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Biomedical subjects

F Seywert

Publications and source records attributed to F Seywert.

8 recordsLinked to original sources

[Informed consent in the framework of biomedical research: a survey].

Inquiry on the quality and steps taken to obtain informed consents for biomedical research projects, based on the cases of 39 patients coming from 15 different projects with immediate therapeutic goals and 16 healthy subjects coming from 4 different projects without immediate therapeutic goals. Comparison between observed reality and the more or less demanding norms that were recommended. We noted a much bigger gap (therefore a consent actually informed in a lesser way) in the group of patients than in the group of healthy subjects. Explanatory hypotheses: the healthy subjects' higher social and cultural level, but also the investigators' difficulty and comprehensible discomfort to integrate, with respect to the patient, the essentially different and possibly contradictory points of view of scientific research and medical care; the "double market" notion.

Adult↗

[Family interventions in crisis: a clinical case].

The authors make a clear difference between the traditional pattern of the psychiatric emergency and the interactional and more integrating conceptualization of the crisis' state. In an ecosystemic perspective they chiefly pay attention to the relation context in which the designated patient and his family are living. They make this clear by describing how the admission to the hospital of a "designated patient" has been avoided by the help of an intervention in the crisis' family and how they have been helped in gathering their resources during a critical period of their life-cycle.

Acculturation↗

Some critical thoughts on expressed emotion.

After a brief description of the principal findings which emerge from the studies on expressed emotion (EE), the author puts forward a few critical thoughts based on a systemic orientation. He explains why the variable EE evaluated on the basis of the Camberwell Family Interview (CFI) does not sufficiently reflect the dynamic reality of the family interactions and, in particular, he criticizes the establishment of a linear causality relationship between family EE and the development of the individual illness. He shows the limitations of psycho-educational programmes while acknowledging their place in the overall supportive family therapies.

Communication↗

[Psychiatric emergencies and systems thinking].

According to the "ecosystemic" model, the author proposes to substitute for the traditional view of the psychiatric emergency the concept of crisis state and process in the relational field of the identified patient. He describes the different steps of a family crisis intervention, showing how a psychiatric clinic can function as a center of crisis intervention; than he underlines how the systemic model allows to get an optimal coordination of the institutional context and to handle some "emergencies" arising in the clinic.

Crisis Intervention↗