Žena i ideologija(e). Feministička poetika Alexandre Berkove

U suvremenim raspravama o identitetu prevladavaju dvije struje – esencijalistička i konstruktivistička. U ovom radu polazim od teorije identiteta kao konstrukta, oblikovanog društvenim praksama i individualnim uvjerenjima na primjeru stvaralaštva češke spisateljice Alexandre Berkove u kontekstu njenog tretmana ženskog identiteta na pozadini različitih ideologija – feminističke i socijalističke. Ta je autorica u svojim pojedinačnim prozama odustajala od komentara društvenih prilika kako bi propitala egzistenciju ženskih subjekata u privatnom prostoru, zatim je na primjeru konstrukcije ženskih identiteta upozorila na opasnosti vladajuće državne ideologije, da bi se u konačnici ponovo vratila privatnom, intimnom prostoru. U radu ću propitati prisutnost osobne i društvene ideologije u književnom tekstu te utvrditi specifičan razvojni put jedne individualne autorske poetike

Life on the Margin – The Stranger / the Other in Petra Hůlová’s Fiction

The essay analyzes a complex problematics of the stranger / the Other in the novels by the contemporary Czech novelist Petra Hůlová in its manifold manifestations ranging from the stranger / the Other as an outsider in his own culture to the stranger / the Other as an immigrant in the dominant, new culture. The stranger in Petra Hůlová’s fiction finds himself mostly in a position of the social outsider who does not manage to completely sever the ties to his own culture, while being challenged in a new cultural space by prejudice and rejection

Life on the Margin – The Stranger / the Other in Petra Hůlová’s Fiction

The essay analyzes a complex problematics of the stranger / the Other in the novels by the contemporary Czech novelist Petra Hůlová in its manifold manifestations ranging from the stranger / the Other as an outsider in his own culture to the stranger / the Other as an immigrant in the dominant, new culture. The stranger in Petra Hůlová’s fiction finds himself mostly in a position of the social outsider who does not manage to completely sever the ties to his own culture, while being challenged in a new cultural space by prejudice and rejection

ŽIVOT JE DRUGDJE?

The article analyses the specific concept of the ‘place with a mystery’ developed in the works of Daniela Hodrová and applies it to the novels of contemporary Czech authors, Josef Pánek, Matĕj Hořava, and Anna Cima. The aim of the article is to establish the connection between the novels in terms of the shift in meaning and the symbolism of the ‘places with a mystery’, which may be the foundations of the new existentialist branch of contemporary Czech fiction.Članak donosi analizu specifičnog koncepta ‘mjesta s tajnom’ koji je u svojim djelima razvila češka teoretičarka Daniela Hodrová te se on primjenjuje na romane suvremenih čeških autora Josefa Páneka, Matĕja Hořave i Anne Cime. Cilj analize je uspostaviti vezu između romana u smislu pomaka u značenju i simbolizmu ‘mjesta s tajnom’ koji može predstavljati temelje  novog oblika egzistencijalizma u suvremenoj češkoj književnosti

Traditional and non-traditional female roles in Karel Čapek\u27s Krakatit

In the article Karel Čapek\u27s utopian novel Krakatit is analysed from the point of feminist and gender literary criticism. Female characters are observed in their compliance and non-compliance with traditional gender roles and their influence on the development and resolution of the plot. Taking into account the plethora of their individual characteristics, the analysis reveals the potential subversion of female stereotypes and assumption of an active role in the novel dominated by the central male hero

INTEGRATED SPECIALIZED EARLY-COURSE PSYCHOSIS TREATMENT SERVICES - UNIVERSITY PSYCHIATRIC HOSPITAL VRAPCE MODEL

First episode of psychosis presents a critical period in terms of numerous associated risks, but also possibilities for effective therapeutic interventions. There is a continued focus on early interventions in prodromal states and early course of frank psychosis, aimed at ensuring faster remission, reducing relapses, achieving better long-term functioning, and preventing adverse outcomes linked to untreated psychosis and chronic psychotic disorders. A number of different specialized treatment models and services exist trying to close knowledge gaps and provide clinical interventions to first-episode psychosis (FEP) patients, but there is still no generally accepted standard of care informing our every-day practice. FEP and early-course psychosis specialized treatment model developed in 2004 in University Psychiatric Hospital Vrapce rests on integration of care across different organization units and clinical presentation acuity levels and patient needs (intensive care, FEP inpatient unit, FEP outpatient services including day hospital). Such integration of FEP services allows for flexible entry point on multiple levels, earlier structuring of therapeutic alliance for those requiring inpatient care, reduction of risks associated with FEP, quicker formation of long-term treatment plans, reduction of delay in accessing specialized services, and a more coordinated diagnostic process and recruitment of FEP patient population. Detailed evaluations of outcomes and comparisons with different treatment models are necessary in order to assess strengths and weaknesses of each specific model and inform modifications to current practice models

INTEGRATED SPECIALIZED EARLY-COURSE PSYCHOSIS TREATMENT SERVICES - UNIVERSITY PSYCHIATRIC HOSPITAL VRAPCE MODEL

First episode of psychosis presents a critical period in terms of numerous associated risks, but also possibilities for effective therapeutic interventions. There is a continued focus on early interventions in prodromal states and early course of frank psychosis, aimed at ensuring faster remission, reducing relapses, achieving better long-term functioning, and preventing adverse outcomes linked to untreated psychosis and chronic psychotic disorders. A number of different specialized treatment models and services exist trying to close knowledge gaps and provide clinical interventions to first-episode psychosis (FEP) patients, but there is still no generally accepted standard of care informing our every-day practice. FEP and early-course psychosis specialized treatment model developed in 2004 in University Psychiatric Hospital Vrapce rests on integration of care across different organization units and clinical presentation acuity levels and patient needs (intensive care, FEP inpatient unit, FEP outpatient services including day hospital). Such integration of FEP services allows for flexible entry point on multiple levels, earlier structuring of therapeutic alliance for those requiring inpatient care, reduction of risks associated with FEP, quicker formation of long-term treatment plans, reduction of delay in accessing specialized services, and a more coordinated diagnostic process and recruitment of FEP patient population. Detailed evaluations of outcomes and comparisons with different treatment models are necessary in order to assess strengths and weaknesses of each specific model and inform modifications to current practice models

APPROACH TO EMERGENCIES IN SCHIZOPHRENIA IN UNIVERSITY HOSPITAL "VRAPČE"

Background: An emergency in psychiatric setting is any disorder in thought process, feelings and/or behavior of the patient that requires urgent therapeutic intervention. In general, we can observe an increase in numbers of psychiatric emergencies throughout the world and in Croatia as well. Agitation and aggression are one of the most common causes of emergency in psychiatry. Agitation is common and frequent in patients suffering from schizophrenia. Patient can be agitated in various levels such as: mild, moderate or evere and can alternate between these levels in the same presentation. Agitated patients often require hospitalization that includes pharmacotherapy and sometimes physical restraining, in order to treat the cause of agitation and prevent auto and/or heterodestructive behavior. Subjects and methods: In this paper we focus on patients suffering from schizophrenia that were admitted in University Hospital "Vrapče" in 2017, and assess the numbers through the criteria of voluntary vs. involuntary admissions and physical restraint usage. Results: Out of total observations, 130 (35.6%) were patients admitted for the first time and 179 (49%) were patients later diagnosed with schizophrenia spectrum and other psychotic disorders. Court ordered involuntary hospitalization was ordered for 35 (2.8%) patients out of total admitted patients, and 68.6% (N24) of them were diagnosed with schizophrenia spectrum and other psychotic disorders. Physical restraint was used for 122 patients out of total admissions and 28.7% (N35) of restrained patients were diagnosed with schizophrenia spectrum and other psychotic disorders. Conclusions: Emergencies in patient suffering from schizophrenia are extremely delicate and demanding situations in every-day clinical practice of psychiatrist. There is an increased risk involved for the patient but for the staff as well. All interventions should be individualized and patient should carefully monitored throughout the entire process. All professionals involved in care for a patient should be up to date with medical and legal issues

First Psychotic Episode Treatment

Pravodobno otkrivanje i liječenje oboljelih od prvih psihotičnih poremećaja jedan je od najvećih izazova suvremene psihijatrije. Suvremeni pristupi liječenju psihotičnih poremećaja naglasak stavljaju na funkcionalni ishod bolesti. Osnova i temelj liječenja shizofrenije i drugih psihotičnih poremećaja iz spektra shizofrenije jest primjena antipsihotika. Antipsihotici se rabe i u liječenju svih ostalih psihotičnih poremećaja. Ovisno o indikaciji, može se razlikovati preporučena duljina primjene antipsihotika. Zbog specifičnosti farmakoterapije u prvoj psihotičnoj epizodi potrebni su uvođenje antipsihotika druge ili treće generacije kao prve linije terapije, započinjanje niskom dozom te pažljivo i polako titriranje radi postizanja minimalne učinkovite doze lijeka. Psihosocijalne intervencije (u biopsihosocijalnom kontekstu) sastavni su dio liječenja prve psihotične epizode i tijekom akutnog liječenja i u fazi postizanja i održavanja remisije.prva psihotična epizoda; antipsihotici; rane intervencije; psihosocijalne metode liječenj