ABSTRACT
To meet the criteria of role accountability, nursing competence and ongoing staff development, an improved peer-evaluation system was designed to continuously monitor these new roles. This peer-evaluation process converts evaluation input into data, giving staff a visual picture of how their performance compares within their peer group. This peer-evaluation process was designed as a tool to assist in staff growth and development, not as a punitive system.
Subject(s)
Clinical Competence/standards , Job Description , Nursing Staff, Hospital/standards , Peer Review, Health Care/methods , Staff Development/methods , Humans , Nursing Staff, Hospital/educationABSTRACT
It is not easy to describe the contribution of psychoanalysis and child psychoanalysis to child psychiatry. Though they both have the goal to help the psychologically disturbed child they differ greatly regarding their areas of responsibility and their scientific basic assumptions. Nevertheless one cannot overlook important influences, which, though, may vary according to different local conditions. In this paper the author tries to do justice to the different levels of this problem.
Subject(s)
Mental Disorders/diagnosis , Psychoanalytic Theory , Psychoanalytic Therapy , Adolescent , Child , Diagnosis, Differential , Humans , Mental Disorders/psychology , Mental Disorders/therapy , Personality DevelopmentABSTRACT
During adolescence physical, psychic and social changes occure more rapidly and to a greater extent than during any other period of live. The marked changes concern not only the outern appearence, but also its intrapsychic representations, the body image. The complex integrative processes towards the identity as man or woman cannot be mastered without a certain emotional and physical instability. This is particularly the case if, in addition, nearly infantile disturbances in the socialisation or conflicts specific for this life period are, or have been, present. They can in the sense of a disposition lead to the manifestation of more or less severe crisis in adolescence. These crises interfere not only with the body image, but in many cases with the somatic functions as well. In the study three general aspects of this developmental problem are discussed as far they are relevant in the therapy of psycho-somatic disturbances in adolescents. 1. The implication of the adolescent phase in the course of psycho-somatic diseases. 2. Diseases which mainly occure in adolescence and are predominantly confined to this life period or are mainly influenced by it. 3. The influence which conflicts and phase-specific anxieties and fantasies exercise on the development and establishment of a mature body image and an adult identity.
Subject(s)
Child Behavior Disorders/psychology , Child Reactive Disorders/psychology , Psychophysiologic Disorders/psychology , Adolescent , Body Image , Female , Humans , Identity Crisis , Male , Psychosexual Development , Social AdjustmentSubject(s)
Conflict, Psychological , Mental Disorders/therapy , Parent-Child Relations , Adolescent , HumansABSTRACT
Discussing the medical importance of the topic, the necessity of cooperation with social-scientific disciplines is demonstrated. Reflecting some relevant psychological theories, an experimental concept for analysing the interpersonal communication with persons suffering from skin-diseases is developed. It is a purpose of this investigation, not only to get the estimations of persons with and without skin-diseases but also the opinion which the other group is supposed to have. It was assumed that the state of health in persons with dermatoses is depending on these supposed estimations by the social environment. After describing the experimental setting, the results which were received from the answers of 465 persons (mean and women with and without dermatoses) are referred. Finally the findings are discussed from different points of view (methodical, cognition-theoretical, learning-psychological, psychoanalytical and last not least medical).
