ʻO ka hoʻohana nui ʻana o nā ʻano hana koʻikoʻi i ka psychiatry he hopena ikaika a traumatic i nā maʻi. ʻOi aku ka ikaika ma mua o ka manaʻoʻiʻo o nā limahana psychiatric.
The European Times hoike ua nānā nā haʻawina i nā manaʻo o ka mea maʻi e pili ana i ka hoʻohana ʻana i ka coercion i nā lawelawe psychiatric. In he 2016 like na Paul McLaughlin o ka Unit for Social & Community Psychiatry, WHO Collaborating Center for Mental Health Services Development ma ʻEnelani, ʻo ia a me nā mea kākau pū i hōʻike, "Ke hōʻike mau nei nā haʻawina qualitative e hiki ke ʻike ʻia nā hana koʻikoʻi e nā poʻe maʻi e like me ka hoʻohaʻahaʻa a me ke kaumaha.
Hōʻike nā haʻawina e hiki ke loaʻa nā pilikia koʻikoʻi e pili ana i ka hoʻohana ʻana i ka ikaika a me ke koi ʻana i ka psychiatry. Ua noiʻi ʻia a hōʻike ʻia ka hoʻohana ʻana i ka noho kaʻawale a me ka hoʻopaʻa ʻana ma nā haneli o nā paʻi i loaʻa ma o ka ʻikepili bibliographical lāʻau lapaʻau. Ka Medline.
Ua hoʻokō ʻo Professor of psychiatry, Riittakerttu Kaltiala-Heino, i ka nānā ʻana i nā manaʻo o nā maʻi i hoʻohana ʻia i ka hoʻohana ʻana a me nā kaohi. Ua hoʻokumu ʻia ka loiloi ma ka loiloi o 300 Medline publications i loaʻa ma 2004. Ma kahi haʻiʻōlelo i ka Association of European Psychiatrists '12th European Congress of Psychiatry ua ʻōlelo ʻo ia ma muli o kēia loiloi, ʻo ia: “i nā haʻawina a pau i aʻo i nā ʻike maikaʻi ʻole o ka poʻe maʻi i hōʻike i ka ʻike he hoʻopaʻi ia."
Ua ʻōlelo ʻo Prof. Kaltiala-Heino,
"No laila, manaʻo ka nui o ka poʻe maʻi ua noho kaʻawale a i hoʻopaʻa ʻia paha lākou no ka mea ua hoʻopaʻi ʻia lākou no kekahi hana i ʻae ʻole ʻia a no ka uhaki ʻana i nā lula o ka papa. Mai ka hapalua o ka poʻe maʻi a hiki i ka 90 pakeneka o nā maʻi i nā haʻawina like ʻole i hōʻike ʻia ua ʻike lākou i ka noho kaʻawale ʻana ma ke ʻano he hoʻopaʻi."
ʻO ke koi ʻana i nā hōʻailona psychiatric
Ua ʻōlelo hou ʻo Prof. Kaltiala-Heino, “A ua hōʻike pū ka poʻe maʻi i ka piʻi ʻana o nā hōʻailona psychiatric e like me ke kaumaha, manaʻo suicidal, hallucinations, nalowale o ka pilina me ka ʻoiaʻiʻo. No laila, manaʻo lākou i ka depersonalized a ua hōʻike ʻia nā ʻike de-realization. Ua hōʻike pū nā poʻe maʻi i nā moeʻuhane e hōʻike ʻia ana i loko o ko lākou mau maka i nā kaʻina hana kaʻawale, ke kūlana kaʻawale, ke keʻena kaʻawale o ka laka ʻana a nakinaki ʻia. Hiki ke huli maʻalahi i ka ʻike o ka noho kaʻawale a i ʻole kaohi."
ʻAʻole hiki ke hoʻohaʻahaʻa wale ʻia ka hoʻohana ʻana i ia mau hana a ʻike ʻia he hoʻopaʻi a hoʻomāinoino paha, ke kumu hoʻi lākou i ka manaʻo ikaika e kūʻē i nā limahana psychiatric. Ma nā haʻawina e kamaʻilio ana nā mea maʻi, a kūkākūkā i ka huhū i nā limahana nāna i hana i ke kaʻina hana.
ʻO ka poʻe maʻi i noho kaʻawale ua huhū a hoʻoweliweli ʻia i ka wā e kaʻawale ʻia ai kekahi e hōʻike ana i ka hopena traumatic mau loa o ka hoʻohana ʻana i ka noho kaʻawale a me ke kāohi.
Ua ʻōlelo hou ʻo Prof. Kaltiala-Heino, "i ka hapa nui o nā haʻawina i hoʻopaʻa ʻia i nā ʻike o ka poʻe maʻi o ka noho kaʻawale a me ka hoʻopaʻa ʻana, ʻoi aku ka nui o nā ʻike maikaʻi ʻole i hōʻike ʻia ma mua o nā ʻano maikaʻi."
Manaʻo hewa nā limahana psychiatric i ka hopena maikaʻi ʻole
Ua ʻōlelo ʻo Prof. Kaltiala-Heino, mai ka loiloi ʻana i nā haʻawina e hiki ai i kekahi ke hoʻoholo: “Manaʻo nā limahana he ʻoi aku ka maikaʻi o nā mea maʻi ma mua o ka mea i loaʻa i nā mea maʻi." A ʻōlelo hou ʻo ia: "Ke hōʻike nei ka poʻe maʻi i ka nui o nā ʻike maikaʻi ʻole a ʻoi aku ka nui o ka manaʻo o nā ʻike maikaʻi ʻole ma mua o ka manaʻo o nā limahana.. "
ʻOi aku ka manaʻo kuhihewa. Ua ʻike ʻo Prof. Kaltiala-Heino: “ʻOiai ke manaʻoʻiʻo nei nā limahana ʻo ke kaʻawale ka mea kōkua nui i nā maʻi, nā maʻi āpau, nā maʻi ʻē aʻe i loko o ke keʻena ... A ʻo ka lua e pōmaikaʻi ai ka mea maʻi iā ia iho - ka mea maʻi i hoʻopaʻa ʻia. A ma ke kolu wale no ka pono o ke kookoo. A laila, manaʻo maoli ka poʻe maʻi i noho kaʻawale ʻo ia ka poʻe i loaʻa ka pōmaikaʻi nui o kēia kaʻina hana a me ka mea liʻiliʻi iā lākou iho - ʻo ka poʻe i noho kaʻawale, ʻo ia iho."
Ua hoʻoholo ʻo Prof. Kaltiala-Heino ʻoiai ʻo ka noiʻi ʻana he sporadic a ʻaʻole kūlike nā ʻano hana i hoʻohana ʻia e kuhikuhi lākou a pau i ka ʻaoʻao hoʻokahi, ʻo ia hoʻi: “ʻoi aku ka ikaika o ka palena a me ka hoʻohana ʻana i ke koi, ʻoi aku ka maikaʻi o nā ʻike o nā maʻi."
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