Dainius Puras | Vilnius University (original) (raw)
Papers by Dainius Puras
American Academy of Pediatrics eBooks, Oct 1, 2007
Narrative Inquiry in Bioethics, 2021
The 12 narratives included in this symposium on living with mental health challenges reflect the ... more The 12 narratives included in this symposium on living with mental health challenges reflect the broad spectrum of experiences and interpretations of individuals who have mental health conditions. They also reflect the range of views within global mental health discourse about effective ways to improve the mental health of individuals and populations. Some important issues are common in these narratives, notably how experiencing trauma, particularly in childhood, can impact mental health. The narratives present a broad spectrum of views regarding the interpretation of mental health conditions and the ways mental healthcare systems have addressed them. These narratives demonstrate an urgent need globally to liberate the field of mental health from the overuse of the biomedical model and allow other models to compete and receive support.
International Journal of Circumpolar Health, Apr 1, 2001
Introduction The epidemiology of Asperger syndrome (AS) has been speciffically investigated only ... more Introduction The epidemiology of Asperger syndrome (AS) has been speciffically investigated only in one total population study by S. Ehlers, C. Gillberg (1993) in Goteborg (Sweden). Because of AS was included as a separate diagnostic category in the ICD-10 and DSMIV there was perceived need to obtain reliable prevalence estimates of AS in other countries. The purpose of the study was to estimate the prevalence rate of AS in Vilnius (Lithuania).
European Psychiatry, Mar 1, 2016
Future of psychiatry is discussed in the context of modern human rights principles, evidence-base... more Future of psychiatry is discussed in the context of modern human rights principles, evidence-based policies and sustainable development goals.After international community agreed on sustainable development goals to be reached by 2030, there is a good opportunity to address mental health as a priority and to substantially invest in promotion of mental health and emotional well-being.Psychiatry, as an influential specialty, needs to reconsider its strategy in this context, and to rethink strengths and weaknesses of its role and image.Protection of dignity and human rights of persons with psychosocial disabilities, in the post-CRPD framework, should become a priority for psychiatry. Common ground for search of a new consensus between different views on non-consensual treatment in psychiatry could be equilibrium within the principles of “first, do no harm”, “right to treatment” and “no hierarchy within human rights”. For mental healthcare practice, this would mean that good intentions to provide evidence-based interventions do not justify the use of force and deprivation of liberty which threatens dignity and universal human rights principles.Psychiatry, while rethinking future directions, should critically reconsider its current focus on neurobiological paradigm and tradition of using force in the name of medicine and social control. These two paradigms, traditionally perceived as strengths of psychiatry and sources of its power, are now too often misused and increasingly discussed as lacking evidence, ignoring human rights and thus threatening image of psychiatry. Instead, psychiatry could consider accepting post-CRPD challenge as a unique opportunity for change, through strengthening strategic alliance with human rights mechanisms, social sciences, general and community medicine, modern public health approach and users’ perspective.Disclosure of interestThe author has not supplied his declaration of competing interest.
Health and Human Rights, Jun 1, 2020
Vilnius : Mokslo ir enciklopedijų leidybos institutas, 2006
Vilnius : Vilniaus universiteto leidykla eBooks, 2013
Vilnius : Vilniaus universiteto leidykla, 2005
Health and Human Rights: An International Journal, 2020
We propose that a Right to Health Capacity Fund (R2HCF) be created as a central institution of a ... more We propose that a Right to Health Capacity Fund (R2HCF) be created as a central institution of a reimagined global health architecture developed in the aftermath of the COVID-19 pandemic. Such a fund would help ensure the strong health systems required to prevent disease outbreaks from becoming devastating global pandemics, while ensuring genuinely universal health coverage that would encompass even the most marginalized populations. The R2HCF's mission would be to promote inclusive participation, equality, and accountability for advancing the right to health. The fund would focus its resources on civil society organizations, supporting their advocacy and strengthening mechanisms for accountability and participation. We propose an initial annual target of US$500 million for the fund, adjusted based on needs assessments. Such a financing level would be both achievable and transformative, given the limited right to health funding presently and the demonstrated potential of right t...
Socialinė teorija, empirija, politika ir praktika, 2015
Šis tyrimas yra viena iš Europos Komisijos finansuoto projekto „Vaikų ir paauglių psichikos sveik... more Šis tyrimas yra viena iš Europos Komisijos finansuoto projekto „Vaikų ir paauglių psichikos sveikata išsiplėtusioje Europos Sąjungoje: efektyvios politikos ir praktikos kūrimas“ sudėtinių dalių. Šeimų, kurių nariai tėvai, turintys psichikos ligą, yra apgyvendinami stacionarios globos namuose, apklausa parodė, kad veiksmingų tėvystės programų (kaip ir kitos bendruomeninės paslaugos socialinės rizikos šeimoms) gali tapti veiksminga alternatyvia priemone dabar dominuojančiam stigmatizuojančiam ir paternalistiniam požiūriui. Remiantis situacijos stacionarios globos įstaigose apžvalga ir analize, pažymėtina, kad didelę įtaką jose gyvenančių asmenų likimui, jų santykiams su šeimos nariais, šiems santykiams išsaugoti, šeimos nariams bendrauti daro tiek Lietuvoje veikiančios psichikos sveikatos ir socialines apsaugos sistemos, tiek praeityje susiformavę stereotipai, nuomonė apie stacionarios globos įstaigas bei jų gyventojus, tiek visuomenei pateikiamos informacijos pobūdis. Pažymėtina, kad...
Health and Human Rights, 2020
Copyright © 2020 Chapman, Williams, Hannah, and Pūras. This is an open access article distributed... more Copyright © 2020 Chapman, Williams, Hannah, and Pūras. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original author and source are credited. editorial Reimagining the Mental Health Paradigm for Our Collective Well-Being
American Academy of Pediatrics eBooks, Oct 1, 2007
Narrative Inquiry in Bioethics, 2021
The 12 narratives included in this symposium on living with mental health challenges reflect the ... more The 12 narratives included in this symposium on living with mental health challenges reflect the broad spectrum of experiences and interpretations of individuals who have mental health conditions. They also reflect the range of views within global mental health discourse about effective ways to improve the mental health of individuals and populations. Some important issues are common in these narratives, notably how experiencing trauma, particularly in childhood, can impact mental health. The narratives present a broad spectrum of views regarding the interpretation of mental health conditions and the ways mental healthcare systems have addressed them. These narratives demonstrate an urgent need globally to liberate the field of mental health from the overuse of the biomedical model and allow other models to compete and receive support.
International Journal of Circumpolar Health, Apr 1, 2001
Introduction The epidemiology of Asperger syndrome (AS) has been speciffically investigated only ... more Introduction The epidemiology of Asperger syndrome (AS) has been speciffically investigated only in one total population study by S. Ehlers, C. Gillberg (1993) in Goteborg (Sweden). Because of AS was included as a separate diagnostic category in the ICD-10 and DSMIV there was perceived need to obtain reliable prevalence estimates of AS in other countries. The purpose of the study was to estimate the prevalence rate of AS in Vilnius (Lithuania).
European Psychiatry, Mar 1, 2016
Future of psychiatry is discussed in the context of modern human rights principles, evidence-base... more Future of psychiatry is discussed in the context of modern human rights principles, evidence-based policies and sustainable development goals.After international community agreed on sustainable development goals to be reached by 2030, there is a good opportunity to address mental health as a priority and to substantially invest in promotion of mental health and emotional well-being.Psychiatry, as an influential specialty, needs to reconsider its strategy in this context, and to rethink strengths and weaknesses of its role and image.Protection of dignity and human rights of persons with psychosocial disabilities, in the post-CRPD framework, should become a priority for psychiatry. Common ground for search of a new consensus between different views on non-consensual treatment in psychiatry could be equilibrium within the principles of “first, do no harm”, “right to treatment” and “no hierarchy within human rights”. For mental healthcare practice, this would mean that good intentions to provide evidence-based interventions do not justify the use of force and deprivation of liberty which threatens dignity and universal human rights principles.Psychiatry, while rethinking future directions, should critically reconsider its current focus on neurobiological paradigm and tradition of using force in the name of medicine and social control. These two paradigms, traditionally perceived as strengths of psychiatry and sources of its power, are now too often misused and increasingly discussed as lacking evidence, ignoring human rights and thus threatening image of psychiatry. Instead, psychiatry could consider accepting post-CRPD challenge as a unique opportunity for change, through strengthening strategic alliance with human rights mechanisms, social sciences, general and community medicine, modern public health approach and users’ perspective.Disclosure of interestThe author has not supplied his declaration of competing interest.
Health and Human Rights, Jun 1, 2020
Vilnius : Mokslo ir enciklopedijų leidybos institutas, 2006
Vilnius : Vilniaus universiteto leidykla eBooks, 2013
Vilnius : Vilniaus universiteto leidykla, 2005
Health and Human Rights: An International Journal, 2020
We propose that a Right to Health Capacity Fund (R2HCF) be created as a central institution of a ... more We propose that a Right to Health Capacity Fund (R2HCF) be created as a central institution of a reimagined global health architecture developed in the aftermath of the COVID-19 pandemic. Such a fund would help ensure the strong health systems required to prevent disease outbreaks from becoming devastating global pandemics, while ensuring genuinely universal health coverage that would encompass even the most marginalized populations. The R2HCF's mission would be to promote inclusive participation, equality, and accountability for advancing the right to health. The fund would focus its resources on civil society organizations, supporting their advocacy and strengthening mechanisms for accountability and participation. We propose an initial annual target of US$500 million for the fund, adjusted based on needs assessments. Such a financing level would be both achievable and transformative, given the limited right to health funding presently and the demonstrated potential of right t...
Socialinė teorija, empirija, politika ir praktika, 2015
Šis tyrimas yra viena iš Europos Komisijos finansuoto projekto „Vaikų ir paauglių psichikos sveik... more Šis tyrimas yra viena iš Europos Komisijos finansuoto projekto „Vaikų ir paauglių psichikos sveikata išsiplėtusioje Europos Sąjungoje: efektyvios politikos ir praktikos kūrimas“ sudėtinių dalių. Šeimų, kurių nariai tėvai, turintys psichikos ligą, yra apgyvendinami stacionarios globos namuose, apklausa parodė, kad veiksmingų tėvystės programų (kaip ir kitos bendruomeninės paslaugos socialinės rizikos šeimoms) gali tapti veiksminga alternatyvia priemone dabar dominuojančiam stigmatizuojančiam ir paternalistiniam požiūriui. Remiantis situacijos stacionarios globos įstaigose apžvalga ir analize, pažymėtina, kad didelę įtaką jose gyvenančių asmenų likimui, jų santykiams su šeimos nariais, šiems santykiams išsaugoti, šeimos nariams bendrauti daro tiek Lietuvoje veikiančios psichikos sveikatos ir socialines apsaugos sistemos, tiek praeityje susiformavę stereotipai, nuomonė apie stacionarios globos įstaigas bei jų gyventojus, tiek visuomenei pateikiamos informacijos pobūdis. Pažymėtina, kad...
Health and Human Rights, 2020
Copyright © 2020 Chapman, Williams, Hannah, and Pūras. This is an open access article distributed... more Copyright © 2020 Chapman, Williams, Hannah, and Pūras. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original author and source are credited. editorial Reimagining the Mental Health Paradigm for Our Collective Well-Being