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Community exposure to asbestos in Casale Monferrato: from research on psychological impact to a community needs-centered healthcare organization.

Abstract Asbestos exposure has a negative impact on both the physical health of the population, and on its psychological and community components. Usually such issues are addressed via top-down strategies, but this approach is unable to address the interpersonal processes connected to living in a specific context.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title annali dell'istituto superiore di sanita
Publication Year Start




PMID- 26783221
OWN - NLM
STAT- MEDLINE
DA  - 20160119
DCOM- 20170202
LR  - 20170202
IS  - 0021-2571 (Print)
IS  - 0021-2571 (Linking)
VI  - 51
IP  - 4
DP  - 2015
TI  - Community exposure to asbestos in Casale Monferrato: from research on
      psychological impact to a community needs-centered healthcare organization.
PG  - 336-41
LID - 10.4415/ANN_15_04_14 [doi]
AB  - INTRODUCTION: Asbestos exposure has a negative impact on both the physical health
      of the population, and on its psychological and community components. Usually
      such issues are addressed via top-down strategies, but this approach is unable to
      address the interpersonal processes connected to living in a specific context.
      METHOD: The work carried on in Casale Monferrato since 2006 proceeds in the
      opposite direction: promoting a different interaction between health system
      policy-makers and administrators, field actions, and system thinking. Our goal
      was to create a reliable model that could fit into other contexts, while being
      flexible and adapting to specific backgrounds. Starting from the results obtained
      during a first assessment phase, a psychoanalytic group was arranged, aimed at
      promoting the symbolization and signification of the emotions related to the
      ill-fated prognosis. RESULTS: The clinical work offers a space for handling the
      illness and its psychological impact, in order to achieve: 1) a subjective
      perception of themselves as not impotent and alone; 2) improved abilities of
      caregivers to manage the disease; 3) enhanced quality of residual life.
      CONCLUSIONS: An integrated multidimensional intervention promotes resilience in
      the community, but it requires time, for patients, relatives, and the
      professionals involved. Only with the combined support of oncologists and the
      entire ward staff will an internal trust be free to grow within a somato-psychic 
      space able to accommodate and sustain the participants during the final stages of
      their own life, or that of someone close to them.
FAU - Granieri, Antonella
AU  - Granieri A
AD  - Dipartimento di Psicologia, Universita degli Studi di Torino, Turin, Italy.
LA  - eng
PT  - Journal Article
PL  - Italy
TA  - Ann Ist Super Sanita
JT  - Annali dell'Istituto superiore di sanita
JID - 7502520
RN  - 1332-21-4 (Asbestos)
SB  - IM
MH  - Asbestos/*adverse effects/analysis
MH  - Community Health Services/*organization & administration
MH  - Environmental Exposure/*adverse effects
MH  - Environmental Illness/*psychology
MH  - Humans
MH  - Italy
MH  - Needs Assessment
MH  - Quality of Life
MH  - Research
MH  - Stress, Psychological
EDAT- 2016/01/20 06:00
MHDA- 2017/02/06 06:00
CRDT- 2016/01/20 06:00
AID - 10.4415/ANN_15_04_14 [doi]
PST - ppublish
SO  - Ann Ist Super Sanita. 2015;51(4):336-41. doi: 10.4415/ANN_15_04_14.

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