ABSTRACT
The case study highlights on examining the compassion fatigue among teachers handling student with disruptive behaviours in inclusive classroom. If a child has a diagnosis of disruptive behavior disorder, it may be decided to place him in a special classroom set up for more intensive behavior management. Compassion fatigue occurs when the person handling with the child with a disorder becomes so preoccupied with the disability of the child that it in turn makes the therapist or the helper stressful. Disruptive behavior disorders can seriously impact a child's daily life. Children with disruptive behavior disorders show ongoing patterns of uncooperative and defiant behaviors. Treatment procedures involve therapy for such children to reduce the behavioral issues and provide positive reinforcement to improve self-control. The present study adopted a qualitative approach, a semi-structured interview was conducted among six teachers to assess the compassion fatigue while handling student with disruptive behavior in three different inclusive schools. The teachers were interviewed individually on two occasions to gather information on the impact of this phenomenon. The interview data were coded and categorized using thematic analysis. Through this analysis, three criteria were generated, that is, preparation and adaptation of learning materials, instructional process, and interpersonal relationships. The results revealed that the six teachers go through different emotional problems due to disruptive behaviours exhibited by their students and had health-related issues. It also showed that teachers' were mostly concerned with the loss of their instructional time. As a result of this, these teachers were unable to deliver the curriculum within the allocated time. The teachers' reported that the impact is not only the disruptively behaved child but the learning of the rest of the students were also hindered due to the disruptive behavioural issues. The implications of the findings for teachers and further research are discussed
ABSTRACT
Sleep medicine is a relatively new field among Medical Sciences. Its legal aspects are still obscure, either for lack of knowledge of the biological mechanisms underlying violent behaviour during sleep or the virtual absence of clear legal and uniformly accepted guidelines as to whether to punish or treat those disorders. An updated review of the pertinent literature was performed to determine the most prevalent pathological conditions involving violence and sleep and to identify their most common precipitating factors, attempting to provide some technical support to aid Brazilian medical-experts or assistants in preparing substantial and scientific-based reports in a legal environment.
A medicina do sono é um campo relativamente novo dentro das Ciências Médicas. Seus aspectos legais encontram-se ainda na obscuridade, seja por falta de conhecimento dos mecanismos biológicos do desenvolvimento dos transtornos de comportamento e da violência praticada em estados alterados de sono, seja por virtual ausência de previsão legal do binômio tratamento/punição. Realizamos revisão atualizada da literatura para determinar as condições patológicas mais prevalentes envolvendo violência e sono, identificar seus fatores precipitantes mais comuns e os critérios médico-legais que podem auxiliar eventuais médicos-peritos ou assistentes na elaboração de pareceres abalizados em âmbito legal.
Subject(s)
Female , Humans , Male , Sleep Wake Disorders/psychology , Sleep Medicine Specialty/legislation & jurisprudence , Violence/legislation & jurisprudence , Brazil , Sleep Wake Disorders/classification , Sleep Wake Disorders/diagnosisABSTRACT
Parasomnias are abnormal experiences or behaviours that occur during sleep and can be subdivided into disorders of arousal, disorders of rapid eye movement (REM) sleep or other parasomnias. Diagnosis rests on a thorough clinical evaluation with supporting data from a full polysomnography with time synchronized video. While the prognosis for arousal disorders is generally excellent, the diagnosis of REM behaviour disorder (RBD) is more ominous and associated with neurodegenerative disorders, and as such, requires routine neurological surveillance. The cornerstone of treatment for all parasomnias is adequate patient and bed partner education. Data supporting pharmacologic therapy are limited but clonazapam for RBD has been reported to be effective in up to 89 per cent of patients.