Social representations of the psychiatric care in Tunisia
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Abstract
Background: The progress in the field of the treatment of the mental illnesses is considerable. However, the clinical reality confirms the delay in access to care for numerous patients. This avoidance is due,in big part, to the pejorative representations of the psychiatrics’system care.
Aim: To assess the social images in the Tunisian population, regarding 3 stereotypes: “insane”, “mentally ill” and “depressive”.
Methods: The used instrument is the socio-anthropological questionnaire of the " Mental health in general population: images and realities" survey.
Results: The medicinal treatment occupies the first place of the planned care for an “insane” and for the “mentally ill". For the "depressive" and for our self, population would rather use relational support. Also, we notice that the family, in spite of its suffering and of the undergone daily load, is given is a central place in perception of the care for psychiatric pathologies.
Conclusion: Finally, an “insane” is not perceived as possibly cured while it is more expected for the "mentally ill” and even more for the “depressive", even without any medical intervention. In the term of our analysis, let us underline the misunderstanding of the available therapeutic possibilities in psychiatry and the necessity of large-scale raising awareness.
Aim: To assess the social images in the Tunisian population, regarding 3 stereotypes: “insane”, “mentally ill” and “depressive”.
Methods: The used instrument is the socio-anthropological questionnaire of the " Mental health in general population: images and realities" survey.
Results: The medicinal treatment occupies the first place of the planned care for an “insane” and for the “mentally ill". For the "depressive" and for our self, population would rather use relational support. Also, we notice that the family, in spite of its suffering and of the undergone daily load, is given is a central place in perception of the care for psychiatric pathologies.
Conclusion: Finally, an “insane” is not perceived as possibly cured while it is more expected for the "mentally ill” and even more for the “depressive", even without any medical intervention. In the term of our analysis, let us underline the misunderstanding of the available therapeutic possibilities in psychiatry and the necessity of large-scale raising awareness.
Keywords:
Medicines, hospitalization, relational support, family, cure, social images##plugins.themes.academic_pro.article.details##
References
- Caria A, Roelandt JL, Bellamy V, Vandeborre A. « Santé Mentale en Population Générale : images et réalités (SMPG) » : Présentation de la méthodologie d'enquête. L'Encéphale 2010; 36:1-6
- Lonjarret S. De la santé mentale vers la psychiatrie. Thèse de doctorat en médecine. Lyon 2004: 56.
- Scheid F. Raveu F. Représentations sociales de la maladie mentale. Editions Techniques. EMC, Psychiatrie, 37725 E10, 1991, 5p.
- Thuile J, Rouillon F. Psychiatrie Pédopsychiatrie. Elsevier Masson, 2008 : 32.
- Reynaud M. La peur du fou, l'image de la maladie mentale et de la psychiatrie. Psychologie médicale 1992;24: 339-43.
- Kessler RC, Berglund P, Demler O et al. Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry 2005;62:593-602.
- Lépine JP, Gasquet I, Kovess V et al. Prévalence et comorbidité des troubles psychiatriques dans la population générale française: résultats de l'étude épidémiologique. ESEMeD/MHEDEA 2000. L'Encéphale 2005;31:182-94.
- Bottéro A. Classifier sans stigmatiser : le cas de la schizophrénie. L'information psychiatrique 2001;87:199-09
- Defroment L, Roelandt JL. Les représentations sociales du “fou”, du “malade mental” et du “dépressif”. Information Psychiatrique 2003;79: 887-94.
- Roelandt JL, Caria A, Anguis M, Benoist J, Bryden B et Defromont L. La santé mentale en population générale : images et réalités. Résultats de la première phase d'enquête 1998-2000. L'Information psychiatrique 2003;79: 867-78.
- Douki, Nacef F, Benzineb S et al. Schizophrénie et culture : réalités et perspectives à partir de l'expérience tunisienne. L'encéphale 2007;33:21-29.
- Rafrafi R, Zaghdoudi L, Mahbouli M. Pronostic social des schizophrénies en Tunisie : étude transversale à propos de 60 cas. L'encéphale 2009;35:234-40.