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Suicide in India 印度的自杀率
Pub Date : 2019-09-11 DOI: 10.1093/oso/9780199498871.003.0003
Lakshmi Vijaykumar, Vindhya Undurti
Although self-induced deaths in some form or another have probably occurred almost as long as human beings have been in existence, the current research and policy interest in suicides can be said to be generated by not only the rapidly rising suicide rates worldwide and in India, but can perhaps also be located in the contemporary context of processes of social change as causal agents of suicidal behaviour. This chapter maps the recent literature on the prevalence of suicide in India; the current rates and trends of suicide, both global and Indian and the magnitude of the problem; the determinants of suicidal behaviour, including biological and psychological factors, the distinctive socio-cultural factors in India; and suicide prevention intervention strategies.
尽管某种形式或另一种形式的自我死亡可能几乎在人类存在的时候就发生了,但目前对自杀的研究和政策兴趣可以说不仅是由世界各地和印度迅速上升的自杀率产生的,而且可能也可以定位在当代社会变革进程的背景下,作为自杀行为的因果因素。这一章描绘了最近关于印度自杀率的文献;全球和印度目前的自杀率和趋势以及问题的严重程度;自杀行为的决定因素,包括生物和心理因素,印度独特的社会文化因素;自杀预防干预策略。
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引用次数: 0
The Quest for Promoting Health and Healing 促进健康和治疗的探索
Pub Date : 2019-09-11 DOI: 10.1093/oso/9780199498871.003.0006
K. R. Priya
This chapter traces the origins and historical development of health psychology and community psychology. In particular, the goals and methods of these fields are critically examined in the background of an interpretive turn in social sciences. It is observed that promoting health and healing from the standpoint of the end-users utilizing multi-disciplinary approaches and innovative qualitative and quantitative methodologies constitute the state-of-the-art focus in these fields. In light of this shift in the goals and methodologies, this chapter offers a critical appraisal of the emerging research trends in the Indian setting. The chapter ends with an emphasis on incorporating culture through the use of qualitative or ethnographic studies and conceptualization of suffering and healing within a framework informed by indigenous scholarship present in Indian thought systems.
本章追溯了健康心理学和社区心理学的起源和历史发展。特别是,这些领域的目标和方法在社会科学解释转向的背景下进行了严格的审查。报告指出,从最终用户的角度出发,利用多学科方法和创新的定性和定量方法促进健康和治疗是这些领域的最新重点。鉴于目标和方法的这种转变,本章对印度环境中新兴的研究趋势进行了批判性的评估。本章最后强调通过使用定性或人种学研究以及在印度思想体系中存在的土著学术知识的框架内将痛苦和治疗概念化来结合文化。
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引用次数: 0
Severe Mental Disorders 严重精神障碍
Pub Date : 2019-09-11 DOI: 10.1093/oso/9780199498871.003.0004
R. Thara, S. John, Subhashini Gopal
This chapter deals with severe mental disorders such as schizophrenia, bipolar affective disorders, and dementia. These disorders not only pose a huge challenge in terms of their management, but are also very disabling for the persons suffering from them. The care givers of patients, mainly their families, are often burdened by the fluctuating nature and chronicity of these complex disorders. Using the Indian database for each of these disorders, the chapter discusses the epidemiology, course, and outcome for each of them. The phenomenology, including cognition and measurement tools related to these disorders, is also discussed. Finally, the diverse forms of interventions including medical, psychosocial, and community level interventions are delineated.
本章涉及严重的精神障碍,如精神分裂症、双相情感障碍和痴呆。这些疾病不仅在管理方面构成了巨大的挑战,而且对患有这些疾病的人来说也非常残疾。病人的照护者,主要是他们的家属,往往因这些复杂疾病的波动性和长期性而负担沉重。使用印度数据库的每一个这些疾病,本章讨论了流行病学,过程,并为每一个结果。现象学,包括与这些障碍相关的认知和测量工具,也进行了讨论。最后,描述了各种形式的干预措施,包括医疗、社会心理和社区层面的干预措施。
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引用次数: 0
Common Mental Disorders 常见精神障碍
Pub Date : 2019-09-11 DOI: 10.1093/oso/9780199498871.003.0002
R. Raguram
This chapter focuses on common mental disorders (CMDs). These disorders include a wide range of conditions that are frequently noticed in the community. It is essentially a convenient, functional grouping of conditions. The chapter analyses the trends on the basis of researches in this area over the past decade. The classification of CMDs for primary health care, according to ICD-10, includes depression, phobic disorder, panic disorder, generalized anxiety, mixed anxiety and depression, adjustment disorder, dissociative disorder, and somatoform disorders. Irrespective of the nature of the disorder, these patients often present with somatic complaints: some patients may admit to having emotional symptoms. It was observed that there is a high degree of co-morbidity among them, leading to significant levels of disability and increased health-care costs.
本章着重于常见的精神障碍(cmd)。这些疾病包括在社区中经常注意到的各种各样的病症。它本质上是一种方便的、功能性的条件分组。本章基于近十年来该领域的研究,对其发展趋势进行了分析。根据ICD-10,初级卫生保健的慢性疾病分类包括抑郁症、恐惧障碍、惊恐障碍、广泛性焦虑、混合焦虑和抑郁、适应障碍、分离障碍和躯体形式障碍。无论疾病的性质如何,这些患者通常表现为躯体症状:一些患者可能承认有情绪症状。据观察,他们之间存在高度的合并症,导致严重的残疾和增加的保健费用。
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引用次数: 2
Psychotherapy Practice and Research 心理治疗实践与研究
Pub Date : 2019-09-11 DOI: 10.1093/oso/9780199498871.003.0005
A. Raguram, P. Bhola
This chapter reviews researches on the processes and outcomes of psychotherapy. The research indicates use of varied modalities including cognitive behavioural therapies, psychodynamic approaches, and couple and family therapy interventions. These techniques are used in varied contexts such as medical and surgical consultation-liaison settings. Models of care and service delivery have been translated to facilitate the shift from the clinic to the community, accompanied by an expanded role for counsellors and therapists. Cultural sensitivity in the practice of therapy and in the shift to culturally relevant models of therapy and practices like yoga and meditation is evident. Experiential, qualitative studies tapping psychotherapy processes and the inward gaze towards psychotherapist training, development, and professional issues collectively chart a path less trodden. The practical impediments to progress in psychotherapy practice, training, and research in the country are discussed and pathways for future are outlined.
本章回顾了有关心理治疗过程和结果的研究。研究表明使用多种方式,包括认知行为疗法,心理动力学方法,夫妻和家庭治疗干预。这些技术在各种情况下使用,如医疗和外科会诊-联络设置。护理和提供服务的模式已经转变,以促进从诊所向社区的转变,同时辅导员和治疗师的作用也在扩大。在治疗实践中,以及在转向与文化相关的治疗模式和实践(如瑜伽和冥想)时,文化敏感性是显而易见的。利用心理治疗过程的经验、定性研究,以及对心理治疗师培训、发展和专业问题的内在关注,共同绘制了一条较少人走过的道路。讨论了该国心理治疗实践、培训和研究进展的实际障碍,并概述了未来的途径。
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引用次数: 2
Preventive and Promotive Interventions for Young Children with Psychological Problems 幼儿心理问题的预防及促进措施
Pub Date : 2019-09-11 DOI: 10.1093/oso/9780199498871.003.0001
Uma Hirisave, M. Poornima
Psychological research on preventive intervention and promotion of mental health of children has been gaining impetus over the last few decades. This chapter presents key concepts of preventive mental health as applicable to working with young children between the ages of 0 to 6 years. The context of preventive child mental health in India has been clarified by briefly tracing models of child development, empirical studies and national policies and programmes. Recent research focussing on modes of prevention and wellness promotion has been reviewed. The studies reviewed have far-reaching implications for promotion of mental health among young children at various levels. Directions for future research that have been derived from the analysis have been outlined.
在过去的几十年里,关于预防干预和促进儿童心理健康的心理学研究得到了越来越多的推动。本章介绍了适用于0至6岁幼儿的预防性心理健康的关键概念。通过简要回顾儿童发展模式、实证研究以及国家政策和方案,澄清了印度预防性儿童心理健康的背景。最近的研究集中在预防和健康促进模式进行了审查。所审查的研究对促进不同层次幼儿的心理健康具有深远的影响。从分析中得出的未来研究方向已被概述。
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引用次数: 0
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Psychology: Volume 4
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