Sunday, January 31, 2010

Stajewilliams Syndrome

Psychiatry and catastrophes. Today Haiti

The truth is not whether it is good or bad, even if it is useful or not, but the news cycle earthquake Haiti is ongoing (chaos - death - trapped - Personal stories - children - mentally ill) and we've reached the psychiatric centers.

A Palestinian psychiatrist once told me that mental patients have a high rate of survival at critical moments, but that in the weeks after the victims are most vulnerable, poor access to food, food, care ...

I wonder what would happen in Spain. In the case of a catastrophe of this magnitude, it would appear a fleet of psycho-somethings to deal with the aftermath of the people, the post-trauma (that we did not invent it myself, we already have experience). But as always, will forget the sickest patients, patients for the invention of Psychiatry. And if I'm sure that would happen in Spain, because I am not surprised by the news today in Haiti.

The earthquake is becoming a reality show (see this link genius of Perez Reverte: here ) And I believe that through the ghost of curiosity and learn from our own misery is almost the best we can do. For them and for us. ----------------------------------------------


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People why no one cries. Article from The Guardian (01/31/1910)
http://www.elpais.com/articulo/internacional/gente/nadie/llora/elpepiint/20100131elpepiint_6/Tes


A teenager walking naked through the hospital Mars & Line, Port au Prince, one of the largest public psychiatric patients Haiti. Other young people stop spending the morning sitting behind the bars of their cells. This hospital always suffered from lack of resources, according to its makers, but now looks like a kennel. After the disaster of January 12 more engineers determined that the building did not offer sufficient security to house the 80 inmates, so the family took the sick to their homes or the street, where he sleeps most of the population . But eight of the inmates had no choice but to stay under the roof in ruins, because they have no one to claim.

Seven men and one woman, almost none more than 30 years. From six in the afternoon until six o'clock, there is not a candle that illuminates. No screams, no damage is inflicted, or attack to the visitors, or cry, or laugh, or speak with anyone. If any of the 50 earthquakes that have been au-Prince after the big earthquake had hit the building, patients have been trapped in a closed room like cells.

The hospital has two psychiatrists, a psychologist, 12 nurses, an administrator and several guards. Franklin Normil psychiatrist and psychologist responsible for the center Eseulson Elisha, 30, calling for international aid. "We need food, water, clothing, tents, a generator, fuel, bedding, medicine ... If you are psychologists or psychiatrists are welcome. But above all, we need at least three cars. There are colleagues who miss work because they can not afford transportation. And we do not have the means to bring patients who are now in the streets, "the psychologist Eseulson Elisha, head of the center.

Normil Franklin Neither the psychiatrist who has spent three months working at the center, or the psychologist to control of the hospital, know the name of any of the patients. When asked why they lock with padlocks patients, the psychiatrist replied: "The relationship between them is problematic."

The beds are made of iron. On some there a kind of dirty foam mattress. But most do not have even that. At night there is no electricity. The Internal eat twice a day and usually do not talk to anyone. The guard is the only one who seems to know the history of some of them. "That is why he hit the mother, although he says no. That was taken away after the quake, but have had to bring because it has gotten worse," he says. In theory there should be eighty beds, as many as patients had before the earthquake, but do not add up. Just look around 40. "The rest slept on the floor," says the caretaker.

In the garden of the psychiatric input now about a hundred homeless people have set up their canopies. Outside, dust and debris. Twenty-five miles

northeast of Port au Prince, in the town of Beudet, another psychiatric bigger. The earthquake left it in ruins two wards and 80 patients are sleeping outdoors in the meadow of the hospital. Another 50 escaped through the walls demolished. At least a dozen inmates walk around naked. "We put clothes, but they are removed," says center manager, Josep Fritzner. By day the scorching heat, but it is quite cold at night sleeping in the open. And there is no cover in the asylum. "They were we gave, but the departed," said Fritzner.

Living conditions in the hospital seem to be better than the Mars & Line, the capital. Here space for walking, a therapy room where paint, trees, chickens, a generator to heat water to wash the patients, mattresses and food three times a day. But there are many cells with a lock and key. In one of them is Gabriel Verdú, 50, suffering from schizophrenia. "I'm locked up here, but I give the key to the lock and can go as you please," he explains. "It is true that," said Fritzner, "but occasionally gets very violent, began banging on the room and we have to inject their medication." The

center managers do not know how long it take to construct other wards or fix their damaged or in any case, when patients will sleep outdoors. "I guess the government will do something at some point," said Fritzner without much conviction.

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