Дисертації з теми "Malato mentale"
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Pezzanera, Giacomo <1995>. "Migrante per due anni, malato mentale per sempre? Un'etnografia in un progetto SIPROIMI DM." Master's Degree Thesis, Università Ca' Foscari Venezia, 2020. http://hdl.handle.net/10579/17980.
Повний текст джерелаIrazábal, Giménez Marcia. "Carga e impacto familiar de las cuidadoras y los cuidadores de personas adultas con discapacidad intelectual con o sin trastorno mental asociado." Doctoral thesis, Universitat de Barcelona, 2017. http://hdl.handle.net/10803/461006.
Повний текст джерелаThe research areas of this thesis are family burden and family impact of care on adults with intellectual disability (ID) and intellectual disability associated to mental disorders (ID-MD). The present research aims to contribute to the knowledge of these areas, and its purpose is to analyze the main social and psychological factors, as well as clinical and diagnostic variables that explain higher levels of burden and family impact in a community context. The present thesis has four studies; the first two have a quantitative methodological approach, the third is based on a review and the fourth has a qualitative perspective. Study 1: "Family impact in intellectual disability, severe mental health disorders and mental healthdisorders in ID. Acomparison.The results demonstratethat the highest levels of family burden arein the group of caregivers of people with ID-MD, followed by the schizophrenia group, and with a lower family burden in the ID group. Study 2: "Family burden related to clinical and functional variables of people with intellectual disability and with a mental disorder". The results show that higher levels of family burden are related to a greater functional disability in all the WHO-DAS-II evaluated areas, a lower IQ, ID-MD diagnosis, and presence of organic, psychotic-affective and behavioral disorders. Study 3: " La carga familiar de los cuidadores/as de personas jóvenes y adultas diagnosticadas de DI-TM: una revisión sistemática”. This review shows that family burden prevails when associated with comorbidity between ID and MD. Likewise, the family impact of care has emotional, psychological, social and health repercussions on caregivers of people with ID-MD. Study 4:"Family impact of care and respite service: life experiences of mothers of adult children with intellectual disability and mental disorders".Testimonies declare a negative impact when first discovering its child’s disability, but also feelings of gratitude. The respite service turns out to be a necessary support to alleviate the feeling of overload. The empirical evidence from these studies allows confirming that the families in question face a great challenge throughout their lives. This thesis emphasizes the methodological use of social work, in order to contribute to the design of socio-educational programs to reduce the family impact of care of these families.
Gonggryp, Thibault. "L' hospitalisation sous contrainte du patient malade mental : la légitimité d'une institution attentatoire aux libertés." Aix-Marseille 3, 2007. http://www.theses.fr/2007AIX32039.
Повний текст джерелаIn the field of mental health, the legislation is now experiencing an unprecedented crisis and there are many practitioners, elected members and authors who call for a reform of the legal system concerning psychiatric hospitalization under constraint which is nowadays considered as inadequate for modern practice and much too dangerously liberticidal. Preceding a reform presented as impending, this thesis splits in two. The first section is devoted to the specificity of mental illness and to the historical origin of psychiatric hospitalization under constraint. Because the mental alienation is a very peculiar pathology and because its effects concern public order, the law has elaborated a complex and balanced legislation through the years. And it is still topical. The second section focuses on the 1990’s legislations confronted to the rule of personal freedom and the patient’s rights. Several options have been considered to establish a new equilibrium between the rights of the mentally sick patient and the right of the society willing to protect itself against pathologies sometimes particularly violent. But it seems a consensus was reached: the idea is to submit to the judge, traditionally considered as the only guarantor of personal freedom, either the decision of admission or the total control of the entire contentious. Yet, this “judiciarization”, far from solving the want of the system in force, lays other difficulties. It stumbles over the principle of the separation between administrative and judiciary authorities, it comes up against the reality of the dogma according to which the judge is the sole credible protector of Liberty, the administrative judge being presumed to be arbitrary and partisan. A close investigation of the legislation and mental health precedents seems to shatter this myth. Similarly to the complexity of this subject, the reform of this wing cannot happen with simplistic processes or shortcuts based upon the sole certainty that the judge will solve every difficulties of a breathless system
Feuillet-Liger, Brigitte. "Le lien conjugal du malade mental." Rennes 1, 1988. http://www.theses.fr/1988REN11008.
Повний текст джерелаRespect for the human being must lead to accept the marriage of the insane. This principle follows the general policy mainteined by the psychiatrits to insert the lunatics into our society. Then the juridical rules connected with forming a marriage, matrimony and dissolution of the marriage must be carried out even in the case of mental deficiency of one of the sponce. But the plain application of these arrangements can't be considered : protecting rules for the affected sponse as well as laws allowing the husband or wife of the lunatic to deal with their daily life must be ajusted
Le, Mintier-Feuillet Brigitte. "Le Lien conjugal du malade mental." Lille 3 : ANRT, 1988. http://catalogue.bnf.fr/ark:/12148/cb376151889.
Повний текст джерелаBino, Maria-Antonella. "Hospitalisation forcée et droits du malade mental : etude de droit international et de droit comparé /." Genève : Schulthess, 2006. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=014937138&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
Повний текст джерелаBino, Maria-Antonella. "Hospitalisation forcée et droits du malade mental : étude de droit international et de droit comparé /." Genève [u.a.] : Schulthess, 2006. http://www.gbv.de/dms/spk/sbb/recht/toc/517737361.pdf.
Повний текст джерелаBOURAT, HUGUES. "A propos du centre de post-cure sanitaire de limoges : centre de readaptation pour malades mentaux adultes : tentative de synthese de la notion de prevention en sante mentale : etude epidemiologique retrospective sur 181 dossiers." Limoges, 1988. http://www.theses.fr/1988LIMO0191.
Повний текст джерелаSAPOR, CHRISTIANE. "Mortalite des malades mentaux." Aix-Marseille 2, 1992. http://www.theses.fr/1992AIX20107.
Повний текст джерелаAnfruns, Michel. "Devenir des couples de malades mentaux qui se sont constitués dans les unités de soins psychiatriques." Montpellier 1, 1993. http://www.theses.fr/1993MON11079.
Повний текст джерелаDoumeng, Valérie. "La vie privée du majeur malade mental ou déficient intellectuel." Toulouse 1, 1998. http://www.theses.fr/1998TOU10034.
Повний текст джерелаThe private life of an adult suffering from a mental illness or a mental retardation has a number of distinctive features vis-a-vis the private life of a person who can be considered in full mental health. The difference stems firstly from the need, in certain cases, for an individual whose mental faculties are impaired, to be placed in a psychiatric hospital or to live in a social or medico-social institution. His freedom to come and go and to freely plan his every day life is thus partially or even totally restricted. What is more, outsiders may be led to interfere in some aspects of the private life of the mentally impaired such as emotional life, reproductive freedom and health. This state of facts poses some delicate problems. With regard to the mentally ill or handicapped that retain legal capacity, outsiders, apart form certain specific cases, have no power and their interference may be considered improper. When they are classified in one of the categories of legally incapable persons, the law turns out to be deficient. However, the courts who are confronted with numerous practical problems have recognised that the legal representatives have a role in the protection of the incapable adult. However, we must ask ourselves if it is possible to "manage" the private life of an incapable person in the same way in which one manages a person's pecuniary affairs, using the same techniques and with the same coldness
Doumeng, Valérie. "La vie privée du majeur malade mental ou déficient intellectuel /." Aix-en-Provence : Presses universitaires d'Aix-Marseille, 2002. http://catalogue.bnf.fr/ark:/12148/cb39109481w.
Повний текст джерелаManzanera, Cyril. "L'orientation du malade mental criminel : étude historique et recherche clinique." Thesis, Poitiers, 2014. http://www.theses.fr/2014POIT3010.
Повний текст джерелаSince the works of Pinel, The orientation of the criminal mentally ill person was made in the search for a just balance between care and punishment, placing the penal psychiatric expertise in the center of the judicial device. These last years, numerous criticisms appeared against the expert psychiatrist and from the psychiatric institution, whereas new security concerns invaded our societies. From then on, the temptation to criminalize the mentally ill person, marked with the seal of the dangerosité, grows , whereas the article 122-1 reveals more the ambiguity of its second paragraph. To dread better this population of criminal mental patients, this thesis articulates on two additional steps. The one determines the socio-historic frame of the research, the other one is a retrospective descriptive study on the application of the article 122-1 second paragraph. The analysis of the results in the alder of this double reading allows to emit several tracks of reflections for an updating dynamic and coherent intégrative of the articulation health-justice
Boumaza, Assia. "Hospitalisation psychiatrique et droits de l'homme : la protection de la personne malade mentale." Grenoble 2, 1999. http://www.theses.fr/1999GRE21053.
Повний текст джерелаCAULIER, CHEVREUL SYLVIE. "Mere et malade mentale : etude clinique ; etude descriptive et retrospective en circonscription d'action sociale." Montpellier 1, 1993. http://www.theses.fr/1993MON11037.
Повний текст джерелаAyala, Garcia Martha. "Psychopatologie et culture : le malade mental à l'épreuve des représentations culturelles." Paris 7, 2014. http://www.theses.fr/2014PA070105.
Повний текст джерелаBetween two disciplines: anthropology and psychoanalysis, we will analyze a condition known as "mental illness" towards different cultural representations. We put in a double intention: first, in trying to understand why a psychic inscription is always compromised and second, in analyzing the collective logics which allow a more or less important insertion of the sick person. Our approach is mainly motivated by conception illness in which the subject, such as it is understood in psychoanalysis, is rarely requested. This hypothesis will help us show that care giving is never just a medical affair. We suggest analyzing the effects of a clinic view that takes into account the affective dimension involved in every care relationship. Taking into account our fieldwork research as well as the proposai of cross-cultural theory, we will engage a discussion where an anthropological view, which aims concrete cultural spaces, will cross the psychoanalytical view. Our effort lies in trying to show that Sigmund Freud's discovery which shows the unbreakable bond between psyche and culture is more relevant than ever
Rauzier, Frédéric. "Problemes deontologiques et medico-legaux du consentement chez le malade mental." Université Louis Pasteur (Strasbourg) (1971-2008), 1985. http://www.theses.fr/1985STR1M183.
Повний текст джерелаAndreu, Marie-Luce. "La réinsertion professionnelle des malades mentaux en milieu de travail ordinaire." Montpellier 1, 1994. http://www.theses.fr/1994MON11108.
Повний текст джерелаMESLIER, ERIC. "Placement familial de malades mentaux adultes." Angers, 1989. http://www.theses.fr/1989ANGE1019.
Повний текст джерелаMILLERET, PHILIPPE. "L'observation ethologique en psychiatrie : mise au point d'une grille d'evaluation ethologique de comportements et d'interactions en institution : g.e.e.c.i.i." Toulouse 3, 1989. http://www.theses.fr/1989TOU31146.
Повний текст джерелаFaure, Tunno Murielle. "La place du fou, du malade mental dans notre société française actuelle." Montpellier 3, 2000. http://www.theses.fr/2000MON30020.
Повний текст джерелаStewart, Robert Charles. "Maternal common mental disorder in Malawi, Africa." Thesis, University of Edinburgh, 2016. http://hdl.handle.net/1842/25898.
Повний текст джерелаCrespo, Maraver Maria de la Cruz. "Benestar i qualitat de vida en cuidadors no professionals de malalts mentals greus." Doctoral thesis, Universitat Autònoma de Barcelona, 2016. http://hdl.handle.net/10803/367685.
Повний текст джерелаThe inclusion of family members as important agents in the treatment of people with severe mental disorders (SMD) is beneficial to the improvement of the clinical status of the patients. The purpose of this research was to study the adaptation of non professional caregivers of people with SMD, within the framework of stress-appraisal-coping. Sources of stress (the characteristics of SMD and appraisal of the situation), coping responses, some factors modulating personal and social consequences such as wellbeing and the quality of life related to health caregivers (QOL) were evaluated. OBJECTIVES- To adapt to our population a measure of appreciation of stress that includes negative and positive aspects of the situation of caring for people with SMD, the questionnaire “Experience of Caregiving Inventory, ECI” (ECI, Szmukler et al, 1996), creating the Spanish version (Study 1). To describe the profile of caregivers of patients treated at one of the reference medical care centers in the health region of Catalunya Central and to study the explaining factors of the appraisal of the caregivers, their expressed emotion (EE) and their QOL (Study 2). SUBJECTS- Study 1) This includes two samples of caregivers: one sample of patients with mental disorders attended the Fundació Althaia de Manresa and another one of the members of the Federació Salut Mental Catalunya. Study 2) Caregivers of SMD patients attended the Fundació Althaia de Manresa. MATERIALS- Protocol that includes informed consents, demographic data, and clinical data of patients and caregivers, and standarized measures (EEAG, ECI, COPE brief, perceived personal competence scale, Family Questionnaire, VAS of perceived social support, SF-36, SCL-90-R, Zarit burden scale). PROCEDURE- Prospective methodological design, transversal and follow up 6 months. RESULTS- In the validation of the Spanish version of the ECI , analysis has confirmed two scales of the negative aspects associated with core symptoms of the SMD (disruptive behaviors and negative symptoms) and two positive aspects, and it can be considered a valid, reliable, brief , understandable and feasible self-report measure for its administration in the health and community context. The profile of caregivers did not differ significantly from those described in similar studies. The positive appraisal of the caregivers can be explained in part by “effective” coping style (active or involved). The severity of the mental disorder is not enough to explain the EE and the QOL, but EE is best explained by the negative appraisal of caregivers, and higher levels of EE are associated with greater use of “less effective” coping strategies (evasive and support searching) and with less perceived control of the caregivers. The evasive coping style and criticism are negatively associated with QOL. The main predictors of best QOL are the lower level of overinvolvement and the greater perceived control of the carers. In the explanation of the variability of the physical component of QOL some significant characteristics of caregivers are also involved (younger, male, spends more time with the patient). In the abscence of changes in the status of the mental disorder, the QOL of the caregivers remains stable during the 6 months follow-up. The QOL related to the mental health of the caregivers of inpatients improves as time passes, when in the majority of cases the patients have passed to outpatient treatment. When the patient is in outpatient treatment, his improved global functioning predicts a balance that is more positive than negative in the appraisal of the situation of the caregiver. The identification of this factors that are significative for the adaptation and the wellbeing of the caregivers can be useful in the study of new proposals for family interventions in SMD .
Gratien, Virginia. "Du « Grand Renferment » au Grand Débarquement : analyse discursive du glissement de la psychiatrie vers la santé mentale à travers l’étude des représentations du « fou », du « malade mental » et du « dépressif »." Thesis, Université Côte d'Azur (ComUE), 2019. http://www.theses.fr/2019AZUR2036.
Повний текст джерелаEmbedded in the field of Information and Communication Sciences, making use of Michel Foucault’s influential work on Discourse and “Power/Knowledge”, this PhD research calls into question the political, social and media treatment of mental disorders which has been renewed by the switch from Psychiatry to Mental Health. The advent of the “mental-health user – citizen”, which can only occur through a new discursive path, needs to take into account the legacy of social representations that affect people living with a mental health condition. This PhD research has elaborated an a posteriori pluri-methodology for the study of social representations of the “Mad”, the “Mentally-ill” and the “Depressed”. Its aim is to examine the hypothesis of a new intelligibility of “madness” through a constructive comparison between the results of a public health survey called “Mental Health in the General Population : images and realities” and the findings of a quantitative and qualitative analysis of three hundred press articles published in the French newspaper Le Monde in either 2005 or 2015. Even if the public health survey results conclude that the “Mad” is confined in the Otherness held back by the Psychiatric “Power/Knowledge” – de facto establishing a close relation with the “Mentally-ill”, the media analysis reveals that “madness” can be an accepted even claimed identity insofar as the medical control and the Psychiatric “Power/Knowledge” ascendency fade away. Thereby, Mental Health can be considered as a new area to which this PhD research gives the name of The Great Landing as to underline that it should be analysed as the antithesis of Michel Foucault’s historical and well-known “Great Confinement”
Darnaudery, Jeanne. "Equithérapie dans les troubles mentaux : essai de mise au point sur sa pratique en France." Bordeaux 2, 1992. http://www.theses.fr/1992BOR2M018.
Повний текст джерелаCHAILLEY, MIREILLE. "Internements psychiatriques : consequences de la modification de la loi de 1838." Reims, 1993. http://www.theses.fr/1993REIMM004.
Повний текст джерелаAUBERTIN, NADINE. "La reeducation professionnelle du malade mental : a propos de quatre-vingt-cinq cas etudies par la cotorep de meurthe-et-moselle." Nancy 1, 1989. http://www.theses.fr/1989NAN11157.
Повний текст джерелаSOLLER, BERNADETTE. "Le placement d'office : legislation et application actuelle ; a propos de 33 observations." Toulouse 3, 1988. http://www.theses.fr/1988TOU31349.
Повний текст джерелаFRADIN, JEAN-LUC. "Un cent cinquantenaire polemique : actualites de la loi du 30 juin 1838, a travers l'etude des admissions en placement d'office a l'hopital saint-jean de dieu au cours de l'annee 1988." Lyon 1, 1990. http://www.theses.fr/1990LYO1M030.
Повний текст джерелаWeiss, Philippe. "Les facteurs predictifs des comportements agressifs chez les malades mentaux : etude theorique et epidemiologique." Nancy 1, 1992. http://www.theses.fr/1992NAN11154.
Повний текст джерелаDELPLANCQ, ANTOINE. "Le devenir des placements d'office : etude a partir de 55 placements d'office pour 48 malades hospitalises dans le secteur g.o.7 d'ille-et-vilaine entre 1981 et 1988." Rennes 1, 1992. http://www.theses.fr/1992REN1M156.
Повний текст джерелаMONS, PHILIPPE. "L'inachevement : evolution des discours relatifs aux productions artistiques des malades mentaux : etude de cinq cas cliniques." Lille 2, 1990. http://www.theses.fr/1990LIL2M359.
Повний текст джерелаDEBRUN, REMY. "La loi du 27 juin 1990 : mise en application au centre hospitalier specialise montperrin pendant les six premiers mois." Aix-Marseille 2, 1991. http://www.theses.fr/1991AIX20952.
Повний текст джерелаBORRI, ROBERT. "Les placements familiaux therapeutiques dans le secteur xi des bouches-du-rhone." Aix-Marseille 2, 1989. http://www.theses.fr/1985AIX20145.
Повний текст джерелаLaupies, Christine. "Intérêt et limites de la prise en charge des malades mentaux par une structure extra-hospitalière nîmoise : le C.A.P./ par Christine Laupies." Montpellier 1, 1992. http://www.theses.fr/1992MON11152.
Повний текст джерелаDupayrat, Marie-Laure. "Reflexions sur la loi du 27 juin 1990." Lille 2, 1991. http://www.theses.fr/1991LIL2M344.
Повний текст джерелаHummler, Roland. "Critères d'adaptation au sein d'un centre d'aide par la travail pour malades mentaux (CAT) : le C.A.T. "route nouvelle d'Alsace" : étude sur six années." Université Louis Pasteur (Strasbourg) (1971-2008), 1987. http://www.theses.fr/1987STR1M253.
Повний текст джерелаSteinforth, Arne S. "Troubled minds on the cultural construction of mental disorder and normality in Southern Malaŵi." Frankfurt, M. Berlin Bern Bruxelles New York, NY Oxford Wien Lang, 2008. http://d-nb.info/99490679X/04.
Повний текст джерелаBottin, Elisabeth. "Historique de l'internement des malades mentaux." Montpellier 1, 1988. http://www.theses.fr/1988MON11089.
Повний текст джерелаMordelet, Patrick. "L'integration du malade mental dans la societe civile : prise en charge sanitaire et statut juridique." Rennes 1, 1991. http://www.theses.fr/1991REN11019.
Повний текст джерелаAll research bearing on the mentally-ill closely associates the legal status of the patient and his health environment, and is organized to respond to his health needs. Both aspects, legal and sanitary, have been organized most often into the framework of special and particular institutions. The object of the report is to prove that we are witnessing today a drastic evolution : these special mental health system and legal status of the patient are nowadays obsolete due to the marked emphasis on the integration process of the patient into society, and as the result of the development of a normalized health care system and status of the patient the french mental health care system is caracterized by a specific legal and institutional organization aiming at a real integration. A real desire of integration is expressed in the different reforms indertaken since the instauration of the "sectorization policy" in 1960. The legal status of the mentally-ill is inscribed in a simplified legal context where we can still recognize some areas of specificity
Udedi, Michael Mphatso MacDonald. "Health service utilization by patients with common mental disorder identified by the SRQ-20 in a primary care setting in Zomba, Malawi : a descriptive study." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/85581.
Повний текст джерелаENGLISH ABSTRACT: Background: Health service utilization by people with mental health problems seem to be a large public health issue, especially in low-income countries. In Malawi, the situation is not different from other developing countries in Sub-Saharan Africa as far as access to services for people with mental health problems is concerned. Non specialized health care workers provide mental health services in the primary care settings in Malawi and, given the workload at primary health care (PHC) setting level, little time is available to screen for mental disorders, hence these may go unrecognized. Therefore, there is a possibility that a significant proportion of patients attending primary care in Malawi may have common mental disorders (CMD) and may be deprived of routine screening. Consequently, the possibility of misdiagnosis may lead to higher service utilization by people with common mental health problems. However, no study has been carried out to assess the health service utilization by people with common mental disorders in Malawi. Aim: The aim of the study was to evaluate health services utilization patterns of patients with CMDs in primary care clinics. Methods: This was a quantitative study employing a cross-sectional descriptive design. The study was conducted in two primary health care clinics in one of the 28 districts in Malawi. The study included all consecutive patients aged 18 years and older who attended the primary health care clinics for any reason. Face-to-face interviews using the Self-Reporting Questionnaires (SRQ-20) were conducted in a sample of 323 primary health care attendees. Findings: The prevalence of probable CMD was 20.1%. People with CMD had a higher average number of health facility visits in the previous three months compared to those without probable CMD thus 1.6 vs. 1.19 (p-value 0.02). There was no significant difference in the average number of traditional healer visits in the previous three months between those with probable CMD and those without thus 0.05 vs. 0.08 (p-value = 0.565). The total average number of both health facility and traditional healer visits was 1.68 vs. 1.24 (p-value 0. 019), people with probable CMD having a higher average compared to those without a probable CMD. It was found that people who have visited the health care facility repeatedly in the past 3 months were likely to be suffering from CMD. The odds of probable CMD increased with each visit to a health facility by 1.2 (p-value=0.024). Almost all those who had probable CMD had no treatment prescribed for CMD by PHC clinicians. Conclusion: The study reveals high utilization of health services for people with CMD, as well as a treatment gap of mental health care in primary care settings. PHC workers are misdiagnosing patients with CMDs leading to high utilization of PHC services. There is need for PHC workers to improve skills in diagnosing patients with CMD to make PHC services more effective by reducing re-attendances and improving patient outcomes. There is also need to direct effort towards creating awareness about mental health and encourage patient disclosure of psychological or mental health problems.
AFRIKAANSE OPSOMMING: Agtergrond: Dit blyk dat veral in lae-inkomste lande, die gebruik van gesondheidsdienste onder mense met geestesgesondheidsprobleme `n kwellende gesondheidskwessie te wees. Malawi, soos ander ontwikkelende lande in Sub-Sahara Afrika, ervaar die probleem van toegang tot gesondheidsdienste vir mense met geestesgesondheidsprobleme. In die primêre gesondheidsdienste in Malawi, word pasiënte met geestesgesondheidsprobleme behandel, deur algemene gesondheidswerkers wat nie gespesialiseerd is in geestesgsondheid. Verder veroorsaak die arbeidslas in primêre gesondheidsorg dat daar nie altyd tyd is om pasiënte voldoende vir geestesgversteurings te ondersoek nie. Dit is daarom moontlik dat `n merkwaardige aantal pasiënte wat gebruik maak van primêre gesondheidsorg in Malawi aan algemene geestesversteurings lei, maar hulle word nie voldoende ondersoek nie en gevolglik word hulle of nie gediagnoseer nie of verkeerdelik gediagnoseer. Dit kan daartoe lei dat `n groter aantal pasiënte, met algemene geestesversteurings, gebruik maak van primêre gesondheidsdienste. Die probleem is dat daar nog geen navorsing in Malawi gedoen is, oor die gebruik van gesondheidsdienste onder mense met algemene geestesversteurings. Doelwit: Die doel van die studie is om pasiënte, met algemene geestesversteurings, se gebruik van primêre gesondheidsorg klinieke te ondersoek. Metodes: `n Dwarssnee kwantitatiewe beskrywende studie-ontwerp was gebruik. Data-insameling het by twee primêre gesondheidsorg klinieke, in een van die 28 distrikte in Malawi, plaasgevind. Pasiënte, 18-jaar en ouer, wat die primêre gesondheidsklinieke vir enige rede besoek het, was ingesluit in die studie. Die steekproef het bestaan uit 323 pasiënte wat gebruik gemaak het van primêre gesondheidsorg klinieke. Onderhoude was met pasiënte gevoer deur middel van `n self-relaas vraelys (ook verwys na as „Self-Reporting Questionnaires‟). Bevindinge: Daar was `n voorkomssyfer van 20.1% pasiënte wat waarskynlik aan algemene geestesversteurings gelei het. Mense wat waarskynlik aan algemene geestesversteurings gelei het, het in `n tydperk van drie maande gemiddeld meer gebruik gemaak van gesondheidsdienste, in vergelyking met diegene wat waarskynlik nie aan algemene geestesversteurings gelei het nie, dus 1.6 teenoor 1.19 (p-waarde van 0.02). In die gegewe drie maande was daar geen betekenisvolle verskil in die gemiddelde aantal besoeke afgelê aan tradisionele geneeshere deur pasiënte wat waarskynlik aan algemene geestesversteurings gelei het, in vergelyking met diegene wat waarskynlik nie aan geestesversteurings gelei het nie, dus 0.05 teenoor 0.08 (p-waarde= 0.565). In totaal het diegene met geestesversteuring ook gemiddeld meer besoeke, 1.68 teenoor 1.24 (p-waarde 0.019), aan beide gesondheidsorg en traditionele geneeshere afgelê het, as diegene wat waarskynlik nie aan geestesversteurings gelei het nie. Die bevindinge dui daarop dat mense wat in die afgelope drie maande herhaaldelik gebruik gemaak het van gesondheidsdienste, waarskynlik aan algemene geestesversteurings gelei het. Die moontlikheid dat `n pasiënt aan `n algemene geestesversteuring gelei het, het met 1.2 (p-waarde=0.024) verhoog met elke besoek aan die gesondheidsdienste. Byna al die pasiënte wat waarskynlik aan `n algemene geestesversteuring gelei het, het nie behandeling ontvang nie. Gevolgtrekking: Daar is bevind dat mense met algemene geestesversteurings geredelik gebruik maak van gesondheidsdienste en dat daar `n gaping is in die voorsiening van geestesgesondheidsdienste in primêre gesondheidsfasiliteite. Primêre gesondheidsorg personeel se hantering van pasiënte lei daartoe dat pasiënte met algemene geestesversteurings meer geredelik gebruik maak van primêre gesondheidsorg. Daar is `n behoefte aan die verbetering van primêre gesondheidsorg personeel se vaardighede en vermoë om pasiënte met geestesversteuring te diagnoseer en sodoende ook herhaaldelike besoeke te verminder en die gesondheidsuitkomste van pasiente te verbeter. Daar is `n behoefte aan groter bewusmaking van geestesgesondheid en om pasiënte aan te moedig om hulle sielkundige en geestesgesondheidsprobleme aan personeel te openbaar.
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Повний текст джерелаPAHLAVI, XAVIER. "Reinsertion sociale ou professionnelle : l'exemple d'un atelier therapeutique agricole." Nice, 1991. http://www.theses.fr/1991NICE6535.
Повний текст джерелаMARCAIS, NATHALIE. "Place des unites pour malades difficiles dans le traitement des malades mentaux difficiles ou dangereux." Lyon 1, 1993. http://www.theses.fr/1993LYO1M014.
Повний текст джерелаNATHOU, CARISTAN NICOLE. "Prise en charge traditionnelle (sorcellerie) et prise en charge psychiatrique des malades mentaux en guadeloupe : a propos de 66 cas." Bordeaux 2, 1988. http://www.theses.fr/1988BOR25395.
Повний текст джерелаLekera, Ivy J. "Living with mental illness: A descriptive study of individual adult experiences of living with mental illness in Zomba, Malawi." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1997. https://ro.ecu.edu.au/theses/913.
Повний текст джерелаBayle, Marie-Noëlle. "Hospice et psychiatrie : à propos de l'hôpital départemental des petits-prés." Bordeaux 2, 1991. http://www.theses.fr/1991BOR2M153.
Повний текст джерелаDESHUILLE, LAURENCE. "Travail et therapeutique en psychiatrie : a propos de l'atelier de jour." Nantes, 1992. http://www.theses.fr/1992NANT079M.
Повний текст джерелаLesturgeon, Jean-Alexandre. "Hospitalisation sans le consentement : indications cliniques ; devenir au bout d'un an de ces patients dans le secteur g08 d'ille-et-vilaine." Rennes 1, 1994. http://www.theses.fr/1994REN1M112.
Повний текст джерелаHoffbeck, Valentine. "De l'arriéré au malade héréditaire : histoire de la prise en charge et des représentations du handicap mental en France et Allemagne (1890-1934)." Thesis, Strasbourg, 2016. http://www.theses.fr/2016STRAG047/document.
Повний текст джерелаThe topic of this PhD dissertation is the history of mentally deficient children and adults in both France and Germany between 1890 and 1934. This work focuses on people who suffered from mental retardation although at that time they would have been referred to as "feeble-minded," "idiots" or "imbeciles." This study provides a new focus on different subjects. The various circulations of medical models are considered in a dynamic perspective. lt also provides an original vision of the construction of the category of feeblemidness, influenced by agents like doctors [psychiatrists], families or teachers, questioning what was done in practical terms. Mentally deficient people were shaped by the gaze of the people they interacted with. They are also examined in a social and economic context to which these individuals respond. The evolution of the characterization of feeble-mindedness and the use of intelligence tests highlight various attempts to classify those individuals in a more rational way. From a more specific psychiatrie point of view, this thesis shows how the emphasis on their classification as "unproductive persans" as well as the description of feeble-mindedness as a hereditary and "racial" disease transformed them into a social issue in the context of the rise of social Darwinism and eugenics, which led fo their sterilization in Germany from 1934 on