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The bachelor's thesis "De-escalation of aggressive patient behavior in the psychiatric ward" deals with the issue of aggression, its prevention and effective solution. The aim of the work was to determine the frequency of aggression, its type, cause and method of solution. Another aim of the work was to find out the frequency of trainings that the respondents completed and their interest in a possible offer of training focused on managing aggression. The theoretical part of the thesis provides a basic overview of the issue, a description of de- escalation techniques and other options for managing aggression and its prevention. The empirical part of the work presents the results of own research and their comparison with the results of other professional research. The method of the survey was a self-designed questionnaire, which was distributed to general and practical nurses of the Psychiatric Hospital Bohnice. 108 duly completed questionnaires were included in the study itself. Results: It was found that more than 58% of respondents experience verbal aggression at least once a week and almost 29% of respondents experience brachial aggression at least once a week. Due to such a frequent occurrence of aggression, only less than 59% of respondents have been trained in the issue at least once in the...

BACHELOR THESIS ABSTRACT Name, Surname: Jana Mandíková Consultant: Mgr. Jana Pluhaříková Pomajzlová Title of thesis: Possibilities of using occupational therapy in patients with eating disorders Abstract: The bachelor's thesis deals with the topic of eating disorders and the possibilities of using occupational therapy in their treatment. In the theoretical part, I first describe the issue of eating disorders, their etiology and treatment options. I also deal with occupational therapy as a rehabilitation field in psychiatry. The conclusion of the theoretical part is based on the studied Czech and foreign literature and I deal with the use of occupational therapy in patients with eating disorders. In the introduction to the practical part, I present the results of a questionnaire survey on the current use of occupational therapy in patients with eating disorders in the Czech Republic, which I conducted. I also describe my practice and specific therapies that I led at the Psychiatric Clinic of the 1st Faculty of Medicine, Charles University and the General University Hospital. The last part is a proposed procedure of occupational therapy intervention in patients with eating disorders on the basis of the already created foreign manual "Eating Disorders: A Guide for Occupational Therapists", which is based on...

This thesis i focused on associacion of polymorphisms in COMT gene with mental diseases, primarily on polymorphism Val158Met. The theoretical part provides definitions of COMT gene and enzyme, catecholamines affected by COMT and definition of the polymorphism Val158Met. Next is listing of mental diseases, description and known connection with researched polymorphism. The practical part contains proceeding of PCR RFLP used to detect the genotype. The results were evaluated and connected to the theoretical part of the thesis.

Theoretical basis: Therapeutic restrictions or limitations are often taboo, although they are also part of child psychiatry. It is used for restless, aggressive patients who endanger the health of themselves or others. Therapeutic limitations use must follow given regulations. The role of the nurse is irreplaceable and important in these situations. Goals: The aim of this work was to chart the issue od therapeutic restrictions in children psychiatry department. Four research questions were used to accomplish goals. Questions are: What kind of restraints are used in the children psychiatric ward? How is the safety of pediatric pacient ensured during the therapeutic restriction in children psychiatric ward? Are there some specifics in nursing care for the patient with therapeutic restrictions? How are nurses educated in the issue of therapeutic restriction in pediatric psychiatric department? Methods: The empirical part of the work was processed in the form of qualitative reseacher. Data were collected as a semi-structured interviews. Another metod of data collection was covert observation. Based on this data collection, there were created five categories and eleven subcategories. Reseacher file: The research group was consisted of twenty three nurses, who work in the department of child and adolescent psychiatry. The selection of patiens was purposeful. Results: Research proved that restraints are an integral part of child psychiatry. The most commonly used therapeutic restrictions are courts. Respondents have shown that the work is according to standards and adhere to the principles in terms of safety. The research has shown that proper nursing documentation and education are required. Research has shown that nurses act professionally, they also take care about patient needs and privacy. It turned out that nurses are on better level of knowledge about practical use than a knowledge of theoretical nursing standard. Conclusion: Therapeutic limitations of patients in the pediatric psychiatric ward cannot be neglected or omitted. This thesis could serve as an educational materiál for many nurses, especially if they are new to the field. Continuing education in this area is desirable for nurses. This work could serve as an educational material for the general public, who could possibly encouter therapeutic limitations, for example with their own child.

Current situation: Suicide is one of the main problems in the public health field. This thesis focuses on the role of a nurse in the care of suicidal patients. The theoretical framework concentrates on the origination of this particular situation, the risk factors, how to prevent suicidal behaviors, how the nurse manages this conduct and monitors the state of the patient, how to create a safe environment and how to intervene in a crisis situation. Objectives of the thesis: First, to study the different responsibilities of the nurse in the duty of care of suicidal inpatients in the psychiatric wing under maximum safety. Second, to explore the diverse security restrictions used during the treatment of this type of patients. Methodology: The research is based on a survey of eighteen questions in which all the participants had the opportunity to answer to open questions. These eighteen questions are also divided into eight categories and, at the same time, these eight are classified into different subcategories. Analysis of the collected data was processed using the pencil-paper method, the so called coding. Research group: Thirteen nurses selected from the psychiatric wing under maximum safety. Results of the thesis: From this investigation could be assumed that the role of a nurse in the care of suicidal patients is a crucial factor. The medical treatment is not enough, but it is important to include the family circle. The conditions are not always optimum. Recommendations include focusing on the development of education and awareness, also medical management so that nurses can devote time to the patient with these problems, and a technical equipment such as a surveillance system, which is not always available for every medical center. Practical use: The present final thesis could be used as a case of study for nurses and nursing students. The results could be published in scientific magazines and conferences.

This thesis explores the position of Person-Centred Approach (PCA) in the practice of Czech clinical psychologists and psychiatrists who went through the PCA psychotherapy training and they use this approach in their current clinical practice. The main principles of PCA theory (1), principles of biomedical model in which clinical practice is rooted (2) and the new forms of person-centred psychopathology and psychodiagnosis (3) are the theoretical background of the following research. Based on the qualitative analysis of five recorded interviews (three clinical psychologists, two psychiatrists) the experience of the respondents is organised as comprehensive concepts concerning various areas and topics of the clinical practice (diagnosis, psychotherapy, dealing with PCA, dealing with biomedical model, therapeutic relationship, relation to the profession). Several common mechanisms are identified in the concept's dynamics. Through these mechanisms Person-Centred Approach is applied in areas and activities mentioned. The concepts based on experience and the PCA application mechanisms enrich the theories and ongoing research of PCA practice in the Western mental health care. Key words: Person-Centred Approach, Client-Centred Therapy, psychiatry, clinical psychology, psychotherapy, psychodiagnosis,...

Ethical aspects of involuntary hospitalization of psychiatric patients My thesis is a brief introduction to the topic of ill-defined ethical situations with patients, who are hospitalized involuntarily at a psychiatric ward. My work seeks support in valid laws and also in clerical documents so it can detect complexities that doctors as well as patients must face. Involuntary hospitalization seems like a marginal phenomenon, but by taking a closer look we can find out that annually there are thousands of people hospitalized involuntarily in the Czech Republic alone. After defining initial basic concepts my work shortly addresses history of care of mentally ill patients, legislature and its evolution, and current situation, which it strives to connect to clerical documents that deal with human liberty and dignity. This thesis is aware of changes within the frame of reform of psychiatric care that is taking place in the Czech Republic at the moment and it offers only limited insight into the issue as a whole. Keywords Involuntary hospitalization at a psychiatric ward, dignity, freedom, ethics Počet znaků (včetně mezer): 89 666

The topic of this bachelor thesis is the specifications of nursing addicted patients at the psychiatric ward. Due to a high number of patients addicted to addictive substances and easy availability of addictive substances it is a very current topic. The aim of this thesis is to map out the specifications of the work done by nurses at the ward of medium-term withdrawal treatment and at the department of detoxification. The theoretical part focuses on the division of psychiatric care in the Czech Republic, on the kinds and descriptions of addictive substances, on mental syndromes happening because of addictive substance use, and on the descriptions of specifications and competence of nurses working at the psychiatric ward. Practical part consists of quantitative research using the method of interviews. The data collection technique used is a semi-structured interview. Three categories and 7 subcategories were created by analyzing the data obtained. The research file consists of 13 nurses working at psychiatric hospitals, at medium-term withdrawal treatment offices and detoxification units where they are in contact with addicted patients. Among specifications nurses also include random detection addictive substance tests, and checking of clients´ personal belongings. Nurses understand the psychatric ward' to be very specific, as a place where each client needs to be treated individually, because each one may manage the regime teatment differently. This bachelor thesis may be used for purposes of education about the process of withdrawal treatment and mitigation of fear in those people who are thinking about treatment, but are afraid to undergo it because of lack of information.

In the thesis I examine current legislative anchoring of healthcare and social care of mental health. In the second chapter of theoretical part I write about classification of mental illnesses. Third chapter, which is very important from my point of view, describe transformation of healthcare and social care in the foreign countries. Practical part contains pilot survey for the Ministry of Health. The purpose was to find out the satisfaction of the clients with social and health services, which are part of the treatment of mental health. Satisfaction was detected by questionnaires, which patients had available with their ambulant psychiatrist. Those questionnaires were created at round tables by experts, patients and service providers in a hospital. Social care and healthcare do not connect. Experts do not communicate with each other. Tragical finding was that ambulant psychiatrist has in average thirteen minutes for examination of a client. Definitely Czech Republic need Centre for Mental Healthcare for complex care of the patient.

Bachelor thesis abstract Name, Surname: Denisa Knotková Supervisor: Mgr. Michaela Zahrádka Köhlerová Opponent: Title of bachelor thesis: Physiotherapy in patients with bipolar disorder Abstract: This bachelor thesis deals with what kind of role has physiotherapy in patients with psychiatric illness, specifically in patients with bipolar afective disorder. The aim of this work is to collect information about the disease in all its aspects and to describe how these patients are treated from the perspective of a physiotherapist. The first part of the thesis describes origins and symptomatology of bipolar afective disorder, differential diagnosis, comorbidities, pharmacological treatment and psychotherapy. The second part of the thesis deals with physiotherapy approaches and methods, indications and contraindications. In the form of studies, we will process various studies dealing with physiotherapy methods adequate for treating these patients and what influence they have on each of the phase of the desease. The studies will be summarized in the final discussion. Key words: Bipolar disorder, physiotherapy, physical activity, psychiatry

The aim of the bachelor thesis was to provide basic information on aggressiveness at selected workplaces of Bohnice Psychiatric Hospital. In the framework of this work, a questionnaire was submitted to 194 respondents performing general nurses or health care professions, acute care departments and subsequent psychiatric, anti-toxic and gerontopsychiatric care. The investigation took place during December 2016 and January 2017. The main results showed that respondents from PN Bohnice encounter high frequencies with aggressive patients, i.e. daily or weekly in 60% of cases. Most respondents (92%) encountered verbal and physical aggression. The most common kind of physical aggression is the destruction of property (52%), the assault of a health care professional (40%) and self-harm (39%). The most common type of aggressor is male (50%) and female (44%), less frequent visits and the patient's family (3%). For men, physical aggression is higher than for women by more than 13%. According to medical professionals, the most common cause of aggression is the disease (67%), fear and anxiety (32%), and the third is environment (27%). Physicians deal with conflicting situations most often by appointment (97%), and secondly in cooperation with other health workers, i.e. they call service (55%) or doctor (44%)....

Theme of the bachelor thesis is a utilization of quantification of nursing care in psychiatric hospitals. Psychiatry provides a treatment to persons with mental disorder. In most cases there is nobody to help the patient with his problems. So he searches some specialiste, in this case a psychologist or a psychiatrist. The doctor determines hospitalization of the sick man if the patient is not able to visit an ambulant treatment. For these patients there is performed a basic and a special nursing care. The basic nursing care is composed of feeding, hygiene, etc. The special nursing care provides diagnostic, terapeutic and monitoring operations. The thesis has theoretical and scientific parts. The theoretical part deals with discipline of psychiatry, with form and methodes of care, with legislative definition and with education and competences of nurses. The scientific research was realized by methode of quantification of nursing care by Pochylá and Pochylý (2008), it is a qualitative and quantitative methode. The first part deals with collecting of datas and subsequent recording datas to a record sheet. Next step was to determine activities of special nursing care. There were determined averages and standard deviations for operations thereby we gained average periods of all operations. The purpose of the thesis was to determine average time difficulty of all operations and to determine time values of nursing care of selected groups of patients. The research finds that the nursing care is the most used operation for sick men. Nursing care changes in patients according to the current state of health. Other specifics of nursing care include monitoring patients who may endanger themselves or their surroundings. The most often performed operation in psychiatric hospital in medication is per os. We chose 3 goals for the job. The first objective was to inventory special nursing care in psychiatric hospitals. Another objective is to determine the average time values for individual nursing activities of special nursing care in a psychiatric hospital. The final goal was to determine the time values of special nursing care in selected patient groups. Based on the first goal, a research question has been identified: What is the most common performance in a psychiatric hospital? Based on the second objective, the research question was determined: What are the average time values for individual nursing activities of special nursing care in a psychiatric hospital? Based on the third objective, the hypothesis was chosen: The time values of special nursing care are different for selected patient groups.

The bachelor's thesis was divide into two parts, theoretical and empirical. It was deal with characteristic of schizophrenia, patient's life with schizophrenia, schizophrenia's care and education of patient with schizophrenia in theoretical part of thesis. The aim of the was to identify and describe the aspects of the care for patients with schizophrenia as perceived by both patients' family members and nurses, and to identify and describe the impact of the disease on the life of the patient from the point of view of his family members. The research part of the thesis uses the qualitative research strategy, the questioning method, the semi-structured interviews data collection based on interviews conducted in a selected home with a special regime and with nurses working at the acute psychiatric ward in a general hospital, and the second part of interviews were conducted with family members of a patient with schizophrenia. The research sample consisted of three nurses working in an acute psychiatric department of a general hospital, four nurses working in a home with special regime and five patient' family members. Nurses from both acute and long-term care consider ensuring proper delivery of medication, individual approach to patients, and gaining their trust to be crucial factors of care.

The aim of the submitted thesis is description of the contemporary form of art therapy in the czech psychiatric facilities. Historical development of the approach to people suffering from mental illnesses is also outlined with respect to their art work. The investigation included visits of seven ateliers of psychiatric hospitals and interviews with local art therapists about the form of their art therapeutic approach, about the art therapeutic work in the psychiatric hospital and about the rhythm of the atelier. The results were processed by means of the case study and completed with direct observation findings. Particularly, the forms of Roznov intervention art therapy were compared. Overall image of the art therapeutic practice in the Czech Republic is completed by information from websites of all psychiatric inpatient facilities in the Czech Republic. Common signs of the visited ateliers (i. e. long-term working of one art therapist, exhibition of the patient's art works) are pointed out in the results as well as their differences (i. e. different education of art therapists, spatial conditions of the ateliers, sets of art work themes). Art therapy has longstanding tradition in the czech psychiatric environment which develops individually around current art therapists in the particular psychiatric facilities. Also Roznov art therapy approach found its place and modifications in this environment. From the outside view, integrity in the therapeutic approach, by extension in art therapists's education is missing as well as the establishment of art therapist as a profession.

Basic theoretical background The theoretical part of the thesis explores the issue of supervision and focuses on psychiatric nursing. It is divided into several parts. The first part is focused on supervision, briefly characterizes supervision as such, then it describes its divisions, functions and methods. It also explores the participants of supervision, the agreement on supervision, transcultural supervision and Balint groups. The following part describes historical development of psychiatric nursing, briefly presents the personality of Joyce E. Travelbee. In the conclusion of the theoretical part of the thesis the problems of education and competence of nurses in psychiatric care are introduced, marginally mentioning the Turku declaration. The aim of the work The main aim of the thesis is to investigate the awareness of nurses working in psychiatric care of the clinical supervision options. The task of the second objective is to find out the opinion on supervision of nurses working in psychiatric care. The third objective is focused on means to assist nurses working in psychiatric care in their personal development and growth within their practices. The purpose of the fourth objective is to find experience with supervision of nurses working in psychiatric care. The methods used Qualitative investigation was chosen for the empirical part of the thesis. The method used for data collection was in the form of semi-structured interview. The interviews with the respondents were taken down using a voice recorder and transcribed, qualitative data was then analyzed by pencil and paper encoding technique and semantically organized into 27. groups of categorization. The selection of a research sample was intentional, consisting of twelve nurses working in psychiatric care in the Czech Republic. Results The research focused on nurses who do not have personal experience with supervision revealed that they have certain awareness of the supervisory process, however not quite sufficient to be able to describe the nature and function of supervision in its entirety. Their knowledge is rather theoretical. They understood supervision as help to solve disharmonious relationships in the workplace, as well as it could improve communication skills of the nurses, it would also assist in dealing with crisis intervention and prevent burnout syndrome. The results regarding nurses who do not participate in the supervisory process clearly indicated that they have insufficient support and the opportunity for both their professional and personal growth in their workplace, while this important could be solved by supervision. The research, which covered only nurses who have had personal experience with supervision and regularly participate in it, showed that their knowledge and skills related to the supervision process are quite sufficient to be able to understand and use supervision practically in the whole range. These nurses sees supervision as a benefit that would allow them not only to understood themselves, but also to learn how to manage challenging situations that are a part of their profession. Supervision gives them confidence, provides support and teaches them to deal with people who are part of their work process. Supervision has become a tool for preventing burnout and showed them how to use their own potential effectively. Conclusion This thesis is focused on the use of supervision in psychiatric nursing. Working with mentally challenged patients is very demanding, therefore supervision plays its justified role there. If you do not know yourself and you are not able to solve your own problems, you can never effectively and comprehensively address the problems of others, who are often desperately waiting for your help. The results will be presented at professional seminars designed not only to nurses working in psychiatric care.

This bachelor thesis is focused on the history of nursing care for the mentally ill in the Czech Republic and Finland. It is written chronologically from ancient history to the present time. The whole thesis summarizes the development of nursing for the mentally ill, the system of care and education for nurses in psychiatry in the Czech Republic and Finland. The aim is to describe the development of nursing care for patients with mental disorders. The work deals with the system of mental health care and education for nursing staff in these countries. This thesis is theoretical. It was necessary to visit the Prague City Archives and the National Archives to obtain historical sources. Other important sources used in this thesis were professional literature, literature dealing with the issue in the present and historical books. In past, people thought that mental disorders are natural phenomena. In ancient times, the temples were established for mentally ill people. During that time, Greek physician and philosopher Hippocrates had great significance. In the Middle Ages, people with mental disorders were considered to be possessed by evil spirits, so treatment was mainly in isolation. In modern period, the first insane asylums were built. In the twentieth century psychiatry was influenced by Sigmund Freud with his theory about the origin of mental illness. The turning point of this time was also in the use of shock therapy and psychopharmacological discovery. Psychiatry deals with the development and strengthening of mental health and its prevention. The Czech Republic has a system of interconnected services in psychiatry, such as psychiatric clinic, clinical-psychological clinic, inpatient facilities and community care. Psychiatry in our country is under-funded, care is unsatisfactory and development is delayed compared to other countries of the European Union. Strategy for the reform of mental health care in our country has a goal to increase the quality of life of people with mental disorders. The current state is that outpatient psychiatrists are overloaded, and there is materially and technically outdated equipment in psychiatric hospitals. Our psychiatric care has much more institutional position, because it failed to systematically develop community psychiatry. But perspective is quite dense network of psychiatric and clinical-psychological clinics, which could help in moving the focus of care from inpatient facility into the natural environment of the client. The reform will also try to improve the education of nurses in psychiatry. According to Czech legislation, there is not a condition to be specialized in nurses working in psychiatry. Nurses, in the best possibility, should have university education that enables students to acquire the necessary knowledge for the profession. Even competencies are determined. Finland has a health care system based on taxes. Important medical centres provide prevention, medical examinations and screenings. Specialized care is provided in hospitals. Formerly more institutional care dominated, however today outpatient and community services greatly extended their service. Psychiatric hospitals were abolished, leaving only the psychiatric departments of general hospitals. Nursing education in Finland is carried out at the Universities of Applied Sciences. The nurse's role is health promotion, disease prevention and rehabilitation. The nurse in Finland is independent and responsible for the decisions made during the day which also supports the Code of Ethics for Nurses which is the last chapter of this thesis. The aim of the thesis is to map the development of nursing care for patients with mental disorders. One of the major findings is a significant evolution of psychiatry, when, at any time, psychiatry was viewed from different perspective. The work may serve as study material for students in medical fields, for professionals or for anyone interested in the history of psychiatry nursing.

This dissertation is focused on phenomenon of madness in French surrealism and genre called "écrits bruts". The main theme is confrontation of surrealism aesthetics madness with written production of psychotic and mostly schizophrenic patients. The primary outcome is presented by analysis and interpretation of two chosen literary works, which are collection of experimental poetry by André Breton and Paul Éluard called L'Immaculée conception (Immaculate Conception, 1930) and diary entries, known as Premier Cahier: de l'ordre des messages, mai 1935, written by one of the most significant French women representatives Jeanne Tripier,. The aim of this analysis is on one hand to identify and characterize forms through which simulated and "real" madness in texts presented are, and on the other hand to describe its poetic function. The methodology part is based on structural and genre analysis of both aforementioned movements and moreover is formed on outcomes of the phenomenologically oriented psychiatry and psychoanalysis.

Psychophysiological research of bipolar disorder reveals physiological correlates of each episode of the disorder. Neuroimaging methods come with findings of abnormal brain corticolimbic activity, deficit in cognitive functioning, including senzorimotor processes, and dysregulation in balance of sympathetic and parasympathetic activity. Differences are observed in bipolar disorder type I and type II and also in gender of patients. Knowledge about physiological processes may be enforced in treatment and therapy of bipolar disorder, including biofeedback. Powered by TCPDF (www.tcpdf.org)

Tobacco dependence and psychiatric comorbidity Introduction: Because the smoking is a societal problem and the prevalence of smoking of psychiatric patients is 2 to 3 times higher than in the general population, the purpose of the bachelor thesis was to map these issues for patients in a psychiatric hospital in Havlíčkův Brod. Objectives: There were four objectives defined in the thesis: to determine the prevalence of smoking , to find the most common diagnoses for patients-smokers and to chart the aspects associated with smoking including health personnel attitudes, to assess their knowledge about smoking cessation possibilities and to offer basic advice and information material about smoking cessation to the patients. Methods: The data source was the records of patients hospitalized in the psychiatric hospital Havlíčkův Brod till the 3rd of February 2014. Actual research was carried out on patients with a diagnosis of F 10 and F 20 in the period from 3rd of February to 15th of June 2014. The research sample of the predominantly quantitative research included 200 patients with diagnoses F 10 and F 20 and 55 physicians working with psychiatric ill patients-smokers. Data were collected by questionnaire survey and doctors were contacted by an internal e-mail. Results: Compared to the general...

Aim of this thesis, entitled "Stress factors in psychiatric nursing care", was to identify and analyze stress factors appearing in the work of nurses in psychiatric department. After this, describe their impact on the quality of nursing care from the personal perspective of nurses. Next point was find out how many information have nurses about consequences of long-term effects of stress and find out, which personal resources they are using to manage the stress. This work is divided into theoretical and practical part. This bachelor thesis find out, if are nurses on psychiatric department stressed and which stressfull situations are the most frequent. We find, if these situations affect the quality of their work and determine, how they fight with them or how they prevent the impacts on the their mental and physical condition. In the theoretical part, we focused to the description of psychiatry and their history. Then, of course, we described the history of education and specifics of nursing care in psychiatric department. Important was the focus on stress in general. We described experiences, which are connected stress, types of stress, symptoms and consequences. Finally, we focused on the possibility of managing stressful situations. In the research part to achieve the aims, we have used the following research questions: Which stress factors exist in the work of nurses in psychiatric department? Which stress factors nurses consider in their work the most frequent? Know the nurses, working in psychiatric department, about consequences of long-term effects of stress factors? Which personal resources, to manage the stress resulting from the work, nurses using in their life? In this bachelor thesis was used method of qualitative research and technique of semistructured interview. The research sample consist of the ten nurses, who work in a psychiatric department in České Budějovice. Method of interview analyssis was used open coding. The research provides a opportunity to insight on stress influence the nurses on psychiatric department. The main finding is that nurses are probably not sufficiently educated in the care of mental health, even though it shows a high level of stress in their everyday working life. The main result of this work is the fact that nurses are exposed stress factors arising from the performance of their work with potential impact on their approach and client care. Our results allow to form an picture of the the questions of relations between stress and nurse, working in of psychiatric department.

The work is divided into two parts ? teoretical and practical part. Teoretical one describes and defines terms deliberate self-harm, forms of self-harm, its diagnostics, motivation and factors, specifics of children´s psychotherapy. This part makes the scient base for the practical part. Practical one presents the case history of three girls, theirs short anamnesis and presentation of theirs imagines.

The work deals with the lives of people with mental illness - schizophrenia and opportunities that contribute to improving or maintaining their current health status. The theoretical part includes the characteristics of psychotic illness, legal protection of patients, possible treatment and aftercare. The practical part describes and compares three selected services or facilities. This is the Horizon Zlín, therapeutic workshops Kotva Strážnice and day service center Uherské Hradiště - Jarošov. It also includes assessment of the importance of individual therapeutic activities with clients focusing on the reduction of recurrent symptoms of schizophrenia and pointing out the importance of aftercare services and improving the facilities that this follow-up care for people with schizophrenic disorders are provided. A major benefit would be the establishment of other centers, care centers and therapeutic workshops offering services already mentioned, which would benefit not only for patients, their families, but also for the general public.

The work deals with a mental illness called schizophrenia. The thesis consists of two parts, the theoretical part and the practical part. The theoretical part has five chapters, it has focused mainly on the interconnectedness of social work, psychiatry, psychology and ethics. First, it describes schizophrenia in general - how begins the illness, it signs and symptoms, diagnosis, course and prognosis and treatment options. I am focusing on the psychiatric aspects of schizophrenia, the social aspect of the disease and the ethics codes of various disciplines. The practical part is research, which is based on the interpretation of the results of a quantitative research. I opted a questionnaire as a research technice. The aim of this questionnaire is to find out which general knowledges has the adult population about schizophrenia and which views of schizophrenia are prevailing.

The aim of the dissertation is to treat psychiatry and mental illness from the anthropological point of view. The topic is treated at three levels. First, I describe psychiatry as a specific culture's product, and I explore how it constitutes itself as an unbiased science. I conclude that in spite of developing its scientific aspect, its human-science aspect is neglected, stuck in the 19th century's paradigm of evolutionism. Although there is a number of sources of a new less scientistic and ethnocentric and more reflexive paradigm nowadays, it still seems to be more a vision than reality due to the institutional toughness of the present paradigm. Second, I study "mental illness" as an abstract concept. I ask if the Western psychiatry's classification is universal and I explore various culturally specific forms of mental illness and its conceptualizations. Third, partially grounded in my fieldwork, I ask how abstract psychiatric terminology is embodied in a concrete human being and how the sufferer's point of view differs from the one of the professional in the mental health care. The dissertation intends to show that despite all the three levels being interlocked, their unity is not self-evident but is always constructed and contested.

The diploma work reflects the different attitudes to evaluation of extraordinary religions experiences. The objective is to compare different ways of comprehension and evaluation of extraordinary religious experiences and thereby provide suggestions for further consideration of these experiences with a view to pathology and normality. In the theoretical part firstly the general term of the religious experience is determined further the definition of the extraordinary religious experiences follows. Using the example of three types of different religious experiences the psychological, psychiatric and religious attitudes are compared. Further two general attitudes to the extraordinary religious experiences are compared form the point of view of pathology and normality. The conclusion of the theoretical part offers suggestions for consideration of extraordinary religious experiences. The practical part, based on the qualitative research, surveys the experiences of five persons that went through an extraordinary religious experience which is considered by them as religious or spiritual. The research was carried out by means of the semistructured interview and loosely adjusted graphical projective technique called the "Axis of Life". By analyzing the performed interviews answers to questions how the...

Diploma work "Mental Ilnes in the beginning of institualization czech psychiatry in 19th and 20th century" inform about slowly change in view on Madness phenomen in Europe history. This change from religious to medical care is very clear in the period if Enlightenment. Reflexion of this change from religious to medical care is also vivid in czech environment in 1869-1914. In my aproach to this problem were very important the medicals reports from Mental Sanatorium in Kosmonosy (this reports are from 1908-1910). In this materials I could study this medical turn in medical care about madmen. I raised the question of the role of physicians and psychiatrists in this process and I was also interested in the issue of mental stigmatization and its impact to social cooperation beetwen mental ills and "normal" society.

The aim of this study was to examine the use of animals in the therapy of neurotic disorders under the settings of mental hospitals. First part of this work desribes neurotic disorders and their therapy with a particular emphasis on AAT (Anima-Assisted-Therapy, pet therapy) and its subdivisions (hippotherapy, canistherapy, etc.) Principals of AAT are explained. Further, contraindications and possible risks are mentioned and the inherent possibility of animal misuse is discussed. The theses include basic guidelines and methods used in AAT and concludes with practical observations made by psychotherapists from the Czech mental hospitals.

Diploma thesis deals with the issue of community care in psychiatry and its objective is to describe the importance of a nurse in providing this care. Community psychiatric care is a very wide area of an intermediary patient assistance designed to help the patients in any areas of their lives. Although in the Czech Republic community care has not achieved the appropriate development yet, its benefits for patients are important now and its importance has been growing. In the theoretical part, after a brief introduction to community care issues, history, principles, but also community care connection with nursing care, are mentioned. Subsequently, attention is paid to particular areas of community care that are important for the mentally ill and the role of a nurse in these areas is described. The approach to the mentally ill, the issue of stigmatization and psychiatric care organizations are mentioned. In the theoretical are part, psychiatric illnesses that may occur in community care are also analyzed and it is explained how community care may be beneficial for psychiatric patients. In the practical part, the objective was to find out the level of psychiatric nurses´ awareness of community care and to determine if they see the sense of community care in psychiatry. Making a survey of community care in which nurses can be involved was another objective of the work. The nurses´ responses to the stated hypotheses were statistically analyzed within quantitative research. The purpose of hypotheses stated was to determine whether nurses with the work experience longer than ten years are more likely to believe that psychiatric care is more beneficial for patients than hospitalization., And also, if nurses with an education higher than secondary have better awareness of community services provision. Other hypotheses were focused on finding out whether nurses consider the most common community care services issue in the Czech Republic to be housing promotion and if nurses aged over thirty years are more aware of the nurses´ role importance in community care. None of those hypotheses were confirmed. The hypothesis assuming that nurses obtain more information on community care from the Internet and literature than at workshops was confirmed. Psychiatric nurses working in mental homes in the South Moravian region and the Vysočina region took part in this research. A component of the practical part is also an analysis of community services in these regions. In both the regions 13 civic associations and community centers were mapped.

This bachlor papaer vith communication problems involving schizoprenic patients.The first theoretical part describes of schizoprenic illness,its onset, what the sings are and what treatment options are available.

This bachelor´s work is concerned with burnout syndrome of medical social workers in mental institute of Dobřany. In the teoretic part I am describing the present status of burnout´s syndrome problematics. I am also briefly describing the institute in Dobřany, each department and also the jobs of mental social workers in that institute. Practical (applied) part of this work is focused on burnout syndrome detection and its occurrence and existence by the medical social workers in the mental institute of Dobřany. A questionary is an adopted method in that research and the answers either acknowledge or refutate the hyphotesis, which I determined.

The work deals with the problem of stigma creation among mentally ill people in the contemporary society. A group of people with mental illness is determined by defining the terms of mental health and mental illness. The consequences of the illness on the quality of life are described. A history of mental health care and the development of the opinions on the group of mentally ill people are mentioned. The problems of stereotypical attitudes to mentally ill are dealt with, together with the importance of impact of stigmas on the personality of the mentally ill and their environment. In the last part the possibilities of shifting off the stigmas are eliminated, respecting the experience in the field of mental health care abroad.

This bachelor work deals with problems of an integrated rehabilitation system at the persons with mental diseases. The integrated rehabilitation system is actually a present-day conception of the rehabilitation. The rehabilitation is solely not understood only as a medical activity in the sense of physiotherapy, but as an inter-disciplinary domain containing therapeutic, social, pedagogical and working components. An aim of the integrated rehabilitation system is to make possible for the people with mental diseases to reach or to keep an optimal level of all functions. To provide them means so they could achieve a higher living standard and means to integrate them into an active life in the society. For a wide spectrum of the mental diseases I concentrated on persons with the diagnosis of schizophrenia, obsessively compulsive alienation and a dementia of Alzheimer type. In the theoretical part I devote to the characteristics of concepts - the integrated rehabilitation, health, mental health, psychiatry. Further I describe causes, characterization, cure, therapy and social impacts of individual mental diseases. Other chapters I mention in my work are focused on the integrated rehabilitation system with particular means, a legal anchorage and a social work with the mentally ill people. For an elaboration of the experimental part of the bachelor work I chose a quantitative research combining processes of qualitative and quantitative methodology. The chosen technique is a standardized questionnaire for workers in psychiatrical hospitals and a technique of the contentual analysis of data from the medical documentation of persons hospitalized in psychiatrical hospitals. The research set was made up by 52 workers in the psychiatrical hospitals and 6 people with chosen mental diseases. As the main aim I determined to analyze a situation in the area of the integrated rehabilitation system at the people with mental diseases in psychiatrical hospitals. To describe how individual factors of the integrated rehabilitation system come through and to find out what kind of knowledge the respondents about the integrated rehabilitation system have. From the results of my work follows this conclusion: The rehabilitation of the people with mental diseases, hospitalized in mental hospitals, is aimed to a medical factor of the rehabilitation. Workers taking care of the people with mental diseases have not any concrete imagination about the integrated rehabilitation system.

Diploma thesis "System - Stigmatization of Psychically Disordered" aims the analysis of the system - stigmatization after the year 1989. As a part of the research tasks some fields related to the psychiatrical treatment/care reform in Czech Republic are discussed. Among the most important fields of disputation lie the general prerequisites of the system - stigmatization sequencing the present system of the treatment/care, the principles of the persisting psychiatrical treatment/care system that emphasizes psychiatrical institutions such as mental homes or the specific interests and acts of the people involved in compared to declared sponsions that were published in the strategical documents. As a solution by the working the problem out the people involved analysis, analysis of the legal frame and relevant strategical documents analysis. The koncept System - stigmatization is, for the purpose of that thesis, understood as an origin and a development of the stigmatization - mechanism that originated in the system of psychiatrical treatment/care and psychiatric institutions. Understood in that way, the stigmatization can be characterized as complicated web of determinants having deep history - based roots. It is also related to development of the specific culture in a way. The diploma thesis specifies...