Magister Curationis - MCur / The study explores the experiences of nurses who care for severe/profound intellectual disabled patients at Level 3 Psychiatric Hospital in Cape Town. People with severe intellectual disabilities require constant care and supervision which can only be provided in specialised units. In the Western Cape, one such facility is a special section for the intellectually disabled at a level three hospital. Intellectual disability is a serious lifelong disability that places a heavy burden on affected individuals. Caring for these patients may affect the individuals who work within the intellectual disability services. This study explores the experiences of nurses who care for these patients. A Phenomenological research design was chosen as the researcher identified it as the most appropriate method to describe the lived experiences of the nurses. Purposive sampling was used to select 10 participants. However, data saturation was reached after interviewing eight participants. Data was collected through in-depth unstructured interviews. The audio-taped responses were transcribed verbatim and phenomenological data analysis done. Ethical clearance was obtained from the Higher Degrees Committee of the University of the Western Cape. Permission to do the research at the level three hospitals was sought from the Associated Psychiatric Hospital Committee. Consent to participate in the study was obtained from the participants, and ethical principles were adhered to. Participants were informed of the right to withdraw at any stage of the study and intervention offered when required. Trustworthiness of the research process was ensured. Findings: from this study the nurses who care for severe/profound intellectual disabled patients reported that they were not adequately prepared to care for these patients. It has also been reported that caring for the severely/profound disabled comes with some consequences, where emotional (negative and positive), physical and professional consequences were mentioned. The shortage of resources was found to be one of the challenges the nurses experienced. The nurses felt unappreciated for the work they did and less supported by their employer.

The primary interest of this investigation concerned the self-injurious thoughts and behaviors (SITBs) of inpatient adolescents. Previous researchers have provided descriptive information regarding either automatic (or intrinsic) and social components using the Self-Injurious Thoughts and Behaviors Interview (SITBI). However, the presence and trends of these components have not firmly been established, suggesting the need to explore this area further. Eighty-two adolescent inpatients were selected and interviewed using the SITBI to evaluate the predictive ability of self-reported self-injurious behavior with regard to social and automatic, negative and positive functions. Results showed that depending on the type of thought or behavior displayed one could discern the motivation behind their actions. Automatic-Negative was seen to have the strongest relationship across all SITB behaviors while Automatic-Negative was not found to be relatively low compared to other SITB behaviors. Both Social-Positive and Social-Negative were found to be present in moderate relationships compared to Automatic in general.

The diploma thesis is devoted to research state and cure of morphinists and cocainists in lunatics asylums in Bohemia, Moravia, Silesia and Styria in period from 1867 to 1918. The thesis also deal with issue of how often was cure by morphin or cocain in the individual territories, how lunatics asylums cured patient and what was the main reason to illness with morphinismus or cocainismus. For Bohemia was chosen lunetics asylum in Kosmonosy (Zemský ústav pro choromyslné v Kosmonosech), for Moravia in Brno (Zemský ústav pro choromyslné v Brně), for Silesia in Opava (Slezský zemský ústav pro choromyslné v Opavě) and for Styria in Graz (Landes-Irrenanstalt Feldhof bei Graz). Using the issued and unreleased archivel sourses and professional literature.

The purpose of this study was to explore alcohol use among psychiatric in-patients in a mental hospital in Ethiopia. A quantitative, descriptive, cross-sectional study design was used. Data were collected through face to face structured interviews and a document analysis checklist. A researcher-modified interview-version of the Alcohol Use Disorder Identification Test (AUDIT) questionnaire was used to measure alcohol use. The study population comprised of 70 psychiatric in-patients. Data analysis showed that being male, living in an urban area, being diagnosed with schizophrenia, and having parents who drink alcohol had a statistical significant association with the alcohol use of the respondents. Respondents reported that it was difficult to abstain or stop using alcohol. They also felt discriminated against when forbidden by relatives to drink. It was alarming to find that thioridazine, which has been discontinued in most countries for the treatment of psychosis, was still being prescribed in Ethiopia. The study highlighted the need for health education to strengthen patients’ perceptions about the negative consequences of alcohol use. Care should be taken when prescribing psychotropic drugs such as thioridazine to psychiatric in-patients because of possible cardiotoxic effects. / Health Studies / M.A. (Public Health)

The purpose of this thesis is to study and analyse collections of outsider art in two Swedish Medical History Museums, Medicinhistoriska museet in Uppsala and Mentalvårdsmuseet in Säter. The work explores how the history of the museums, how art collections were established, the outsider artist as well as how the two museums work the collections today. The empirical part of the study is based on the fieldwork that the author conducted at the Medicinhistoriska museet in Uppsala and Mentalvårdsmuseet in Säter during two separate days in the winter/spring of 2022. Both observations of the museum room were made, as well as interviews with the two curators in charge of the art collections. Attentive observations and systematic notes from constitute the basis for the description of the material and immaterial features of the museum. For the chapters on the historical and cultural context concerning outsider art, art brut, psychiatric care and how the hospitals became museums, literary sources were used.  The result of the study shows that outsider art made in a hospital is a very specific part of outsider art and art brut because of the very special conditions of an often locked psychiatric care unit. It implies that outsider art made in psychiatric care have not been seen as real art, not been viewed as interesting for the public. There has existed an authorised heritage discourse (“AHD”) in the hospitals and well as in the later museums which has led to the collections not been correctly taken care of, and research about the patients has not been made. Instead, the patients work has been stored incorrectly in attics, basements and in un-locked storage areas with only a few ”aesthetically pleasing” works showed in the museum.      Further, the study shows how the art collections in the two medical hospitals correctly used and worked with, can be a part of removing the stigma around mental disease and people living with it.  The conclusions to be drawn from this are that the complexity of the art collections of outsider art made in psychiatric care lie in the fact that mental illness, psychiatric hospitals, and outsider art have been under a stigma, as well as the fact that the patients’ stories being stories from the margin. This is a two-years master’s thesis in Museum and Cultural Heritage Studies.

The study sought to analyse the referrals received by a psychiatric unit in a general hospital in the Western Cape by studying the referral letters and the referral responses. The study sought to determine which departments were referring patients and which patients were being referred. The completeness and appropriateness of the referrals were also studied. The major inferences drawn from this study are that health care workers have a poor concept of what information the psychiatric units needs and about the scope and function of the unit. The poor feedback from the psychiatric unit to the referral source is indicative of the poor communication amongst the health care team members. / Health Studies / M.A. (Advanced Nursing Sciences)

published_or_final_version / Social Work / Master / Master of Social Work

Notre travail interroge les relations entre l’action culturelle et l’hôpital psychiatrique au sein du programme « Culture à l’hôpital ». Ce dernier s’inscrit dans la politique culturelle menée en direction des « publics empêchés ». Porteur d’enjeux multiples, tant du côté des ministères, des directions hospitalières, du personnel que des artistes, ce programme interroge, bouscule l’institution hospitalière et peut parfois être source de conflits. Son étude permet de mettre en évidence l’originalité d’un dispositif particulier : l’atelier culturel. Prenant en compte la logique de projet dans laquelle l’atelier s’intègre, nous interrogeons les effets que ce dispositif peut avoir sur l’institution hospitalière et ses acteurs.Notre étude s’est déroulée sur trois terrains (hôpital du Vinatier, Fondation Bon Sauveur d’Alby et hôpital de Montfavet). Nous avons mobilisé différents corpus : des entretiens, des conventions ainsi que des documents internes aux établissements hospitaliers (projets d’établissement, projets de service, documents de travail d’artistes).Les principaux résultats de la recherche concernent deux axes, l’un relatif au champ hospitalier, l’autre à celui de la médiation culturelle. L’atelier culturel est un nouveau dispositif communicationnel au sein de l’hôpital, il est l’élément tiers dans l’acte de médiation. L’objet artistique y est moins finalité que support de la relation dans la triade patients-soignants-artistes. Le sens donné à l’intervention artistique est redéfinit, le partage d’une expérience esthétique importe plus que la réalisation de l’oeuvre.Pour les personnes hospitalisées, l’atelier culturel représente un en-dehors dans le temps d’hospitalisation, un nouvel espace d’expression bénéfique tant sur le plan social qu’identitaire. L’atelier culturel permet de contrebalancer la rigidité du cadre institutionnel. Les rapports entre participants (patients, soignants) se voient « redistribués » le temps de l’atelier. Une fois ce dernier terminé, les retombées de ce dispositif perdurent au travers d’une modification des représentations sociales sur la maladie mentale, l’institution psychiatrique et ses acteurs. On assiste également à une réappropriation de l’expérience vécue par le personnel. Pour ces professionnels du soin, ce qui s’est déroulé en atelier peut être repris au sein des services, dans la perspective d’améliorer la prise en charge globale des patients. Par la même, il s’agit d’une quête de légitimité tant sur le plan identitaire que professionnel / Our work questions the relationship between cultural action and the psychiatric hospital within the programme “Culture in Hospital”. This programme is part of the cultural policy aimed at the “prevented public”. It carries multiple challenges for the relevant ministries, the hospital administrators, the staff and the visiting artists. It questions, examines and perhaps disturbs the institution, sometimes even becoming a source of tension. This study has highlighted the originality of the specific and recurring device used : cultural workshops. Taking into account the logic of the project behind the workshops, we examine the effects that this device can have on the medical institution and its various actors.To answer these questions, our study took place in three different locations (The Vinatier Hospital, the Bon Sauveur Foundation of Alby and the Montfavet Hospital). We used different corpus : interviews, collective agreements as well as in-house documents related to medical establishments (institution projects, ward projects, work documents for the visiting artists).The main results concerned two separate axes: the one related to the medical field, the other to cultural mediation. The cultural workshop is a new device within the hospital world, it is the “third element” within the act of mediation. The artistic object is less a finality than a means to relate within the triangle of “patient-medical carer-artist”. The meaning given to the artistic action is redefined, the sharing of an aesthetic experience is more important than the finished work. For the patients, the cultural workshop represents “time-out” during their stay in hospital, a new space of expression that is beneficial on both a social level and a self-identity level. The cultural workshop allows a counterbalance to the strictness of the institutional framework. The relationships between the participants (patients and carers) changes during the time of the workshops. Once the workshop is over, the effects of this device continue through a modification in social representations of mental illness, the psychiatric hospital and its actors. We also see a re-appropriation of the experience by the staff who participated. For these professional health-carers, what took place in the workshops could perhaps be repeated within the wards so as to improve the overall care of the patients. Equally, it is a search for legitimacy on both an identity and professional level

The problem with which this study is concerned is the delineation of current practices in therapeutic recreation in psychiatric treatment centers in Texas, The programs of the forty-two hospitals responding to the survey questionnaire were evaluated in terms of the National Therapeutic Recreation Society's "Standards for Therapeutic Recreation in Psychiatric Facilities." It was determined that, while the use of recreation in psychiatric rehabilitation is widespread, many programs are not administratively independent., A close association between recreation and occupational therapy was found. Extensive recreation facilities and activities were reported. Use of community resources was widespread, but follow-up and leisure counseling services were rare. Most personnel had no recreation training. The evaluation showed limited compliance with the standards.

This thesis is devoted to the history of Children's Psychiatric Hospital, which was founded in the South Bohemian Opařany in 1887 as a branch of the Prague Institute for the Mentally Ill. For a deeper understanding of the topic, the thesis focuses more on the importance and appreciation of selected personalities who dedicated themselves to people with learning disabilities and psychiatric conditions. In the introductory part, the thesis focuses on the presentation of the field of psychopaedia and the individual selected concepts / definitions that are competently explained using appropriate terminology. It also contains the biography of selected representatives of the field who have contributed to the development of the paradigm of the psychopaedic care. The current specialisation of Opařany hospital and its therapeutic possibilities are particularly discussed, with particular emphasis on the comprehensive component and selected therapeutic methods in special education - art therapy, music therapy, occupational therapy.The work seeks to provide a comprehensive account of the history of the Opařany Institute and of the related topics in the field of the psychopaedic care. Keywords Children's Psychiatric Hospital Opařany The history of special education Mental disorder Mental retardation Psychopaedia...