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2.
Tijdschr Psychiatr ; 63(9): 614-622, 2021.
Artículo en Holandés | MEDLINE | ID: mdl-34647298

RESUMEN

BACKGROUND: A clinical admission is a frightening event, especially in a crisis situation, and above all when it comes with legal measures. The effectiveness of an acute crisis admission has been demonstrated in a Cochrane review, but cohort studies of a clinic setting are not yet available. AIM: To assess and determine the treatment effects after a crisis admission in a metropolitan acute psychiatric clinic of patients with severe mental illness (SMI patients). METHOD: In the context of routine outcome monitoring, the 12 HoNOS scores at admission and discharge (pre- and post-measurements) were rated by clinicians. The data of 1423 patients were analyzed by a statistician. RESULTS: The crisis admissions have a substantial positive clinical effect: 76 percent of the patients improved, 16 percent was stable and 10 percent worsened (effect size ES = 1.2). The patients improved most in regard to psychotic problems, aggressiveness and social problems. This applies equally to patients who have been admitted voluntarily, as well as to patients with a legal measure. The admission duration of patients is two months, except for patients with compulsory treatment (seclusion, sedation, forced medication). In this case the treatment duration prolongs to three months. CONCLUSION: Acute short-term clinical admission is an effective part of the clinical and outpatient treatment chain for patients with severe mental illness (SMI). A substantial treatment effect is achieved by the crisis admission. These findings are an important addition to the Cochrane review.


Asunto(s)
Trastornos Mentales , Atención Ambulatoria , Instituciones de Atención Ambulatoria , Hospitalización , Humanos , Trastornos Mentales/terapia , Estudios Prospectivos
3.
Tijdschr Psychiatr ; 63(9): 650-657, 2021.
Artículo en Holandés | MEDLINE | ID: mdl-34647303

RESUMEN

BACKGROUND: Although mental health care for prisoners with mental health problems during and after detention improves re-integration and reduces criminal recidivism, prisoners with psychiatric problems seem to have difficulties connecting to regular mental health care after detention.  AIM: To describe referrals from Flemish prisons to psychiatric hospitals or external therapeutic settings in the year 2019.  METHOD: All prisoners with mental health problems that were referred from a Flemish prison to mental health care in 2019 were studied (n = 577) , using data collected by the Flemish initiative TANDEM.  RESULTS: The vast majority of referrals were prisoners with a substance use disorder. In total, 1 in 5 prisoners with mental health problems directly had access to ambulatory or residential mental health care. 30% of these ultimately did not appear to start with the planned treatment. CONCLUSION: Continuity of mental health care after detention is recommended and also has a social benefit. Improving cooperation between justice and external mental health care, taking into account the needs of the prisoner, is essential in the development of succesful treatment plans.


Asunto(s)
Trastornos Mentales , Prisioneros , Trastornos Relacionados con Sustancias , Humanos , Trastornos Mentales/terapia , Salud Mental , Prisiones , Derivación y Consulta
4.
Zhongguo Zhen Jiu ; 41(10): 1140-4, 2021 Oct 12.
Artículo en Chino | MEDLINE | ID: mdl-34628748

RESUMEN

The paper summarizes the ideas and characteristics of acupoint selection in treatment of mental disorder with acupuncture and moxibustion by professor FU Wen-bin. Professor FU believes that mental disorder is manifested as the simultaneous illness of "heart" and "body". On the base of "holism" for the unity of body and mind, professor FU proposes the treating idea as "soothing the liver, regulating the mind and focusing on the heart and the gallbladder in treatment". In clinical practice, the acupoint prescription on specifically regulating and harmonizing yin and yang is composed to calm down the mind. The eight confluent points and back-shu points of five zang organs are selected to regulate zangfu functions. The "ghost" points, the points on the second line of bladder meridian and the acupoints with specific effect are used to tranquilize the mind, open the orifices and consolidate therapeutic effect. Meanwhile, the complicated symptoms are also considered in treatment. The integrative and holistic pattern of acupuncture and moxibustion therapy as "acupuncture at the top priority, followed by moxibustion, and consolidation at the end" achieves the co-regulation of qi and blood and tranquilization for both the mental and the physical.


Asunto(s)
Terapia por Acupuntura , Trastornos Mentales , Meridianos , Moxibustión , Puntos de Acupuntura , Humanos , Trastornos Mentales/terapia
5.
Epidemiol Psychiatr Sci ; 30: e63, 2021 Oct 11.
Artículo en Inglés | MEDLINE | ID: mdl-34632978

RESUMEN

Research on the effectiveness of mental health and psychosocial support interventions for common mental disorders in global mental health provides controversial results. These results are based on mean values for different groups, often without due consideration of individual-level characteristics and contextual factors. Against this background, and based on the recent development of a precision theoretical framework in clinical psychology, which is calling for a renewed perspective on the development and implementation of trial designs, we propose to develop a precision psychology paradigm in global mental health, with emphasis not only on individual clinical and socio-demographic data, but also on the social determinants of mental health. A precision psychology paradigm would require a coordinated action of academics, stakeholders and humanitarian workers in planning a global mental health research agenda, including the design of trials aimed at reliably approximate prediction of intervention response at individual level.


Asunto(s)
Trastornos Mentales , Servicios de Salud Mental , Salud Global , Humanos , Trastornos Mentales/terapia , Salud Mental
6.
Pan Afr Med J ; 39: 221, 2021.
Artículo en Francés | MEDLINE | ID: mdl-34630833

RESUMEN

Introduction: psychiatric disorders affect the highest number of incarcerated individuals. Indeed, detention conditions in Senegal have been criticized for several years by referring, in particular, to overcrowding. These conditions probably play a determining role in the occurrence of mental disorders in this population. This work describes the socio-demographic and clinical characteristics of these inmates followed on an outpatient basis in the Department of Psychiatry of the National University Hospital Center in Fann. Method: we conducted a retrospective and descriptive study. Data were collected from all the inmates presenting to the External Consultation Unit of the Department of Psychiatry of the National University Hospital Center of Fann between 1st January 2005 and 31st December 2010. Results: our study population consisted of 62 inmates, 92% men and 8% women. The average age of patients was 32 years, nearly three-quarters (72.6%) of individuals were single. In the majority of cases they were in a precarious employment situation and 69.3% of them had not completed secondary education. Insomnia was the leading reason for consultation (29%) followed by auditory verbal hallucinations (22.6%). Physical aggression and/or threats to fellow inmates were observed in 17.7% of cases. The main diagnostic categories found were schizophrenic disorders (32.3%) and depressive disorders (27.4%). Between 2005 and 2010, the number of consultations increased threefold/year, from 7 to 19. Conclusion: this study showed that the incarcerated population, followed on an outpatient basis in the Department of Psychiatry, were young, mostly male and single, with low level of education and disadvantaged professional status. Similar cases have been reported in the international literature. Considering Senegal's socio-economic situation and health systems development, we note that, although the number of consultations has increased over the years, only inmates with severe mental disorders are followed in specialized health services. Given the number of incarcerated subjects, the biography background of these subjects, the conditions of detention and the absence of some diseases, a survey should be conducted in prisons in order to assess mental healthcare needs of incarcerated subjects and the specific issues that could affect them.


Asunto(s)
Trastornos Mentales/terapia , Prisioneros/estadística & datos numéricos , Prisiones , Adolescente , Adulto , Anciano , Atención Ambulatoria/métodos , Femenino , Humanos , Masculino , Trastornos Mentales/fisiopatología , Persona de Mediana Edad , Estudios Retrospectivos , Senegal , Adulto Joven
7.
J Neuroinflammation ; 18(1): 231, 2021 Oct 13.
Artículo en Inglés | MEDLINE | ID: mdl-34645457

RESUMEN

It is well accepted that environmental stressors experienced over a one's life, from microbial infections to chemical toxicants to even psychological stressors, ultimately shape central nervous system (CNS) functioning but can also contribute to its eventual breakdown. The severity, timing and type of such environmental "hits", woven together with genetic factors, likely determine what CNS outcomes become apparent. This focused review assesses the current COVID-19 pandemic through the lens of a multi-hit framework and disuses how the SARS-COV-2 virus (causative agent) might impact the brain and potentially interact with other environmental insults. What the long-term consequences of SAR2 COV-2 upon neuronal processes is yet unclear, but emerging evidence is suggesting the possibility of microglial or other inflammatory factors as potentially contributing to neurodegenerative illnesses. Finally, it is critical to consider the impact of the virus in the context of the substantial psychosocial stress that has been associated with the global pandemic. Indeed, the loneliness, fear to the future and loss of social support alone has exerted a massive impact upon individuals, especially the vulnerable very young and the elderly. The substantial upswing in depression, anxiety and eating disorders is evidence of this and in the years to come, this might be matched by a similar spike in dementia, as well as motor and cognitive neurodegenerative diseases.


Asunto(s)
COVID-19/inmunología , Mediadores de Inflamación/inmunología , Trastornos Mentales/inmunología , Enfermedades Neurodegenerativas/inmunología , Neuroinmunomodulación/inmunología , Animales , Encéfalo/inmunología , COVID-19/epidemiología , Humanos , Inmunoterapia/tendencias , Trastornos Mentales/epidemiología , Trastornos Mentales/terapia , Enfermedades Neurodegenerativas/epidemiología , Enfermedades Neurodegenerativas/terapia , Estrés Psicológico/epidemiología , Estrés Psicológico/inmunología , Estrés Psicológico/terapia
8.
BMC Health Serv Res ; 21(1): 1130, 2021 Oct 21.
Artículo en Inglés | MEDLINE | ID: mdl-34670561

RESUMEN

BACKGROUND: People with a mental health condition experience a greater prevalence of chronic disease and reduced life expectancy compared to the general population. Modifiable health risk behaviours, such as physical inactivity and poor nutrition are major contributing factors. Population-level health coaching delivering behavioural change support via telephone for healthy eating, physical activity, and weight management is an opportunity utilised by this group to support improvement in healthy lifestyle behaviours. Health coaches offer a valuable perspective into the provision of services to this high-risk group. This study aims to qualitatively explore coaches' experiences in providing support to these participants, consider factors which may contribute to engagement and outcomes; and potentially inform future service improvement. METHOD: A qualitative study design was employed involving semi-structured telephone interviews with six coaches employed in a telephone-based behaviour change support service in New South Wales, Australia, between April and July 2019. Interview data was analysed using an inductive thematic analysis. RESULTS: Coaches believed that the service was of benefit to people with a mental health condition, however making changes to health risk behaviours was potentially more difficult for this group of service users. Coaches indicated that in supporting this group there was a greater focus on building confidence and readiness to change. They noted that improvement in mental health as a result of physical health changes was an additional 'measure of success' of particular relevance. Coaches expressed a desire to receive more mental health training to better deliver coaching to participants with a mental health condition. Program variables such as limited call length were posed as possible barriers to care. CONCLUSION: Further training and additional support for coaches, in additon to considering variations to aspects of service delivery may assist in improving engagement and outcomes for participants with mental health conditions. Examining mental health consumers' experiences when engaging with telephone coaching services would be an important area to address in further research.


Asunto(s)
Trastornos Mentales , Salud Mental , Ejercicio Físico , Conductas Relacionadas con la Salud , Humanos , Trastornos Mentales/terapia , Teléfono
9.
Health Aff (Millwood) ; 40(9): 1354-1358, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-34495719

RESUMEN

A Denver program is helping people capture images and write narratives to help in their mental health recovery.


Asunto(s)
Trastornos Mentales , Recuperación de la Salud Mental , Humanos , Trastornos Mentales/terapia , Salud Mental , Narración
10.
Glob Health Action ; 14(1): 1972561, 2021 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-34514969

RESUMEN

BACKGROUND: Common mental disorders (CMDs) are highly prevalent conditions that constitute a major public health and economic burden on society in low- and middle-income countries (LMICs). Despite the increased demand for economic evidence to support resource allocation for scaled-up implementation of mental health services in these contexts, economic evaluations of psychological treatments for CMDs remain scarce. OBJECTIVE: The proposed systematic review aims to synthesize findings on methods and outcomes of economic evaluations of psychological treatments for CMDs in LMICs and appraise quality. METHODS: We will identify, select, and extract data from published economic evaluations of psychological interventions for CMDs conducted in LMICs. We will search bibliographic databases (PubMed, EMBASE, CINAHL, Web of Science, EconLit, PsycINFO, Africa-Wide Information, Cochrane library, Centre for Reviews and Dissemination (CRD), Cost Effectiveness Analysis (CEA) Registry), and the African Journals Online (AJOL) and Google Scholar platforms. Only full economic evaluations (Cost-Effectiveness Analysis (CEA), Cost-Utility Analysis (CUA), Cost-Consequence Analysis (CCA), or Cost-Benefit Analysis (CBA)) of psychological treatments for CMDs (defined as depressive, anxiety, and substance use disorders) conducted in LMICs will be included. There will be no restrictions based on date of publication, perspective, follow-up duration or sample size. Data extraction will be guided by the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist. RESULTS: The results presented will be examined using a narrative synthesis approach. The quality of included studies will be assessed using the Drummond & Jefferson checklist. CONCLUSION: The fledgling evidence base in this area provides an opportunity to promote improved economic evaluation methods in line with repeated calls for economic evidence alongside effectiveness evidence in these settings. A rigorously developed economic evaluation evidence base will support resource allocation decisions for scaled up implementation of psychological interventions in LMIC settings. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42020185277.


Asunto(s)
Países en Desarrollo , Trastornos Mentales , África , Análisis Costo-Beneficio , Humanos , Trastornos Mentales/terapia , Pobreza , Revisiones Sistemáticas como Asunto
11.
Lancet Psychiatry ; 8(10): 919-928, 2021 10.
Artículo en Inglés | MEDLINE | ID: mdl-34537102

RESUMEN

This scoping review synthesises previous research on caregivers' experiences and perspectives of caring for a child with a mental health or neurodevelopmental condition while living in low-income and middle-income countries (LMICs). 35 studies done across 15 LMICs were included in this Series paper. Most studies were done in the Africa region. Child and adolescent mental health and neurodevelopmental conditions were perceived by caregivers to have both biomedical and traditional or spiritual causes and help-seeking was aligned to these explanatory beliefs. Caregivers commonly described reduced quality of life, which they attributed to their children's mental or neurodevelopmental condition, and additional reports of family disruption, caregiver psychological distress, and financial hardship. To strengthen mental health outcomes of young people, better mental health promotion information for caregivers is required along with improved engagement with communities and increased sensitivity to caregiver wellbeing and needs when developing interventions for children and adolescents.


Asunto(s)
Cuidadores/psicología , Trastornos Mentales/terapia , Trastornos del Neurodesarrollo/terapia , Distrés Psicológico , Calidad de Vida , Adolescente , África , Niño , Países en Desarrollo , Humanos , Pobreza
12.
Tijdschr Psychiatr ; 63(7): 526-534, 2021.
Artículo en Holandés | MEDLINE | ID: mdl-34523704

RESUMEN

BACKGROUND: Pregnancy and the postpartum period is a vulnerable phase in life for women and can influence the development or course of a psychiatric disorder. These patients can receive extra guidance during this period by the POP-collaboration (Psychiatry, Obstetrics and Pediatrics) in many hospitals. AIM: To describe the characteristics of patients who received psychiatric consultation by the POP-collaboration at the LUMC and the interventions that were conducted. METHOD: Data of patients who were seen at the psychiatric (outpatient) clinic for POP-guidance between 1 January 2016 and 1 April 2020 were analyzed. RESULTS: 292 patients were seen in 310 guidance programs at the psychiatric (outpatient) clinic. Patients referred preconceptionally or during the pregnancy mostly suffered anxiety or unipolar mood disorders. Postpartum it concerned mostly psychotic disorders and bipolar mood disorders. A majority had two or more psychiatric disorders. Interventions were psycho-education, supportive contact, collaboration with their own health-professionals, adjustment of the current treatment, making a prevention plan, a prolonged stay at hospital after childbirth or (rarely) an admission to the psychiatric ward. CONCLUSION: Patients seen for guidance by the POP-collaboration at the LUMC are a vulnerable patient population with frequently complex psychopathology, and need personalized psychoeducation, supervision and treatment.


Asunto(s)
Trastorno Bipolar , Trastornos Mentales , Psiquiatría , Trastornos Psicóticos , Niño , Femenino , Humanos , Trastornos Mentales/terapia , Embarazo , Psicopatología , Derivación y Consulta
14.
Psychiatr Danub ; 33(Suppl 9): 55-62, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34559779

RESUMEN

BACKGROUND: Transitional age youth (TAY) are a particularly at-risk population in mental health. They have specific needs, not currently covered between child and adolescent mental health services (CAMHS) and adult mental health services (AMHS), mainly because of existing barriers. This retrospective study was carried out to describe sociodemographic and clinical characteristics of patients who attended a new outpatient program specifically conceived for TAY in Brussels, Belgium. Outcomes related to trajectories of psychiatric care were analysed, such as leading symptom, consultation's referral and requester, and final orientation. SUBJECTS AND METHODS: The total sample included 243 patients aged from 16 to 24 years old who presented for care in this outpatient program between October 2019 and May 2021. Data were retrospectively extracted from each patient's electronic medical records. RESULTS: The sample was mainly composed by female participants; the average age was 18.7 (±2.0) years. General practitioner (18.9%), child and adolescent psychiatrist (18.1%), psychologist (11.5%) and adult psychiatrist (7.4%) referred patients. Leading symptoms were divided into three dimensions: internalizing (67.5%), externalizing (21.8%) and psychotic (10.7%) ones. After first assessment, 81.5% of youth were followed-up in our specific outpatient program. Overall, at the end of data collection, youth were orientated towards ongoing follow-up in this program (37%), AMHS care (21.8%), end of psychiatric care (17.3%) and CAMHS care (4.1%). 19.8% patients discontinued the proposed care. CONCLUSIONS: This psychiatric outpatient program for TAY represents an innovative contribution to reinforce CAMHS-AMHS interface in French-speaking Belgium. The analysis of trajectories in psychiatric care suggests positive outcomes of this TAY-tailored clinical program to achieve high quality standard of care in youth mental health. Future research and clinical implementation programs should further explore which factors influence decision-making process in TAY psychiatric assessment and care.


Asunto(s)
Trastornos Mentales , Servicios de Salud Mental , Psiquiatría , Adolescente , Adulto , Anciano , Atención Ambulatoria , Bélgica , Niño , Femenino , Humanos , Trastornos Mentales/epidemiología , Trastornos Mentales/terapia , Estudios Retrospectivos , Adulto Joven
15.
Psychiatr Danub ; 33(Suppl 9): 108-113, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34559788

RESUMEN

BACKGROUND: The continuation of the health emergency due to the management of COVID-19 is having a profound effect on all aspects of society, including mental health and physical health. This observational study examined practitioners of psychiatric rehabilitation and therapeutic communities, focusing on the emotional aspects of patient care, in particular the fatigue of compassion, empathy and lack of hope, aspects that could be directly linked to the burnout of health professionals, as found in other similar studies. METHOD: In this study, self-administered scale data was collected in 87 healthcare professionals recruited from 3 different psychiatric rehabilitation communities. In particular, we assessed the fatigue of compassion, vicarious trauma, burnout and hope (hopeless), empathy and depressive symptoms in the two months of May and June 2021. RESULTS: The results obtained after the administration of the following rating scales, ProQOL, BHS, SAVE-9, BDI-II and BEES, showed an overall increase in scores in all professional figures, a significant fatigue of compassion, while the percentage burnout is not present in several groups. The presence of high levels of hope, satisfaction of compassion is indicative of a moderate level of empathy in some professional figures; these high levels can protect workers from the risk of developing work-related stress and depressive symptoms. CONCLUSIONS: The data obtained with this study are not similar to those of previous studies, although they may indicate the importance of factors such as hope, empathy in the care of the patient with psychic disorders in rehabilitation communities, underlining the need for interventions aimed at the emotional management of the care relationship as a tool to improve care and prevent burnout even during times of high stress, such as managing a pandemic.


Asunto(s)
Agotamiento Profesional , COVID-19 , Desgaste por Empatía , Trastornos Mentales , Agotamiento Profesional/epidemiología , Desgaste por Empatía/epidemiología , Estudios Transversales , Empatía , Humanos , Satisfacción en el Trabajo , Trastornos Mentales/epidemiología , Trastornos Mentales/terapia , Pandemias , Calidad de Vida , SARS-CoV-2 , Encuestas y Cuestionarios
16.
Artículo en Inglés | MEDLINE | ID: mdl-34474510

RESUMEN

The Psychiatric Consultation Service at Massachusetts General Hospital sees medical and surgical inpatients with comorbid psychiatric symptoms and conditions. During their twice-weekly rounds, Dr Stern and other members of the Consultation Service discuss diagnosis and management of hospitalized patients with complex medical or surgical problems who also demonstrate psychiatric symptoms or conditions. These discussions have given rise to rounds reports that will prove useful for clinicians practicing at the interface of medicine and psychiatry.


Asunto(s)
Trastornos Mentales , Psiquiatría , Veteranos , Hospitales Generales , Humanos , Trastornos Mentales/diagnóstico , Trastornos Mentales/epidemiología , Trastornos Mentales/terapia , Derivación y Consulta
17.
Rev Med Liege ; 76(9): 701-708, 2021 Sep.
Artículo en Francés | MEDLINE | ID: mdl-34477343

RESUMEN

The current health care crisis, induced by the coronavirus pandemic, is at the origin of significant global changes within our societies and profoundly modifies the health care sector as well, especially in the field of mental health. Nowadays, this latter is particularly poorly equipped in financial and human resources. Without major and immediate changes, the mental health sector will not be able to cope with the expected exponential rise of care needs, exacerbated by the rapid deterioration of mental health in the general population and among health care providers. We intend to illustrate the potential role and benefit of new technologies, able to solve the imbalance. Without any possible doubt, the health care crisis has provided a formidable momentum for their arousal, but we still have to determine their accessibility, feasibility, efficacy and efficiency by running controlled clinical trials.


Asunto(s)
COVID-19 , Trastornos Mentales , Humanos , Trastornos Mentales/epidemiología , Trastornos Mentales/terapia , Salud Mental , Pandemias , SARS-CoV-2
18.
Psychodyn Psychiatry ; 49(3): 441-452, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34478323

RESUMEN

Psychodynamic psychiatric practice during the COVID-19 pandemic has required most clinicians to conduct treatment online or by telephone. The result is a natural experiment that appears to endorse the efficacy of distance therapy. Consequently, the brick-and-mortar consulting room is no longer the presumptive therapeutic space for the conduct of psychodynamic psychiatric or other treatment approaches. The therapeutic space is reconceived as the place or medium intended for treatment and is distinguished from both the therapeutic relationship and conduct of treatment that occurs within that space. How different therapeutic spaces impact treatment is discussed with specific application to psychodynamic psychiatry and virtual venues. The "digital object" becomes a new presence; the patient's freedom to disclose mental contents is retained though empathic attunement is diminished; a shift in power dynamics may occur; timing of sessions gains greater precision in the online environment. Beyond the pandemic, practicing online is likely to become an accepted supplementary therapeutic space for evaluation and treatment by psychodynamic psychiatrists.


Asunto(s)
COVID-19/prevención & control , Trastornos Mentales/terapia , Psicoterapia Psicodinámica/métodos , Telemedicina/métodos , Humanos , Pandemias , SARS-CoV-2
19.
Psychodyn Psychiatry ; 49(3): 425-440, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34478328

RESUMEN

This manuscript explores the experience of teleanalysis for analyst and patient during the COVID-19 pandemic through the lenses of embodied intersubjective relating, the neurobiology of social engagement, and technologically mediated human interaction. At the beginning of the pandemic, many analytic dyads were embarking on remote work for the first time. More than a year later, we are facing the question of whether we will ever return to in-person work. In order to unpack this question, it is useful to consider how in-person analysis and in-person interaction more generally differ from remote interaction. Multiple nonverbal modalities are responsible for affective coregulation in intersubjective relating, including voice, body, and shared physical space. While conscious awareness tends to concentrate on auditory and visual inputs, other sensory inputs also impact affective experience. The impact of physical distance upon psychoanalytic treatment is compared with that of the couch. The shift in the balance of power introduced by teleanalysis is considered. Analyzing and being analyzed from home bend the frame of psychoanalysis, complicating notions about distance and intimacy and opening new spaces in which meaning can be cocreated. The COVID-19 pandemic presents an opportunity for psychoanalysis to engage more deeply with the questions raised by teleanalysis in order to enhance our understanding of its impact on treatment.


Asunto(s)
COVID-19/prevención & control , Trastornos Mentales/terapia , Terapia Psicoanalítica/métodos , Telemedicina/métodos , Actitud del Personal de Salud , Humanos , Pandemias , SARS-CoV-2
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