Research on competency of professionals in rehabilitation psychology using World Health Organization rehabilitation competency framework / 中国康复理论与实践

@#Objective To explore competency of professionals in rehabilitation psychology using Rehabilitation Competency Framework (RCF) and develop the curriculum system of rehabilitation psychology at graduate level.Methods Using RCF and Rehabilitation Competency Framework to a specific context, we constructed competency of professionals in rehabilitation psychology and education programme with the functioning framework of International Classification of Functioning, Disability and Health in accordance with disciplinary development and vocational need.Results A competency framework for professionals in rehabilitation psychology based on RCF was constructed; the educational goals based on competency-based education (CBE) in accordance with vocational competency and job responsibilities had been formulated; the curriculum system of rehabilitation psychology was developed in rehabilitation psychology at graduate level based on RCF and CBE, to develop professionals of rehabilitation psychology work in a team.Conclusion Disciplinary development and vocational requirement are integrated in competency of professionals in rehabilitation psychology based on RCF, which provide theories and methods to develop graduate programme and curriculum in rehabilitation psychology.

Discipline of rehabilitation psychology using ICF: paradigm and contents / 中国康复理论与实践

@#Objective To discuss the paradigm and contents of rehabilitation psychology using bio-psycho-social model of functioning, disability and health of International Classification of Functioning, Disability and Health (ICF). Methods In perspectives of rehabilitation sciences and psychological sciences, paradigm and contents of modern rehabilitation psychology with the functioning framework of ICF were constructed in accordance with the development of modern rehabilitation science. Results A holistic rehabilitation model was constructed based on ICF, involving the body, mind and environment. Based on the functional model of ICF, the main contents of modern rehabilitation psychology were not only related to the function and structure of the body, but also related to the activities and participation, and emphasized the interaction with environment. The modern rehabilitation psychology would not only research about the physical dysfunction, but also the intervention of activity and environment. Based on ICF, common terminology and coding methods might be used to enable rehabilitation psychologists to communicate with relevant professionals in the multidisciplinary and interdisciplinary field of rehabilitation. Conclusion Constructing the theoretical framework and research paradigm of modern rehabilitation psychology based on ICF can form the system of rehabilitation psychology integrated with psychological science and rehabilitation science.

A questionnaire survey on acceptance of disability of patients with spinal cord injury after 18 months of injury / 中国脊柱脊髓杂志

Objectives: To survey and analyze the level of acceptance of disability and its risk factors for spinal cord injury(SCI) after 18 months of injury. Methods: 78 patients with SCI in our hospital from March 2006 to December 2008 and 83 cases with SCI from work injury mutual support group were reviewed retre-spectively, their ages at onset were above 18 years(18-62 years, average 36 years) and they suffered from in-jury for more than 18 months(18-35 months, average 27 months). The survey ranged from January to April 2009. Of them, 29 were face-to-face interviewed and 132 were telephone interviewed. The questionnaire con-sisted of World Health Organization Disability Assessment Schedule Ⅱ, Acceptance of Disability Scale, Rosenberg Self-Esteem Scale, Center for Epidemiologic Studies Short Depression Scale, Generalized Self-Effi-cacy Scale, and Multidimensional Scale of Perceived Social Support. Results: The acceptance of disability had a fair degree of negative relationship with pain and WHO disability assessment (r=-0.28 and -0.40, P<0.01, respectively), and had a fair degree of positive relationship with self-efficacy and social support ( r=0.45 and 0.36, P<0.01, respectively). It was also found that moderate to good positive relationship between acceptance of disability and self-esteem(r=0.65, P<0.01), moderate to good negative relationship with depression(r=-0.66, P<0.01). The linear regression result indicated that depression, self-esteem and pain intensity were the best predictors for acceptance of disability(P<0.01). Conclusions: Multifactors may influence the acceptance of dis-ability for SCI. However, depression, self-perceived pain intensity and self-esteem are the best predictors for acceptance of disability.

Estudio bibliométrico de la revista rehabilitación psychology en los años 2006 a 2012 / Bibliometric study of the journal "Rehabilitation Psychology", from 2006 to 2012

Este estudio presenta un análisis bibliométrico de la revista Rehabilitation Psychology con el objetivo de identificar la evolución y las características de la producción del conocimiento en esta área de la psicología durante los últimos seis años, se propone retroalimentar a una comunidad científica que trabaja en diversidad e inclusión con respecto al estado de desarrollo del campo de la psicología de la rehabilitación. Se analizaron 318 artículos correspondientes a la totalidad de documentos publicados en formato electrónico entre los años 2006 y 2012. Los resultados mues-tran indicadores bibliométricos que incluyen indicadores métricos de productividad por países, instituciones, profesiones y autor (de acuerdo con la ley de lotka), así como una categorización rigurosa del contenido temático de la revista. Los resultados son analizados a la luz de la gene-ración y aplicación del conocimiento especializado en el contexto local, así como los discursos vigentes de discapacidad. Finalmente el análisis permite resaltar la necesidad de promover la organización y difusión del conocimiento producido en el campo de la psicología de la rehabili-tación en Colombia dentro de un marco para la inclusión social

This study presents a bibliometric analysis of the Rehabilitation Psychology review, with the objective of identifying the evolution and the characteristics of the production of knowledge in this area of the psychology during the last six years, the purpose is to feedback the scientific com-munity that works in diversity and inclusion with respect to the state development of this field of study of Psychology Rehabilitation. 318 items corresponding to all papers published in electronic format were analyzed in the years between 2006 and 2012. The results showed a bibliometric indi-cator which included metrics of productivity for countries, institutions, professions and authors (according to the Lotka law), the same way a rigorous categorization of the thematically content of the review. The results are analyzed through the light of the generation and application of specialize knowledge in a local context, as well as diverge disability speeches. Finally highlight the need to promote the systematization and diffusion of knowledge produced in the field of psychological rehabilitation in Colombia in a framework of inclusion.

Research of Psychological Problems and Intervenient Strategies for Parents with Cerebral Palsy Children (review) / 中国康复理论与实践

@#This article reviewed the stress, coping to the stress, the common mental troubles and the intervenient strategies of the parents with cerebral palsy children.

Oficinas de reciclagem no CAPS Nossa casa: a visão dos familiares / Recycling workshops at "Nossa Casa" Center of Psychosocial Care: a vision of the family / Talleres de reciclaje en el CAPS Nossa Casa: visión de los familiares

Este artigo versa sobre as oficinas como dispositivos de cuidado, nos Centros de Atenção Psicossocial, na concretização das diretrizes da reforma psiquiátrica. Analisamos a relação das oficinas de reciclagem do CAPs Nossa Casa de São Lourenço do Sul-RS como espaço terapêutico, a geração de renda, a relação com o meio ambiente e a integração dessas oficinas com a comunidade por meio da visão do familiar. A metodologia empregada para essa análise baseia-se na abordagem qualitativa, tendo como instrumento entrevistas semi-estruturadas, realizadas com 12 familiares do CAPs Nossa Casa, e a observação (150 horas) com registro em diário de campo. Com base na relação entre os objetivos das oficinas propostas e a literatura disponível sobre o tema, chegamos às seguintes conclusões: as oficinas de reciclagem, como espaço terapêutico, têm-se mostrado eficientes para acolher os usuários no serviço, contribuindo para a terapêutica. No que se refere à relação com a comunidade e o meio ambiente, percebe-se que as oficinas de reciclagem têm aprimorado as relações do usuário com o seu círculo social, por meio das relações sociais, dando ênfase à preservação do meio ambiente. Por fim, percebemos que as ações relacionadas à geração de renda, no serviço, ainda são tímidas e necessitam de apoio maior para, assim, haver uma inclusão realística do usuário por meio do trabalho, indo ao encontro da reabilitação psicossocial.

This article is about the role of the workshops in the Centers for Psychosocial Care, to assure the implementation of the psychiatric reform guidelines. We discuss the role of recycling workshop of CAPS São Lourenço do Sul - Rio Grande do Sul, as therapeutic area and as a way to generate some income. We also discuss its relationship with the environment and its integration with the community considering the vision of the family. The methodology was based on a qualitative approach and included semi-structured interviews with 12 family members of the CAPS Santa Casa, and observation (150 hours) with daily record in the field. Considering the goals of the workshops and the literature on the subject, we have come to the following conclusions: as a therapeutic area, the recycling workshops have proven to be effective to welcome users in the service, contributing to the therapy. Regarding the community and the environment, we realize that recycling workshops have improved the relationship between the user and its social circle, and have emphasized the preservation of the environment. Finally, we realize that actions which aim to generate some income in the service are still shy and require a better support to provide a real inclusion of the user, and then lead to a psychosocial rehabilitation.

Este artículo trata sobre los talleres como dispositivos de cuidado dentro de los Centros de Atención Psicosocial siguiendo las directrices de la reforma psiquiátrica. Discutimos la relación de los talleres de reciclaje del CAPS Nossa Casa de São Lourenço do Sul, Rio Grande do Sul, como espacio terapéutico; generación de ingresos; relación con el medio ambiente e integración con la comunidad, a través de la visión del familiar. La metodología empleada para este análisis se basa en el enfoque cualitativo teniendo como instrumento las entrevistas semiestructuradas realizadas con 12 familiares del CAPS Nossa Casa y la observación (150 horas) con control diario de campo. A partir de la relación entre los objetivos de los talleres y la literatura disponible sobre el tema llegamos a las siguientes conclusiones: como espacio terapéutico los talleres de reciclaje se han mostrado eficientes para acoger a los usuarios en el trabajo contribuyendo a la terapia. En lo que se refiere a la relación con la comunidad y el medio ambiente, se percibe que los talleres de reciclaje han mejorado las relaciones del usuario con su círculo social a partir de los contactos sociales y dando énfasis a la preservación del medio ambiente. Además, percibimos que las acciones relacionadas con la generación de ingresos aún son tímidas y necesitan más apoyo para que haya verdadera inclusión del usuario a través del trabajo, yendo al encuentro de la rehabilitación psicosocial.

O significado do cuidado para a família na reabilitação psicossocial do doente mental: uma revisão teórica / The meaning of care for the family in mental patients´psychosocial rehabilitation: a theoretical review / El significado del cuidado para la familia en la reabilitación psicosocial del enfermo mental: una revisión teórica

Este ensaio se propõe realizar uma revisão teórica sobre o significado do cuidado para o familiar na reabilitação psicossocial do doente mental, como um processo que promove habilidades e autonomia, mas, também, reforça e cria formas de exclusão e desabilitação social na medida em que passa a ser mediado pelo desejo do outro. As autoras discutem que o ato de cuidar adquire características diferentes em cada sociedade e é determinado por fatores sociais, culturais e econômicos. A superação da representação social, que exclui as famílias do cuidado prestado ao doente mental, é um dos desafios a serem trabalhados para a reversão do modelo manicomial de atendimento. A inserção dos familiares e usuários no novo modelo de atenção à saúde mental possibilitará que a tarefa do cuidado e da assistência ao doente mental seja compartilhada entre esses atores, fazendo com que os mesmos passem a ocupar um lugar muitas vezes delegado aos profissionais e às instituições psiquiátricas

This essay attempts to carry out a theoretical review of the meaning of care for the family in mental patients' psychosocial rehabilitation, either as a process which promotes skills and autonomy or as a process that reinforces and creates forms of social exclusion and loss of autonomy since it goes through another person's desire. The authors discuss how the act of caring takes different characteristics in each society and is determined by social, cultural and economic factors. Overcoming social representation, which excludes the families from the care provided to mental patients, is one of the great challenges to be faced in order to reverse the institutional model of care. The insertion of family and users into the new model of mental health care will allow for the sharing of mental patients' care and assistance among these actors to the extent that they may take a place often designated for professionals and psychiatric institutions

Este estudio se propone realizar una revisión teórica del significado del cuidado para la familia en la rehabilitación psicosocial del enfermo mental, en sí un proceso que promueve habilidades y autonomía. Sin embargo, también puede reforzar y crear formas de exclusión e incapacidad social en los enfermos ya que pasa a ser mediado por el deseo del otro. Las autoras discuten que el acto de cuidar adquiere características diferentes en cada sociedad y está determinado por factores sociales, culturales y económicos. La superación de la representación social, que excluye a las familias del cuidado prestado al enfermo mental, es uno de los grandes desafíos a ser trabajados para revertir el modelo manicomial de atención. La inserción de los familiares y usuarios en el nuevo modelo de atención a la salud mental permitirá que la tarea del cuidado y de la asistencia al enfermo mental sea compartida entre estos actores, haciendo que los mismos pasen a ocupar un lugar muchas veces delegado a los profesionales y a las instituciones psiquiátricas