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How can a community psychiatrist be useful?


A psychiatric patient often differs from other people only in that he is interested in medical care. Others may equally urgently need it, but for one reason or another avoid it. This often happens, for example, with company executives, school principals, judges and family doctors.
Due to the patterns of thinking handed down from childhood, the administrator can go so far as to lose the ability to delegate authority to subordinates and make decisions. As a result, his subordinates suffer from headaches, back pain, stomach ulcers and mental depression.
The school principal may not be able to tolerate spontaneous behavior and picks up teachers with the same prejudices. Students who may develop school phobias suffer from this. A judge with certain skills learned in childhood may be overly worried about cleanliness and order, and as a result, she will only tolerate orderly and exemplary behavior in herself and others. The family doctor sometimes does not realize the emotional difficulties of his patients and does not always refer them to a psychiatrist when there is evidence for this. Here are some examples of people in powerful positions who can therefore seriously hinder the well-being of other members of the community; the community psychiatrist should be able to influence them.
Community psychiatric education may require people of new professions - perhaps more reminiscent of school teachers than psychiatrists.
An example of this kind of “psychiatric school” is the author’s own experience of teaching an unprepared audience to analyze interactions.
In 1962, ten company managers attended eight weekly hourly lectures on this course. Now this number has risen to thirty-five: from senior administrators to CEOs; they regularly listen to this course, which has turned into a constant type of training for senior staff. Moreover, the lectures were taped and synchronized with the slides illustrating them, so that all 4000 employees of the enterprise got the opportunity to familiarize themselves with the analysis of interactions.
In 1964, a similar lecture series was delivered to some patients in a community psychiatric clinic. Many of them later stated that the lectures “improved” their condition. One of the mothers said: “My daughter is not far behind at school now. I explained some of these things to her and now it’s easier for us. I can help her because I understand myself better.” The worker said that he drinks 50% less and plays cards, that he has made six rationalization proposals (not a single one before) and is getting promoted.
Now, one hundred people listen to these lectures weekly. Many of the students are relatives, friends, and neighbors of former student patients. They proved that many people are able to use their intelligence to improve their lives and work; for this, someone must provide them with an accessible scientific theory about the essence of man.
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How can a community psychiatrist be useful?

  1. How can psychiatry help production?
    The psychiatrist who works with the staff of the enterprise should be familiar with the mood of the staff and with the point of view of the administration. With this knowledge, he can influence the decisions of the administration for the benefit of the company's revenues, the health of managers and the welfare of all staff. However, there are currently only fifteen psychiatrists performing full-time preventative
  2. What is community psychiatry?
    The community psychiatrist works and helps people differently than psychiatrists with inpatient admissions do. Individual therapy psychiatrist spends a lot of time on a small number of patients. Meanwhile, a psychiatrist working in the community should help many people in a short time and, moreover, before they turn into patients. Its purpose is not to cure, but to prevent
  3. Food supply can be unsustainable and unreliable. How do we feed babies older than 6 months who need more than just one breast milk?
    At around the age of 6 months, start giving food that you yourself eat. There is no need to replace breastfeeding, give solid foods in addition to the usual breastfeeding scheme for your baby. Children older than 6 months can eat almost any food, but their diet should not contain a lot of salt. When you cook, separate a little for the child before adding salt to the rest
  4. G. Community Psychiatry.
    G. Community
  5. Additional features of the profession, as well as the difference between a psychologist and a psychiatrist and psychotherapist
    The nature of the work is mainly indoors, sedentary. A medical contraindication to this profession is: the presence of infectious or mental illness. It is important to understand that a psychologist, unlike a psychotherapist and, especially, a psychiatrist, does not have a medical education and works only with mentally healthy people, carrying out prophylaxis and providing assistance in solving
  6. How can massage help?
    Nowadays, many so-called physical methods have been invented: various massages (ultrasound, vacuum, endermology), microcurrent stimulation, myostimulation, body wraps, body-belts and slim shorts, creams and soaps for weight loss ... Why not. But they give only a small and short-term effect - you cannot lose 20 kg and 30 cm on them, and even the discarded centimeters come back. With what
  7. What is the difference between feeling guilty and being guilty?
    To feel guilty means to consider yourself guilty based on our own system of values, which, in turn, is determined by our beliefs. Most people tend to consider themselves guilty, although in reality they rarely are. This is because they forget to check if they really wanted to do harm. They decide they are to blame, so
  8. What anatomical features can cause hemispheric infarction in this clinical case?
    The main arteries-anastomoses of the Willis circle (the anterior and posterior connective arteries) are not always well developed. The caliber of these arteries is extremely variable, and one or both of the posterior connective arteries may be absent. Moreover, the frequency of severe atherosclerotic stenosis of the main arteries (internal carotid and vertebral) increases with age and in patients 60-70 years old is 6-8
  9. Someone told me that breastfeeding prevents pregnancy, but maybe it's all just talk?
    Exceptional breastfeeding reduces the risk of becoming pregnant. During the first six months, until you have started your period and while you are fully breastfeeding, day and night, you are 98% protected from pregnancy. This is tantamount to protection with other modern contraceptives. In the next section (“How does breastfeeding happen?") You will find out
  10. If I allow my teenage daughter to walk late that evening and she suddenly becomes pregnant or addicted to drugs, I will feel guilty. What should I do? Maybe I'm too overbearing father?
    Between us, tell me honestly: do you really believe that your daughter can get pregnant, or take drugs only late in the evening? You know very well that there is no logic in your words. 'Nevertheless, since you feel guilty, I advise you to speak frankly with your daughter about this. Share your feelings with her. Realize also that your feeling
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