Revisiting affect: Which states to measure, and how_Lucia Macchia.pdf
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OECD Conference on New Frontiers in Subjective Well-being Measurement, 4 March 2024, Paris, France
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Citation of a related scientific paper:
Manea, V., & Wac, K. (2020). Co-Calibrating Physical and Psychological Outcomes and Consumer Wearable Activity Outcomes in Older Adults: An Evaluation of the coQoL Method. Journal of Personalized Medicine, 10(4), 203.
The talk details:
Katarzyna Wac, "coQoL Approach", International Society for Quality of Life Research (ISOQOL) Conference, PLENARY SESSION: “Video killed the radio star”: How technology is changing the way we collect, analyze and interpret patient-relevant data, October 2020
Video: https://youtu.be/9c5lyD4gQD4
coQoL Approach: coCalibrating Physical and Psychological Outcomes & Consumer...
coQoL Approach: coCalibrating Physical and Psychological Outcomes & Consumer...Katarzyna Wac & The QoL Lab
Thank You for referencing this work, if you find it useful!
Citation of a related scientific book:
Wac, K., Wulfovich, S. (2021). Quantifying Quality of Life, Series: Health Informatics, Springer Nature, Cham, Switzerland.
The talk details:
Katarzyna Wac, “Remote quality of life assessment: ‘What is always speaking silently is the body'”. Digital Health Connect Conference, Sion, Switzerland
Video: https://www.digitalhealthconnect.ch/en/Remote quality of life assessment: ‘What is always speaking silently is the b...
Remote quality of life assessment: ‘What is always speaking silently is the b...Katarzyna Wac & The QoL Lab
Recommended
Thank You for referencing this work, if you find it useful!
Citation of a related scientific paper:
Manea, V., & Wac, K. (2020). Co-Calibrating Physical and Psychological Outcomes and Consumer Wearable Activity Outcomes in Older Adults: An Evaluation of the coQoL Method. Journal of Personalized Medicine, 10(4), 203.
The talk details:
Katarzyna Wac, "coQoL Approach", International Society for Quality of Life Research (ISOQOL) Conference, PLENARY SESSION: “Video killed the radio star”: How technology is changing the way we collect, analyze and interpret patient-relevant data, October 2020
Video: https://youtu.be/9c5lyD4gQD4
coQoL Approach: coCalibrating Physical and Psychological Outcomes & Consumer...
coQoL Approach: coCalibrating Physical and Psychological Outcomes & Consumer...Katarzyna Wac & The QoL Lab
Thank You for referencing this work, if you find it useful!
Citation of a related scientific book:
Wac, K., Wulfovich, S. (2021). Quantifying Quality of Life, Series: Health Informatics, Springer Nature, Cham, Switzerland.
The talk details:
Katarzyna Wac, “Remote quality of life assessment: ‘What is always speaking silently is the body'”. Digital Health Connect Conference, Sion, Switzerland
Video: https://www.digitalhealthconnect.ch/en/Remote quality of life assessment: ‘What is always speaking silently is the b...
Remote quality of life assessment: ‘What is always speaking silently is the b...Katarzyna Wac & The QoL Lab
Abstract
Not only is the coronavirus crisis a natural laboratory of stress offering health and social care services a unique historical opportunity to observe its impact on entire populations around the world, but the responses to the crisis by international health authorities, such as the WHO, along with national and local educational institutions and health care and social services, are creating an unprecedented and unpredictable environment for children and youth. This hostile new environment for growth and development is marked by the sudden and unpredictable imposition of confinement and social isolation, cutting off or limiting opportunities for the development of cognitive abilities, peer relationships, and social skills, while exposing vulnerable children and youth to depriving, negligent, or even abusive home environments.
For this reason, this crisis has been renamed a syndemic, encompassing two different categories of disease—an infectious disease (SARS-CoV-2) and an array of non-communicable diseases (NCDs). Together, these conditions cluster within specific populations following deeply-embedded patterns of inequality and vulnerability (Horton, 2020). These pre-existing fault lines of inequity, poverty, mental illness, racism, ableism, ageism create stigma and discrimination and amplify the impacts of this syndemic. And children are the most vulnerable population around the world. The impact on children is part of a cascade of consequences affecting societies at large, smaller communities, and the multigenerational family, all of which impinge on children and youth as the lowest common denominator (Di Nicola & Daly, 2020).
This exceptional set of circumstances—in response not only to the biomedical and populational health aspects but also in constructing policies for entire societies—is creating an “experimental childhood” for billions of children and youth around the world. With its commitment to the social determinants of health and mental health, notably in light of the monumental Adverse Childhood Events (ACE) studies (Felitti & Anda, 2010), social psychiatry and global mental health in partner with child and family psychiatry and allied professions must now consider their roles for the future of these “experimental children” around the world. The parameters for observing the conditions of this coronavirus-induced syndemic in the family and in society, along with recommendations for social psychiatric interventions, and prospective paediatric, psychological, and social studies will be outlined.
Keywords: Children & families, COVID-19, syndemic, ACE Study, confinement, social isolation“The Experimental Child”: Child, Family & Community Impacts of the Coronaviru...
“The Experimental Child”: Child, Family & Community Impacts of the Coronaviru...Université de Montréal
CASP Workshop on Social Psychiatry
Canadian Psychiatric Association 72nd Annual Conference
Toronto, Ontario
October 27 – 29, 2022
Title:
Social Psychiatry Perspectives on the Health of Canadians:
A Social Psychiatry Manifesto & Intimate Partner Violence
Symposium Panel:
1. Vincenzo Di Nicola (Chair & Presenter, Montreal, QC)
2. Daphne Marussi (Presenter, Sherbrooke, QC)
Abstract:
This workshop sponsored by the Canadian Association of Social Psychiatry (CASP) reviews two contemporary Canadian psychiatric issues from a social psychiatry perspective:
1. Vincenzo Di Nicola (Montreal, QC) presents a social psychiatry manifesto with an overview of Social Psychiatry in the 21st century by surveying three main branches of Social Psychiatry: (1) psychiatric epidemiological studies and public health; (2) community psychiatry; and (3) relational and social therapies such as couple, family and community therapies. Implications for research, practice, and teaching in social psychiatry will be outlined.
2. Daphne Marussi (Sherbrooke, QC) explores Intimate Partner Violence (IPV) which describes an alarming aspect of relational violence with major social psychiatric consequences: the physical, sexual, or psychological harm by a current/former partner that is associated with many mental disorders from anxiety and depression to eating and substance abuse disorders. This presentation discusses different forms of psychological abuse and coercive control in IPV, the abused/abuser bond and their impacts and consequences.
References:
1. Di Nicola, V. Review article—“A person is a person through other persons”: A Social Psychiatry manifesto for the 21st century. World Social Psychiatry, 2019, 1(1): 8-21.
2. Snyder, R.L. No Visible Bruises - What We Don’t Know About Domestic Violence Can Kill Us. New York, NY, Bloomsbury Publishing, 2019.
Learning Objectives:
1. Redefine Social Psychiatry, name and describe its main branches: psychiatric epidemiology, community psychiatry, and relational therapies.
2. Describe Intimate Partner Violence (IPV) mainly against women, with examples of its mental health impacts, and its importance in Canadian society.
DOI: 10.13140/RG.2.2.32952.62728Social Psychiatry Perspectives - Di Nicola & Marussi - CPA Toronto - 29.10.2...
Social Psychiatry Perspectives - Di Nicola & Marussi - CPA Toronto - 29.10.2...Université de Montréal
World Psychiatric Association
World Congress – Bangkok, Thailand 2020
WPA-WASP Inter-organizational Symposium
“The Experimental Child”:
Developmental Impacts of the Coronavirus Pandemic on Children
and the Future of Social Psychiatry
Vincenzo Di Nicola, MPhil, MD, PhD, FRCPC, DFAPA, FCPA
Professor of Psychiatry, University of Montreal
President, Canadian Association of Social Psychiatry (CASP)
President-Elect, World Association of Social Psychiatry (WASP)
Abstract
Not only is the coronavirus pandemic a natural laboratory of stress offering social psychiatrists a unique historical opportunity to observe its impact on entire populations around the world, but the responses to the crisis by international health authorities, such as the WHO, along with national and local educational institutions and health care and social services, are creating an unprecedented and unpredictable environment for children and youth. This new environment for growth and development is marked by the sudden and unpredictable imposition of confinement and social isolation, cutting off or limiting opportunities for the development of cognitive abilities, peer relationships, and social skills, while exposing vulnerable children and youth to depriving, negligent, or even abusive home environments. The impact on children is part of a cascade of consequences affecting societies at large, smaller communities, and the multigenerational family, all of which impinge on children and youth as the lowest common denominator (Di Nicola & Daly, 2020). This exceptional set of circumstances – in response not only to the biomedical and populational health aspects but also in constructing policies for entire societies – is creating an “experimental childhood” for billions of children and youth around the world. With its commitment to the social determinants of health and mental health, notably in light of the monumental Adverse Childhood Events (ACE) studies (Felitti & Anda, 2010), social psychiatry and global mental health must now consider their roles for the future of these “experimental children” around the world. The parameters for observing the conditions of this coronavirus-induced experimental childhood in the family and in society, along with recommendations for social psychiatric interventions and prospective pediatric, psychological and social studies will be outlined.
“The Experimental Child”: Developmental Impacts of the Coronavirus Pandemic o...
“The Experimental Child”: Developmental Impacts of the Coronavirus Pandemic o...Université de Montréal
Childhood adversity casts the longest shadow across the entire human life cycle with lifelong pervasive impacts. This presentation integrates three ways to investigate these issues using a mixed methods (quantitative and qualitative) approach: (1) retrospective quantitative epidemiological studies of Adverse Childhood Events (ACE) by Fellitti and associates and the Social Determinants of Health (SDH) headed by Marmot with the WHO; (2) quantitative child psychiatric epidemiology prevalence studies, focusing on Canadian studies in two provinces: the Ontario Child Health Study (OCHS) (Boyle, et al, 2019) and the Quebec Child Mental Health Survey (QCMHS) (Bergeron, et al, 2000); and (3) Bruner’s more qualitative narrative approach integrating work from developmental psychology and anthropology (Mattingly, et al., 2008).
After a brief overview of North American and worldwide comparisons in child psychiatric epidemiology whose populational surveys of 6-14 year old children show a worldwide average of 20% affected with mental health problems, the focus shifts to Canadian studies in Ontario and Quebec. A detailed portrait of the Quebec survey contrasts the overall Quebec population results of 15% prevalence of mental health problems in children versus the alarming rate of 60% in a sub-study of the disadvantaged neighborhood I have worked in for the last 20 years. This sub-study offers a complex portrait of the negative impacts of ACE and SDH.
My own sub-study of single parent families in the same disadvantaged neighborhood demonstrates that SDH are multifactorial and multigenerational, affecting both more intimate family attachments and broader social belonging. Informed by ACE, SDH and QCMS studies, our community-based child psychiatry program works on more complex and subtle social determinants affecting children’s lives: narrative resources based on the work of Jerome Bruner (Mattingly, et al., 2008), which are rich and nourishing when present yet lead to the impoverishment of affective and social capacities throughout the lifecycle in their absence. The presentation concludes with the need for translational research – from populational studies to community programs and clinical interventions. The Longest Shadow: Lifelong Pervasive Impacts of Adverse Childhood Events (...
The Longest Shadow: Lifelong Pervasive Impacts of Adverse Childhood Events (...Université de Montréal
"From Populations to Patients: The Clinical Relevance of Populational Studies for Social Psychiatry & Public Health"
Vincenzo Di Nicola President, World Association of Social Psychiatry
* This paper is a contribution to a WASP Symposium on "Social Psychiatry and Public Health" at the Diamond Jubilee International Conference on Mental Health Chandigarh, India – 15 Sept 2023
Overview and Goals:
1. Review social psychiatry’s powerful populational studies on psychiatric epidemiology and Social Determinants of Health & Mental Health (SDH/MH)
2. Promote translational research of social psychiatric studies – redefining health in social terms
3. Provide ground-level prescriptions aimed at prevention, promotion, intervention, and adaptationFrom Populations to Patients: The Clinical Relevance of Populational Studies ...
From Populations to Patients: The Clinical Relevance of Populational Studies ...Université de Montréal
Abstract:
The overall objective of this webinar is to harness the powerful data of populational studies to patients in clinical practice.
This is effectively a plan for applying social psychiatry to the clinic –a call for “Clinical Social Psychiatry.”
This objective will be addressed through three goals with seven steps:
(A) Review social psychiatry’s powerful populational studies on psychiatric epidemiology and Social Determinants of Health & Mental Health (SDH/MH)
1. Adverse Childhood Experiences (ACE) Studies
2. Global Mental Health (GMH) – Treatment Gaps
3. Epidemiology to reflect the burden of disease
(B) Promote translational research of social psychiatric studies – redefining health in social terms
4a. Translational research to redefine health
4b. Mental health in a social context (C) Provide ground-level prescriptions aimed at prevention, promotion, intervention, and adaptation
5. Mental health services to be delivered where people live
6. Shared care/integrated care/collaborative care
7. We can’t do everything – address common and pressing problems
Keywords: Populational studies, social determinants of health & mental health (SDH/MH), translational research, ground-level prescriptions
From Populations to Patients: Social Determinants of Health & Mental Health i...
From Populations to Patients: Social Determinants of Health & Mental Health i...Université de Montréal
V Di Nicola, “Social Psychiatry and Person-centered Medicine: Integrating Social Determinants (SDH) of Health and Adverse Childhood Experiences (ACE) with Clinical Practice,” The Paradigm Change in Medicine: The Epistemological and Scientific Basis of Person-centered Medicine, Scuola Medica di Milano, Università Ambrosiana – Milan School of Medicine, Ambrosiana University, Milan, Italy, June 21-22, 2023. Abstract Prof. Di Nicola’s Honoris causa docendi eloquentia (inaugural honorary speech) for the Licentia Docendi ad Honorem (LD) (the Honorary Chair) Magister ad Honorem (MA Sc) (Honorary Professor) in June 2021 was entitled, “The Place of the Person in Social Psychiatry: A Synthesis of Person-centered Medicine with Social Psychiatry in the Time of the New Coronavirus Syndemic,” addressed three themes: (1) the place of the person in social psychiatry linking it with the person-centered paradigm for medicine, health, and social care; (2) the struggle for a person-centered vision of health and social care; and (3) the challenges of the coronavirus syndemic or combination of biological and social epidemics, for both medicine and society. Prof. Di Nicola concluded with a call for a synthesis of social psychiatry with person-centered medicine, balancing evidence-based medicine with values-based practice (Fulford, 2008), by embracing the emerging epistemology of the Global South (Di Nicola, 2020) and an eco-social perspective. This presentation elaborates three more areas to promote the integration of Social Psychiatry (Di Nicola, 2019) with Person-centered Medicine: (1) how to integrate Social Psychiatry’s epidemiological data base – the Social Determinants of Health (SDH)(CSDH, 2008) and the Adverse Childhood Events (ACE) Study (Fellitti, et al., 2010) – with clinical psychiatry; (2) how to reconcile the collectivist approach of Social Psychiatry (Di Nicola, 2021) and epidemiology with the individual perspective of Person-centered Medicine and clinical practice using the insights of social science (e.g., the distributed self, Gergen, 2001) and neuroscience (e.g., mirror neurons, Gallese, 2008); (3) presentation of social and clinical vignettes from the COVID-19 syndemic about isolation and loneliness (Di Nicola & Daly, 2020; Di Nicola, 2021; Jeste, et al., 2020) and another social plague of Intimate Partner Violence (IPV)(Oram, et al., 2022) - and the antidote: belonging, which is to Social Psychiatry what attachment is to Child Psychiatry (Di Nicola, 2023). Social Psychiatry and Person-centered Medicine: Integrating Social Determinan...
Social Psychiatry and Person-centered Medicine: Integrating Social Determinan...Université de Montréal
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Abstract
Not only is the coronavirus crisis a natural laboratory of stress offering health and social care services a unique historical opportunity to observe its impact on entire populations around the world, but the responses to the crisis by international health authorities, such as the WHO, along with national and local educational institutions and health care and social services, are creating an unprecedented and unpredictable environment for children and youth. This hostile new environment for growth and development is marked by the sudden and unpredictable imposition of confinement and social isolation, cutting off or limiting opportunities for the development of cognitive abilities, peer relationships, and social skills, while exposing vulnerable children and youth to depriving, negligent, or even abusive home environments.
For this reason, this crisis has been renamed a syndemic, encompassing two different categories of disease—an infectious disease (SARS-CoV-2) and an array of non-communicable diseases (NCDs). Together, these conditions cluster within specific populations following deeply-embedded patterns of inequality and vulnerability (Horton, 2020). These pre-existing fault lines of inequity, poverty, mental illness, racism, ableism, ageism create stigma and discrimination and amplify the impacts of this syndemic. And children are the most vulnerable population around the world. The impact on children is part of a cascade of consequences affecting societies at large, smaller communities, and the multigenerational family, all of which impinge on children and youth as the lowest common denominator (Di Nicola & Daly, 2020).
This exceptional set of circumstances—in response not only to the biomedical and populational health aspects but also in constructing policies for entire societies—is creating an “experimental childhood” for billions of children and youth around the world. With its commitment to the social determinants of health and mental health, notably in light of the monumental Adverse Childhood Events (ACE) studies (Felitti & Anda, 2010), social psychiatry and global mental health in partner with child and family psychiatry and allied professions must now consider their roles for the future of these “experimental children” around the world. The parameters for observing the conditions of this coronavirus-induced syndemic in the family and in society, along with recommendations for social psychiatric interventions, and prospective paediatric, psychological, and social studies will be outlined.
Keywords: Children & families, COVID-19, syndemic, ACE Study, confinement, social isolation“The Experimental Child”: Child, Family & Community Impacts of the Coronaviru...
“The Experimental Child”: Child, Family & Community Impacts of the Coronaviru...Université de Montréal
CASP Workshop on Social Psychiatry
Canadian Psychiatric Association 72nd Annual Conference
Toronto, Ontario
October 27 – 29, 2022
Title:
Social Psychiatry Perspectives on the Health of Canadians:
A Social Psychiatry Manifesto & Intimate Partner Violence
Symposium Panel:
1. Vincenzo Di Nicola (Chair & Presenter, Montreal, QC)
2. Daphne Marussi (Presenter, Sherbrooke, QC)
Abstract:
This workshop sponsored by the Canadian Association of Social Psychiatry (CASP) reviews two contemporary Canadian psychiatric issues from a social psychiatry perspective:
1. Vincenzo Di Nicola (Montreal, QC) presents a social psychiatry manifesto with an overview of Social Psychiatry in the 21st century by surveying three main branches of Social Psychiatry: (1) psychiatric epidemiological studies and public health; (2) community psychiatry; and (3) relational and social therapies such as couple, family and community therapies. Implications for research, practice, and teaching in social psychiatry will be outlined.
2. Daphne Marussi (Sherbrooke, QC) explores Intimate Partner Violence (IPV) which describes an alarming aspect of relational violence with major social psychiatric consequences: the physical, sexual, or psychological harm by a current/former partner that is associated with many mental disorders from anxiety and depression to eating and substance abuse disorders. This presentation discusses different forms of psychological abuse and coercive control in IPV, the abused/abuser bond and their impacts and consequences.
References:
1. Di Nicola, V. Review article—“A person is a person through other persons”: A Social Psychiatry manifesto for the 21st century. World Social Psychiatry, 2019, 1(1): 8-21.
2. Snyder, R.L. No Visible Bruises - What We Don’t Know About Domestic Violence Can Kill Us. New York, NY, Bloomsbury Publishing, 2019.
Learning Objectives:
1. Redefine Social Psychiatry, name and describe its main branches: psychiatric epidemiology, community psychiatry, and relational therapies.
2. Describe Intimate Partner Violence (IPV) mainly against women, with examples of its mental health impacts, and its importance in Canadian society.
DOI: 10.13140/RG.2.2.32952.62728Social Psychiatry Perspectives - Di Nicola & Marussi - CPA Toronto - 29.10.2...
Social Psychiatry Perspectives - Di Nicola & Marussi - CPA Toronto - 29.10.2...Université de Montréal
World Psychiatric Association
World Congress – Bangkok, Thailand 2020
WPA-WASP Inter-organizational Symposium
“The Experimental Child”:
Developmental Impacts of the Coronavirus Pandemic on Children
and the Future of Social Psychiatry
Vincenzo Di Nicola, MPhil, MD, PhD, FRCPC, DFAPA, FCPA
Professor of Psychiatry, University of Montreal
President, Canadian Association of Social Psychiatry (CASP)
President-Elect, World Association of Social Psychiatry (WASP)
Abstract
Not only is the coronavirus pandemic a natural laboratory of stress offering social psychiatrists a unique historical opportunity to observe its impact on entire populations around the world, but the responses to the crisis by international health authorities, such as the WHO, along with national and local educational institutions and health care and social services, are creating an unprecedented and unpredictable environment for children and youth. This new environment for growth and development is marked by the sudden and unpredictable imposition of confinement and social isolation, cutting off or limiting opportunities for the development of cognitive abilities, peer relationships, and social skills, while exposing vulnerable children and youth to depriving, negligent, or even abusive home environments. The impact on children is part of a cascade of consequences affecting societies at large, smaller communities, and the multigenerational family, all of which impinge on children and youth as the lowest common denominator (Di Nicola & Daly, 2020). This exceptional set of circumstances – in response not only to the biomedical and populational health aspects but also in constructing policies for entire societies – is creating an “experimental childhood” for billions of children and youth around the world. With its commitment to the social determinants of health and mental health, notably in light of the monumental Adverse Childhood Events (ACE) studies (Felitti & Anda, 2010), social psychiatry and global mental health must now consider their roles for the future of these “experimental children” around the world. The parameters for observing the conditions of this coronavirus-induced experimental childhood in the family and in society, along with recommendations for social psychiatric interventions and prospective pediatric, psychological and social studies will be outlined.
“The Experimental Child”: Developmental Impacts of the Coronavirus Pandemic o...
“The Experimental Child”: Developmental Impacts of the Coronavirus Pandemic o...Université de Montréal
Childhood adversity casts the longest shadow across the entire human life cycle with lifelong pervasive impacts. This presentation integrates three ways to investigate these issues using a mixed methods (quantitative and qualitative) approach: (1) retrospective quantitative epidemiological studies of Adverse Childhood Events (ACE) by Fellitti and associates and the Social Determinants of Health (SDH) headed by Marmot with the WHO; (2) quantitative child psychiatric epidemiology prevalence studies, focusing on Canadian studies in two provinces: the Ontario Child Health Study (OCHS) (Boyle, et al, 2019) and the Quebec Child Mental Health Survey (QCMHS) (Bergeron, et al, 2000); and (3) Bruner’s more qualitative narrative approach integrating work from developmental psychology and anthropology (Mattingly, et al., 2008).
After a brief overview of North American and worldwide comparisons in child psychiatric epidemiology whose populational surveys of 6-14 year old children show a worldwide average of 20% affected with mental health problems, the focus shifts to Canadian studies in Ontario and Quebec. A detailed portrait of the Quebec survey contrasts the overall Quebec population results of 15% prevalence of mental health problems in children versus the alarming rate of 60% in a sub-study of the disadvantaged neighborhood I have worked in for the last 20 years. This sub-study offers a complex portrait of the negative impacts of ACE and SDH.
My own sub-study of single parent families in the same disadvantaged neighborhood demonstrates that SDH are multifactorial and multigenerational, affecting both more intimate family attachments and broader social belonging. Informed by ACE, SDH and QCMS studies, our community-based child psychiatry program works on more complex and subtle social determinants affecting children’s lives: narrative resources based on the work of Jerome Bruner (Mattingly, et al., 2008), which are rich and nourishing when present yet lead to the impoverishment of affective and social capacities throughout the lifecycle in their absence. The presentation concludes with the need for translational research – from populational studies to community programs and clinical interventions. The Longest Shadow: Lifelong Pervasive Impacts of Adverse Childhood Events (...
The Longest Shadow: Lifelong Pervasive Impacts of Adverse Childhood Events (...Université de Montréal
"From Populations to Patients: The Clinical Relevance of Populational Studies for Social Psychiatry & Public Health"
Vincenzo Di Nicola President, World Association of Social Psychiatry
* This paper is a contribution to a WASP Symposium on "Social Psychiatry and Public Health" at the Diamond Jubilee International Conference on Mental Health Chandigarh, India – 15 Sept 2023
Overview and Goals:
1. Review social psychiatry’s powerful populational studies on psychiatric epidemiology and Social Determinants of Health & Mental Health (SDH/MH)
2. Promote translational research of social psychiatric studies – redefining health in social terms
3. Provide ground-level prescriptions aimed at prevention, promotion, intervention, and adaptationFrom Populations to Patients: The Clinical Relevance of Populational Studies ...
From Populations to Patients: The Clinical Relevance of Populational Studies ...Université de Montréal
Abstract:
The overall objective of this webinar is to harness the powerful data of populational studies to patients in clinical practice.
This is effectively a plan for applying social psychiatry to the clinic –a call for “Clinical Social Psychiatry.”
This objective will be addressed through three goals with seven steps:
(A) Review social psychiatry’s powerful populational studies on psychiatric epidemiology and Social Determinants of Health & Mental Health (SDH/MH)
1. Adverse Childhood Experiences (ACE) Studies
2. Global Mental Health (GMH) – Treatment Gaps
3. Epidemiology to reflect the burden of disease
(B) Promote translational research of social psychiatric studies – redefining health in social terms
4a. Translational research to redefine health
4b. Mental health in a social context (C) Provide ground-level prescriptions aimed at prevention, promotion, intervention, and adaptation
5. Mental health services to be delivered where people live
6. Shared care/integrated care/collaborative care
7. We can’t do everything – address common and pressing problems
Keywords: Populational studies, social determinants of health & mental health (SDH/MH), translational research, ground-level prescriptions
From Populations to Patients: Social Determinants of Health & Mental Health i...
From Populations to Patients: Social Determinants of Health & Mental Health i...Université de Montréal
V Di Nicola, “Social Psychiatry and Person-centered Medicine: Integrating Social Determinants (SDH) of Health and Adverse Childhood Experiences (ACE) with Clinical Practice,” The Paradigm Change in Medicine: The Epistemological and Scientific Basis of Person-centered Medicine, Scuola Medica di Milano, Università Ambrosiana – Milan School of Medicine, Ambrosiana University, Milan, Italy, June 21-22, 2023. Abstract Prof. Di Nicola’s Honoris causa docendi eloquentia (inaugural honorary speech) for the Licentia Docendi ad Honorem (LD) (the Honorary Chair) Magister ad Honorem (MA Sc) (Honorary Professor) in June 2021 was entitled, “The Place of the Person in Social Psychiatry: A Synthesis of Person-centered Medicine with Social Psychiatry in the Time of the New Coronavirus Syndemic,” addressed three themes: (1) the place of the person in social psychiatry linking it with the person-centered paradigm for medicine, health, and social care; (2) the struggle for a person-centered vision of health and social care; and (3) the challenges of the coronavirus syndemic or combination of biological and social epidemics, for both medicine and society. Prof. Di Nicola concluded with a call for a synthesis of social psychiatry with person-centered medicine, balancing evidence-based medicine with values-based practice (Fulford, 2008), by embracing the emerging epistemology of the Global South (Di Nicola, 2020) and an eco-social perspective. This presentation elaborates three more areas to promote the integration of Social Psychiatry (Di Nicola, 2019) with Person-centered Medicine: (1) how to integrate Social Psychiatry’s epidemiological data base – the Social Determinants of Health (SDH)(CSDH, 2008) and the Adverse Childhood Events (ACE) Study (Fellitti, et al., 2010) – with clinical psychiatry; (2) how to reconcile the collectivist approach of Social Psychiatry (Di Nicola, 2021) and epidemiology with the individual perspective of Person-centered Medicine and clinical practice using the insights of social science (e.g., the distributed self, Gergen, 2001) and neuroscience (e.g., mirror neurons, Gallese, 2008); (3) presentation of social and clinical vignettes from the COVID-19 syndemic about isolation and loneliness (Di Nicola & Daly, 2020; Di Nicola, 2021; Jeste, et al., 2020) and another social plague of Intimate Partner Violence (IPV)(Oram, et al., 2022) - and the antidote: belonging, which is to Social Psychiatry what attachment is to Child Psychiatry (Di Nicola, 2023). Social Psychiatry and Person-centered Medicine: Integrating Social Determinan...
Social Psychiatry and Person-centered Medicine: Integrating Social Determinan...Université de Montréal
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- 1. PAIN AND SUBJECTIVE WELL-BEING March 4th, 2024 OECD School of Health and Psychological Sciences City, University of London lucia.macchia@city.ac.uk www.luciamacchia.com Lucía Macchia
- 2. Physical pain Socioeconomic Psychosocial Behavioural Physical injuries or damage PAIN AND SUBJECTIVE WELL-BEING
- 3. Case, Deaton, & Stone (2020), Zajacova et al (2020), Blanchflower et al (2021). PAIN AND SUBJECTIVE WELL-BEING
- 4. Chou et al (2016), Fifield et al (2004), Brown at al (2018). PAIN AND SUBJECTIVE WELL-BEING
- 5. Garland et al (2013), Piper et al (2021), McDonald et al (2011). PAIN AND SUBJECTIVE WELL-BEING
- 6. PAIN AND SUBJECTIVE WELL-BEING Physical pain Subjective well-being
- 7. PAIN AND SUBJECTIVE WELL-BEING
- 8. PAIN AND SUBJECTIVE WELL-BEING Macchia, L. (2023). Governments should measure pain when assessing societal wellbeing. Nature Human Behaviour, 7, 303–305.
- 9. Dimensions and components of Subjective Well-Being PAIN AND SUBJECTIVE WELL-BEING
- 10. PAIN AND SUBJECTIVE WELL-BEING
- 11. z •z z •z z •z $600 billion 32 % 30 % PAIN AND SUBJECTIVE WELL-BEING
- 12. b = 0.61; p = .001 Trend in physical pain, 2009–2021. 146 countries. 1.6 million individuals. The Gallup World Poll. Macchia (2022) PAIN AND SUBJECTIVE WELL-BEING
- 13. Trend in physical pain by subgroups, 2009–2021. 146 countries. 1.6 million individuals. The Gallup World Poll. PAIN AND SUBJECTIVE WELL-BEING Macchia (2022)
- 14. Pain is also a subjective feeling Pain can be self-reported using the same scales Empirical parallelism between SWB and pain Pain can be a more reliable indicator Current metrics are not perfect proxies for pain PAIN AND SUBJECTIVE WELL-BEING
- 15. Correlation between indicators of Subjective well-being and physical pain between 2009 and 2020. 156 countries, 1.3 million individuals, the Gallup World Poll. PAIN AND SUBJECTIVE WELL-BEING
- 16. Subjective well-being PAIN AND SUBJECTIVE WELL-BEING
- 17. PAIN AND SUBJECTIVE WELL-BEING March 4th, 2024 OECD School of Health and Psychological Sciences City, University of London lucia.macchia@city.ac.uk www.luciamacchia.com Lucía Macchia