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Biomedical subjects

J Palazzolo

Publications and source records attributed to J Palazzolo.

9 recordsLinked to original sources
PubMed1997

[Social trajectory and schizophrenia].

On the occasion of the Clozapine symposium we have had cause to reflect on the social life-histories of schizophrenic patients. After an analysis of a cohort of 40 patients aged over 65 years, whose medical records had been kept up since the start of their disease, we have set up a methodology which enables us to study the social life-histories of these patients. Our aim is ultimately to compare the course of the disease with the treatments received by these patients and the therapeutic structures they have been offered. For this purpose, we shall study three criteria of social exposure: 1) Autonomy, 2) Integration into the family, 3) Integration through work. The aim of the present paper is to record our initial analytical findings in these three years.

Activities of Daily Living↗
PubMedDate not supplied

[The use of therapeutic isolation and confinement in psychiatry. A prospective study].

Despite recent developments in psychopharmacology and a better understanding of agitation patterns in psychiatric patients, the use of seclusion and restraint procedures remains a matter of daily practice. Little or no time is spent on its teaching in a formal way. There is almost no literature on these issues, and it has grown only since legal procedures initiated by patients, which forced practitioners to spend some time analysing these methods. Facing this problem, we realized a prospective study at the CHS de la Savoie, in Chambéry, so as to clarify the current modes of these procedures. This study was led among 460 secluded patients, during one year. 11 data were studied, such as the duration of the seclusion, the reason and the medical history, the desire of the patient to be liberated ... The review or awareness of certain variables may give clinicians a better perspective on the use of procedures which, unfortunately, continue to be the cause of deaths in psychiatric practice.

Adolescent↗
PubMedDate not supplied

[Between compliance and freedom: the patient's statement].

According to the patient, obtaining a good compliance is related to a good relationship with his practitioner; this relationship is directly connected to being a good listener for the patient, and not only for their symptoms. If the individual motivation is very important at the beginning, it will be itself greatly influenced by the relationship between the practitioner and the patient. It is one of the rare factors with a positive correlation with compliance, that's what almost all of the researches on medical psychology have observed. Once the problem is sumed up, it's the turn to speak for the patient, who explains how he considers compliance.

Freedom↗
PubMedDate not supplied

[About ethics in psychiatry and psychiatrists facing ethics].

The plug in account of the suffering, notably psychological, in a consultation, puts the problem of the relationship between suffering and ethics. However, the originality of the ethical step is justly not to be confined to the social norm conformism, but being specific to the individual dimension. The psychiatric pathology offers in this area of particularities interesting. The neurotic, as the obsessed, suffering inwardly pathological manifestations that he judges absurd, replies to the medical moral in asking a care. The psychotic, which projects his suffering on the other, does not feel sick, requests no therapeutic assistance. As such he contests the medical order in an immoral position by definition, and the patient represents from then on a social and medical scandal. In front of a such clinical diversity, we can easily underline that approaching the theme of ethics in psychiatry isn't a well-off exercise, and necessitates a precise locating registered in the history of the patient.

Ethics, Medical↗
PubMedDate not supplied

[Apropos of sleep quality in students: prospective study].

This study about the pupils' sleep in the academy of Aix-Marseille has been realized after the observations of second cycle's teachers; they have noted a somnolence by an important number of pupils during lessons, consequence of a supposed sleep lack able to have repercussions on the scholastic success. Hearing teachers and pupils' suggestions, the authors have established a questionnaire with 20 items; this study is concerning 1,300 pupils, 15 to 20 years old, in classic, technical and agricultural high schools, both in public and private establishments. The most salient characteristic is the differences between the sleep of the scholastic period and the sleep of week end or holiday. In the future, a better knowledge of pupils' sleeping habits could be the starting point of information and prevention campaign.

Adolescent↗