Support system for mental health professionals.

Ajit Dandekar
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Abstract

This paper talks of support systems for mental health professionals wherein the Bombay Psychiatric Society (BPS) should devote some meetings exclusively to problems pertaining to the profession, e.g., long and odd working hours leading to potentially hazardous practice schedules, unhealthy competitive attitudes and culture. A crash course in self-defence against potentially psychotic patients and drug addicts is advocated as also awareness of the potential hazards in dealing with the litigious paranoid patients, erotomaniacs and some of the difficult hysterical patients. Potential medicolegal problems arise in treating an uncooperative patient without his knowledge and consent on an outpatient department basis, admitting such an uncooperative patient to a nursing home or a hospital, administering electroconvulsive therapies, maintaining detailed clinical records of patients, and legal issues involving smaller psychiatric private nursing homes. This paper stresses on the use of Yoga as a recognised psycho-physiological therapy. Furthermore, it suggests on the need for BPS, as a professional body, to have a cell to guide and help aspiring young professionals in setting up private practice. It points out the need to evolve some concrete programmes that in the long run should help alleviate stresses and strains and promote positive comprehensive health amongst mental health professionals.

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精神卫生专业人员支持系统。
本文讨论了精神卫生专业人员的支持系统,其中孟买精神病学学会(BPS)应该专门召开一些会议,讨论与该专业有关的问题,例如,长时间和奇怪的工作时间导致潜在的危险练习时间表,不健康的竞争态度和文化。一门针对潜在精神病患者和吸毒成瘾者的自我防卫速成课程被提倡,同时也意识到在处理好诉讼的偏执患者、色情狂和一些难以相处的歇斯底里患者时的潜在危险。潜在的医学法律问题出现在以下方面:在不知情和不同意的情况下,在门诊治疗不合作的病人、让这种不合作的病人住进养老院或医院、实施电休克疗法、保存病人的详细临床记录,以及涉及小型精神病私人疗养院的法律问题。这篇论文强调使用瑜伽作为一种公认的心理生理疗法。此外,它建议BPS作为一个专业机构,需要有一个单元来指导和帮助有抱负的年轻专业人士建立私人执业。报告指出,有必要制定一些具体方案,从长远来看,这些方案应有助于减轻心理健康专业人员的压力和紧张,促进积极的全面健康。
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