scholarly journals The role of psychiatry in family violence treatment

2013 ◽  
Vol 141 (7-8) ◽  
pp. 553-559
Author(s):  
Petar Nastasic ◽  
Jasna Hrncic ◽  
Miroslav Brkic
Keyword(s):  
Family Therapy ◽  
Mental Disorders ◽  
Family Violence ◽  
Social Psychiatry ◽  
Therapeutic Approaches ◽  
Severe Mental Disorders ◽  
Systemic Family Therapy

The aim of the paper is reassessment of the role of psychiatry in the treatment of family violence within the context of contemporary approaches and researches. There are prejudices in the general and professional public that perpetrators of family violence are usually persons with mental disorders and that psychiatry is primarily in charge of their treatment; it has been shown that severe mental disorders do not increase the risk of violence. Application of classical psychiatrics approach to family violence treatment is discussed, as well as the roles of psychiatry in current theoretical and therapeutic approaches to this issue, including systemic family therapy, social psychiatry primarily concerned with their treatment. Studies have shown that severe mental disorders do not increase ecology, unwillingness therapy and model of protection of family violence victims that is developed in Serbia.

scholarly journals Prison is not the right place for people with mental disorders: the Brazilian case

2014 ◽  
Vol 11 (3) ◽  
pp. 59-61 ◽  
Author(s):  
Maíra Mendes dos Santos ◽  
Silvia Regina Viodres Inoue ◽  
Maria Ines Quintana ◽  
Sergio Luiz Blay ◽  
Jair de Jesus Mari ◽  
...  
Keyword(s):  
Mental Disorders ◽  
Legal Aspects ◽  
Prison System ◽  
Therapeutic Approaches ◽  
Severe Mental Disorders ◽  
The Right ◽  
Number Of Individuals ◽  
Brazilian Case

The large number of individuals with severe mental disorders in prisons worldwide has alarming implications, which leads to the question of the appropriateness of the prison system for people with this type of morbidity. This article discusses these implications, the problems in therapeutic approaches and the legal aspects in the Brazilian context.

scholarly journals Childhood trauma and cardiometabolic risk in severe mental disorders: The mediating role of cognitive control

2021 ◽  
Vol 64 (1) ◽  
Author(s):  
Synve Hoffart Lunding ◽  
Carmen Simonsen ◽  
Monica Aas ◽  
Linn Rødevand ◽  
Maren Caroline Frogner Werner ◽  
...  
Keyword(s):  
Waist Circumference ◽  
Mental Disorders ◽  
Cognitive Control ◽  
Childhood Trauma ◽  
Serum Lipids ◽  
Cardiometabolic Risk ◽  
Personality Characteristics ◽  
Severe Mental Disorders ◽  
Mediating Role

Abstract Background Cardiometabolic risk is increased in severe mental disorders (SMDs), and there appears to be a relationship between childhood trauma and cardiometabolic risk, possibly related to adverse health behavior. The current study examined the association between childhood trauma and serum lipids and adiposity in SMDs and the potential mediating role of cognitive and personality characteristics. Methods Participants with schizophrenia and bipolar spectrum disorders (N = 819) were included, cardiometabolic risk factors (serum lipids, body mass index, and waist circumference) were measured, and history of childhood trauma was assessed by the Childhood Trauma Questionnaire. Cognitive and personality characteristics were available in subsamples, with assessments of cognitive control, impulsiveness, self-esteem, and affective lability. Linear regressions and mediation analyses with Hayes’ PROCESS were performed, adjusting for age, sex, antipsychotic agent propensity of metabolic side-effect, and diagnostic group. Results Experience of three or more subtypes of childhood trauma was positively associated with waist circumference in patients with SMDs (p = 0.014). There were no other significant associations between trauma variables and lipid or adiposity measures in the total sample. Cognitive control was a significant mediator between experience of one or two subtypes of childhood trauma and waist circumference. Conclusions The results indicate childhood trauma as a predisposing factor for increased waist circumference in individuals with SMDs. Poorer cognitive control, suggestive of adverse health behavior, might be a mediating factor of the association, and the findings indicate the potential importance of increased focus on these factors in prevention and treatment regimens targeting cardiometabolic health.

scholarly journals The Role of Gut Microbiota in the High-Risk Construct of Severe Mental Disorders: A Mini Review

2021 ◽  
Vol 11 ◽  
Author(s):  
Gabriele Sani ◽  
Mirko Manchia ◽  
Alessio Simonetti ◽  
Delfina Janiri ◽  
Pasquale Paribello ◽  
...  
Keyword(s):  
High Risk ◽  
Mental Disorders ◽  
Gut Microbiota ◽  
Developmental Stages ◽  
Ecological Niches ◽  
Severe Mental Disorders ◽  
Microbiome Composition ◽  
Psychiatric Conditions

Severe mental disorders (SMD) are highly prevalent psychiatric conditions exerting an enormous toll on society. Therefore, prevention of SMD has received enormous attention in the last two decades. Preventative approaches are based on the knowledge and detailed characterization of the developmental stages of SMD and on risk prediction. One relevant biological component, so far neglected in high risk research, is microbiota. The human microbiota consists in the ensemble of microbes, including viruses, bacteria, and eukaryotes, that inhabit several ecological niches of the organism. Due to its demonstrated role in modulating illness and health, as well in influencing behavior, much interest has focused on the characterization of the microbiota inhabiting the gut. Several studies in animal models have shown the early modifications in the gut microbiota might impact on neurodevelopment and the onset of deficits in social behavior corresponding to distinct neurosignaling alterations. However, despite this evidence, only one study investigated the effect of altered microbiome and risk of developing mental disorders in humans, showing that individuals at risk for SMD had significantly different global microbiome composition than healthy controls. We then offer a developmental perspective and provided mechanistic insights on how changes in the microbiota could influence the risk of SMD. We suggest that the analysis of microbiota should be included in the comprehensive assessment generally performed in populations at high risk for SMD as it can inform predictive models and ultimately preventative strategies.

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