[Primary health care and the consequences of a strategy of denial: inefficient and uneconomical management of health problems due to a far-reaching omission of clients' world view, self image and psyche from the context of therapy]. / Primary Health Care und die Folgen einer Verleugnungsstrategie. Ineffizientes und unökonomisches Management von Gesundheitsproblemen durch weitgehendes Ausblenden des Weltverständnisses, des Selbstbildes und der Psyche der Klienten aus dem Behandlungskontext.
Psychother Psychosom Med Psychol
; 51(1): 34-40, 2001 Jan.
Article
em De
| MEDLINE
| ID: mdl-11227323
ABSTRACT
In spite of high prevalence rates, non-somatic health problems remain largely neglected in Third World First line health services. Deficits in staff qualification and motivation, clients' lack of readiness to perceive their problems as psychogenic, and "superstitious" beliefs as to their causation, material constraints, and the inapplicability of Western psychotherapeutic techniques in non-Western cultures are quoted as possible explanations. We assess their validity and potential consequences for the quality of service delivery; a different approach towards the training of staff, aiming at the integration of attention to psychological problems into everyday service provision, is discussed.
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Coleções:
01-internacional
Contexto em Saúde:
11_ODS3_cobertura_universal
Base de dados:
MEDLINE
Assunto principal:
Pacientes
/
Atenção Primária à Saúde
/
Negação em Psicologia
Tipo de estudo:
Risk_factors_studies
Limite:
Humans
Idioma:
De
Revista:
Psychother Psychosom Med Psychol
Ano de publicação:
2001
Tipo de documento:
Article