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The public reaction to the fact of starting treatment depends on how gambling disorder is perceived in terms of a medical problem or rather in moral terms. Positive reviews were mainly manifested by significant others who, according to Goffman's terminology, are 'wise'. Very often, treatment means having to reveal your problem and face stigmatization. Women in particular are stigmatized because of gambling disorders. This study showed that treatment allows to getr id of guilt by acquiring knowledge on the subject of gambling disorders.

Addressing stigma during early stages of treatment may contribute to the continuity of treatment. Professionals should be aware of their prejudices, as their stigmatizing attitudes can influence treatment outcomes.

Addressing stigma during early stages of treatment may contribute to the continuity of treatment. Professionals should be aware of their prejudices, as their stigmatizing attitudes can influence treatment outcomes.Diffuse axonal injury (DAI) is a microscopic damage of axons in the brain. Its occurrence results from head trauma with acceleration or deceleration. This article presents current knowledge about DAI and two cases of patients who experienced DAI as a consequence of a traffic accident. A26 years old man was brought to hospital after traffic accident during which his vehicle had overturned. Computed tomography (CT) showed features of brain edema and disseminated small petechiae. Psychiatric consultation on ninth day of hospitalization showed memory deficits presenting as retrograde and anterograde amnesia, attention deficits and lack of criticism in regard to his condition. A 38 years old woman who was hit by a car while cycling was admitted to hospital. CT scan showed features of brain edema, subarachnoid hemorrhage and multiple fractures. On the tenth day of hospitalization the patient was confused, did not remember new information, her psychomotor drive was increased and she presented lack of criticism in regard to her condition. While suspecting DAI we should be vigilant, particularly in cases of patients hospitalized due to traffic accidents with behavioral problems, features of amnestic syndrome and without significant focal neurological symptoms.The author attempts to describe a role of psychodynamic psychotherapy in treatment of bipolar disorder. A general role of psychological interventions in treating this illness is sketched, highlighting the approach of combining psychotherapy and pharmacological treatment as the most common perspective. see more Recent research data on effectiveness of various psychotherapies in treating BD is presented. Conclusions from review suggest that intervention should be tailored to specifics of BD rather than limited to any single therapeutic modality. A brief review of psychoanalytic concepts regarding BD suggests little practical usefulness of aclassic psychodynamic approach, based on concept of improvement through insight into repressed content. Another, contemporary approach is described, which underlines the need to attune level of work to the psychotic functioning and might be better suited to conclusions from reviewed research. A particular focus is put on concepts of psychoanalytically oriented psychiatrists Richard Lucas, Riccardo Lombardi and Franco De Masi. On the basis of these concepts changes in technique are introduced to actualize the psychodynamic technique to achieve better fitting to needs of patients suffering from bipolar disorder, which is in most cases characterized by psychotic states. Author's ideas are illustrated with clinical examples.

The aim of the study was to estimate the prevalence of mental health problems in subpopulation of Warsaw adolescents and to identify trends in 2004-2016.

The cross-sectional study, conducted every four years, covered the third grade Warsaw middle school students from three Warsaw districts Mokotów, Ursynów and Wilanów. Sample was randomly selected with the adjustment for cluster selection. The self-administered questionnaire had been completed during school lessons. Indicators were related to following problems (1) internalizing (symptoms of depression measured by the shortened CES-D scale and other emotional problems, based on subjective assessment); (2) externalizing - coexistence of two out of three types of behaviors (psychoactive substances abuse, being perpetrator of violence and delinquent behavior); (3) mixed.

In 2016, 42% of youth exhibited symptoms of mental health disorders. These problems more often affected girls (48%) than boys (36%). Between 2008 and 2016, the percentage of young people experiencing internalizing problems increased significantly. This was due to the increase in the prevalence of depressive symptoms. At the same time, there was a significant decrease in the percentage of young people demonstrating externalizing problems. The last result was a consequence of the decrease in substance abuse and violence.

Growing prevalence of internalizing problems, depressive symptoms and other emotional problems among teenagers indicates an urgent need to develop or adapt effective prevention programs and to improve the access to psychological and psychiatric support.

Growing prevalence of internalizing problems, depressive symptoms and other emotional problems among teenagers indicates an urgent need to develop or adapt effective prevention programs and to improve the access to psychological and psychiatric support.

Assessment of prevalence and co-prevalence of depression and substance abuse among Sopot youth.

In the years 2006-2007, 316 subjects participated in a psychological examination as part of the SOPKARD-Junior program. The assessment was made using the Beck Depression Inventory, the Krakow Depression Inventory and a proprietary questionnaire evaluating the frequency of psychoactive substance use. Adolescents with depressive symptoms in the questionnaire study underwent a psychiatric examination. The SOPKARD-Junior program is a multidisciplinary epidemiologic study that comprehensively assesses the health of the population of 14-year-old junior secondary school students in Sopot.

Symptoms of depression were detected in 29.4% of subjects 37.4% of girls (G) and 20.9% of boys (B) (p < 0.05). In the psychiatric examination, an episode of depression was diagnosed in 4.1% of students (G 5.5%; B 2.6%). The rates of substance use (occasional or regular) were cigarettes - 20.2 % of students (G 24% and B 16.4%; p < 0.

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