Granični poremećaj ličnosti najčešće se javlja u kasnoj adolescenciji ili mlađoj odrasloj dobi, a njegova najjasnija prezentacija je u odrasloj dobi, nakon završetka psihološkog sazrijevanja. Simptomi ovog poremećaja manifestiraju se nestabilnim afektom, impulzivnim ponašanjem, poremećajem identiteta, nestabilnim interpersonalnim odnosima i mogućim pogreškama u testiranju realnosti što sve može rezultirati značajnim poteškoćama osobnog, obiteljskog, roditeljskog, socijalnog i radnog funkcioniranja. Prognostički dodatnu otegotnu okolnost predstavljaju i česti komorbiditeti (afektivni poremećaji, anksioznost i zlouporaba sredstava ovisnosti itd). Etiološki čimbenici poremećaja su mnogobrojni i nedovoljno poznati, a na razini današnjih saznanja uključuju interakciju bioloških predispozicija i okolišnih faktora. U liječenju i skrbi za osobe s graničnim poremećajem ličnosti, uz psihoterapiju i socioterapiju (i po potrebi farmakoterapiju), neophodna je i primjena sveobuhvatnih psihosocijalnih intervencija pri čemu ključnu ulogu imaju socijalni radnici. Pravodobno prepoznavanje etioloških čimbenika i poduzimanje mjera iz nadležnosti socijalnih radnika u okviru sustava socijalne skrbi može pridonijeti prevenciji javljanja ovog poremećaja ličnosti, dok mjere
In the present article of the Zeitschrift für Psychodrama und Soziometrie, the expectations (self-assessed at the beginning of the treatment) and perception (self-assessed upon the conclusion of the treatment) of the psychotherapy process and outcome, psychotherapeutic factors and psychodrama specificities are presented and analysed in a psychodrama group for adult participants held in an outpatient psychiatric clinic. There were 12 male and 31 female participants, aged from 19 to 63 years, diagnosed with anxiety, depression, and borderline personality disorder or committed into the hospital after their first psychotic episode. Questionnaires were applied at the beginning of the treatment and at the end. Results showed that the participants' expectations regarding the psychotherapy process and outcomes were quite high at the beginning of the treatment and rose significantly at the end. The same was true of the participants' expectations and perception of the specificities of psychodrama-demonstrating the participants' positive inclination towards this specific psychotherapeutic way of conducting psychodrama. Even though there were no age or gender differences, there were, differences between participants' different diagnoses; there were significant differences in the expectations of both psychotherapy outcome and factors before treatment and perceptions of them after treatment.
-Burnout is frequently mentioned as a problem in the mental health field. As a type of prolonged response to chronic job-related stressors, has a special significance in health care where staff experience both psychological-emotional and physical stress. The aim of the paper was to determine the level of stress in professionals working in psychiatric hospital, as well as to explore possible differences in stress level regarding the different characteristic of participants as sex, level of education, marital status, working hours etc. The Burnout Clinical Subtypes Questionnaire was used. Study was conducted from July to December 2014, and from April to May 2015. The sample of 141 participants who work in mental health profession consists of 39.9% male and 68.1% female, average age of 38.98 years. Overall results show that participants have lower scores on all subscales. The results showed that there is moderate burnout experience in the sense that participants feel overload when they try to maximize their reward by taking on a volume and pace of work that become excessive. This questionnaire can be a very useful instrument for future evaluation and designing interventions and different treatment strategies for subtypes of burnout.
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