{"id":76523,"date":"2013-05-20T23:37:41","date_gmt":"2013-05-20T21:37:41","guid":{"rendered":"https:\/\/sandzakpress.net\/arhiva\/?p=76523"},"modified":"2013-05-20T23:37:41","modified_gmt":"2013-05-20T21:37:41","slug":"ne-brinite-nemate-psihicki-poremecaj","status":"publish","type":"post","link":"https:\/\/sandzakpress.net\/arhiva\/ne-brinite-nemate-psihicki-poremecaj\/","title":{"rendered":"“Ne brinite, nemate psihi\u010dki poreme\u0107aj”"},"content":{"rendered":"

\"\"<\/a>Od depresije do anksioznosti i poreme\u0107aja pa\u017enje \u2013 sve vi\u0161e dece na Zapadu dobija dijagnozu psihi\u010dkih poreme\u0107aja i propisanu terapiju. Da li je mentalno zdravlje najmla\u0111ih zaista tako slabo?<\/em><\/strong><\/p>\n

D\u017eejms Dejvis, psiholog koji je radio u britanskom Ministarstvu zdravlja, u op\u0161irnom \u010dlanku objavljenom u listu Daily Mail tvrdi da su ovakve dijagnoze posledica nedostatka etike u psihijatrijskoj struci.<\/p>\n

Samo u poslednjih 10 godina dijagnoze poreme\u0107aja pa\u017enje (ADHD) tako su porasle, da se smatra da u Evropi gotovo pet posto dece pati od ovog poreme\u0107aja, a da gotovo 15 odsto dece ima neki od mentalnih poreme\u0107aja.<\/p>\n

Kada je re\u010d o odraslima, u Velikoj Britaniji \u010dak \u010detvrtina njih mogla bi se smatrati obolelim od bar jednog psihi\u010dkog oboljenja.<\/p>\n

Pedesetih godina pro\u0161log veka bio je svega jedan oboleli od 100 gra\u0111ana. Za\u0161to se onda broj tako drasti\u010dno promenio?<\/p>\n

Obja\u0161njenje le\u017ei u tome da ve\u0107ina znanja o postavljanju dijagnoza mentalnih poreme\u0107aja nije nau\u010dno utemeljena, tvrdi dr Dejvis.<\/p>\n

Za razliku od drugih oblasti medicine u kojima lekar mo\u017ee nalo\u017eiti analizu krvi i urina za utvr\u0111ivanje fizi\u010dkog osnova za postavljanje dijagnoze, kod psihijatara takvi metodi ne postoje.<\/p>\n

\u201cKada pogledamo u poreklo Priru\u010dnika za dijagnostiku mentalnih poreme\u0107aja vidimo neke vrlo uznemiruju\u0107e \u010dinjenice. Intervjuisao sam dr Roberta \u0160picera, psihijatra sa Univerziteta u Kolumbiji koji je bio zadu\u017een za sastavljanje tre\u0107eg izdanja Priru\u010dnika, koji je bio prekretnica u psihijatrijskoj praksi.<\/p>\n

On i njegov tim naveli su 80 novih mentalnih poreme\u0107aja. Na primer, posttraumatski stres sindrom i depresija, postali su tako rasprostranjene dijagnoze, kao i prehlada\u201d, ka\u017ee dr Dejvis.<\/p>\n

\u201cKada sam pri\u010dao sa dr \u0160picerom on mi je rekao: \u2018Postoji svega nekolicina mentalnih poreme\u0107aja u Priru\u010dniku koji imaju jasan biolo\u0161ki uzrok a me\u0111u njima su epilepsija i Alchajmerova bolest. Sve ostale nemaju ni jedan biolo\u0161ki uzrok\u2019. Drugim re\u010dima definicije su napravljene na osnovu toga \u0161ta su \u010dlanovi komiteta za sastavljanje Priru\u010dnika \u017eelele da u njega u\u0111e\u201d.<\/p>\n

Rene Garfinkel, psiholog koja je u\u010destvovala u dva komiteta za sastavljanje priru\u010dnika rekla je Dejvisu: \u201cOno \u0161to sam videla na sastancima komiteta nije bilo nau\u010dnog karaktera \u2013 sve je vi\u0161e li\u010dilo na to da se grupa prijatelja dogovarala gde \u0107e da ode na ve\u010deru.<\/p>\n

Jednom prilikom postojala je diskusija o tome da li odre\u0111eno pona\u0161anje mo\u017ee biti klasifikovano kao simptom odre\u0111enog poreme\u0107aja. Na moje zaprepa\u0161tenje, jedan od \u010dlanova je rekao: \u2018Ne, mi ne mo\u017eemo uklju\u010diti to pona\u0161anje kao simptom, jer se i ja tako pona\u0161am\u2019. Zato je odlu\u010deno da to pona\u0161anje ne mo\u017ee biti uklju\u010deno u priru\u010dnik, jer se podrazumevalo da ako ga neko iz komiteta ima, ono mora biti normalno\u201d.<\/p>\n

Dr Dejvis prime\u0107uje da je rezultat sve ve\u0107eg broja poreme\u0107aja u Priru\u010dniku to da raste broj pacijenata sa dijagnozom, a time i onih koji dobijaju lekove za mentalne bolesti.<\/p>\n

Du\u0161evni bol kao bolest<\/h2>\n
\n
\"Carsten<\/div>\n
Carsten Schertzer \/ Flickr.com<\/div>\n<\/div>\n

Ovog meseca objavljeno je peto izdanje Priru\u010dnika koje je izazvalo i najvi\u0161e polemike, budu\u0107i da bi moglo da dovede do toga da milioni ljudi bez realne potrebe dobiju dijagnozu psihi\u010dkih bolesnika.<\/p>\n

Jedan od poreme\u0107aja naveden u novom priru\u010dniku \u010dak je i tuga uzrokovana gubitkom bliske osobe, a ukoliko se simptomi iste (nesanica, pla\u010d, nemogu\u0107nost koncentrisanja, umor i slab apetit) budu pojavljivali i posle dve nedelje od smrti voljene osobe, o\u017ealo\u0161\u0107eni dobija dijagnozu depresije.<\/p>\n

Za svaki od poreme\u0107aja iz priru\u010dnika, postoji po lek, koji navodno uspostavlja \u201chemijsku ravnote\u017eu\u201d u mozgu.<\/p>\n

Me\u0111utim, uprkos \u010dak 50 godina istra\u017eivanja teorije o hemijskom disblansu kao uzroku psihijatrijskih problema, nije prona\u0111en ni jedan dokaz za to, tvrdi dr Dejvis, dodaju\u0107i da to naro\u010dito va\u017ei za antidepresive.<\/p>\n

Farmaceutska industrija dobija vi\u0161e od 15 milijardi evra godi\u0161nje samo od prodaje antidepsesiva, u \u010diju su efikasnost lekari ube\u0111eni.<\/p>\n

Dr Dejvis, me\u0111utim, ka\u017ee da nau\u010dna istra\u017eivanja pokazuju suprotno.<\/p>\n

\u201cDa bih to dokazao, posetio sam profesora Irvinga Kir\u0161a, direktora Medicinskog fakulteta na Harvardu i mo\u017eda jednoj od najistaknutijih nau\u010dnika u savremenim istra\u017eivanjima o antidepresivima.<\/p>\n

Kir\u0161 je analizirao da li su antidepresivi efikasniji od placeboa i otkrio da razlike u delovanju gotovo da nema\u201d, ka\u017ee Dejvis.<\/p>\n

Za\u0161to onda lekari propisuju tako mnogo lekova, ako nema dokaza za njihovu delotvornost?<\/p>\n

Gotovo sva istra\u017eivanja psihijatrijskih lekova poti\u010du iz farmaceutske industrije, \u010dime su kompromitovani nau\u010dni standardi, a ispitivanjima manipulisano u cilju pove\u0107avanja profita, tvrdi Dejvis.<\/p>\n

\u010clanak objavljen u Medicinskom \u017eurnalu Nove Engleske 2008. sastoji se od analize vi\u0161e od 70 studija o efikasnosti antidepresiva, a otkriveno je da vi\u0161e od 33 odsto njih ne pokazuju pozitivne rezultate u le\u010denju, ka\u017ee on.<\/p>\n

Ipak, do izra\u017eaja dolazi i jedan pozitivni trend: mali broj psihijatara po\u010dinje da se protivi pristupu \u201cvi\u0161e dijagnoza, vi\u0161e lekova\u201d, a jedan od njih je i dr Sami Timimi, psihijatar i direktor medicinskog obrazovanja u Ministarstvu zdravlja Velike Britanije.<\/p>\n

\u201cRekao mi je: \u2018Sada\u0161nji okvir dijagnoza ne poma\u017ee pacijentima. Naprotiv!\u2019 Prema njegovom mi\u0161ljenju, dokazi pokazuju da problem nije dijagnoza i propisivanje lekova, nego etiketiranje ljudi i medikalizacija problema, koji po svojoj prirodi nisu medicinski\u201d, ka\u017ee dr Dejvis.<\/p>\n

(B92)<\/p>\n","protected":false},"excerpt":{"rendered":"

Od depresije do anksioznosti i poreme\u0107aja pa\u017enje \u2013 sve vi\u0161e dece na Zapadu dobija dijagnozu psihi\u010dkih poreme\u0107aja i propisanu terapiju. Da li je mentalno zdravlje najmla\u0111ih zaista tako slabo? D\u017eejms Dejvis, psiholog koji je radio u britanskom Ministarstvu zdravlja, u op\u0161irnom \u010dlanku objavljenom u listu Daily Mail tvrdi da su ovakve dijagnoze posledica nedostatka etike […]<\/p>\n","protected":false},"author":13,"featured_media":76524,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[807],"tags":[],"class_list":{"0":"post-76523","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-zivot"},"yoast_head":"\n"Ne brinite, nemate psihi\u010dki poreme\u0107aj"<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sandzakpress.net\/arhiva\/ne-brinite-nemate-psihicki-poremecaj\/\" \/>\n<meta property=\"og:locale\" content=\"bs_BA\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\""Ne brinite, nemate psihi\u010dki poreme\u0107aj"\" \/>\n<meta property=\"og:description\" content=\"Od depresije do anksioznosti i poreme\u0107aja pa\u017enje \u2013 sve vi\u0161e dece na Zapadu dobija dijagnozu psihi\u010dkih poreme\u0107aja i propisanu terapiju. Da li je mentalno zdravlje najmla\u0111ih zaista tako slabo? 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