[The medical psychology in Hungary: way of thinking, frame of references and applications]. / Az orvosi pszichológia fejlodése hazánkban: szemléleti keretek, határterületek és alkalmazások.

The present study aims at overviewing the different stages of the education of medical psychology in Hungary. In the perspective of the achievements of cognitive and affective neuroscience as well as developmental psychology, we intend to define the roots of doctor-patient relationship, certain determining factors of diagnosis forming and therapy efficiency as well as the essential components of empathy. We attest to the fact that the current psychosomatic medicine with its evidence-based achievements is a valid component and constitutive pillar of everyday medical care. The integrated university level instruction of medical psychology and behavioral sciences aims at consolidating this perspective. We also emphasize that the ill body hinders adequate psychological functioning and mental disorders provide risk factors concerning somatic illnesses. Through spreading health psychology perspective, we support the concept that in everyday medical care, health protection and the development of health conscious behavior relies on responsible, informed and committed decision-making patients as well as on similarly educated extended medical care teams. Orv Hetil. 2018; 159(36): 1455-1464.

[Intervention of psychological and ethical professionals of human science in obstetrical morbidity and mortality conferences]. / L'intervention des sciences humaines en psychologie et en éthique dans les revues de morbi-mortalité en obstétrique.

OBJECTIVE: To identify the defence mechanisms manifested by medical staff which could disturb the decision making, revealed by professionals of human science (PHS) in morbidity and mortality conferences (MMC). MATERIALS AND METHODS: Application of two methods of psychological intervention in MMC, conducted between March 1st, 2009 and November 30, 2010, in 20 randomized maternity among five perinatal networks: the method of inter-active problem solving targeted at the functioning of the teams and the method for developing professional practice centred on individual. The data collection was realized during analyse of case in MMC, with note-taking by two pair PHS. The oral expressions of RMM' participant were secondarily re-written, analyzed and classed by theme. RESULTS: Fifty-four MMC were performed. The mechanisms of defence have been identified by PHS intervention in MMC: denial of situation, pact of denegation, rift and overprotection. They were be identified by two PHS intervention methods, this consolidates these results. This intervention began staff medical to transformation at different level, in particular to improve the capacity of cooperation. CONCLUSION: The identification of the mechanisms of defence in MMC enables staff medical to improve communication and quality relationship between healthcare professionals. This could constitute an actual factor of practices improvement. However, complementary studies must be performed to confirm this hypothesis.

Primary care mental health: a new frontier for psychology.

The medical system in this country is divided into primary care and specialty care. Mental health is for the most part a specialty service dependent on referrals, often from primary care providers. The authors propose a new model where psychologists work in collaboration with primary care medical teams. This integrated, coordinated model enables psychologists to help patients they would not otherwise see in a mental health system. Examples of patients in this category are seniors, those with somatizing disorders, and those experiencing the challenges of dealing with a chronic illness. This model also enables psychologists to provide consultation to the medical teams. In this article, the authors discuss the world of the primary care medical team and present the rationale for integration or collaboration. They describe the barriers to collaborative practices and ways to overcome these barriers. Finally, they present practical strategies that psychologists can use on a regular basis to increase their collaboration with primary care. These strategies can be used by those who work in colocated practices as well as those who work in separate locations.

Psycho-oncol

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[Twenty-five years of psycho-oncology in New York: a retrospective]. / Vingt-cinq ans de pratique psycho-oncologique à New York: une rétrospective.

This article offers a retrospective overview of 25 years of implementation of psycho-oncology at the Memorial Sloan Kettering Memorial Cancer Center. It shows the ways and means used to obtain a progressive development of this sub-specialty for the purpose of improving patients' quality of life and helping professional teams wishing to offer integrated care to patients and families. It justifies the pragmatic approach adopted in the English-speaking world, which is also flexible and suited to the somatic realities of cancer. The role of all the various professionals care is highlighted, as is the parallel development of clinical research hand in hand with clinical practice in the field. This has enabled the determination of the prevalence psycho-pathologies in the field of cancer, and demonstrated the need for early screening, and the instatement and evaluation of various specific interventions. Today, psycho-oncology is considered as a natural component of supportive care, but it should continue to develop alongside other specialities in order to help patients and families to cope with cancer better, both during and after treatment.

Psychosocial care of cancer patients--international differences in definition, healthcare structures, and therapeutic approaches.

Psychosocial oncology has become an important part of oncological care in many countries, but few international comparisons of the establishment of psychosocial oncology have been undertaken to date. This survey was conducted to establish the current conditions in which psychosocial oncology is implemented with reference to medical care, research, education and training. A semistructured questionnaire was sent to as many as four psychosocial oncology experts from 64 countries. Information was returned by 45 experts from 38 countries. As a relatively new discipline, psychosocial oncology is understood to be an integral part of oncology care, but has only been fully integrated in a few countries at present. In contrast, there are a large number of evidence-based interventions available for cancer patients and their families. Improvements are necessary in the transfer of empirical results into clinical practice, and in the development of guidelines to ensure adequate psychosocial care for oncology patients.