Neuropsychiatric disabiliqes why so many today? Johan Smedberg Sr. Medical Adviser Västernorrland County Council Sweden

Transkript

1 Neuropsychiatric disabiliqes why so many today? Johan Smedberg Sr. Medical Adviser Västernorrland County Council Sweden

2 Mild psychiatric disorders Neuropsychiatric disorders ADHD, ADD, Asperger s syndrome, Au=sm, Ea=ng disorders, Social fobia, Gambling disorders, Stress/ Burn- out. etc. Are these new? New labels on an old phenomenon? Increased frequency?

3 Klicka här för att ändra format på bakgrund Youngsters with a Nivå två disability w ithout Nivå tre chance to get a real Nivå fyra job. Nivå fem DramaQc increase in new acqvity supports (read: disability pensions ). Especially for prolonged basic educaqon, persons with ADHD and similar disabiliqes.

4 Jobinterview: Please Jan, could you tell us something about yourself?

5 Klicka här för att ändra format på bakgrunds Nivå två Rustle (of paper) Nivå tre Nivå fyra Nivå fem

6 Job interview I am a nice Klicka and här för att ändra format på bakgrunds socially oriented Nivå två Nivåon tre person, focused fyra ge>ng results Nivå and Nivå fem with a driving a>tude. I have lots of energy and tons of engagement. I see possibili=es in problems and, in short, have lots of go. I have got a winning personality.

7 Neuropsychiatric disabiliges why so many today? Possible answers: The increasing demand of the knowledge and service society on psychological, intellectual and social capability. 80 % of the total Swedish workforce have jobs. New diagnosqc abiliqes and increased medical and psychological knowledge. Unknown factors?: Diet? Environmental polluqon?

8 Changes in worklife WHO/Mental Health (2005) InformaQon- and communicaqons technology. The expansion of the service sector. Autonomous working parqes and team work. Down- sizing. Outsourcing and sub- contracqng. GlobalizaQon. Just- in- Qme- delivery, Lean ProducQon, 24/7 service, shia- work, odd working hours. Ageing work force. ImmigraQon.

9 The New Economy What is the macro- economical connecgon between the two biggest catastrophes that is the sinking of the m/s Estonia (501 Swedes perished) och the Tsunami hisng Thailand (543 Swedes dead or lost) - in modern Swedish history?

10 The new economy ANSWER: The Experience Industry the fastest expanding part of the service sector.

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12 Swedish EducaGon Levels Klicka här för att ändra format på bakgrunds Nivå två Nivå tre Nivå fyra Nivå fem University level long University level short Upper secondary Secondary Primary

13 GlobalizaGon: producqon in the World Klicka här för att ändra format på bakgrundstexten Nivå två Nivå tre Nivå fyra Nivå fem

14 Klicka här för ar ändra format på bakgrundstexten Nivå två Nivå tre Nivå fyra Nivå fem

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16 Inglehart- Welzel Cultural Map of the World Agricultural to Industrialized Society: Tradi7onal to Secular- Ra7onal values Industrial to Post- Industrial (Knowledge) Society: Survival to Self Expression Values Klicka här för att ändra format på bakgrundstexten Nivå två Nivå tre Nivå fyra Nivå fem

17 Inglehart- Welzel Cultural Map of the World TradiGonal Values Self expression values Parent- child Ges, Survival taken for granted Deference to authority, Absolute standards, TradiGonal family values, Emphasis on subjecgve well- being, RejecGon of self- expression and divorce, quality of life. aborgon, euthanasia and suicide. NaGonalisGc outlook and Survival Values Overhelming emphasis on high level of nagonal pride. Economical & Secular- ragonal values Physical security Opposite preferences to the above

18 Inglehart- Welzel Cultural Map of the World Agricultural to Industrialized Society: Tradi7onal to Secular- Ra7onal values Industrial to Post- Industrial (Knowledge) Society: Survival to Self Expression Values Klicka här för att ändra format på bakgrundstexten Nivå två Nivå tre Nivå fyra Nivå fem

19 Out of a novel from the early 20th Century This Civil Servant, Chief of Bureau, always came out of his Office at exactly the same Qme every day, leaving for a lunch in the same restaurant, dressed in the same suit and always carrying av Qghtly rolled umbrella under his right arm. THEN: an odd man NOW: Asperger s syndrome

20 The Norrbyskär Sawmill, VästerboRen County Klicka här för att ändra format på bakgrundstexten Nivå två Nivå tre Nivå fyra Nivå fem

21 Ålla- teatern now withmoliére Has played Carmen in Sevilla. Klicka här för att ändra format på bakgrundstexten Nivå två Nivå tre Nivå fyra Nivå fem