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Yıl:2011; Cilt: 4; Sayı: 4>> Özet
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2011;4(4):18-25
Koruyucu Psikiyatri Açısından Çocuk Yetiştirme, Aile ve Toplum
YI Taner, AE Tufan
Gazi Üniv. Tıp Fak. Çocuk Psikiyatrisi AD, Ankara
Koruyucu psikiyatri, ruhsal bozuklukların sıklığı, yaygınlığı, tekrarı veya depreşmesi için risk etkenlerinin belirlenmesi ve azaltılması ile ilgilenir. Bu yaklaşımın temel amacı, ruhsal bozuklukların belirtilerinin etkin olduğu dönemi kısaltabilmek, dolayısıyla bozukluğun birey, toplum ve aile için yarattığı yükü hafifletebilmektir. Çocuk ve ergen psikiyatrisinde ve gelişimsel psikopatoloji alanında bütüncül bir değerlendirmenin hemen her zaman olumlu gelişmeyi engelleyen risk etkenlerinin yanı sıra olumlu gelişimi sağlayacak koruyucu etkenleri de içermesi, ruhsal bozukluğu olan çocukların yanı sıra, ebeveynlere gelişimsel özellikler için danışma da sağlanabilmesi ve koruyucu ruh sağlığı programlarında görev alınabilmesi nedeniyle, koruyucu uygulamaların çocuk ve ergen psikiyatrisi içerisinde daha büyük bir yer tuttuğu öne sürülebilir. Çocukluk çağı gelişiminin yaşam boyu oluşabilecek psikiyatrik fenotiplerle bağlantılı olabileceği düşünülmektedir. Bu nedenle, çocuk ve ergenlerdeki koruyucu önlemler erişkindekilere göre daha etkin ve kalıcı bir sonuç verebilir.
Child Rearing, Family, and Society According to Preventive Psychiatry
Preventive psychiatry is concerned with identifying and reducing risk factors for incidence, prevalence, recurrence and relapse of mental disorders. Its main aim is to shorten the period of active symptoms of mental disorders, reducing the individual, familial and societal burden of the disorder. Because a comprehensive evaluation in child and adolescent psychiatry and developmental psychopathology almost always involves identifying risk factors against positive development as well as protective factors ensuring it, that in addition to children with mental disorders parents can be counseled on developmental features and that clinicians may be part of protective mental health programs, it may be argued that protective applications may form a greater part of child and adolescent psychiatry. It is thought that development throughout childhood may be linked with psychiatric phenotypes through life. Therefore, protective measures in children and adolescents may provide more effective and stable results than those in adults.

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