Management in Health, Vol 18, No 1 (2014)

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THEORETICAL APPROACH ABOUT THE ADAPTIVE RESPONSES IN DISASTER PSYCHIATRY

M.C BOER, Nica UDANGIU, L ŢILEA

Abstract


Understanding disaster psychiatry involved changing several paradigms:

• The first major change involves the focus of care on those that have not yet changes of illness

In disaster situations, the diagnosis of a mental disorder arises carefully after preliminary examination.

In the acute phase psychiatrist has a duty to make psycho-education and encourage natural recovery, spontaneous rather than treat.

In terms of disaster, the physician should treat the person on site.

Studies of psychiatric disorders resulting from disasters belong to a broader range of research on stress. Developed theories propose the following model: external needs (represented by the traumatic event that is the primary stressor) require a response that is based on internal or external resources. Loss or reduction of these resources, either specific (social, financial) or symbolic (beliefs, expectations) are considered as secondary stressors and can have severe impact on recovery. The incidence of PTSD and functional impairment in the general population following a disaster is significantly lower than that evidenced in the directly exposed population.

CONCLUSION. Disaster psychiatry, a newer but very important branch of psychiatry has a decisive role in prevention, response and psychic recovery of people in a disaster case. It is a new way of working in psychiatry, often held to the spot of a traumatic event and which requires multiple approaches - short and long term approaches, in order to eliminate any negative consequences on the human psychic

Keywords: Disaster psychiatry, stress, posttraumatic stress disorder (PTSD)


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Journal published by SNSPMS