Abstract:
:The reporting of child sexual abuse (CSA) and physician-patient sexual relationships (PPSR) are currently the focus of professional, legal and media attention in several countries. This paper briefly reviews mental health policies on these issues and reports on a WPA survey of them. While the WPA Madrid Declaration permits breaching confidentiality for mandatory reporting of CSA and clearly prohibits PPSR, it is not known how or to what extent these policies are implemented in WPA Member Societies' countries. It is also not known whether policies or laws exist on these topics nationally or to what extent psychiatrists and the public are aware of them. Representatives of WPA Member Societies were e-mailed a survey about issues pertaining to CSA and PPSR. Fifty-one percent of 109 countries replied. All reporting countries had laws or policies regarding the reporting of CSA, but this was often voluntary (63%) and without protection for reporting psychiatrists either by law (29%) or by Member Societies (27%). A substantial number of psychiatric leaders did not know the law (27%) or their Society's policy (11%) on these matters. With respect to PPSR, some reporting countries lacked laws or policies about PPSR with current (17%) or past (56%) patients. Fewer than half of responding representatives believed that their Society's members or the public were well informed about the laws and policies pertaining to CSA or PPSR. There is clearly a wide range of laws, policies and practices about CSA and PPSR in WPA Member Societies' countries. There is a need in some countries for laws or supplemental policies to facilitate the protection of vulnerable child and adult patients through clear, mandatory reporting policies for CSA and PPSR. Mechanisms to protect and support reporting psychiatrists should also be developed where they do not already exist. There is also a need in some countries to develop strategies to improve the education of psychiatrists, trainees, and the public on these issues.
journal_name
World Psychiatryauthors
Stewart DE,Venos E,Ashraf IJdoi
10.1002/j.2051-5545.2009.tb00210.xsubject
Has Abstractpub_date
2009-02-01 00:00:00pages
45-8issue
1eissn
1723-8617issn
2051-5545journal_volume
8pub_type
杂志文章相关文献
World Psychiatry文献大全abstract::Antipsychotic drugs such as clozapine and olanzapine are associated with an increased risk for type 2 diabetes, but relatively little is known about the relationship between risk factors for type 2 diabetes established in the general population and type 2 diabetes in people with psychosis. We estimated the prevalence ...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/wps.20130
更新日期:2014-06-01 00:00:00
abstract::Disastrous events in the country and the region caused a 13.5% increase in the prevalence of mental and behavioral disorders in Serbia in the last few years, thus making them the second largest public health problem. Due to prolonged adversities, the health system has deteriorated and is facing specific challenges. Ho...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:
更新日期:2007-06-01 00:00:00
abstract::Psychiatrists would undoubtedly support the notion of promoting such qualities as empathy, sensitivity and caring in the pursuit of good clinical practice. However, cultivating what we may call the "art of psychiatry" is not straightforward, since the qualities that constitute it are elusive. I propose that the means ...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:
更新日期:2005-10-01 00:00:00
abstract::There is a substantial body of research reporting evidence of associations between various forms of childhood adversity and psychosis, across the spectrum from experiences to disorder. This has been extended, more recently, to include studies of cumulative effects, of interactions with other factors, of specific effec...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/wps.20330
更新日期:2016-06-01 00:00:00
abstract::Although non-adherence is common across all branches of medicine, psychotic disorders pose additional challenges that increase its risk. Despite the importance of non-adherence, clinicians generally spend too little time on assessing and addressing adherence attitudes and behaviors. Importantly, how adherence is measu...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/wps.20060
更新日期:2013-10-01 00:00:00
abstract::This study aimed to develop a casemix classification of characteristics of New Zealand mental health services users. Over a six month period, patient information, staff time and service costs were collected from 8 district health boards. This information was analysed seeking the classification of service user characte...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:
更新日期:2004-10-01 00:00:00
abstract::Substance use is a major cause of disability globally. This has been recognized in the recent United Nations Sustainable Development Goals (SDGs), in which treatment coverage for substance use disorders is identified as one of the indicators. There have been no estimates of this treatment coverage cross-nationally, ma...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/wps.20457
更新日期:2017-10-01 00:00:00
abstract::In this paper we report the clinical utility of the diagnostic guidelines for ICD-11 mental, behavioural and neurodevelopmental disorders as assessed by 339 clinicians in 1,806 patients in 28 mental health settings in 13 countries. Clinician raters applied the guidelines for schizophrenia and other primary psychotic d...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/wps.20581
更新日期:2018-10-01 00:00:00
abstract::There is an enormous gap between the burden of mental disorders and mental health resources in low- and middle-income countries. The Mental Health: Global Action Programme of the World Health Organization (WHO) envisions an active role for research in the multidimensional efforts required to change the current mental ...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:
更新日期:2004-06-01 00:00:00
abstract::A meta-analysis was conducted to explore the risk for cardio-metabolic abnormalities in drug naïve, first-episode and multi-episode patients with schizophrenia and age- and gender- or cohort-matched general population controls. Our literature search generated 203 relevant studies, of which 136 were included. The final...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/wps.20069
更新日期:2013-10-01 00:00:00
abstract::Uganda has passed through political and bloody civil strife stretching over 40 years. Since 1987 the HIV/AIDS pandemic has compounded the problems of the country. The present paper describes some initiatives to develop mental health services in one district of the country. A bottom-up approach in the district resulted...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:
更新日期:2007-02-01 00:00:00
abstract::Major depressive disorder (MDD) is a prevalent and disabling condition, and many patients do not respond to available treatments. Deep transcranial magnetic stimulation (dTMS) is a new technology allowing non-surgical stimulation of relatively deep brain areas. This is the first double-blind randomized controlled mult...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/wps.20199
更新日期:2015-02-01 00:00:00
abstract::This paper summarizes the current situation of mental health services in the Arab world. Out of 20 countries for which information is available, six do not have a mental health legislation and two do not have a mental health policy. Three countries (Lebanon, Kuwait and Bahrain) had in 2007 more than 30 psychiatric bed...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1016/j.wpsyc.2012.01.008
更新日期:2012-02-01 00:00:00
abstract::There is wide agreement that the Internet can serve as a tool that enhances well-being. It is more difficult, however, to find consensus around the issue of problematic Internet use. That may be in part because scientific investigation has lagged far behind technological advances and media attention. The diagnostic sc...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/j.2051-5545.2010.tb00278.x
更新日期:2010-06-01 00:00:00
abstract::Metabolic syndrome (MetS) and its components are highly predictive of cardiovascular diseases. The primary aim of this systematic review and meta-analysis was to assess the prevalence of MetS and its components in people with schizophrenia and related psychotic disorders, bipolar disorder and major depressive disorder...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/wps.20252
更新日期:2015-10-01 00:00:00
abstract::Depression is widely acknowledged to be a heterogeneous entity, and the need to further characterize the individual patient who has received this diagnosis in order to personalize the management plan has been repeatedly emphasized. However, the research evidence that should guide this personalization is at present fra...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/wps.20771
更新日期:2020-10-01 00:00:00
abstract::Throughout most of their lives, women are at a greater risk of becoming depressed than men. Some evidence suggests that this heightened risk is associated with increased sensitivity to the hormonal changes that occur across the female reproductive lifecycle. For some women, the peri-menopause and early post-menopausal...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/j.2051-5545.2008.tb00180.x
更新日期:2008-10-01 00:00:00
abstract::The objective of this study was to examine mental disorders and treatment use among bereaved siblings in the general population. Siblings (N=7243) of all deceased children in the population of Manitoba, Canada who died between 1984 and 2009 were matched 1:3 to control siblings (N=21,729) who did not have a sibling die...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/wps.20293
更新日期:2016-02-01 00:00:00
abstract::The need for psychological therapies for psychosis is increasingly recognised. In recent years, two psychological approaches, cognitive behavioural therapy (CBT) and family interventions (FI), have emerged from among a range of psychological approaches as effective therapies with the strongest evidence base. The theor...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:
更新日期:2003-10-01 00:00:00
abstract::The issue of the severity of psychiatric disorders has great clinical importance. For example, severity influences decisions about level of care, and affects decisions to seek government assistance due to psychiatric disability. Controversy exists as to the efficacy of antidepressants across the spectrum of depression...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/wps.20569
更新日期:2018-10-01 00:00:00
abstract::Although the construct of dissociation was introduced into psychiatry at the end of the 19th century by Pierre Janet, the term still lacks a coherent conceptualization, which is partially reflected by differences in the classification of dissociative and conversion disorders in ICD-10 and DSM-IV. Given the clinical si...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:
更新日期:2006-06-01 00:00:00
abstract::Data concerning the effectiveness of naturalistic treatments (treatment-as-usual) in child and adolescent psychiatric (CAP) services are scarce. The purpose of this prospective observational study was to examine the effectiveness of CAP treatments in a naturalistic outpatient setting. Three hundred six patients (atten...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/j.2051-5545.2010.tb00288.x
更新日期:2010-06-01 00:00:00
abstract::Although cognitive behaviour therapy (CBT) is the treatment of choice for post-traumatic stress disorder (PTSD), there is no evidence of its success with PTSD patients still under direct threat of terrorist attacks. This study reports the first randomized controlled trial of CBT for PTSD terrorist-affected people. Twe...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/j.2051-5545.2011.tb00058.x
更新日期:2011-10-01 00:00:00
abstract::Schizophrenia is characterized by positive symptoms, negative symptoms and cognitive impairment. Positive symptoms may be related to excessive dopamine (DA) function, as suggested by the common antidopaminergic properties of antipsychotic medications, which are most effective at treating positive symptoms. Negative sy...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:
更新日期:2003-10-01 00:00:00
abstract::This study examined the transcultural robustness of a screening instrument for hypomania, the Hypomania Checklist-32, first revised version (HCL-32 R1). It was carried out in 2606 patients from twelve countries in five geographic regions (Northern, Southern and Eastern Europe, South America and East Asia). In addition...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/j.2051-5545.2010.tb00268.x
更新日期:2010-02-01 00:00:00
abstract::The United Nations (UN) Convention on the Rights of Persons with Disabilities (CRPD) is the most up-to-date international legal instrument concerning the rights of persons with disabilities. Such persons are taken to include those with serious mental disorders. According to an authoritative interpretation of a crucial...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/wps.20584
更新日期:2019-02-01 00:00:00
abstract::Most psychotherapies for depression have been developed in high-income Western countries of North America, Europe and Australia. A growing number of randomized trials have examined the effects of these treatments in non-Western countries. We conducted a meta-analysis of these studies to examine whether these psychothe...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/wps.20493
更新日期:2018-02-01 00:00:00
abstract::In 2008, the National Institute of Mental Health (NIMH) included in its new Strategic Plan the following aim: "Develop, for research purposes, new ways of classifying mental disorders based on dimensions of observable behavior and neurobiological measures". The implementation of this aim was named the Research Domain ...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/wps.20087
更新日期:2014-02-01 00:00:00
abstract::The term quality of life (Qol) has become a rallying cry for all those who strive to integrate patients' subjective experience of their life during illness into clinical care. With its intuitive appeal, Qol seems to be understood by everyone involved in managing health and disease. However, when examining the ever inc...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:
更新日期:2006-10-01 00:00:00
abstract::This paper summarizes the findings for the Latin American and Caribbean countries of the WPA Task Force on Steps, Obstacles and Mistakes to Avoid in the Implementation of Community Mental Health Care. It presents an overview of the provision of mental health services in the region; describes key experiences in Argenti...
journal_title:World psychiatry : official journal of the World Psychiatric Association (WPA)
pub_type: 杂志文章
doi:10.1002/j.2051-5545.2012.tb00130.x
更新日期:2012-10-01 00:00:00