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Aadamianis uflebaTa darRveva da zegavlena fsiqikur janmrTelobaze. nino maxaSvili GIP -is 25 wlis saiubileo konferencia fsiqikuri aSliloba da sazogadoeba rogor davicvaT fsiqikurad daavadebulTa uflebebi 3-4 oqtomberi, 2005 weli. sqema: fsiqikuri janmrTeloba da adamianis uflebebi.
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Aadamianis uflebaTa darRveva da zegavlena fsiqikur janmrTelobaze nino maxaSvili GIP-is 25 wlis saiubileo konferencia fsiqikuri aSliloba da sazogadoeba rogor davicvaT fsiqikurad daavadebulTa uflebebi 3-4 oqtomberi, 2005 weli
sqema: fsiqikuri janmrTeloba da adamianis uflebebi • fsiqikuri darRvevebi daadamianis uflebebi: Ffsiqikuri darRvevebis mqone adamianebi yvelaze mowyvladni arian adamianis uflebaTa darRvevis mimarT • adamianis uflebaTa uxeSi darRvevebiiwvevs fsiqikuri janmrTelobis problemebs
SekiTxva • ra emarTeba “janmrTel” adamians, romelsac uflebebs ulaxaven? • ra emarTeba adamians damcirebis, Rirsebis Selaxvis, Zaladobis da sastiki mopyrobis Sedegad?
zogierTi monacemi • 80-ian da 90-ian wlebSi SeiaraRebul konfliqtebSi 31 eri iyo CarTuli. • mxolod 1990-95 wlebSi 5,5 milioni omTTan dakavSirebuli sikvdili aRinusxa, aqedan sami meoTxedi samoqalaqo piri iyo • maT Soris 1 milioni bavSvi • omebSi daRupulTagan 75% mSvidobiani adamianebi arian • Tu gaviTvaliswinebT daWrilebisa da ltolvilebis ricxvs, saomar moqmedebebis msxverplTa 90% swored samoqalaqo mosaxleobaa.
omi da Zaladoba adamianebis fizikur da fsiqologiur mdgomareobas amZimebs - rogorc bavSvebSi, aseve mozrdilebSi. yoveli sazogadoeba, romelic am saxis konfliqti gadaitana, avlens momatebul fsiqosocialur mowyvladobas
saqarTvelo – 90-iani wlebis bolo • 280000 devnili; • 7000 CeCeni ltolvili Oorive jgufis didma nawilma Tavis Tavze iwvnia Zaladoba da sastiki, araadamianuri mopyroba mowinaaRmdegis mxridan eTnikur safuZvelze. xSirad hqonda adgili Seuracxyofisa da wamebis faqtebs,gansakuTrebiT banakebSi (sastiki cema, muqara, gaupatiureba, sikvdiliT dasjis mowmeoba, sikvdilis safrTxe da a.S.)
sicocxlis ufleba;wamebis akrZalva • meore msoflio omis gamocdilebam gvaiZula sicocxlis dacvis saerTaSoriso samarTlebrivi normebis dadgena • wamebis, araadamianuri da damamcirebeli mopyrobisa an dasjis akrZalva - absoluturi ufleba
saqarTvelo – 90-iani wlebi (gagrZ.) • politikuri devnis da policiuri saxelmwifos atributebi • wamebis da damamcirebeli mopyrobis aseulobiT msxverpli policiasa da cixeSi
aSlilobebi da problemebi, romlebic wamebasTan dakavSirebul travmul movlenasmosdevs (1) • mwvave stresuli aSliloba • post-travmuli stresuli aSliloba • depresia • generalizirebuli SfoTviTi aSliloba • disociaciuri aSliloba
aSlilobebi da problemebi, romlebic wamebasTan dakavSirebul travmul movlenasmosdevs (2) • somatizacia • gaxangrZlivebuli glova • ojaxuri Zaladoba; bavSvze an meuRleze Zaladoba • ara-fsiqikuri aSliloba (normaluri reaqcia aranormalur movlenaze), magram socialuri an ganviTarebis siZneleebi.
aSlilobebi da problemebi, romlebic wamebasTan dakavSirebul travmul movlenasmosdevs (3) • yuradRebisa deficitisa da hiperaqtiurobis sindromi • kvebis problemebi • Seguebis/adaptaciuri aSliloba • Zilis aSliloba • mijaWvulobebis aSliloba • narkomania • organuli fsiqikuri aSlilobebi, romelic Tan axlavs Tavis travmas, infeqcias da dehidratacias – dakavSirebuls, mag; tyveobasTan
somaturi emociuri kognituri qceviTi socialuri sulieri adamianis uflebebisseriozul darRvevebTan dakavSirebuli travma zegavlenas axdens adamianis funqcionirebis yvela doneze
adamianisZiriTadi uflebebis da Tavisuflebebis mZime da sistematuri darRveva safrTxes uqmnis ara mxolod msxverplTa fsiqikur janmrTelobas da azianebs maTi cxovrebis xarixs, aramed mTlianad sazogadoebis travmirebas iwvevs
rogoria adamianis uflebebTan dakavSirebiT gacnobierebis zogadi mdgomareoba Tbilisis macxovrebelTa Soris?/sajaro gamokiTxva adamianis uflebebTan dakavSirebiT: fokusiT wamebaze (2003) / • respondentebs sTxoves eTqvaT, icodnen Tu ara im qarTuli an saerTaSoriso samarTlebrivi dokumentebis arsebobis Sesaxeb, romlebic exeboda adamianis uflebaTa dacvas. • aTidan erTma respondentma (30%) icoda aseTi sakanonmdeblo aqtis arsebobis Sesaxeb, 39%uSvebda, rom aseTi dokumenti arsebobs, xolo danarCeni nawili an fiqrobda, rom aseTi specialuri dokumenti ar arsebobda (16%), an saerTod ar hqonda am kiTxvaze pasuxi (15%).
rogoria zogadi mdgomareoba? • Tumca maTac ki, vinc icoda adamianis yflebaTa dacvis sakiTxebTan dakavSirebuli specialuri iuridiuli dokumentebis arsebobis Sesaxeb, ver daasaxeles amgvari dokumenti • daaxloebiT 38%-ma im jgufidan, romelmac upasuxa “diax”AZiriTad SekiTxvas, ver gaixsena verc erTi aseTi dokumenti, • 23%-ma daasaxela gaeros adamianis uflebaTa deklaracia, 26%-ma ki – saqarTvelos konstitucia, da • 13%-ma sxvadasxva pasuxebi gagvca. • amgvarad, Tbilisis zrdasrul macxovrebelTaganmxolod 7%-ma icis gaeros adamianis uflebaTa deklaraciis arsebobis Sesaxeb, da damatebiT 8% fiqrobs, rom konstitucia is ZiriTadi iuridiuli dokumentia, romelic icavs adamianis yflebebs saqarTveloSi
ra gvaqvs saxeze? • ucodinroba uflebebis Sesaxeb • ucodinroba, Tu sad gadis xelisuflebis “sazRvrebi” • undobloba samarTaldamcavi struqturebisadmi • uflebebis darRvevebis gamo aRZrul saqmeTa simwire
Ddacva dauflebamosileba • zemodan qvemoT da • qvemodan zemoT midgoma • anu, sazogadoebisa da xelisuflebis gaZliereba, raSic uflebebis dacvis meqanizmebi dagvexmareba
saerTaSoriso samarTlebrivi dokumentebi,ratificirebuli saqarTvelos parlamentis mier gaeros generaluri asambleis rezolucia “bavSvTa uflebebis konvencia”, 21 aprili,1994 samoqalaqo da politikur uflebaTa saerTaSoriso paqti, 3 agvisto,1994 ekonomikuri, socialuri da kulturuli uflebebis saerTaSoriso paqti, 25 ianvari, 1994 konvencia qalebis winaaRmdeg diskriminaciis yvela formis gauqmebis Sesaxeb, 22 seqtemberi, 1994 evropis konvenciaAadamianis uflebaTa Sesaxeb, 12 maisi, 1999 evropis konvencia “wamebisa da sxva araradamianuri an damamcirebeli mopyrobisa da dasjis Sesaxeb”, 22 seqtemberi, 1994 evropis konvencia wamebis Tavidan acilebis Sesaxeb, 3 maisi, 2000 evropis konvencia “adamianis uflebebisa da biomedicinis Sesaxeb”, 27 seqtemberi, 2000
erovnuli kanonmdebloba • • adamianis uflebaTa darRvevebisa da diskriminaciis Tavidan acileba • • fsiqikuri darRvevebis mqone adamianebis avtonomiisa da Tavisuflebis xelSewyoba • • fsiqikuri janmrTelobissamsaxurebisxelmisawvdomobisa da sazogadoebaSi integrirebis xelSewyoba • • fsiqiurad daavadebuli damnaSaveebis uflebaTa dacva • • fsiqikuri janmrTelobis politikis miznebisa da amocanebis ganxorcieleba kanonis Sesabamisad • • damoukidebeli meTvalyureobisadamonitoringis meqanizmebis Seqmna • • adamianis uflebaTa sayovelTao xelSewyoba da dacva
sazogadoeba, fsiqikuri janmrTelobis dargis muSakebi,pacientebi/momxmareblebi • zogadad sakuTari uflebebis gacnobierebis zrdaze mimarTuli RinisZiebani • informacia pacientebis uflebebis Sesaxeb • saCivrebis Setanis efeqturi procedura • fsiqiatriuli instituciebis gamWvirvaloba - monitoringi damoukidebeli gareSe, damoukidebel pirTa mier