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Bioethical and Other Philosophical Considerations in Positive Psychiatry 积极精神病学中的生命伦理和其他哲学思考
Pub Date : 2016-01-01 DOI: 10.4103/0973-1229.193075
Ajai R. Singh, Shakuntala A. Singh
The paper begins by asserting the need for bioethical and related philosophical considerations in the emerging subspecialty Positive Psychiatry. Further discussion proceeds after offering operational definitions of the concepts fundamental to the field – Bioethics, Positive Psychology, Positive Psychiatry and Positive Mental Health - with their conceptual analysis to show their areas of connect and disconnect. It then studies the implications of positive and negative findings in the field, and presents the Positive Psychosocial Factors (PPSFs) like Resilience, Optimism, Personal Mastery, Wisdom, Religion/Spirituality, Social relationships and support, Engagement in pleasant events etc. It then evaluates them on the basis of the 4-principled bioethical model of Beneficence, Non-malfeasance, Autonomy and Justice (Beauchamp and Childress, 2009[5], 2013[6]), first offering a brief clarification of these principles and then their bioethical analysis based on the concepts of 'Common Morality', 'Specific Morality', 'Specification', 'Balancing' and 'Double Effects'. The paper then looks into the further development of the branch by studying the connectivity, synergy and possible antagonism of the various Positive Psychosocial Factors, and presents technical terms in place of common terms so that they carry least baggage. It also takes note of the salient points of caution and alarm that many incisive analysts have presented about further development in the related field of Positive Mental Health. Finally, the paper looks at where, and how, the field is headed, and why, if at all, it is proper it is headed there, based on Aristotle's concept of the four causes - Material, Efficient, Formal and Final. Suitable case vignettes are presented all through the write-up to clarify concepts.
本文首先主张在新兴的亚专业积极精神病学中需要生物伦理和相关的哲学考虑。在对该领域的基本概念——生命伦理学、积极心理学、积极精神病学和积极心理健康——进行了操作定义后,进一步的讨论进行了,并对它们的概念进行了分析,以显示它们之间的联系和分离。然后研究了该领域的积极和消极发现的含义,并提出了积极的社会心理因素(ppsf),如弹性、乐观、个人掌握、智慧、宗教/灵性、社会关系和支持、参与愉快的活动等。然后,根据4原则的生物伦理模型对它们进行评估,即仁慈、非渎职、自治和正义(Beauchamp and Childress, 2009 b[5], 2013 b[6]),首先对这些原则进行简要澄清,然后根据“共同道德”、“特定道德”、“规范”、“平衡”和“双重效应”的概念进行生物伦理分析。然后,本文通过研究各种积极的社会心理因素的连通性、协同性和可能的拮抗性来研究该分支的进一步发展,并提出了代替普通术语的专业术语,以便它们携带最少的包袱。它还注意到许多敏锐的分析人士对积极心理健康相关领域的进一步发展提出的谨慎和警告的重点。最后,本文着眼于该领域的方向,以及如何走向,以及为什么,如果有的话,它是正确的走向那里,基于亚里士多德的四个原因的概念-物质,效率,形式和最终。在整篇文章中都有合适的案例来阐明概念。
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引用次数: 1
Lessons of Being a Patient--Personal Thoughts about Psycho-oncology in India 作为一个病人的教训——关于印度心理肿瘤学的个人思考
Pub Date : 2016-01-01 DOI: 10.4103/0973-1229.154532
R. Murthy
Psycho-oncology is a well-established field in the developed countries and 'distress' is recognised as the sixth vital sign in the care of persons diagnosed with cancer. However, centres in India caring for cancer do not make psycho-social aspects an essential part of their care programmes. The present narrative presents the personal journey of the author, reviews the situation of psycho-oncology in India and presents a three-part agenda for action.
在发达国家,心理肿瘤学是一个成熟的领域,“痛苦”被认为是治疗癌症患者的第六个生命体征。然而,印度的癌症治疗中心并没有将心理社会方面作为其治疗方案的重要组成部分。目前的叙述呈现了作者的个人旅程,审查心理肿瘤学在印度的情况,并提出了一个三部分的行动议程。
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引用次数: 4
Child: A Learning Model and a Bi-directional Phenomenon. 儿童:学习模式与双向现象。
Pub Date : 2015-01-01 DOI: 10.4103/0973-1229.153293
Priyvadan C Shastri

Forty-five years of work with children has enriched my knowledge. Child development and psychology has made basic concepts of general psychology and abnormal psychology clearer. 'Meanings' have become more meaningful. It has made me a better professional; large number of communication and teaching skill has been the end result of such a long association with diverse groups of children who needed special care. Apart from professional skills as a clinician and as a teacher, it has made me a better person and a better parent. I have been fortunate to work with a large number and different groups of children who were in some way very special. Some were classified under various disabilities or diagnosed under different categories. I also had the privilege of working with different institutions, e.g., child guidance clinics run by a paediatrics department and a psychiatry department of a general hospital and a teaching hospital. Years of association with College of Special Work and Institute of Social Science have made me understand the very important facet of sociocultural influence on the development of human behaviour. I was further fortunate to work with children in closed and open institutions, residential care units and day care units, institutions where court committed children were observed, treated, trained and cared for, destitute children and delinquent children in remand homes, rescue homes and custodial care homes. I was fortunate to be part of the group which dealt with children who were in conflict with the law, belonging to diverse categories like street children, working children, child sex workers and sexually abused children. This paper is a reflection on experience gained over the decades.

45年的儿童工作丰富了我的知识。儿童发展与心理学使普通心理学和变态心理学的基本概念更加清晰。“意义”变得更有意义了。它使我成为一个更好的专业人士;大量的沟通和教学技能是长期与需要特殊照顾的不同群体的儿童联系的最终结果。除了作为临床医生和教师的专业技能外,它还使我成为一个更好的人,一个更好的父母。我很幸运能和很多不同群体的孩子一起工作,他们在某些方面都很特别。有些人被归类为各种残疾或被诊断为不同类别。我也有幸与不同的机构合作,例如,由综合医院和教学医院的儿科和精神病学部门经营的儿童指导诊所。在特殊工作学院和社会科学研究所的多年工作经历使我了解到社会文化对人类行为发展的重要影响。更幸运的是,我在封闭和开放的机构中与孩子们一起工作,寄宿护理单位和日托单位,那些法庭上的孩子被观察,治疗,训练和照顾的机构,在还押之家,救援之家和监护之家的贫困儿童和犯罪儿童。我很幸运能成为这个组织的一员,负责处理触犯法律的儿童,这些儿童属于不同的类别,如街头儿童、童工、儿童性工作者和受到性虐待的儿童。这篇论文是对几十年来积累的经验的总结。
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引用次数: 1
Postgraduate training in psychiatry in India with focus on mumbai. 印度精神病学研究生培训,重点在孟买。
Pub Date : 2015-01-01 DOI: 10.4103/0973-1229.153298
Ramesh R Patel

The present article traces the formation of the Indian Psychiatric Society and the progress of post-graduate training in psychiatry in India in general and Mumbai in particular. It covers the standard of psychiatric education, the goals and recommendations for improvisation of residency programmes, and the future of post-graduate psychiatric training.

本文追溯了印度精神病学学会的形成和印度精神病学研究生培训的进展,特别是孟买。它涵盖了精神病学教育的标准,住院医师计划的目标和建议,以及研究生精神病学培训的未来。
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引用次数: 4
Jaina religion and psychiatry. 耆那宗教和精神病学。
Pub Date : 2015-01-01 DOI: 10.4103/0973-1229.153306
Manilal Gada

Jaina religion has existed for thousands of years. Lord Mahavir was the last of the 24 Tirthankaras, 23 having preceded him. The principals of Jaina religion teach us: (1) Self-control, which includes: (a) Control over physiological instinct of hunger and sex; (b) control over desires; (c) control over emotions; (2) meditation; (3) introspection; (4) concentration; and (5) healthy interpersonal relationship. The principles of Jaina Religion can contribute to Positive Mental Health.

耆那教已经存在了数千年。Mahavir勋爵是24位tiththankaras中的最后一位,在他之前有23位。耆那教的教义教导我们:(1)自我控制,包括:(a)控制饥饿和性的生理本能;(b)控制欲望;(c)控制情绪;(2)冥想;(3)自省;(4)浓度;(5)健康的人际关系。耆那教的原则有助于积极的心理健康。
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引用次数: 1
In India, psychiatry has come a long way. 在印度,精神病学取得了长足的进步。
Pub Date : 2015-01-01 DOI: 10.4103/0973-1229.153313
Rajesh Parikh

This Presidential Address of the Bombay Psychiatry Society covers the state of psychiatry in India in 1997. It posits that with the advent of newer brain imaging technologies in India such as computerised tomography, magnetic resonance imaging, single photon emission computerised tomography and brain electrical activity mapping, an era of evidence-based psychiatry in India has arrived. The Address cautions against the dehumanising potential of excessive reliance on technology. The need for a greater emphasis on psychiatry during undergraduate medical education is discussed along with the need to destigmatise psychiatric disorders. Finally, the need to encourage quality research in psychiatric disorders is stressed.

孟买精神病学学会主席的这篇演讲涵盖了1997年印度的精神病学状况。它认为,随着印度新的脑成像技术的出现,如计算机断层扫描、磁共振成像、单光子发射计算机断层扫描和脑电活动测绘,印度的循证精神病学时代已经到来。《施政报告》警告说,过度依赖技术可能会使人失去人性。讨论了在本科医学教育中更加强调精神病学的必要性以及消除精神疾病的污名化的必要性。最后,强调需要鼓励精神疾病的高质量研究。
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引用次数: 0
Psychiatry and law: past, present and future. 精神病学与法律:过去、现在和未来。
Pub Date : 2015-01-01 DOI: 10.4103/0973-1229.153315
Ravindra M Kamath

It is important that every citizen knows the law of the state. Psychiatry and law both deal with human behaviour. This paper attempts to highlight the interplay between these two by discussing about various legislations like The Family Courts Act 1984, Narcotic Drugs and Psychotropic Substances Act 1985, Juvenile Justice Act 1986, Consumer Protection Act 1986, Persons with Disability Act 1995, The Maintenance and Welfare of Senior Citizens Act 2007.

每个公民都了解国家的法律是很重要的。精神病学和法律都研究人类行为。本文试图通过对1984年《家庭法院法》、1985年《麻醉药品和精神药物法》、1986年《少年司法法》、1986年《消费者保护法》、1995年《残疾人法》、2007年《老年人赡养和福利法》等立法的讨论来突出这两者之间的相互作用。
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引用次数: 0
Mumbai psychiatry: current obstacles. 孟买精神病学:当前的障碍。
Pub Date : 2015-01-01 DOI: 10.4103/0973-1229.153337
Sanjay V Bagadia

Mumbai, like any other Metro city, has its own share of contentious issues influencing psychiatric management. These could be old ongoing issues like myths about medications, electroconvulsive therapy and counselling, or newer ones like our stand on homosexuality and crime related to psychosocial factors. A range of these issues is considered in this paper along with some possible solutions. Getting due credit and status for psychiatry as a medical branch is also a challenge we need to address.

和其他大都市一样,孟买也有影响精神病学管理的争议性问题。这些问题可能是持续存在的老问题,比如关于药物、电休克疗法和咨询的误解,也可能是新的问题,比如我们对同性恋和与心理社会因素相关的犯罪的立场。本文考虑了一系列这些问题以及一些可能的解决方案。获得精神病学作为一个医学分支应有的信誉和地位也是我们需要解决的挑战。
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引用次数: 0
Setting up private practice in psychiatry. 开设精神病学私人诊所。
Pub Date : 2015-01-01 DOI: 10.4103/0973-1229.153289
Alan De Sousa, Avinash De Sousa

Setting up a private practice in Mumbai is an onerous task. The present paper looks at the difficulties face by young psychiatrists when starting a private practice in psychiatry. It suggests certain guidelines to be followed to ensure the development of a successful practice. It also suggests methods to gain popularity among patients and society along with the ethics to be followed, knowledge base to be garnered, and the role of using multiple therapies and versatility in private practice.

在孟买开一家私人诊所是一项艰巨的任务。本文着眼于年轻精神科医生在开始精神病学私人执业时所面临的困难。它提出了一些需要遵循的指导方针,以确保成功实践的发展。此外,还提出了在患者和社会中获得认可的方法、应遵循的伦理、应积累的知识基础、在私人医疗中运用多种疗法和多功能性的作用等。
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引用次数: 0
Invest in family. 为家庭投资。
Pub Date : 2015-01-01 DOI: 10.4103/0973-1229.153321
Nilesh Shah, Avinash De Sousa

The family is an integral part of one's life. It is very essential that every individual employed or unemployed invests time therein. The family is a source of support and growth for an individual, and the lack of family support or loneliness may be a causative factor in the genesis of psychiatric disorders, especially depression. In India, family plays a paramount role when it comes to mental health of the individual. Tips on how one should invest time in one's family along with the role of a family in one's personal and social structure are discussed.

家庭是一个人生活中不可分割的一部分。每一个就业或失业的人在这方面投入时间是非常重要的。家庭是一个人支持和成长的源泉,缺乏家庭支持或孤独可能是精神疾病,特别是抑郁症的一个致病因素。在印度,家庭在个人心理健康方面起着至关重要的作用。讨论了一个人应该如何在家庭中投入时间,以及家庭在个人和社会结构中的作用。
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引用次数: 1
期刊
Mens sana monographs
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