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2022 ◽  
Vol 2 (1) ◽  
pp. 62-68
Author(s):  
Veronika Ivanova

Psychosis is a condition characterized on current diagnostic tests by impairment and may include severe disturbances of cognition, thinking, behaviour, and emotion. The need for early diagnosis and prevention of psychotic episodes in adolescents challenges traditional models of counselling, diagnosis, and treatment. The aim of the present study is to derive the main themes and psychological manifestations in the first psychotic episode in adolescents and to deepen knowledge and raise questions around the specific experiences of psychotic adolescents in order to help the clinical psychologist and psychotherapist in diagnostic and therapeutic counselling. This thus goes beyond the visible behaviour and the medical model that pays little attention to the causal relationships in psychosis and its unconscious components. Thirty-six adolescents (27 girls) with subclinical and clinical psychotic symptoms and 30 adolescents (16 girls) with neurotic symptoms were interviewed. A clinical approach was used – clinical psychological interview followed by psychotherapeutic work. Findings and statements can be found showing that early psychotic signs may change into a more severe adolescent crisis, as well as indications of the nature of anger towards parents, unstable mood and aggressivity. Leading themes in interviews and psychotherapeutic sessions may relate to feelings of insignificance in the world around them, unclear sexual identification, too close a relationship with their mothers, and anxiety about real or symbolic absence such as their mothers’ working away from home for long periods of time. In 79% of the interviews with adolescents with psychotic symptoms, we see a lack of real symbolic play in childhood. suitable for non-psychotic adolescents, in this case to change in the first psychotic episode.****What does this last sentence mean? The importance of early diagnosis is recognized and the known psychotherapeutic techniques must be used. Keywords: early psychosis, adolescent, positive psychotherapy, counselling


2022 ◽  
pp. 215686932110688
Author(s):  
Peggy A. Thoits

Epidemiological and sociological research on recovery from mental disorder is based on three rarely tested medical model assumptions: (1) recovery without treatment is the result of less severe illness, (2) treatment predicts recovery, and (3) recovery and well–being do not depend on individuals’ treatment histories. I challenge these assumptions using National Comorbidity Survey-Replication data for individuals with any disorder occurring prior to the current year ( N = 2,305). Results indicated that (1) untreated remissions were fully explained by less serious prior illness, (2) treated individuals were less likely to recover due to more serious illness, and (3) people who had past–only treatment were more likely to recover than the never–treated, while those in recurring and recently initiated care were less likely to recover. Treatment histories predicted greater well–being only if recovery had been attained. Histories of care help to explain recovery rates and suggest new directions for treatment–seeking theory and research.


2022 ◽  
Vol 2022 ◽  
pp. 1-12
Author(s):  
Jinzhou Tang

Because modern human beings pay more and more attention to physical health, and there are many problems in the traditional medical service system, human beings have a higher and higher voice for the new medical model. At present, there are many researches on the application of modern science and technology to put forward solutions to medical development, but they generally pay attention to some details and ignore the construction of the whole medical service system. In order to solve the problems of low efficiency of the traditional medical model, difficult communication between doctors and patients, unreasonable allocation of medical resources, and so on, this article proposes establishing a perfect medical and health service system. First, the correlation functions are used, such as cosine correlation, to calculate the correlation of various medical products, and then the correlation measurement methods of cloud computing and the Internet of Things are used to realize the network connection of smart medical equipment, efficiently store, calculate and analyze health data, and realize online outpatient services, health file management, data analysis, and other functions. Then, the energy consumption formula of the wireless transceiver was used to reduce the resource loss in the operation of the system. Then, we use the questionnaire to understand the current situation of mobile medical and put forward improvement suggestions. This article also scores the performance of the system. The experimental results show that the performance rating of traditional medical institutions is B, while the model rating of mobile medical institutions is a, and the efficiency is optimized by 4.42%.


2022 ◽  
pp. 90-101
Author(s):  
Vaijayanti Bezbaruah ◽  
Nilika Mehrotra

In its early conventional sense, disability was largely understood in bio-medical model which subsequently was supplemented with the psycho-social underpinnings of disability. In recent times, the social identities in terms of race, religion, class, caste, and gender add other dimensions to the social science discourse on disability studies. The chapter attempts to inform through the dimensions of age and aging in relation to the disability discourse, drawing from ethnographic cases over a period of research in North India. In the process, this chapter offers an analysis of disability and aging with focusing on the lack of access to social and familial resources for people with disability who are old and people who acquire any kind of disability in their old age. This chapter examines uncertainties experienced by the older disabled and the disabled older persons in relation to the extent of family ties and other social resources in both the rural and urban context.


2021 ◽  
Vol 12 ◽  
Author(s):  
Zhuqian Wang ◽  
Jie Huang ◽  
Duoli Xie ◽  
Dongyi He ◽  
Aiping Lu ◽  
...  

Rheumatoid arthritis (RA) is an autoimmune disorder characterized by inflammation and bone erosion. The exact mechanism of RA is still unknown, but various immune cytokines, signaling pathways and effector cells are involved. Disease-modifying antirheumatic drugs (DMARDs) are commonly used in RA treatment and classified into different categories. Nevertheless, RA treatment is based on a “trial-and-error” approach, and a substantial proportion of patients show failed therapy for each DMARD. Over the past decades, great efforts have been made to overcome treatment failure, including identification of biomarkers, exploration of the reasons for loss of efficacy, development of sequential or combinational DMARDs strategies and approval of new DMARDs. Here, we summarize these efforts, which would provide valuable insights for accurate RA clinical medication. While gratifying, researchers realize that these efforts are still far from enough to recommend specific DMARDs for individual patients. Precision medicine is an emerging medical model that proposes a highly individualized and tailored approach for disease management. In this review, we also discuss the potential of precision medicine for overcoming RA treatment failure, with the introduction of various cutting-edge technologies and big data.


Author(s):  
Jan Roubal ◽  
Roman Hytych ◽  
Michal Čevelíček ◽  
Tomáš Řiháček

Treatment specificity and adherence to treatment manuals represent essential components of the medical model in psychotherapy. The model assumes that psychotherapists who work with the same type of clients and who identify with the same theoretical approach work very similarly. This study illustrates the shortcomings of that assumption and explores how therapists’ individuality forms and shapes their unique approaches that resonate with their own personalities, inclinations, and worldviews. Semi-structured interviews with eight Gestalt therapists working with clients who experienced medically unexplained physical symptoms were analysed using the grounded theory method. Considerable differences were found among the therapists within four domains of the personal therapeutic approach, namely Case Conceptualization, Therapeutic Task, Therapist’s Position, and Alternative Strategy. However, regardless of the differences, all the therapists endeavoured, either implicitly or explicitly, to convey to the clients what they considered to be healthy functioning. There is considerable diversity in the way therapists work even when they subscribe to the same psychotherapeutic approach and work with the same type of clients. The exploration of psychotherapists’ usual strategies, as well as the alternative strategies they use when their usual strategies do not work, appears helpful for capturing their personal therapeutic approaches.


2021 ◽  
Vol 3 ◽  
pp. 77-89
Author(s):  
Leila El Baradei

From a rights perspective, disabled citizens should have access to education, health, employment and information services similar to all other citizens. Besides governments, civil society organizations have an important role to play. The aim of the current research paper is to explore the role of Egyptian non-governmental organizations in integrating the 'differently abled' citizens in society. After reviewing the range of theoretical models  used in studying disability, whether the individualistic/medical model, the social model or the biopsychosocial model, a case study approach, adopting the most different design, is used to study the work of four non-governmental organizations (NGOs) working with the disabled in Egypt. Findings revealed that the implicit disability model adopted by the different NGOs influenced their activities, their perception of challenges faced, and their recommendations for improved effectiveness. While the traditional NGOs followed the individualistic/medical model of disability, the other relatively newer NGOs leaned more towards the social model. 


Author(s):  
Richard Scotch ◽  
Kara Sutton

This chapter provides an overview of the social movement advocating for disability rights, including its origins, goals, strategies, structure, and impact. The chapter’s primary focus is on the movement in the United States, although developments in other nations are also discussed. The chapter reviews the origins of the disability rights movement in the 20th century in response to stigma and discrimination associated with disabilities and the medical model of disability; addresses the movement’s advocacy strategies, as well as the social model of disability that provided the conceptual underpinning for its goals and activities; and describes how the major components of the movement, including cross-disability organization, were brought together through collaboration and the common experiences of disability culture.


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