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Community and Social Psychiatry in the Gbeke Health Region in Ivory Coast: Preliminary Data 2018 and 2019
Eric Sreu,
Asseman Medard Koua,
Brahima Samuel Traore,
Francois Djo Bi Djo,
Emeric Desire Konandri,
Akme Sylvie Akpa,
Damaukan Dimitri Kevin Koffi,
Yessonguilana Jean Marie Yeo Tenena
Issue:
Volume 10, Issue 4, December 2022
Pages:
159-168
Received:
26 August 2022
Accepted:
8 October 2022
Published:
18 October 2022
DOI:
10.11648/j.ajpn.20221004.11
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Abstract: Since 2008, WHO has been suggesting to governments that psychiatric care be integrated into primary care based on collaboration with non-conventional care and community actors. The SAMENTACOM Project proposes a locally adapted and integrated model of the WHO mhGAP Programme to contribute to the reform of mental health services in Ivory Coast. This study aims to present the preliminary results of activities within the framework of the Project aimed at bringing primary psychiatric care closer to the community through a mechanism of delegation and supervision of tasks. The results of this study are based on the exploitation of primary data from the mobile clinic activities in the pilot health centres from 22 to 31 October 2018. Then the data from the mobile consultations in 16 prayer camps from 08 March 2019 to 24 March 2019. These mobile and advanced consultation activities enabled the detection and medical management of 62 patients in the mobile consultations in the health centres and 50 patients in the prayer camps in the Gbeke health region. Psychiatric disorders are the most dominant compared to epilepsy. Young adults and those without a profession make up the majority of patients. In their quest for care, patients come from the localities surrounding the consultation sites, which are located within a maximum radius of 15 km, thanks to the important role of community health workers.
Abstract: Since 2008, WHO has been suggesting to governments that psychiatric care be integrated into primary care based on collaboration with non-conventional care and community actors. The SAMENTACOM Project proposes a locally adapted and integrated model of the WHO mhGAP Programme to contribute to the reform of mental health services in Ivory Coast. This ...
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The Idea of Projective Identification-Metatheory and Treatment Technique
Krause Rainer,
Goetzmann Lutz,
Ruettner Barbara
Issue:
Volume 10, Issue 4, December 2022
Pages:
169-175
Received:
26 July 2022
Accepted:
4 November 2022
Published:
16 November 2022
DOI:
10.11648/j.ajpn.20221004.12
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Abstract: Background: Projective identification is a term widely used in the psychoanalytic literature to describe primary and unconscious communication, usually between two individuals. The process is of high clinical relevance, especially in the therapy of borderline conditions, although the individual mechanisms are unclear. An important aspect of projective identification is a bodily experience. Current questions are how this bodily experience arising from the countertransference can be used therapeutically. Methods: The research is based on experience with supervisions, results of scientific research and psychodynamic literature. Results: We are aware that the term projective identification is quite commonly used to support the impression, the bodily feelings of the therapist are induced by the patient. In the following, based on Ogden's concept we will try to determine the model much finer than the three-phasic one and give it a general experimental empirical psychological basis. This will be undermined with two clinical case vignettes. A further clarification of its general psychological foundations that goes back to Freud will be tried. It will be shown that the use of the concept of mirror neurons as an explanation poses equal questions. Conclusion: Projective identification is a complex transdisciplinary concept that should be further explored from both a psychodynamic and neurobiological point of view. Bodily experiences certainly form the basis of projective projection. This should be taken into account in further scientific investigations.
Abstract: Background: Projective identification is a term widely used in the psychoanalytic literature to describe primary and unconscious communication, usually between two individuals. The process is of high clinical relevance, especially in the therapy of borderline conditions, although the individual mechanisms are unclear. An important aspect of project...
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Knowledge Relating to the Management of Suicidal Behaviour Among Healthcare Professionals at the University of Bouake Teaching Hospital (Ivory Coast)
Asseman Medard Koua,
Francois Djo Bi Djo,
Brahima Samuel Traore,
Emeric Desire Konandri,
Akme Sylvie Akpa,
Damaukan Dimitri Kevin Koffi,
Yessonguilana Jean Marie Yeo Tenena
Issue:
Volume 10, Issue 4, December 2022
Pages:
176-181
Received:
26 August 2022
Accepted:
13 October 2022
Published:
16 November 2022
DOI:
10.11648/j.ajpn.20221004.13
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Abstract: Management of suicidal conduct in hospitals is little known and practiced. People who show signs of suicidal behavior turn to psychiatrists alone or to unconventional care providers. The objective of this study is to assess the level of knowledge of the health personnel of the university hospital center of Bouake (CHU) in identifying and managing suicidal behaviors. This study is based on the use of data from a descriptive cross-sectional study of 125 health professionals working at the Bouake CHU. Among these health professionals, there is a predominance of men (60.80%) with an age range between 20 and 30 years (44.80%), most of whom were doctors (43.20%) with professional experience between 1 and 5 years (63.71%). The study found that stakeholders had a good level of knowledge about definitions of suicidal behavior and risk factors. However, 55.20% of respondents said that the management of suicidal conduct was the exclusive responsibility of psychiatrists. Hence the need to organize continuing training sessions on the management of suicidal conduct in order to improve the quality of care in our various health structures. The study concludes that awareness-raising and capacity-building among health professionals at the Bouake University Hospital should be carried out to improve the management of suicidal conduct by the Ivorian health system.
Abstract: Management of suicidal conduct in hospitals is little known and practiced. People who show signs of suicidal behavior turn to psychiatrists alone or to unconventional care providers. The objective of this study is to assess the level of knowledge of the health personnel of the university hospital center of Bouake (CHU) in identifying and managing s...
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Vortioxetine Retrospective Study in MDD: A Proposal for Outcome Analysis by the Treating Psychiatrist
Issue:
Volume 10, Issue 4, December 2022
Pages:
182-187
Received:
17 October 2022
Accepted:
2 November 2022
Published:
16 November 2022
DOI:
10.11648/j.ajpn.20221004.14
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Abstract: Methodology of clinical trials is a major determinant to their level of evidenced based medicine. Prospective longitudinal trials such as randomized controlled trials (RCT) have significant position in the hierarchy of evidenced based practice. One of the shortcomings of the RCT could be in the inclusion and exclusion criteria unlike real life settings with clinical decisions made by a psychiatrist due to clinical necessity and not for a protocol necessity or earlier deadlines for data collection. Retrospective analysis gives time to see consistent response over time in real life settings not only six to eight weeks’ response to an antidepressant. Multicenter retrospective analyses by different research groups involving the same antidepressant have the shortcomings of including different cut off points, different inclusion and exclusion criteria or different statistical tools causing challenges in the extrapolation of data. Retrospective interpretation of notes or tools used by different colleagues could be challenging due to interrater reliability issues even with same tool used by different colleagues with different levels of training on/agreement on score allocations for particular patients’ responses. Interpreting what others meant by their notes is another challenge. Questionnaires filled by patients alone in waiting rooms to save time are liable to mistakes and misinterpretations. The aim of this paper is to propose a retrospective naturalistic study to be conducted by the same treating psychiatrist for patients treated with Vortioxetine as a mono/combination therapy for at least a year trying to reduce the interrater errors with the suggested aid in appendixes included.
Abstract: Methodology of clinical trials is a major determinant to their level of evidenced based medicine. Prospective longitudinal trials such as randomized controlled trials (RCT) have significant position in the hierarchy of evidenced based practice. One of the shortcomings of the RCT could be in the inclusion and exclusion criteria unlike real life sett...
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