PubMed · 2386765
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J C Kirsch, S K Gaston. 1990. Computer basics for information processing.. https://pubmed.ncbi.nlm.nih.gov/2386765/
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Inadequate treatment of mood (affective) disorders is related to the mind/body dualism, desinformation about methods of treatment, the stigma of psychiatry, low funding of psychiatric research, low educational priority, and slow acquisition of new knowledge of psychiatry. The "respectable minority rule" has often been accepted without regard to the international expertise, and the consequences of undertreatment have not been weighed against the benefits of optimal treatment. The risk of chronicity increases with delayed treatment, and inadequately treated affective disorders are a leading cause of suicide. During the past 20 years the increase in suicide mortality in Norway has been the second largest in the world. Severe mood disorders are often misclassified as schizophrenia or other non-affective psychoses. Atypical mood disorders, notably rapid cycling and bipolar mixed states, are often diagnosed as personality, adjustment, conduct, attention deficit, or anxiety disorders, and even mental retardation. Neuroleptic drugs may suppress the most disturbing features of mood disorders, a fact often misinterpreted as supporting the diagnosis of a schizophrenia-like disorder. Treatment with neuroleptics is not sufficient, however, and serious side effects may often occur. The consequences are too often social break-down and post-depression syndrome.
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The extent of implementation of recommendations contained in field reports from the Occupational Hygiene Unit of the Institute for Occupational Health at the Tel Aviv University, was investigated. The results show that 33% were not carried out at all and 16% were only partially carried out. A number of factors influenced the extent of implementation, in particular the degree of involvement of the management in worker health and welfare, an active safety system in operation, the professional skill and seniority of the person in charge of safety, awareness by the workers of health and safety matters, the existence of a specific budget for health and safety and a regulatory system concerning occupational exposure.