1,721,030 research outputs found
Prendersi cura delle persone, degli operatori sociali e delle fragilità dei sistemi. Contributi teorico-pratici della rete antitratta in Veneto.
No full textGli studi internazionali dimostrano che i protocolli per valutare i risultati degli sforzi anti-tratta, così come la teoria del programma su cui si basano, sono ancora in fase di costruzione. Questo studio di caso intende contribuire identificando le premesse concettuali, causali e operative del programma, co-costruito attraverso una governance partecipativa tra la Regione Veneto e le organizzazioni di supporto alle vittime. La base empirica dello studio è costituita da un'analisi documentale congiunta del programma anti-tratta in Veneto e da un'interpretazione collaborativa di 12 casi di persone sfruttate. Rappresenta il punto di vista dei professionisti sociali sulle sfide che i casi attuali presentano al programma. I risultati dello studio sono articolati in quattro sezioni: 1) approccio strategico del lavoro anti-tratta in Veneto basato sulla protezione dei diritti fondamentali, con un orientamento emancipatorio, sistemico, intersezionale, multi-agenzia e di genere, e le sfide della pratica. 2) Approccio multidimensionale ai beneficiari del lavoro anti-tratta: sostegno alle persone sfruttate, prevenzione nei confronti delle persone a rischio, promozione dell'accessibilità nell'organizzazione dei servizi e sostegno agli operatori professionali. 3) Limiti affrontati dal programma, che emergono dai suoi stessi vincoli strutturali, dalle condizioni delle persone sfruttate e dal contesto dei servizi pubblici.International studies show that protocols to evaluate the outcomes of antitrafficking efforts, as the program theory they are based upon, are still under construction. This case study aims to contribute by identifying the conceptual, causal and operational premises of the program, co-constructed through participative governance between the Veneto Regional Government, and victim support organizations. The study’s empirical base is a joint documentary analysis of the antitrafficking program in Veneto, and a collaborative interpretation of 12 cases of exploited persons. It represents the point of view of the social professionals on the challenges that current cases present to the program. The study results are articulated in four sections: 1) strategic approach of antitrafficking work in Veneto based on the protection of fundamental rights, with an emancipatory, systemic, intersectional, multi-agency, and gender orientation, and challenges from practice. 2) multidimensional approach on the beneficiaries of antitrafficking work: support to exploited persons, prevention towards persons at risk, fostering accessibility in service organization, as well as support to professional operatives. 3) Limitations faced by the program, emerging from its own structural constraints, from the exploited persons’ conditions, and from the context of public services
Effects of two dosages of chlordesmethyldiazepam on mnestic-information processes in normal subjects.
No full textUna valutazione ragionata delle principali linee guida internazionali sulla farmacoterapia della schizofrenia
No full textAn appraisal of the major guidelines on the pharmacotherapy of schizophrenia
No full textThis review focuses on a comparative analysis on international Guidelines for the treatment of schizophrenia and, more generally, on specific literature, starting from the 2004 APA Guidelines. The first issue taken into consideration is treatment: general purpose of drug treatment is generally distinguished from specific target as well as needs of specific therapeutic practices are distinguished from theoretical aspects of optimal treatment. Guidelines refer to a global reduction in symptoms, primarily in terms of potential clinical recovery. The complexity of schizophrenia implies the need to consider different options for treatment due to the clinical phase of the disorder and other critical factors. The choice of drug treatment is thus considered as a priority in the acute phase of schizophrenia and should be considered as continuous and possibly indefinite, if the response is inadequate or there are frequent relapses over time. The definition of clinical phases of schizophrenia is linked to the chosen reference. The analysis then focuses on the pharmacological treatment of schizophrenia in its various phases, with particular reference to similarities/differences and limitations of the Guidelines. The impression given by a comparative reading of the Guidelines taken into consideration, is that of a general separation between indications for pharmacological management of schizophrenia and clinical practice, both in the acute and chronic phase. Authors then examine the general recommendations to specific drugs focusing particularly on the relationship between first and second generation antipsychotics, with an analysis of comparative efficacy and special considerations (eg, negative symptoms, cognitive symptoms, resistance); recommendations regarding antipsychotic therapy in schizophrenia and early-onset time and duration and treatment strategies are also described and commented. Particular attention is devoted to side effects and monitoring of physical health, both in terms of neurological effects (Tables II-III) and of effects on sexual (Table IV) and hepatic function. Much space is devoted to emerging issues such as metabolic syndrome, obesity, dyslipidemia, diabetes (Tables VI) and cardiovascular risk (Table VII) with emphasis on the growing awareness that many side effects, especially metabolic ones, require particular care with a multidisciplinary approach
Frontal lobe dysfunction in obsessive-compulsive disorder and major depression: a clinical-neuropsychological study
No full textNeuropsychological findings support a hypothesized relationship between obsessive-compulsive disorder (OCD) and the frontal lobe. The aim of the present study was to compare findings of neuropsychological tests of frontal lobe function in 28 OCD patients and 29 patients with major depressive disorder (MDD), all diagnosed according to DSM III-R criteria. The patient groups were homogeneous for educational level, handedness, duration of illness, and sex distribution. All 57 subjects received a battery of tests sensitive to frontal lobe dysfunction as well as the Wechsler Memory Scale (WMS). Clinical symptomatology in the MDD and OCD groups was assessed with the Hamilton Rating Scale for Depression and the Yale-Brown Obsessive-Compulsive Scale, respectively. The only significant difference between the two diagnostic groups for any of the neuropsychological indices, with age as a covariate, was in the Object Alternation Test, in which OCD patients had a significantly higher number of perseverative responses. Test performances were not correlated with clinical symptomatology or severity of illness. Our preliminary results confirm the hypothesis that there is a selective impairment of orbito-frontal cortex in OCD and seem to exclude the existence of specific frontal lobe dysfunction in MDD, even though the two disorders show clinical similarities. (C) 1998 Elsevier Science Ireland Ltd. OI scarone, silvio/0000-0001-7187-3747 ZR 0 ZS 0 Z8 4 ZB 5
Smooth pursuit eye movements and saccadic eye movements in patients with delusional disorder
No full textObjective: This study used eye movement tests to examine whether frontal lobe dysfunction is present in delusional disorder. Method. Smooth pursuit and voluntary saccadic eye movements of 15 delusional patients, 40 schizophrenic patients, and 40 normal subjects were recorded and analyzed statistically. Results: The schizophrenic patients differed significantly from the normal subjects in some smooth pursuit eye movement characteristics, whereas both the schizophrenic and the delusional patients showed more saccades than the normal subjects during the smooth pursuit test. The delusional patients and normal subjects differed significantly in some voluntary saccadic eye movement characteristics. Conclusions: The data support the idea of a biological dysfunction in eye tracking in delusional disorder
FRONTAL-LOBE DYSFUNCTION IN SCHIZOPHRENIA AND OBSESSIVE-COMPULSIVE DISORDER - A NEUROPSYCHOLOGICAL STUDY
No full textConverging evidence suggests there is a specific role of dorso-lateral-prefrontal cortex (DLPC) in schizophrenic disorders and of orbite-frontal cortex (OFC) in obsessive-compulsive disorder (OCD). Here, 25 schizophrenic and 25 OCD patients were evaluated with Wisconsin Card Sorting Test and Object Alternation Test; neuropsychological tools sensitive to DLPC and OFC damage, respectively; and compared with 25 subjects of a control group. Moreover, they all underwent Weigl's Sorting Test and the Word Fluency Test to assess global frontal functioning. The results indicated a DLPC deficit in schizophrenia and an OFC involvement in OCD. These data suggest that functional disorders of the central nervous system can be explored with neuropsychological instruments. (C) 1995 Academic Press. Inc. OI scarone, silvio/0000-0001-7187-3747 ZR
- …
