RESUMEN
The role of cultural dynamics and norms within families of persons with mental illness has been an underexplored subject, although the familial context has been recognized as influential. This subject was studied with 24 ultra-Orthodox Jewish mothers of persons with mental illness who live in a relatively closed religious community. While participating in the Keshet educational program designed for family caregivers in mental health, they wrote Meaningful Interactional Life Episodes that involved a dialogue exchange in their lives. Qualitative analysis of 50 episodes illuminates the significant role that religious and cultural norms have in the perceptions of what are considered stressors and the dynamics in these families surrounding these stressors. The necessity and value of incorporating cultural competence into family educational programs and interventions is emphasized, as this may contribute to the potential use and success of mental health service models within a population that essentially underutilizes these services.
Asunto(s)
Cuidadores/psicología , Cultura , Familia/psicología , Judíos/psicología , Trastornos Mentales/psicología , Mujeres/psicología , Adulto , Anciano , Familia/etnología , Femenino , Humanos , Judíos/etnología , Judaísmo/psicología , Trastornos Mentales/etnología , Persona de Mediana Edad , Investigación CualitativaRESUMEN
Geriatric rehabilitation is a prolonged and expensive process. There is a need to evaluate the rehabilitation potential because of the increasing number of elderly in the population and limited resources. Cognition is one of the components of occupational performance and its evaluation is a crucial part of comprehensive geriatric assessment. Cognitive evaluation is one of the predictors of function among elderly in the community and also assists in predicting their rehabilitation potential during hospitalization. High prevalence of cognitive decline with aging and the difficulties in its early assessment during hospitalization emphasizes the utmost importance of this evaluation in predicting the functional prognosis of the patient. This article reviews the main common tools for cognitive evaluation, which are in use clinically, and also used in research, for geriatric rehabilitation in Israel. These were compared with the principles of dynamic cognitive assessment. We aim to assess the need to add dynamic diagnostic tools to supplement those in common use. This will assist in providing an optimal mechanism for cognitive evaluation during geriatric rehabilitation.