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  • Paediatric and Juvenile Psychatry and Psychotherapy x
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Open access

Dinesh Bhugra

Abstract

In the past 40 years, the practice of psychiatry has changed dramatically from asylums to community care to personalized home-based treatments. The personal history of working in various settings and changing NHS indicates that an ability to change one’s clinical practice is a critical skill. Being a migrant and an International Medical Graduate brings with it certain specific challenges. Personal histories provide a very specific account that is inherently incomplete and perhaps biased, but personal accounts also give history a tinge that academic accounts cannot. In this account, changes in the NHS have been discussed with regards to changes in clinical care of patients with psychiatric disorders as well as research and training.

Open access

S.M. Yasir Arafat, M A Al Mamun and Md. Saleh Uddin

Abstract

Objectives

Early detection of depression has been assumed to lead to its earlier and better care. Increased depression literacy among the general population might play a vital role in the early and successful detection and treatment. We aimed to investigate depression literacy among the first year university students, to be able to compare their depression literacy with those of other previously investigated groups, we hypothesized that depression literacy might be different from other groups such as patients and other subjects from the general population. Knowledge about depression might also be different in female and male students.

Methods

This cross-sectional study was conducted among the first-year students of Jahangirnagar University, Bangladesh between January and May 2018. A convenience sample of 306 students was randomly identified from a list of students obtained from the authority. Relevant sociodemographic variables were collected. Students were interviewed using the Bangla Depression Literacy scale (D-Lit Bangla). This was a semi structured interview asking for the knowledge on 20 different characteristics of depression. Collected data were analysed to estimate the mean score and 95% confidence intervals of D-Lit Bangla scores.

Results

The mean score of the correctly identified characteristics of depression was 6.55 (95% CI = 6.31 to 6.89). Only five characteristics of depression were correctly identified by more than 50% participants, that is, sleep change (76.7%), feeling of guilt (75.2%), low self-esteem (81.8%), psychomotor changes (64.6%) and identification of famous people suffering from depression (66.7%). Only a very small portion of the participants correctly knew about psychotic symptoms and different options for the treatment of depression. There were no significant differences between male and female students in the amount and pattern of knowledge of depression.

Conclusions

The study revealed poor literacy status among the first-year university students of Bangladesh. Both male and female gender have similar amount of depression literacy.

Open access

S.M. Yasir Arafat

Abstract

Objectives

Bangladesh is a densely populated country in south-east Asia with paucity of research in suicide. This systematic review was aimed at critical appraising various aspects of suicide in Bangladesh based on available literature and systematic search.

Methods

Extensive literature search was conducted in Scopus, PubMed, PubMed Central, Google, Google Scholar and BanglaJOL with searching key words without any date boundary and without any basis of types of studies, that is, all types of studies were scrutinised. The author focused on sources of suicide data along with epidemiological variables of suicides in Bangladesh such as suicide rate, gender of victims, methods of suicides, risk factors and prevention activities and role of media in suicide.

Results

After exclusion of repetitions, screening was performed, and finally, 35 articles were selected for review. Amongst the 35 articles, 16 articles were original contributions, 2 systematic reviews, 6 narrative reviews, 2 scoping reviews, 3 editorials, 3 case reports and rest correspondence article. The review revealed that the actual rate of suicide in Bangladesh is yet to come out and quality data is a real challenge. Women are dying more than the men, and early adulthood is the most vulnerable time of life.

Discussion

Suicide is a under attended problem in Bangladesh, as the country yet to reveal the actual rate of suicide along with the challenge of quality data. Prevention activities have been started but yet to be visualised. Decriminalisation of suicide in the legal criteria and establishment of suicide surveillance can be the top priorities in the country.

Open access

Violet Pietrantonio

Abstract

What kind of functions does a theory carry out in the analyst’s mind at work? The author tries to describe, using a few analytic trailers, how Bion Field Theory (BFT) can become an oneiric psychoanalytic tool in the mind of the analyst working with inaccessible states of mind and the violence of nameless turbulences. The hypothesis expressed is that BFT, as described in the works of its principal authors (Ferro, Grotstein, Ogden et.c), seems to evoke a psych-O-analysis that chooses O as psychoanalytic vertex, developing the bionian idea of unconscious as psychoanalytic function of the mind. BFT introduces explains and illustrates an oneiric model of the mind and of the analytic cure. The priority given by this theory to the contact with emotional experience and the capacity to stay at one ment with the unknown emotional experience circulating in the hic et nunc, seems, in author’s analytical experience, to promote both the development of an authentic analytic Self and analytic ethic and a process of subjectivation in analyst, patient, analytic experience.

Open access

Giuseppe Civitarese

Abstract

Terms such as vitality and authenticity are difficult to define. Moreover, they cannot be considered true psychoanalytic concepts. If, however, as is happening, psychoanalysis tries to theorize in a more fine-grained manner the non-specific aspects of treatment, such as those related to the person of the analyst, then it becomes inevitable to refer to them. The thesis of the article is that vitality should emerge from its vagueness and be transformed into a precise psychoanalytic concept. This can be done if we discuss it in light of Bion’s concept of negative capability and the post-Bionian theory of the analytic field. Every time the analyst rediscovers to his surprise the dreamlike dimension of the session, he becomes vital gain and reinvests the patient, the analysis and the psychoanalytic method.Then he realizes that he is always a character in the stories of the analysis and has the chance to try to guess what happens by relying on his intensified bodily or emotional reaction.

Open access

Fulvio Mazzacane

Open access

Melis Tanik Sivri

Abstract

Shirin Neshat is an Iranian contemporary female artist who is in exile by choice. Born in Qazvin, Iran, in 1957, the artist moved to the United States in 1974 in order to study arts. Due to the Islamic Revolution in 1979, she was prevented from going back to her country. In 1990, after almost 12 years, Neshat visited Iran for the first time after the revolution, which transformed her artistic life into a productive one, full of prizes. The aim of this article is to reflect on the impact of Neshat’s homecoming experience in developing an authentic artistic identity. The emphasis of the paper will be on the artist’s first cinematic film, Turbulent (1998), which will be discussed as a manifestation of the artist’s working through the turbulent encounter with the changes in the motherland after a long separation due to the revolution.

Open access

Rita Teodoru

Open access

Alicia Mirta Ciancio

Abstract

This paper is centered on the subject’s private dialogue with his/her own body during midlife – in this case «body» means an open history coming from the wish of a child that parental figures projected, something that remains open to changes till the last minute of life. This situation revalidatesego’s discourse with him/her during this period of the life cycle, highlighted with the imprint of one’s own finitude. The author also presents a clinical case through which the understanding of the subject’s major intimacy with himself/herself is made possible – something that demands a never-ending re-adoption of changes encompassed by the passing of time. This re-adoption is the core of midlife – a period of the life cycle where physical changes usually imply different kind of losses. Through this clinical case it is also clear that the specific link that exists between the first representations that gave birth to the I-body dialogue and those closely related and specific to midlife.