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Early psychosis in Indonesia: reflections on illness and treatment.

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Title: Early psychosis in Indonesia: reflections on illness and treatment.
Authors: Good, Byron J., Marchira, Carla Raymondalexas, Subandi, M. A., Mediola, Fiddina, Tyas, Tri Hayuning, Good, Mary-Jo DelVecchio
Source: International Review of Psychiatry. Aug/Sep2019, Vol. 31 Issue 5/6, p510-522. 13p.
Subjects: Age factors in disease, Ethnic groups, Help-seeking behavior, Phenomenology, Mental health services, Psychoses, Reflection (Philosophy), Attitudes toward mental illness
Geographic Terms: Indonesia
Abstract: This paper provides an overview of more than 22 years of research conducted in the central Javanese province of Yogyakarta, Indonesia, by teams of researchers associated with Gadjah Mada University and Harvard University, led by the authors of this essay. This work is placed in the context of the very limited literature on early psychosis and mental health services in Indonesia. It provides an overview of mental health services in Indonesia and of this team's research trajectory, then addresses four key domains: the cultural phenomenology of early experiences of psychotic illness; patterns of onset, with a particular focus on extremely rapid onset psychoses; patterns of care-seeking for first episode illness; and mental health services and patterns of utilization. It then discusses the importance of rapid onset psychosis for research on early psychosis, and the question of whether collinearity of rapidity of onset and rapidity of care-seeking raises questions about the long-standing finding that a short duration of untreated psychosis leads to better outcomes. It concludes by discussing difficulties of prioritizing early intervention models in settings with very low mental health resources. [ABSTRACT FROM AUTHOR]
Copyright of International Review of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Early psychosis in Indonesia: reflections on illness and treatment.
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  Data: This paper provides an overview of more than 22 years of research conducted in the central Javanese province of Yogyakarta, Indonesia, by teams of researchers associated with Gadjah Mada University and Harvard University, led by the authors of this essay. This work is placed in the context of the very limited literature on early psychosis and mental health services in Indonesia. It provides an overview of mental health services in Indonesia and of this team's research trajectory, then addresses four key domains: the cultural phenomenology of early experiences of psychotic illness; patterns of onset, with a particular focus on extremely rapid onset psychoses; patterns of care-seeking for first episode illness; and mental health services and patterns of utilization. It then discusses the importance of rapid onset psychosis for research on early psychosis, and the question of whether collinearity of rapidity of onset and rapidity of care-seeking raises questions about the long-standing finding that a short duration of untreated psychosis leads to better outcomes. It concludes by discussing difficulties of prioritizing early intervention models in settings with very low mental health resources. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of International Review of Psychiatry is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/09540261.2019.1604495
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      – Code: eng
        Text: English
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      – SubjectFull: Age factors in disease
        Type: general
      – SubjectFull: Ethnic groups
        Type: general
      – SubjectFull: Help-seeking behavior
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      – SubjectFull: Phenomenology
        Type: general
      – SubjectFull: Mental health services
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      – SubjectFull: Psychoses
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      – SubjectFull: Reflection (Philosophy)
        Type: general
      – SubjectFull: Attitudes toward mental illness
        Type: general
      – SubjectFull: Indonesia
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      – TitleFull: Early psychosis in Indonesia: reflections on illness and treatment.
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              M: 08
              Text: Aug/Sep2019
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              Y: 2019
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