité de Ética de la Hospital Universitario Oswaldo Cruz (número de protocolo 005/08). Resultados: los usuarios entrevistados percibieron el CAPS como un servicio que contribuye para la reinserción en la familia y en la comunidad. En ese espacio terapéutico, ellos se capacitan para desarrollar autonomía, mientras que en los hospitales cerrados no les parece existir tal preocupación. Conclusiones: los usuarios tienen claridad acerca del papel del CAPS, que es visto como una estrategia eficaz en el tratamiento de personas con transtornos mentales, ya que además de realizar el acompañamiento clínico, favorece la reinserción social de sus usuarios. Descriptores: salud mental; servicios de salud mental; rehabilitación; desinstitucionalización; asistencia en salud mental.  

scholarly journals 人工智能時代的價值轉向及倫理秩序重構——評＜在ＡＩ醫生和病人之間——人工智能診斷技術的內在邏輯及其對病人主體性建構的影響＞一文

2019 ◽  
Vol 17 (2) ◽  
pp. 67-72
Author(s):  
Hui JIANG
Keyword(s):  
Health Care ◽  
Social Environment ◽  
Chinese Culture ◽  
Life Sciences ◽  
Disabled Persons ◽  
Human Beings ◽  
The Social ◽  
Digital Commons ◽  
Traditional Chinese Culture

LANGUAGE NOTE | Document text in Chinese; abstract in English only.This paper comments on the article "Between AI Physician and Patient: The Logic of AI Diagnosis and its Impact on Patient Subjectivity." The article's content is clear and its expression is precise. However, due to the theme and focus of the article and limitations on space, it does not thoroughly analyze the problems with AI and its potential combination with traditional Chinese culture. For example, it does not consider the ethical relationship between AI and human beings; Confucianism, personality and emotion after the formation of AI self-consciousness; the development of the role of AI doctors; temporary disability and patients’ primary status in health care; the social environment, rights and obligations of disabled persons and patients with chronic diseases; or the interaction between genetic editing and life sciences. There is still much room to pursue these challenging directions for research.DOWNLOAD HISTORY | This article has been downloaded 46 times in Digital Commons before migrating into this platform.

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