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Psychosocial support for the family of the mentally ill
Šůstková, Jana ; Pěč, Ondřej (advisor) ; Matoušek, Oldřich (referee)
In my bachelor's thesis, I worked under the assumption that the family is an essential factor in the healing process, so it is good to involve the family in this process. At the same time, the family may be in crisis due to the mental illness of their member. Because the spectrum of mental illnesses is wide, I decided to focus on schizophrenia to make it easier to understand the problem. Schizophrenia is one of the most common serious mental illnesses, and it is clearly diagnosable. In the theoretical part of my work, I will focus on the family as a system, its functions, and how schizophrenia can disrupt this system. I will describe the mental care system and available forms of support to the family. In the practical part, I will interview social workers in community teams and centres for the mentally ill. From the interviews, I will evaluate how they support the family and whether they consider it important not only to involve the family in work with the client but also to support it in its needs and difficult situations caused by the mental illness of its member. Key words: Schizophrenia, family, family system, family support, mental health system, deinstitutionalization, destigmatisation.
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Comparison of institutional and community care for people with psychotic mental illness
Čechová, Sára ; Pěč, Ondřej (advisor) ; Havránková, Olga (referee)
This bachelor thesis aims to identify and compare the workload of social workers in community and non-community services for people with psychotic mental illness. It is divided into two parts. In the theoretical part, psychotic mental illnesses, institutional and community care and a social worker who works with people with psychotic mental illness are characterized with the help of professional literature. The empirical part is devoted to the research of the workload of social workers who work in the field of social work with people with mental illness, specifically in a non-governmental non-profit organization, a mental health center, a psychiatric hospital and a home with a special regime.
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Burnout syndrome in social workers working with people with a mental illness
Váňová, Lucie ; Pěč, Ondřej (advisor) ; Havránková, Olga (referee)
(in English): The diploma thesis deals with the burnout syndrome in social workers who work with people with a mental illness. The theoretical part presents knowledge about burnout syndrome, its symptoms, risk factors, treatment, general prevention, and supervision as a specific prevention of burnout syndrome. It also discusses the burnout syndrome in social workers and the stressors of working with people with a mental illness. The practical part is focused on quantitative research, in which the respondents use the Shirom-Melamed burnout measure to determine the incidence of burnout and the necessary data on the respondents using supplementary questions. The practical part also contains an additional qualitative part of the research. The main goal of this work is to determine whether the burnout syndrome occurs in this group of social workers to a greater extent than in people who work in other fields. The sub- objectives are to show whether there is a statistically significant correlation between burnout syndrome and age, gender, absence of supervision, number of clients, satisfaction in the workforce and length of stay in the current employment of respondents. The qualitative part of the research aims to identify the biggest source of stress in the employment of social workers.
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Splitting and Dissociation in Schizophrenia
Pěč, Ondřej ; Raboch, Jiří (advisor) ; Šípek, Jiří (referee) ; Kocourková, Jana (referee)
The term splitting is defined as a process of formation of mental aggregates linked incompatible experiences producing numerous divisions in mental apparatus. Current findings indicate that psychological splitting in schizophrenia is likely specifically presented on a neural level as disrupted organization in neural communication. This disrupted neural communication likely underlies deficits in mental processing described by various neuroscientific concepts such as theories of disturbed connectivity, corollary discharges and dynamic complexity. In this context, a purpose of the theoretical part of the dissertation is to describe basic neuroscience theories that complementarily reflect interrelated processes between mind and brain underlying disturbances of mental integration that likely present a neural representation of the splitting. A purpose of the first part of the empirical research was to examine relationships between psychological process of splitting and disturbed cognitive and affective functions in schizophrenia. A sample of patients with borderline personality disorder (BPD) was used as a control group in this study. Methods: In the clinical study, we have assessed 30 patients with schizophrenia and 35 patients with BPD. The symptoms of splitting were measured using self- reported...
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Splitting and Dissociation in Schizophrenia
Pěč, Ondřej ; Raboch, Jiří (advisor) ; Šípek, Jiří (referee) ; Kocourková, Jana (referee)
The term splitting is defined as a process of formation of mental aggregates linked incompatible experiences producing numerous divisions in mental apparatus. Current findings indicate that psychological splitting in schizophrenia is likely specifically presented on a neural level as disrupted organization in neural communication. This disrupted neural communication likely underlies deficits in mental processing described by various neuroscientific concepts such as theories of disturbed connectivity, corollary discharges and dynamic complexity. In this context, a purpose of the theoretical part of the dissertation is to describe basic neuroscience theories that complementarily reflect interrelated processes between mind and brain underlying disturbances of mental integration that likely present a neural representation of the splitting. A purpose of the first part of the empirical research was to examine relationships between psychological process of splitting and disturbed cognitive and affective functions in schizophrenia. A sample of patients with borderline personality disorder (BPD) was used as a control group in this study. Methods: In the clinical study, we have assessed 30 patients with schizophrenia and 35 patients with BPD. The symptoms of splitting were measured using self- reported...
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Integrated day care in psychiatry as an alternative to hospitalization
Howardová, Andrea ; Raboch, Jiří (advisor) ; Bašný, Zdeněk (referee) ; Pěč, Ondřej (referee)
The goal of the study is: To compare psychopathology and the quality of life of patients in an integrated day treatment setting with a standard inpatient setting. To replicate for integrated day treatment setting, the finding that day care patients are more satisfied with treatment. To estimate the feasibility of day care treatment for general psychiatric patients We have used psychopathology, satisfaction with treatment and subjective quality of life as outcome criteria. Psychopathology was evaluated by the questionnaire BPRS (Brief Psychiatric Rating Scale), satisfaction with treatment by the questionnaire CAT (Clients Scale for Assessment of Treatment) and quality of life by the instrument MANSA (Manchester Short Assessment of Quality of Life). For calculating feasibility estimation we have used modified Kluiter's formula according to Cochraine review on effectiveness of psychiatric day hospitals. 49 85 patients were randomized to integrated day care treatment, and 100 patients randomized as inpatients. Treatment results of both settings were comparable in psychopathology and subjective quality of life at each time point. Unlike day patients, the psychopathological score of inpatients was improving even after 3 months of discharge. We didn't replicate findings on superiority of satisfaction with...
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