KNJIGA APSTRAKATA BOOK OF ABSTRACTS

KNJIGA APSTRAKATA BOOK OF ABSTRACTS

IV KONGRES PSIHIJATARA BOSNE I HERCEGOVINE | 3 (Banja Luka, 16. – 19. novembar 2017)

KNJIGA APSTRAKATA BOOK OF ABSTRACTS

IV CONGRESS OF PSYCHIATRY OF BOSNIA AND HERZEGOVINA (Banja Luka, November 16 – 19, 2017)

IV KONGRES PSIHIJATARA BOSNE I HERCEGOVINE | 5 (Banja Luka, 16. – 19. novembar 2017)

PLENARNA PREDAVANJA PLENARY LECTURES

IV CONGRESS OF PSYCHIATRY OF BOSNIA AND HERZEGOVINA (Banja Luka, November 16 – 19, 2017)

IV KONGRES PSIHIJATARA BOSNE I HERCEGOVINE | 7 (Banja Luka, 16. – 19. novembar 2017) PL_01

FIFTY YEARS OF PSYCHIATRY IN ITS CONTEXT

Norman Sartorius

Association for the Improvement of Mental Health Programmes, Geneva, Switzerland

The context in which psychiatry is developing exerted a significant impact on its paradigms and the perspectives of its future. Urbanisation, globalisation, emphasis on economic criteria of success and massive population movements with consequent social changes made most of the paradigms of psychiatry defined in the late 20th Century obsolete. This concerned the organization of mental health care, education of health workers as well as the main directions of research in the field of mental health. The lecture will discuss these developements and suggest the outlines of paradigms of psychiatry in the early decades of the 21st Century. Keywords: Psychiatry, Context, Paradigm.

PET DESETLJEĆA PSIHIJATRIJE U KONTEKSTU

Norman Sartorius

Association for the Improvement of Mental Health Programmes, Ženeva, Švajcarska

Kontekst u kojemu se psihijatrija razvija imao je značajan utjecaj na paradigme i perspektive njezine budućnosti. Urbanizacija, globalizacija, naglasak na ekonomskim kriterijima uspjeha i masovno kretanje stanovništva s društvenim promjenama koje su slijedile, učinili su zastarjelima većinu paradigmi psihijatrije, koje su definirane u kasnim godinama dvadesetog stoljeća. To se odnosi na načine i modele organiziranja mentalno-zdravstvene skrbi, obrazovanje zdravstvenih radnika, kao i na glavne vodilje u istraživanjima iz oblasti mentalnog zdravlja. Predavanje će razmotriti ta zbivanja i predložiti osnovne crte paradigmi psihijatrije u ranom dvadestprvom stoljeću. Ključne riječi: psihijatrija, kontekst, paradigma.

References/Literatura: 1. Sartorius, N. (2016) Psychiatry and Society 2015 Swiss Archives of Psychiatry, Neurology and Psychotherapy 167:108-113. 2. Sartorius, N.(2013) Some wobbly planks in the platform of mental health care Pp 394-402 in Thornicroft, G. et al (eds) Improving Mental Health Care: a global challenge, John Wiley and Sons Ltd.

IV CONGRESS OF PSYCHIATRY OF BOSNIA AND HERZEGOVINA (Banja Luka, November 16 – 19, 2017) IV KONGRES PSIHIJATARA BOSNE I HERCEGOVINE | 8 (Banja Luka, 16. – 19. novembar 2017) PL_02

FUTURE OF PSYCHIATRY: CHALLENGES AND OPPORTUNITIES

Afzal Javed

Warwick Medical School, University of Warwick, Nuneaton, United Kingdom

Mental disorders are highly prevalent and cause considerable suffering and disease burden all over the world. The public health impact of mental disorders is profound as the estimated disability-adjusted life-years attributable to mental disorders have been shown to be very high. Despite the growing evidence about the impact of mental illnesses, mental health services continue showing big gaps. With less number of mental health professionals, scarcity of mental health resources and now often facing additional problems of migration of trained psychiatrists and mental health professionals to the already resource rich countries, the situation gets even worse. There are also concerns among the professionals that profession is in crisis and that it faces a number of external and internal challenges. Issues regarding diagnosis, treatment, prognosis and outcome of mental health disorders along with de-medicalization of healthcare within mental health services and marginalisation of psychiatrists in service development and organisation are posing questions whether psychiatrists are endangered species. This paper presents an overview about such challenges and their impact on current understanding of some conceptual issues in psychiatry. It will be argued that there is no health without mental health and psychiatry should require innovation, networking and better understanding and orientations about nature and different dimensions of psychiatric disorders. It is hoped that such efforts would aim at promoting psychiatry as a preferred discipline among the medical profession as well as wider respect and acknowledgement from the general public.

Keywords: Psychiatry, Future Perspectives, Challenges, Opportunities.

References: 1. Katschnig H. Are psychiatrists an endangered species? Observations on internal and external challenges to the profession. World Psychiatry 2010; 9: 21–8. 2. Maj M. Are psychiatrists an endangered species? World Psychiatry 2010; 9: 1–2. 3. Wahlbeck K. Public mental health: the time is ripe for translation of evidence into practice. World Psychiatry 2015; 14: 36-42. 4. Bhugra D. Tasman, A; Pathar,S; et a. The WPA-Lancet Psychiatry Commission on the Future of Psychiatry Lancet Psychiatry 2017; 4: 775–818.

IV CONGRESS OF PSYCHIATRY OF BOSNIA AND HERZEGOVINA (Banja Luka, November 16 – 19, 2017) IV KONGRES PSIHIJATARA BOSNE I HERCEGOVINE | 9 (Banja Luka, 16. – 19. novembar 2017) PL_03

NEGATIVE SYMPTOMS IN SCHIZOPHRENIA: ASSESSMENT AND TREATMENT PERSPECTIVES

Armida Mucci

Department of Psychiatry, University of Campania Luigi Vanvitelli, Naples, Italy

Negative Symptoms represent core aspect of schizophrenia and predict poor outcome. They do not form an homogeneous symptom cluster and can be intrinsic to schizophrenia, or secondary to other psychopathological dimensions, such as positive symptoms or depression, to antipsychotic side-effects or to social isolation. While effective treatment for primary negative symptoms are not yet available, secondary negative symptoms can be prevented and treated to improve the outcome and quality of life of people with schizophrenia. In the last decade, a large consensus has been achieved concerning the construct and assessment of negative symptoms. New instruments were developed to better evaluate these symptoms, reducing the overlap between them and other dimensions of impairment in people with schizophrenia. However, in clinical settings, psychiatrists are less skilled in the evaluation of negative symptoms than of other symptom dimensions. The lecture will provide an overview of concepts, evidence, assessment and treatment of negative symptoms. Keywords: Schizophrenia, Negative Symptoms, Assessment, Treatment.

References: 1. Kirkpatrick B, Mucci A, Galderisi S. Primary, Enduring Negative Symptoms: An Update on Research. Schizophr Bull. 2017 Jul 1;43(4):730-736. 2. Mucci A, Merlotti E, Üçok A, Aleman A, Galderisi S. Primary and persistent negative symptoms: Concepts, assessments and neurobiological bases. Schizophr Res. 2017 Aug;186:19-28. 3. Galderisi S, Merlotti E, Mucci A. Neurobiological background of negative symptoms. Eur Arch Psychiatry Clin Neurosci. 2015 Oct;265(7):543-58. 4. Mucci A, Galderisi S, Merlotti E, Rossi A, Rocca P, Bucci P, Piegari G, Chieffi M, Vignapiano A, Maj M; Italian Network for Research on Psychoses. The Brief Negative Symptom Scale (BNSS): Independent validation in a large sample of Italian patients with schizophrenia. Eur Psychiatry. 2015 Jul;30(5):641-7.

IV CONGRESS OF PSYCHIATRY OF BOSNIA AND HERZEGOVINA (Banja Luka, November 16 – 19, 2017) IV KONGRES PSIHIJATARA BOSNE I HERCEGOVINE | 10 (Banja Luka, 16. – 19. novembar 2017) PL_04

HOW TODAY PSYCHOANALYSIS CAN CONTRIBUTE TO MODERN PSYCHIATRY

Michel Botbol1,2

1Child and Adolescent Psychiatry, Hopital de Bohars, Bohars, France 2University of Western Brittany, Brest, France

Starting with the observation that, after the time wher