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Biomedical subjects

J Thesen

Publications and source records attributed to J Thesen.

9 recordsLinked to original sources
PubMed2001

Being a psychiatric patient in the community--reclassified as the stigmatized "other".

AIMS: To explore the experiences of psychiatric patients living in six rural communities in Norway from a primary care perspective. METHODS: A "Knowledge workshop" (KW) was designed. It was a special kind of meeting between users of services for people with mental illness and service providers. The process and outcome were documented on flipcharts and audiotape and analysed by a qualitative method. RESULTS: A main statement was constructed in order to capture the essence of meaning in the 10 main themes identified in the analysis. The statement is mainly about the process and state of being reclassified as a stigmatized "other", with serious consequences for both self-esteem and public esteem. The consequences include isolation and loneliness, low self-esteem, no paid work, lack of money, discrimination, and harassment. Other consequences include altered behaviour from others, lack of necessary conditions for empowerment, and the danger of becoming visible as mentally ill. Attitudinal change is called for. CONCLUSIONS: Although the stigma of mental illness is a wellknown and much discussed fact, it has so far not really been included in the professional knowledge base. It is still practically absent from discussions of quality of care. In order for services to be relevant to people who need them, professionals can no longer ignore issues that are of major importance for users. Stigma must thus be included in the conceptual thinking about serving people with mental illness. The inclusion of stigma as an issue for quality of care could be a fruitful way forward.

Attitude of Health Personnel↗
PubMed1996

[Psychiatric group supervision in general practice. A project evaluated by group focusing].

A group supervision project in psychiatry in general practice was established in 1992. The aims were to increase competence and interest in psychiatry and to contribute to a supervision model in psychiatry among general practitioners in a sparsely populated area. The group leader, who was a psychiatrist with competence in group analysis met with seven physicians for a three hour evening meeting once a month over a period of two years. The meetings were structured with a planned session at the beginning followed by a more open session. A focus group approach was used as the evaluation method. This method showed its usefulness in enabling the group to adjust its structure after an evaluation conducted after one year had passed and the conclusion at the end of the project period was: Group supervision can contribute to increased competence in psychiatry among general practitioners. It seems to increase the doctors' confidence and endurance in relation to psychiatric problems in family practice and provides an important opportunity to share difficult experiences with colleagues.

Evaluation Studies as Topic↗
PubMed1990

[Women physicians. Developmental tendencies in specialization and career patterns].

An earlier study showed that female doctors were found in specific subgroups of the medical profession. Their choices were probably governed by traditional ideas about feminine versus male role-expectations. This study shows that there still exists marked sex differences within the medical profession. Female doctors are still to be found in specific specialities. Seen in relation to male doctors the degree of specialization among female doctors decreased from 1972 to 1986. This is probably due to the fact that there are many young female doctors who have not yet completed their specialization. In married couples of doctors on the contrary, there is an increasing tendency towards equality of professional career, since the female partner now more often reaches the same career level as her husband, and with less lag in time.

Career Choice↗