|
1. |
Epilepsy in Bristol Secondary School Children |
|
Epilepsia,
Volume 13,
Issue 1,
1972,
Page 7-12
EVAN M. ROSS,
DORIS EVANS,
Preview
|
PDF (247KB)
|
|
摘要:
The recent report of the British Advisory Committee on the Health and Welfare of Handicapped Persons entitledPeople with Epilepsy(1969) deserves study far beyond British shores as a framework within which to restructure our thinking about epilepsy. In their “Envoi” the Committee makes the comment that, “There were many areas of the life of those with convulsive disorders about which we would have liked to have factual information.” They made a firm plea for further clinical and social research. With the active support of the British Epilepsy Research Fund we are attempting in Bristol—a typical North European city—to answer some of their questions in order to find out more about the life and needs of school children wi
ISSN:0013-9580
DOI:10.1111/j.1528-1157.1972.tb04542.x
出版商:Blackwell Publishing Ltd
年代:1972
数据来源: WILEY
|
2. |
A Medical and Social Survey of 231 Children with Seizures |
|
Epilepsia,
Volume 13,
Issue 1,
1972,
Page 13-20
A. D. GREGORIADES,
Preview
|
PDF (496KB)
|
|
摘要:
SUMMARYTwo hundred and thirty‐one children with seizures, aged 0–17 years (131 males, 100 females), were followed for a few months up to 4 years. Most of them belonged to working class families living in poor housing. In 150 cases the seizures started in the first 5 years of life, whereas only 37 were below that age when first referred to us. This contrast is discussed and some useful conclusions are drawn with regard to the parents' attitude to the child's illness.A high incidence of seizures in near relatives (38 cases), febrile convulsions (77 cases), and abnormalities during pregnancy or delivery (53 cases) was found and is discussed.The types of seizure, their frequency, medical treatment and EEG findings are described briefly. The general therapeutic approach and management are discussed in some detail, in view of the fact that in 52 cases the parents considered their child's behavioural disturbances to be the major problem. An intense, insistent and tactful case work was done by our social workers with the aim to change parental attitudes, environmental factors, when they played an important role, and to secure final rehabilitation of the patient.RÉSUMÉOn a suivi pendant une période allant de quelques mois jusqu'à 4 ans, 231 enfants âgés de 0 à 17 ans (131 garçons, 100 filles) présentant des crises. La majorité des enfants appartenait à des familles ouvrières vivant dans de pauvres habitations. Chez 150 d'entre eux, les crises ont commencé au cours des 5 premières années de vie, mais 37 seulement nous ont été envoyés pendant cette période. On discute la raison de cette disproportion et l'on tire les mêmes conclusions utiles sur l'attitude des parents vis‐à‐vis de la maladie de leurs enfants.Une fréquence élevée des crises dans la famille (38 cas), des convulsions fébriles (77 cas) et d'une pathologie de la grossesse et de l'accouchement (53 cas) a été retrouvée et discutée.On a brièvement décrit les types de crises, leur fréquence, le traitement médical et les données électroencéphalographiques. On a discuté en détail de l'attitude thérapeutique générale et du traitement approprié en tenant compte que les parents de 52 enfants considéraient que les troubles du comportement étaient le probléme le plus important. Notre équipe d'assistantes sociales a fait avec tact, un travail intense et continu pour modifier l'attitude des parents, les facteurs du milieu lorsqu'ils jouaient un rôle important, e
ISSN:0013-9580
DOI:10.1111/j.1528-1157.1972.tb04543.x
出版商:Blackwell Publishing Ltd
年代:1972
数据来源: WILEY
|
3. |
The Relation of Parental Attitudes to Academic and Social Achievement in Epileptic Children |
|
Epilepsia,
Volume 13,
Issue 1,
1972,
Page 21-26
L. C. HARTLAGE,
J. B. GREEN,
Preview
|
PDF (303KB)
|
|
摘要:
SUMMARYParental attitudes were correlated with several variables relative to academic and social achievement in 54 epileptic children. Those attitudes found to be significantly correlated with social development involved strictness in child‐rearing practices. Academic achievement was significantly correlated with parental acceptance of activity. Socialization was the aspect of development which correlated to the greatest extent with parental attitudes. Frequency of seizures was negatively correlated with social development but was not correlated with academic achievement. Type of seizure was not significantly correlated with either academic achievement or social development.RÉSUMÉL'attitude des parents était en relation avec plusieurs facteurs concernant le succés scolaire et social. La façon d'élever les enfants avec rigueur, était en relation significative avec le développement social.Le succès scolaire était en relation significative avec l'acceptation des parents, d'une libre activité de l'enfant. La socialisation était l'aspect du développement qui était le plus lié avec l'attitude des parents. La fréquence des crises était en relation négative avec le développement social, mais n'était pas en relation avec le succès scolaire. Le type des crises n'était pas en corrélation significative ni avec le succès scolaire, ni ave
ISSN:0013-9580
DOI:10.1111/j.1528-1157.1972.tb04544.x
出版商:Blackwell Publishing Ltd
年代:1972
数据来源: WILEY
|
4. |
Dependency in Epileptic Children |
|
Epilepsia,
Volume 13,
Issue 1,
1972,
Page 27-30
L. C. HARTLAGE,
J. B. GREEN,
LINDA OFFUTT,
Preview
|
PDF (208KB)
|
|
摘要:
SUMMARYFactors related to the development of dependency in epileptics were studied. Epileptic children were found to be significantly more dependent than controls, both with tonsillectomy and with cystic fibrosis. Child‐rearing attitudes were not different among parents of children in the three groups. Dependency in epileptic children was not significantly correlated with a number of variables—demographic, clinical and attitude of the parents.RÉSUMÉOn a étudié les facteurs en relation avec le développement de la dépendance chez les épileptiques. On a trouvé que les enfants épileptiques étaient significativement plus dépendants que les sujets de contrôle qui avaient à la fois une tonsillectomie et une fibrose cystique. Dans ces 3 groupes, les parents n'élevaient pas leurs enfants de manière différente. La dépendance des enfants épileptiques n'était pas en relation significative avec les facteurs démographique, clinique et
ISSN:0013-9580
DOI:10.1111/j.1528-1157.1972.tb04545.x
出版商:Blackwell Publishing Ltd
年代:1972
数据来源: WILEY
|
5. |
Community Aspects of Epilepsy – A Modern Re‐Appraisal |
|
Epilepsia,
Volume 13,
Issue 1,
1972,
Page 31-32
L. D. BOSHES,
H. W. KIENAST,
Preview
|
PDF (142KB)
|
|
ISSN:0013-9580
DOI:10.1111/j.1528-1157.1972.tb04546.x
出版商:Blackwell Publishing Ltd
年代:1972
数据来源: WILEY
|
6. |
Social Prejudice and the Adjustment of People with Epilepsy |
|
Epilepsia,
Volume 13,
Issue 1,
1972,
Page 33-45
C. BAGLEY,
Preview
|
PDF (790KB)
|
|
摘要:
SUMMARY1Social rejection of people with epilepsy appears to be widespread in pre‐techno‐logical societies, and in a number of technological societies as well. This non‐rational approach to epilepsy has been the province of some members of the medical profession, as well as of the general public.2Some hypotheses about the nature of prejudice against people with epilepsy have been tested, using English survey data. It was found, as hypothesized, that there is much less prejudice against people with cerebral palsy (a chronic and easily predictable loss of motor control). Prejudice against epilepsy may be akin to racial prejudice (which involves a fear of the unknown and unpredictable). There is a significant correlation between a scale measuring racial prejudice, and one measuring attitudes to the handicapped (this scale being dominated by hostile attitudes to epilepsy). People with epilepsy are seen in hostile terms which are as great as, or greater than, those in which ethnic minorities are viewed.3Analysis of a social distance measure indicated that people with epilepsy are significantly more often rejected than the mentally ill.4Widespread social rejection of people with epilepsy may well be largely responsible for the increased prevalence of behaviour disorders seen in this population. Although neurological factors can account for a significant and independent part of the variation in behaviour disorders, the greater part of this variance can be explained by factors in the environment.5A program of public education about epilepsy, similar to that carried out in America, is advocated for Britain.RÉSUMÉ1Le rejet social des personnes atteintes d'épilepsie semble être répandu dans les sociétés pré‐technologiques, mais aussi dans quelques sociétés technologiques. Cette attitude irrationnelle envers l'épilepsie a été l'apanage de quelques membres de la profession médicale ainsi que du public.2On a testé quelques hypothèses concernant la nature de ce préjugé contre l'épileptique en utilisant les données d'une enquête anglaise. On a trouvé, comme on l'avait supposé, qu'il y a beaucoup moins de préjugés contre les infirmes cérébraux (qui ont un handicap moteur chronique et facilement prévisible) et que le préjugé contre l'épilepsie se rapproche plutôt du préjugé racial (qui comporte la peur de l'inconnu et de l'imprévisible). Il y a une corrélation significative entre une échelle évaluant le préjugé racial et celle évaluant les attitudes envers les handicapés (cette échelle étant dominée par des attitudes hostiles vis‐à‐vis de l'épilepsie). Les personnes épileptiques sont considérées avec une hostilité qui est aussi grande sinon plus que celle avec laquelle sont considérées les minorités ethniques.3L'analyse de la mesure de distance sociale a indiqué que les personnes épileptiques sont significativement plus souvent rejetées que les personnes présentant une maladie mentale.4Le rejet social des épileptiques peut bien être en grande partie responsable de la prévalence accrue de leurs troubles du comportement. Bien que des facteurs neurologiques puissent être responsables d'une partie significative et indépendante des variations des troubles du comportement, la plus grande partie de cette variabilité peut s'exprimer par des facteurs environnants.5Un programme d'éducation publique sur l'epilepsie, s
ISSN:0013-9580
DOI:10.1111/j.1528-1157.1972.tb04547.x
出版商:Blackwell Publishing Ltd
年代:1972
数据来源: WILEY
|
7. |
Personality Traits of Disabled Epileptics |
|
Epilepsia,
Volume 13,
Issue 1,
1972,
Page 47-50
K. MATULAY,
M. PAVLOVKIN,
Preview
|
PDF (245KB)
|
|
摘要:
SUMMARYA study was made of 70 epileptic patients, most of them on pension. Cattell's personality inventory was used to investigate personality disorders in 36 patients and Ror‐schach's test in 25 patients. EEG tracings were not relevant to the problem of the “epileptic personality”. EEG tracings are the basic diagnostic aid, because the findings were abnormal in the great majority and supplemented the psychiatric and epileptologic findings. Cattell's personality inventory in the present version was not a suitable test in our group of epileptics. The investigation of social workers in the homes of epileptics helped us to understand the social status of the epileptic. Further investigation with modified tests is needed to ascertain employability, and more psychologic and psychopharmacologic help will be useful for the epileptic. There is a real need for further research in rehabilitation of mentally retarded epileptics.RÉSUMÉSoixante‐dix malades épileptiques ont été examinés dont la grande majorité déjà en retraite. Avec 36 malades le questionnaire de Cattell a été utilisé pour étudier les troubles de la personalité. Les E.E.G.s ne sont pas décisifs dans l‘étude de la “personnalitéépileptique”. Les E.E.G.s forment l'aide fondamentale diagnostique parce que dans la grande majorité les résultats sont pathologiques, à côté des résultats psychiatriques et épileptologiques. Le questionnaire de Cattell n’était pas un test convenable pour notre groupe d‘épileptiques. En outre il est nécessaire de fixer la possibilité d'occuper les malades par les tests modifiés. L’étude des circonstances sociales dans les ménages des épileptiques nous aident à comprendre le status social des épileptiques. Les épileptiques ont besoin plutôt de l'aide psychologique et psychopharmacologique. On a besoin plutôt de recherche dan
ISSN:0013-9580
DOI:10.1111/j.1528-1157.1972.tb04548.x
出版商:Blackwell Publishing Ltd
年代:1972
数据来源: WILEY
|
8. |
Youngsters with Epilepsy within the Framework of the Social Institutions of Israel, with Special Reference to the Armed Services |
|
Epilepsia,
Volume 13,
Issue 1,
1972,
Page 51-56
MARTA ELIAN,
Preview
|
PDF (312KB)
|
|
摘要:
SUMMARYThe importance of Service in the Army in the Israeli child's development and future has to be recognized.Rejection solely because of epilepsy affects only about a quarter of the epileptic youngsters, less than it seemed at first glance; most of them do reasonably well in civil life and probably would be able to do as well in a non‐combat unit of the Army, which would be to them like full rehabilitation.The fact that the 14 accepted, or about a quarter of the boys who applied, did quite well in the Army, supports the notion that a plan could be worked out which would benefit both the Army and the youngster
ISSN:0013-9580
DOI:10.1111/j.1528-1157.1972.tb04549.x
出版商:Blackwell Publishing Ltd
年代:1972
数据来源: WILEY
|
9. |
The Epileptic Worker in the Construction Industry |
|
Epilepsia,
Volume 13,
Issue 1,
1972,
Page 57-62
L. SOREL,
Preview
|
PDF (306KB)
|
|
摘要:
SUMMARYThe performance of epileptic workers in the construction industry was analyzed.1In the competitive market, 60 patients were treated and followed medically, as well 16 epileptic workers employed during the past 14 years by a large construction firm. Most (72 %) were skilled labourers or professionally trained, and most (80 %) were between 20 and 45 years old. 80 % of them made a good to excellent work record; 20 % were dismissed because of seizures or personality difficulties.2The factors contributing to success were: (i) adequate training; (ii) specialized medical supervision and optimum control of seizures; and (iii) continuous support and guidance by experienced social service workers, who encouraged regular medication and medical check‐ups as well as continued work, and helped with sensible information to the patient and his family, his co‐workers and his employers. This kind of medico‐psycho‐social collaboration is achieved most effectively in multidisciplinary centres. The Friends of the Belgian National League against Epilepsy helped to initiate and carry out the study, and supplied social help to the patients.3The construction industry seems particularly suitable for the epileptic patient; in Belgium there is a shortage of manpower in this sector, and a variety of jobs. The Friends of the Belgian National League against Epilepsy helped by making it possible for the patient to subscribe to total‐risk insurance, relieving the employers of increased liability on their account.4The 2 protected workshops in the building sector supported by the Friends of the National League proved successful in providing satisfactory work and in revalidat‐ing patients so they could enter the open market. They were also successful financially. It proved valuable to have 2 workshops, 1 for precision work (wiring electrical circuits) and 1 for manual labour (installing pipes for central heating).5A protected workshop was set up as part of an institution. It was owned by a firm which manufactured cement blocks, and manned by epileptics. It was useful in revalidating patients to competitive jobs, but needed subsidy since it operated with a deficit.RÉSUMÉUne enquête effectuée par l'équipe médico‐psycho‐sociale et de Réadaptation des Amis de la Ligue Nationale Belge contre l'Epilepsie a permis de constater que dans la société ordinaire, le milieu professionnel constitué par les différents secteurs de la construction, est favorable à l'épileptique, tant pour les possibilités d'embauché que pour le maintien au travail.L'intégration sociale peut être obtenue dans les trois‐quart des cas, tandis que le maintien dans la société normale des malades épileptiques en général, n'est possible sans trop de difficulté, que pour la moitié d'entre eux. L'acceptation du malade épileptique et son maintien dans la société normale est fortement favorisée par une bonne collaboration médico‐psycho‐sociale qui s'exerce avec le plus d'efficacité au sein de centres multidisciplinaires. Une assurance en responsabilité civile souscrite par l'intermédiaire des Amis de la Ligue Nationale Belge contre l'Epilepsie peut enfin être réalisée et facilitera encore grandement la réadaptation des malades.Pour ce qui est des travaux exercés au sein des ateliers protégés, l'enquête effectuée dans un atelier protégéà Bruxelles, A.P.R.E., et au sein d'une industrie de fabrication de blocs en béton à l'Institut “La Porte Ouverte”à Blicquy, a permis de conclure que les travaux en rapport avec la construction sont plus valorisants, plus rentables (environ 3 fois plus que les activités non industrielles), et de qualitééquivalente ou même supérieure à celle obtenue dans la société ordinaire, mais que le rendement toujours insuffisant, nécessite le maintien continuel de subsides. Les besognes confiées aux ateliers protégés en rapport avec le secteur de la construction sont voisines des activités pratiquées dans la société ordinair
ISSN:0013-9580
DOI:10.1111/j.1528-1157.1972.tb04550.x
出版商:Blackwell Publishing Ltd
年代:1972
数据来源: WILEY
|
10. |
Disability in Epileptics |
|
Epilepsia,
Volume 13,
Issue 1,
1972,
Page 63-70
F. FARAGO,
Preview
|
PDF (503KB)
|
|
摘要:
SUMMARYThe purpose of this paper was to investigate how many epileptics had a diminished capacity to work in proportion to patients suffering from other neurological and psychiatric illnesses, and the degree of disability in this illness as compared to others.The data was obtained from the two Expert Commissions on Disability (from Novi Sad and Subotica, Yugoslavia) and covered the 4 years 1963–1966. During this time 29, 664 persons applied and were considered for certification as invalids.Neurological and psychiatric illnesses constituted 5376 cases (18%), of which 3924 (72 %) patients had diminished work‐capacity. These figures included only those patients in whom neurological or psychiatric illness was the primary diagnosis. Neurological and psychiatric illness constituted 18% of the total number of invalids.The psychoneuroses were responsible for the largest number of invalids, 38 %. Neurological illnesses and their consequences were responsible for the second largest number of invalids, 24 %. Next in frequency was the group consisting of other psychiatric illnesses with 22%. In fourth place were the endogenous psychoses, 9% and lastly, the epilepsies with 7%.Of the disabled epileptics 77 % were men and 23 % women.The epileptics were most frequently classified in the first invalid category (completely disabled) with 191 cases (67%). Second place was taken by the third invalid category (unable to participate in pre‐illness employment) with 47 cases (23 %), and the fewest epileptics were in the second invalid category (partially disabled) with 19 cases (9%).The most commonly afflicted group of epileptics consisted of unskilled workers (128 or 63 %) between the age of 31–40 years (120 or 59 %) after 11–20 years in employment (12
ISSN:0013-9580
DOI:10.1111/j.1528-1157.1972.tb04551.x
出版商:Blackwell Publishing Ltd
年代:1972
数据来源: WILEY
|
|