ABSTRACT
In consideration of the current socioeconomical and political development in the world a dramatic increase of migration streams are expected. Migrant families are always a new phenomenon on both sides in host countries. One important root of these specific problems are: Culture-conditioned differences concerning value orientation between immigrants of several ethnics on one hand and the resident population on the other hand, but also among the immigrants of several ethnic groups themselves. These differences of the value orientation, of course, also refer to the illness concepts, the illness behavior as well as utilization of assistance among the several sectors of the Health Care Systems. It is expected that the professional sector of the Health Care Systems in the host countries will be confronted massively with ethnomedical and transcultural-psychiatric aspects of migration in the future. An adequate medical care of the migrants (especially concerning psychiatric disorders) will only be possible in case of an appropriate consideration of such culture-bound peculiarities.
Subject(s)
Acculturation , Adaptation, Psychological , Cross-Cultural Comparison , Emigration and Immigration , Ethnicity/psychology , Adolescent , Child , Humans , Patient Care Team , Sick Role , Socioeconomic FactorsABSTRACT
Among 1240 first-time patients in the out-patient department of Gondar College of Medicas Sciences during the period September 1985-Juli 1986, there was, be European standards, an astonishingly high percentage of hysterical symptoms: 12.5% of all cases, 33.5% of all neurotic cases, with markedly "classic" symptomatology. These hysterical behavior patterns were interpreted as being, in the main, special problem solution mechanisms with secondary acquisition of illness under rapidly changing social conditions.
Subject(s)
Developing Countries , Hysteria/psychology , Neurocognitive Disorders/psychology , Psychophysiologic Disorders/psychology , Social Change , Adaptation, Psychological , Adult , Conversion Disorder/psychology , Cultural Characteristics , Ethiopia , Female , Humans , Male , Risk Factors , Sick Role , Socioeconomic FactorsABSTRACT
Among 1240 patients of the neuropsychiatric outpatient department of Gondar College of Medical Sciences, Northwest-Ethiopia, seen for the first time in 1985/86 190 (15.3%) were under 18 years of age. Among 1078 patients treated on pediatric wards during the same period at least 73 children (6.8%) suffered from neuropsychiatric diseases. The morbidity profile of this population is analysed and epidemiological and clinical aspects are discussed.
Subject(s)
Brain Damage, Chronic/epidemiology , Developing Countries , Neurocognitive Disorders/epidemiology , Adolescent , Child , Child, Preschool , Cross-Sectional Studies , Ethiopia , Female , Humans , Infant , MaleABSTRACT
Of 1240 first-time consultations in the neuropsychiatric clinic of the Gondar College of Medical Sciences in an eleven-month period during 1985 and 1986, 152 patients came seeking relief from seizures. This paper deals with the origins and background of diagnostic, differential diagnostic, and therapeutic problems, and with problems of social rehabilitation. While in such a tradition-bound society certain hypotheses continue to have an unfavorable effect, there are unmistakable signs of positive change against a background of rapid social change. Conclusions are drawn for the better management of epileptic patients in developing countries.
Subject(s)
Anticonvulsants/therapeutic use , Developing Countries , Epilepsy/drug therapy , Ethiopia , Humans , Medicine, TraditionalABSTRACT
The paper deals with the morbidity profile of 1240 patients in the neuropsychiatric outpatient department of the Gondar College of Medical Sciences in the course of eleven months in the years 1985-1986, and proceeds to compare in with a previous analysis, that of Bach and Bachmann (1987). Although the morbidity profile tallies remarkably well with that in Central Europe, the extensive practice of consulting traditional healers disguises the exact situation. Constantly shifting regional peculiarities has a great influence on the morbidity of individual clinical pictures. Epidemiological and clinical aspects are discussed in the context of the relevant African literature.
Subject(s)
Neurocognitive Disorders/epidemiology , Cross-Sectional Studies , Ethiopia , Humans , Medicine, Traditional , Neurocognitive Disorders/therapy , Psychophysiologic Disorders/epidemiology , Referral and Consultation/statistics & numerical dataSubject(s)
Brain Damage, Chronic/diagnosis , Electroencephalography , Child , Evoked Potentials , Humans , Risk FactorsABSTRACT
The author points out the necessity to separate suicidal behaviour in childhood and early puberty on the one hand and of adults on the other hand. Suicidal acts (attempted suicides) of 100 suicidants at the age until sixteen are analyzed on syndromatic-nosologic aspects. Preventive-prophylactic measures are shortly mentioned.
Subject(s)
Suicide/psychology , Adolescent , Aggression/psychology , Child , Depressive Disorder/psychology , Humans , Impulsive Behavior/psychology , Neurotic Disorders/psychology , Personality Development , Schizophrenic Psychology , Self Mutilation/psychology , Suicide, Attempted/psychologyABSTRACT
The validity of the questionnaire elaborated by Meyer-Probst for recording the typical behaviour of encephalopaths was checked on a sample comprising 254 high-risk and control children aged 6 to 7 years. The results confirm its value as a diagnostic aid in outpatient work and as methodological tool for research.
Subject(s)
Neurocognitive Disorders/diagnosis , Neuropsychological Tests , Attention Deficit Disorder with Hyperactivity/diagnosis , Brain Damage, Chronic/diagnosis , Child , Child Behavior Disorders/diagnosis , Diagnosis, Differential , Follow-Up Studies , Humans , Intelligence , Neurocognitive Disorders/psychology , Psychometrics , RiskSubject(s)
Perinatology , Registries , Cerebral Palsy/diagnosis , Child , Humans , Infant, Newborn , Intellectual Disability/diagnosis , Phenylketonurias/diagnosis , RiskABSTRACT
There is an increasing win of recognition of polycausality in the development of social deviates. Therefore the today's organization of control of criminality is representing a complicated course of socioeconomical, ideological, legal, educational and other measures. Author points to diagnostic and therapeutic possibilities of the children's neuropsychiatry. They could serve for early recognition of an incipient social deviate development. This would make possible a therapy of partial causes in the right moment.
