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An anglo‐saxon tendency to Czech psychiatry


l'Information Psychiatrique. Volume 80, Number 1, 51-5, Janvier 2004, PSYCHIATRIE EUROPÉENNE

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Author(s) : Charles Alezrah, Nicole Garret‐Gloanec, Yves Gloanec, Jaroslav Vanek

Summary : Long under German domination, Czech psychiatry was little influenced by Soviet psychiatry and has developed a conspicuously Anglo‐Saxon leaning since 1968. Psychiatric hospitals are modern, dynamic, medication‐oriented (under the sway of ICD10 and DSM‐IV), whilst leaving a marked place for sociotherapy and art therapy. Psychoanalysis has lost much of its impact. Cases of enforced hospitalisation are legally monitored. Community care is entirely in the hands of private psychiatrists. Paedopsychiatry has a distinctly neuropaediatric slant. Prescriptions are free for all patients. The system of insurances is currently being privatised. There are only half as many psychiatrists as in France, but an intensive training effort is under way\; qualification comprises three levels of competence.

Keywords : psychiatry, Czech Republic, mental health policy, psychiatric hospital, paedopsychiatry, prescriptions, training.

 

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