Documents found
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531.More information
AbstractMajor or clinical depression represents a frequent mental illness that is often associated with a high level of morbidity and mortality. Yet, major depression remains under-diagnosed and under-treated. On the level of treatment, it would appear desirable for reasons of better prognosis, to aim more than the simple reduction of depressive symptoms and target their remission resolutely and the fastest return to the individual's optimal functioning. This article presents a systematic review of the literature relating to the clinical impacts of treatment strategies aiming at the improvement of services offered to people who suffer of clinical depression and who consult in primary care. The authors summarize results drawn from 41 studies that include a measurement of the clinical impacts (reduction of symptoms, response, remission and functioning) of various treatment strategies. It appears that using complex treatment strategies favour positive outcomes. The authors propose various paths of research to further increase current knowledge.
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532.More information
SUMMARYThe author describes group experience with 9 women in the midst of marital problems. There were 5 principal goals in the group: make a decision with regard to one's marital life; to grow stronger on the individual level; to experience solidarity among women; to discover community resources; and to reflect on the condition of women. After 11 sessions, which she summarizes, the author provides an assessment: low rate of absenteeism; a decision by 3 women to separate from their husbands; affirmations on the part of 3 others with regard to their husbands; the creation of continuing affective ties among within the group; the discovery of community resources and the participation in outside activities. The only partially-obtained objective was that concerning reflection on the feminine condition.
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534.More information
AbstractIntegration of services and practices: the test of experience The authors explore how integration of services takes shape in specific contexts according to data of a research on discourses and practices of mental health workers and consumers of community groups. The analysis aims at understanding how the models prevailing on the level of organization of services impact on one hand, on the rules of work organization of professionals and their concept of problems and interventions and on the other hand, on the climate of organizations and the daily lives of consumers, the relationship between themselves as well as with mental health workers and the place given to consumer's words, projects and wishes. The authors thus examine how organizational models and their implications affect the possibilities offered to consumers and the paths opening or not to improve their lives.
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536.More information
The author, head of a psychiatric department in a general hospital, presents results of a study conducted with 15 psychiatric department chiefs. Questions were related to population ; distribution of professionals ; clinical work ; and various teams. The author then comments results.
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537.More information
SUMMARYAfter recalling the origins of the feminist approach to therapy, and of the teaching of psych logy from the 1950's to the introduction of the first groups of self-therapy in 1967-1968, the author presents the basic principles of the traditional therapy that she qualifies as sexist. She then describ the analytical tools developed from the social psychology that the feminists and the radical therapis use to understand the different behavior and pathology of men and women. Finally, she adheres a theory of the personnality sharing with feminity the following features : humanistic philosoph favoring direct expression, speaking of reappropriation, seeing the unconscious and the conscious a continuous process, and considering the unit living-system-and-environment as a whole.
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538.More information
SUMMARYWhat is the future of community psychiatry in Quebec, more precisely in the Montreal area? Initially aimed at globally reorganizing psychiatric services, community psychiatry intended to take care of psychotic patients outside psychiatric hospitals, and in a different way. After an initial period of positive influence on psychiatric services in Quebec, the early objectives seem to be deteriorating. At the beginning, the geographical division of the territory in catchment areas was but one of the many characteristics of community psychiatry : with years the part has become more important than the whole and is consuming an increasing amount of energy among clinicians as well as administrators in the fiels of psychiatry. Professionalism (professions claiming more autonomy) has become a threat to team work, another characteristic of community psychiatry. As one could have expected, theses changes have brought, it seems, some modifications in the quality of care, as witnessed by the many psychiatric patients waiting for many days on streatchers in emergency wards and by the lenghtening of waiting lists in out-patient clinics.