Rehab Centers: Interrogating Discourse: The Application of Foucault’s Methodological Discussion to Specific Inquiry.

Interrogating discourse: The application of Foucault’s methodological discussion to specific inquiry.

Filed under: Rehab Centers

Health (London). 2012 Nov 1;
Fadyl JK, Nicholls DA, McPherson KM

Discourse analysis following the work of Michel Foucault has become a valuable methodology in the critical analysis of a broad range of topics relating to health. However, it can be a daunting task, in that there seems to be both a huge number of possible approaches to carrying out this type of project, and an abundance of different, often conflicting, opinions about what counts as ‘Foucauldian’. This article takes the position that methodological design should be informed by ongoing discussion and applied as appropriate to a particular area of inquiry. The discussion given offers an interpretation and application of Foucault’s methodological principles, integrating a reading of Foucault with applications of his work by other authors, showing how this is then applied to interrogate the practice of vocational rehabilitation. It is intended as a contribution to methodological discussion in this area, offering an interpretation of various methodological elements described by Foucault, alongside specific application of these aspects.
HubMed – rehab

 

Self-reported treatment, workplace-oriented rehabilitation, change of occupation and subsequent sickness absence and disability pension among employees long-term sick-listed for psychiatric disorders: a prospective cohort study.

Filed under: Rehab Centers

BMJ Open. 2012; 2(6):
Bryngelson A, Mittendorfer-Rutz E, Jensen I, Lundberg U, Asberg M, Nygren A

To examine whether self-reported treatments, workplace-oriented rehabilitation and change of occupation were associated with subsequent sickness absence and disability pension among long-term sick-listed for psychiatric disorders.A prospective cohort study.5200 employees (80% from the Swedish municipalities and county councils and 20% manual workers from the Swedish industry) were randomly selected who in 1999 in the register of AFA Insurance had a new spell of long-term sickness absence due to a psychiatric disorder. Of these, 99 were excluded (duplicates and deaths, persons living abroad, with protected personal information), and 5101 received a questionnaire in 2001. 3053 individuals responded (60%). After the exclusion of employees with no sick leave in 1999 according to the Swedish social insurance agency, aged 62 years and older, with disability pension 1999-2001, no self-reported treatment, and with missing information on the covariates, our final study group was 2324 individuals. Logistic regression analyses were performed.Sickness absence (>90 days) and disability pension (>0 day).45% had sickness absence and 18% a new disability pension in 2002. Drug treatment and physiotherapy, respectively, were associated with increased odds of sickness absence (OR 1.56, 95% CI 1.28 to 1.90; OR 1.43, 95% CI 1.21 to 1.69), and disability pension (OR 1.79, 95% CI 1.34 to 2.41; OR 1.75, 95% CI 1.40 to 2.18). Workplace-oriented rehabilitation and change of occupation, respectively, reduced the odds of sickness absence (OR 0.70, 95% CI 0.59 to 0.83; OR 0.35, 95% CI 0.27 to 0.45).We found a pattern of poorer outcome of drug treatment and physiotherapy compared with other treatments (psychotherapy, workplace-oriented rehabilitation and complementary or alternative medicine) in terms of increased odds of sickness absence and disability pension. Workplace-oriented rehabilitation and/or change of occupation were associated with reduced odds of sick leave. Studies with a randomised controlled trial design are needed to examine the effect on sick leave of a workplace-oriented intervention.
HubMed – rehab

 

Integrated care, recovery-consistent care features, and quality of life for patients with serious mental illness.

Filed under: Rehab Centers

Psychiatr Serv. 2012 Nov 1; 63(11): 1142-5
Bowersox NW, Lai Z, Kilbourne AM

OBJECTIVE The goal of this study was to evaluate relationships between recovery-supportive and integrated care features with health-related quality of life for veterans with serious mental illness. METHODS Data were utilized from several national Veterans Affairs (VA) databases for 2,394 patients with serious mental illness from 107 VA sites. Regressions evaluated relationships between health-related quality of life and care features. RESULTS Higher quality of life in regard to general health was associated with sites that offered peer support (?=1.79, p<.01) and with patients’ increased understanding of their treatment (?=.80, p<.01), whereas lower quality of life was associated with sites with colocated general medical and mental health care providers (?=-1.37, p<.05) and family psychoeducation (?=-1.41, p<.05). Care at sites with vocational rehabilitation (?=1.38, p<.05), peer support (?=1.85, p<.05), and colocated providers (?=1.60, p<.05) and patients’ increased understanding of care (?=.82, p<.01) were all associated with increased mental health quality of life, whereas reduced mental health quality of life was associated with care at sites with social skills training (?=-1.48, p<.05) or increased levels of care collaboration between primary care and mental health providers (?=-.27, p<.01). CONCLUSIONS Recovery-oriented care might be associated with increased health-related quality of life among patients with serious mental illness.
HubMed – rehab

 

Isolated theory of mind deficits and risk for frontotemporal dementia: a longitudinal pilot study.

Filed under: Rehab Centers

J Neurol Neurosurg Psychiatry. 2012 Nov 1;
Pardini M, Leonardo Emberti G, Mascolo M, Benassi F, Abate L, Guida S, Viani E, Dal Monte O, Schintu S, Krueger F, Cocito L

OBJECTIVE: Recent data suggest that theory of mind (ToM) deficits represent an early symptom of the behavioural variant of frontotemporal dementia (bvFTD). However, longitudinal data on the natural history of subjects presenting with isolated ToM deficits are lacking. The aim of the study was to verify if isolated ToM deficits represent an at-risk state for prefrontal dysfunction and bvFTD. METHODS: A population of healthy subjects (n=4150, age range: 50-60 years) completed a clinical and neuropsychological evaluation including the Reading the Mind in the Eyes Test (RMET), a widely used ToM task. From this group, we recruited a low-RMET group (n=83) including subjects with RMET scores lower than 2 SDs but an otherwise normal neuropsychological evaluation and a control group. All subjects underwent evaluation at baseline and after 2 years. RESULTS: Subjects in the low-RMET group showed decline in prefrontal functions at follow-up. Moreover, at follow-up 12 subjects in the low-RMET group presented with findings suggestive of bvFTD. Neuropsychological performance was stable in the control group. CONCLUSIONS: Our data suggest that isolated ToM deficits could represent an at-risk situation for the development of future prefrontal dysfunction and bvFTD. ToM evaluation should be included in neuropsychological protocols aimed to evaluate the early phases of dementia.
HubMed – rehab

 

 

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