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CHAPTER SIX. Final reflections

Silvia Elena Tendlarz Karnac Books ePub

The title of this book stressed our particular interest in the problem of psychosis, but this did not mean, however, that other disorders produced by suffering were ignored. We studied the modalities of neurosis, mental deficiency, the anorexic disorders, depressive states, and the incidence of the desire of the Other in the appearance of anxiety. The question of the direction of treatment was particularly emphasized in the study of psychosis, a key to the study of clinical cases.

Rather than concluding, I would like to leave open exactly those questions that clinical work forces us to pose. The treatment of children with a clear psychotic symptomology faces the same difficulties as treatment of psychotic adults: the management of the transference and the position of the analyst, the type of intervention, and the orientation of treatment towards a delusional contouring or towards the creation of a stabilizing suppleance.

We established that infantile autism is a form of psychosis and is not the same as what will eventually be seen as deficiency or backwardness. However, it is an open question as to why some children respond well to treatment and others do not, and why others maintain the suppleance constructed in their analysis, whilst with others these easily collapse.

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Medium 9780253357090

8 Public Health or Public Threat? Polio Eradication Campaigns, Islamic Revival, and the Materialization of State Power in Niger

Dilger, Hansjörg ePub

Adeline Masquelier

In late 2003 rumors began circulating in the small provincial town of Dogondoutchi, Niger that the poliomyelitis vaccine administered to children was harmful. The vaccine, the rumor had it, caused sterility in children and had been developed by Western scientists to lower the world’s Muslim population. When nurses dispatched to administer doses of Oral Polio Vaccine (OPV) to children under five tried to enter people’s homes on National Vaccination Day, they were met with staunch resistance on the part of some parents who accused them of wanting to harm their progeny. In surrounding villages, similar scenarios ensued as health workers going house to house with polio drops tried to immunize the children targeted by the vaccination drive. Eager to cut short the emergence of a massive opposition to the WHO-sponsored campaign to eradicate polio, the secrétaire général of the Dogondoutchi prefecture dispatched police officers to a village where residents had denied health workers access to their children. There the officers promptly arrested two individuals who, by protesting the presence of health workers, had interfered with the drive. The two men were brought to Dogondoutchi under police escort. Once in the secrétaire général’s office, they were lectured about the benefits of vaccination before eventually being released, but not before being charged a fine amounting to the cost of sending a health worker back to the village to resume inoculation. Despite concerted attempts by local public health officials to prevent further disruptions of the vaccination drive and alleviate parental concerns regarding the safety of the OPV, rumors that the vaccine was part of a Western plot to sterilize Muslim girls (and in some minds, boys as well) continued to hinder the success of the 2003 campaign. The vaccine was not safe, embattled residents reasoned, otherwise why weren’t parents charged for it? After all, the government did not provide other free services anymore. In the eyes of suspicious parents the only reasonable explanation was that local officials were acting on behalf of impious Westerners eager to weaken the country’s Muslim resurgence. While parental fears were largely articulated around the notion that the OPV caused infertility, a few individuals suspected the vaccine of inducing atheism. For yet others, it was the vaccine itself that struck children with polio. In some communities, polio campaigns were thwarted by alarmist claims that the vaccine passed on the AIDS virus and had been devised to deplete the world of its Muslim population.1

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Medium 9781855759305

12. “I need my scripts”: A boy with Asperger’s syndrome entering adolescence

Trudy Klauber Karnac Books ePub

Jane Cassidy

This chapter focuses on the treatment of “Jonathan”, a pubertal boy with a diagnosis of Asperger’s syndrome. He had psychoanalytic psychotherapy for nearly three years, three times weekly, during the course which his behaviour changed markedly.

It has been noted that puberty and adolescence present opportunities for useful work with young people who are diagnosed on the autistic spectrum (Howlin, 1997). The relationship with his psychotherapist at this time of Jonathan’s life seemed to afford him the opportunity to take a somewhat different developmental path from the one he had been set on. Finding that difficult situations could be managed, and that his very strong projections could be responded to helpfully, were significant factors in enabling him to begin to feel differently about himself, and, most particularly, to feel more secure in the face of his anxiety and aggressive impulses.

Whatever Jonathan’s underlying neurological difficulties may have been, his improvement in a number of areas suggests that he had some interest in the unconscious meaning of his behaviour, which changed through his relationship with his psychotherapist.

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6 Tablets Are Your New Best Friend

Brittney Wilson Sigma Theta Tau International ePub

Health care is constantly changing and evolving. With every new innovation in technology, nursing and patient care stand to benefit. Tablets are an excellent example of an innovation that changes the way we interact with technology on a daily basis. Tablets are humanizing technology and making digital content more accessible and often more favorable than traditional print media. The benefits we could gain from the use of tablets are only just now becoming evident.

NERDY NOTE

Humanizing technology is important. It helps to make it more familiar and easier to adapt to. For most, it’s much easier to talk to a person than it is to understand the complex workings of a computer. Tablets simplify things and destress the process of using technology. Unless you’re a hardcore nerd like me, this simplification is welcome.

Tablets are similar to smartphones and often use many of the same apps. Depending on the tablet you are using, it may include a camera, wireless broadband connectivity, and perhaps even wireless accessories, such as keyboards and other input devices. Each model has features that can be beneficial for work as well as for pleasure and can be used in some way to increase your skills as a nurse and improve the patient care you deliver.

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Chapter 19: All Will Pass from the Earth

Pavithra Mehta Berrett-Koehler Publishers ePub

Though Aravind does not project itself as a family-run organization, the leading role that Dr. V’s kin play is impossible to ignore. Today, over 35 members across three generations of his family work in the Aravind Eye Care System. Several are employed in nonmedical areas of LAICO and Aurolab, while a few of his nieces are full-time volunteers heading divisions such as publishing, hospitality, and catering. By 2011, more than 20 people from Dr. V’s family were senior surgeons or student doctors at Aravind. An additional four were in medical school.

A potent blend of custom, trust, caring, and respect molded members of Dr. V’s family to be guardians and implementers of his legacy. Children of the founding team grew up in strict households. Sleeping in on weekends was frowned on, going to the movies was discouraged, and school vacations were spent “volunteering” at the patient-registration desk in the hospital or at eye camps. It was taken for granted that these children (and their children, in turn) would one day join Aravind. That none of them permanently rebelled against this expectation was extraordinary. Even the few who chose to work outside the organization eventually did return to contribute to Dr. V’s vision. Natchiar and Nam’s younger son, Vishnu Prasad, for instance, studied and worked abroad for well over a decade. He and his wife, Chitra, now live in Madurai, where Vishnu is Aurolab’s international marketing manager and Chitra works in the Finance Department at LAICO.

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