{"id":17043,"date":"2025-02-24T17:36:49","date_gmt":"2025-02-24T15:36:49","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=17043"},"modified":"2025-02-24T17:46:47","modified_gmt":"2025-02-24T15:46:47","slug":"interviu-cu-prof-dr-adela-magdalena-ciobanu","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/interviu-cu-prof-dr-adela-magdalena-ciobanu\/","title":{"rendered":"\u201eConsider c\u0103 mereu este loc pentru mai bine\u201d – Interviu cu prof. dr. Adela Magdalena Ciobanu, Pre\u0219edinte Asocia\u021bia Psihiatrilor Liberi din Rom\u00e2nia"},"content":{"rendered":"

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Prof. dr. Adela Magdalena Ciobanu<\/strong>
\n\u2022 Profesor Universitar Habilitat
\n\u2022 \u0218ef Disciplin\u0103 Psihiatrie a Facult\u0103\u021bii de Medicin\u0103, UMF \u201cCarol Davila\u201d
\n\u2022 Doctor \u00een \u0218tiin\u021be medicale
\n\u2022 Pre\u0219edinte Asocia\u021bia Psihiatrilor Liberi din Rom\u00e2nia
\n\u2022 \u0218ef Sec\u021bie al Spitalului Clinic de Psihiatrie \u201cProfesor Dr. Alexandru Obregia\u201d<\/p>\n

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 <\/p>\n

\u201eConsider c\u0103 mereu este loc pentru mai bine\u201d<\/strong><\/p>\n

Asocia\u021bia Psihiatrilor Liberi din Rom\u00e2nia \u00eempreun\u0103 cu Institutul Na\u021bional de Medicin\u0103 Legal\u0103 \u00abMina Minovici\u00bb Bucure\u0219ti, Universitatea de Medicin\u0103 \u0219i Farmacie \u00abCarol Davila\u00bb din Bucure\u0219ti, Spitalul Clinic de Psihiatrie \u201eProfesor Doctor Alexandru Obregia\u201d \u0219i Academia de \u0218tiin\u021be Medicale organizeaz\u0103 Conferin\u021ba Na\u021bional\u0103 cu tema \u201eTulbur\u0103rile psihice \u2013 implica\u021bii juridice \u0219i medico-legale\u201d, ce va avea loc pe data de 6 martie 2025, la Hotel Novotel Bucure\u0219ti.<\/em><\/p>\n

Evenimentul se adreseaz\u0103 medicilor speciali\u0219ti, primari \u0219i reziden\u021bi din psihiatrie, medicin\u0103 legal\u0103, dar \u0219i tuturor celorlalte specialit\u0103\u021bi conexe \u00een \u00eendeplinirea rela\u021biei complexe dintre s\u0103n\u0103tatea mintal\u0103 \u0219i sistemul juridic, oferind o perspectiv\u0103 interdisciplinar\u0103 asupra modului \u00een care tulbur\u0103rile psihice influen\u021beaz\u0103 r\u0103spunderea legal\u0103, deciziile judiciare \u0219i expertiza medico-legal\u0103.<\/em><\/p>\n

\u00cen cadrul conferin\u021bei, speciali\u0219ti din domeniile psihiatriei, psihologiei, medicinei legale \u0219i dreptului vor aborda subiecte de actualitate, precum: responsabilitatea penal\u0103 \u0219i civil\u0103 a persoanelor cu afec\u021biuni psihice, evaluarea medico-legal\u0103 a capacit\u0103\u021bii de discern\u0103m\u00e2nt, aspecte etice \u0219i juridice \u00een institu\u021bionalizarea pacien\u021bilor cu boli psihice precum \u0219i multe alte subiecte de mare interes.<\/em><\/p>\n

\u00cen preajma evenimentului am avut onoarea de a discuta cu doamna prof. dr. Adela Magdalena Ciobanu<\/strong>, Pre\u0219edinte al Asocia\u021biei Psihiatrilor Liberi din Rom\u00e2nia, care ne-a oferit mai multe informa\u021bii despre conferin\u021ba pe care o prezideaz\u0103, precum \u0219i despre alte repere ale acestui eveniment.<\/em><\/p>\n

Sunte\u021bi pre\u0219edinte al Asocia\u021biei Psihiatrilor Liberi din Rom\u00e2nia. Ce ne pute\u021bi spune despre aceast\u0103 asocia\u021bie profesional\u0103?<\/strong>
\nFondat\u0103 \u00een anul 1990, \u00een data de 26 mai, de c\u0103tre 53 de membri, medici psihiatri, profesori, psihologi, juri\u0219ti, Asocia\u021bia Psihiatrilor Liberi din Rom\u00e2nia (A.P.L.R.), a ap\u0103rut ca o necesitate democratic\u0103, modern\u0103, actualiz\u00e2nd lumea psihiatriei rom\u00e2ne\u0219ti \u0219i prezent\u00e2nd-o \u00eentr-o nou\u0103 lumin\u0103, \u00een fa\u021ba psihiatriei mondiale. Astfel, A.P.L.R. a primit recunoa\u0219terea oficial\u0103, binemeritat\u0103 a World Psychiatric Association.
\nA.P.L.R. este o asocia\u021bie profesional-\u015ftiin\u0163ific\u0103, nonprofit, apolitic\u0103, care desf\u0103\u0219oar\u0103 activit\u0103\u021bi legate de programe educative, publica\u021bii, manifest\u0103ri \u0219tiin\u021bifice, cercetare \u015fi \u00eenv\u0103\u0163\u0103m\u00e2nt \u00een domeniul psihiatriei.
\nAre un istoric impresionant, \u00een care figureaz\u0103 emblematic, editarea \u00een limba rom\u00e2n\u0103 \u0219i de\u021binerea drepturilor de autor asupra manualului de referin\u021b\u0103 profesional\u0103 \u00een domeniu, DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders Fourth Edition – Text Revision).<\/p>\n

\"\"<\/strong><\/p>\n

Pe data de 6 martie 2025 va avea loc Conferin\u021ba Na\u021bional\u0103 a Asocia\u021biei Psihiatrilor\u00a0Liberi din Rom\u00e2nia. Care sunt cele mai importante repere ale acestui eveniment?<\/strong>
\nConferin\u021ba va reuni speciali\u0219ti din domeniul psihiatriei \u0219i medicinei legale, precum \u0219i juri\u0219ti, psihologi, dar \u0219i asisten\u021bi medicali \u0219i asisten\u021bi sociali.
\nSubiectele abordate sunt de mare interes pentru clinicieni \u0219i le ofer\u0103 o baz\u0103 teoretic\u0103 \u0219i practic\u0103 la cel mai \u00eenalt nivel \u0219tiin\u021bific. Profesioni\u0219ti din cele doua specialit\u0103\u021bi medicale se reunesc pentru a da noi valen\u021be actului medical.<\/p>\n

Pute\u021bi s\u0103 ne oferi\u021bi c\u00e2teva detalii despre tema conferin\u021bei – \u201eTulbur\u0103rile psihice – implica\u021bii juridice \u0219i medico-legale\u201d?<\/strong>
\n\u00cen cadrul acestei teme mai largi se va discuta despre provoc\u0103rile legislative \u0219i de practic\u0103 medical\u0103 aflate la interfa\u021ba dintre medicina legal\u0103 \u2013 psihiatrie, dar \u0219i despre debutul medicolegal \u00een psihiatrie, urgen\u021bele psihiatrice cu poten\u021bial de agresivitate, precum \u0219i despre problematica tulbur\u0103rilor cognitive \u0219i a implica\u021biilor medicolegale ale acestora. Subiecte precum, consecin\u021bele impunerii spitalelor publice de a efectua evalu\u0103ri psihologice \u0219i psihiatrice pentru persoanele cu dizabilit\u0103\u021bi intelectuale \u0219i psihosociale, dar \u0219i g\u0103sirea unor solu\u021bii \u0219i unelte de sprijin \u0219i ocrotire \u00een dreptul civil, vin \u00een \u00eent\u00e2mpinarea profesioni\u0219tilor spre a le oferi r\u0103spunsuri, a face analize sustenabile \u0219i adaptate sistemului de s\u0103n\u0103tate rom\u00e2nesc.<\/p>\n

Care este situa\u021bia actual\u0103 a psihiatriei medico-legale \u00een Rom\u00e2nia?<\/strong>
\nPsihiatria medico-legal\u0103 din Rom\u00e2nia implic\u0103 echipe multidisciplinare, speciali\u0219ti, care \u00ee\u0219i fac meseria cu dedicare \u0219i pasiune, excel\u00e2nd \u00een domeniul lor de activitate. Aceast\u0103 conferin\u021b\u0103 are ca scop consolidarea acestei colabor\u0103ri \u00eenceput\u0103 \u00een Rom\u00e2nia \u00eenc\u0103 de la sf\u00e2r\u0219itul secolului al XIX-lea, c\u00e2nd importan\u021ba s\u0103n\u0103t\u0103\u021bii mintale a \u00eenceput s\u0103 fie recunoscut\u0103 \u00een sistemul juridic, \u00een special \u00een contextul spe\u021belor penale.
\n\u00cen anul 1877, Academicianul Alexandru \u0218u\u021bu publica primul tratat de psihiatrie medico-legal\u0103 din Rom\u00e2nia: \u201eAlienatul \u00een fa\u021ba societ\u0103\u021bii \u0219i a \u0219tiin\u021bei\u201d, lucr\u0103rile fundamentale ale lui \u0218u\u021bu privind clasificarea tulbur\u0103rilor mintale \u0219i bazele lor fiziologice pozi\u021bion\u00e2ndu-l drept figur\u0103 central\u0103 a acestui domeniu interdisciplinar. \u00cen 1879 acesta este numit la Facultatea de Medicin\u0103 ca profesor de patologie mintal\u0103 (psihiatrie) \u0219i medicin\u0103 legal\u0103, unind pentru prima dat\u0103 aceste specialit\u0103\u021bi.
\nPrintre personalit\u0103\u021bile psihiatriei bucure\u0219tene care au continuat colaborarea cu Institutul de Medicin\u0103 Legal\u0103 Mina Minovici, au fost figuri marcante, \u0219efi ai disciplinei de psihiatrie a Universit\u0103\u021bii de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d din Bucure\u0219ti, care \u0219i-au desf\u0103\u0219urat activitatea practic\u0103 \u00een cadrul Spitalului Clinic de Psihiatrie \u201cProf. Dr. Alexandru Obregia\u201d. A\u0219 aminti aici pe domnul Profesor Aurel Romila \u0219i Domnul Profesor Dan Prelipceanu, ambii fiind speciali\u0219ti psihiatri invita\u021bi \u00een cadrul Comisiilor superioare de Medicin\u0103 Legal\u0103 \u0219i ajut\u00e2nd la solu\u021bionarea a numeroase cazuri, unele chiar celebre, privind boala psihic\u0103 \u0219i prezen\u021ba, diminuarea sau absen\u021ba discern\u0103m\u00e2ntului legat de diverse fapte civile sau penale. Rela\u021bia de colegialitate dintre catedra de psihiatrie mai sus men\u021bionat\u0103 \u0219i catedra de medicin\u0103 legal\u0103 a Universit\u0103\u021bii de Medicin\u0103 \u0219i Farmacie \u201cCarol Davila\u201d din Bucure\u0219ti, precum \u0219i cu Institutul de Medicin\u0103 Legal\u0103 Mina Minovici, a continuat printr-o colaborare sus\u021binut\u0103 \u00eentre subsemnata \u0219i Domnul Profesor Univ. Dr. Cristian Stan, managerul INML-MM \u0219i domnul Profesor Univ. Dr. George Cristian Curc\u0103, \u0219eful disciplinei de medicin\u0103 legal\u0103 de la UMFCD, organizarea acestei conferin\u021be fiind practic rodul acestei colabor\u0103ri, \u00eent\u0103rit\u0103 de catedra de psihiatrie \u0219i cea de medicin\u0103 legal\u0103 a Facult\u0103\u021bii de Stomatologie a UMFCD, prin doamna Profesor Mirela Manea \u0219i domnul Profesor Sorin Hostiuc.<\/p>\n

C\u00e2t de mult sau de pu\u021bin este cunoscut domeniul legisla\u021biei medicale \u00een Rom\u00e2nia, \u00een compara\u021bie cu alte \u021b\u0103ri U.E.?<\/strong>
\nA\u0219 putea spune c\u0103 medicii cunosc legisla\u021bia medical\u0103 din Rom\u00e2nia \u0219i doresc s\u0103 cred c\u0103 o aplic\u0103 \u00een mod corect. Din p\u0103cate, presiunea timpului, secundar deficitului de personal din diverse specialit\u0103\u021bi \u0219i zone ale \u021b\u0103rii, dar \u0219i cre\u0219terea obligativit\u0103\u021bii de a \u00eentocmi o serie de documente medicale, poate ac\u021biona \u00een detrimentul pacien\u021bilor \u0219i a calit\u0103\u021bii actului medical.
\nConsider c\u0103 mereu este loc pentru mai bine \u0219i acesta este \u0219i scopul conferin\u021bei noastre, de a aduce \u00een prim plan plusurile sau minusurile aplic\u0103rii legisla\u021biei medicale actuale \u00een practica medical\u0103 \u0219i desigur, g\u0103sirea \u0219i propunerea unor solu\u021bii \u00een cazul identific\u0103rii de caren\u021be \u0219i goluri legislative.
\nPentru a \u00eenlesni actul medical \u0219i a sc\u0103dea presiunea asupra cadrelor medicale, este important s\u0103 facem schimb de experien\u021b\u0103 interdisciplinar\u0103 \u00een cadrul unor astfel de conferin\u021be pluridisciplinare.<\/p>\n

Teama de malpraxis ar putea determina medicul s\u0103 practice o medicin\u0103 defensiv\u0103?<\/strong>
\nTeama de malpraxis poate \u00eentr-adev\u0103r s\u0103 determine medicul s\u0103 practice o medicin\u0103 defensiv\u0103, care nu este neap\u0103rat \u00een favoarea lui sau a pacien\u021bilor. Ca urmare, vom analiza \u00een cadrul conferin\u021bei poten\u021bialul de malpraxis \u00een domeniul cercet\u0103rii psihofarmacoclinice, protejarea drepturilor pacientului \u00een procedur\u0103 de externare, erorile cognitive \u00een decizii cu implicare medico-legal\u0103, dar \u0219i dileme, roluri, conflicte de rol ale medicului psihiatru clinician \u00een raport cu pacientul consumator de alcool, droguri sau medicamente. Tema malpraxisului \u00een psihiatrie este o tem\u0103 deschis\u0103, pe care vom continua s\u0103 o abord\u0103m \u0219i \u00een urm\u0103toarele congrese de psihiatrie. Pacien\u021bii sunt din ce \u00een ce mai informa\u021bi \u0219i apeleaz\u0103 cu u\u0219urin\u021b\u0103 la avoca\u021bi, presiunea psihic\u0103 asupra medicilor put\u00e2nd fi uria\u0219\u0103. Singura solu\u021bie de a ne proteja de malpraxis este de a cunoa\u0219te foarte bine legisla\u021bia \u00een vigoare \u0219i de a o aplica cu rigurozitate.<\/p>\n

Dac\u0103 \u00een cazul medicilor lucrurile par clare \u00een ceea ce prive\u0219te responsabilitatea actului medical, care este situa\u021bia \u00een cazul persoanelor cu afec\u021biuni psihice. Ce se \u0219tie despre responsabilitatea lor penal\u0103 \u0219i civil\u0103?<\/strong>
\nFiecare pacient este unic, iar analiza privind starea psihic\u0103 \u0219i punerea unui diagnostic de psihiatrie sau concluzionarea prezen\u021bei, diminu\u0103rii sau absen\u021bei discern\u0103m\u00e2ntului \u0219i a capacit\u0103\u021bii psihice se face doar printr-o analiz\u0103 transversal\u0103 \u0219i longitudinal\u0103 a vie\u021bii psihice a acestuia, necesit\u00e2nd implicarea mai multor speciali\u0219ti precum psihiatri, psihologi, medici legi\u0219ti, informa\u021biile \u0219i datele complet\u00e2ndu-se \u00een mod obligatoriu cu informa\u021biile preluate de la apar\u021bin\u0103tori sau martori \u0219i rezum\u00e2nd concluzii riguroase, \u00eenaintate justi\u021biei pentru solu\u021bionarea a numeroase dosare aflate \u00een instan\u021b\u0103.<\/p>\n

\u021ain\u00e2nd cont c\u0103 sunte\u021bi implicat\u0103 \u00een formarea viitorilor medici psihiatri, ce ne pute\u021bi spune despre reziden\u021bii de ast\u0103zi de la psihiatrie?<\/strong>
\nReziden\u021bii care au ales psihiatria \u00ee\u0219i iubesc meseria \u0219i o fac cu o mare d\u0103ruire. Actuala genera\u021bie de medici tineri este plin\u0103 de inteligen\u021b\u0103, vitalitate, profesionalism, dar \u0219i dorin\u021ba de continu\u0103 dezvoltare personal\u0103 \u0219i autocunoa\u0219tere. Sunt tineri frumo\u0219i, nu doar pe exterior, ci mai ales pe interior, care vibreaz\u0103 la problemele societ\u0103\u021bii actuale \u0219i la nevoile pacien\u021bilor. Prin munc\u0103 \u0219i dedicarea lor ace\u0219tia reu\u0219esc s\u0103 ridice presiunea de pe umerii speciali\u0219tilor, ajut\u00e2nd la cre\u0219terea calit\u0103\u021bii actului medical.<\/p>\n

\u00cen \u00eencheiere, ave\u021bi un mesaj pe care s\u0103-l adresa\u021bi colegilor dumneavoastr\u0103 medici din alte specialit\u0103\u021bi cu care psihiatria intr\u0103 \u00een contact?<\/strong>
\nLe mul\u021bumim tuturor colegilor de pe alte specialit\u0103\u021bi care au \u00een\u021beles c\u0103 bolnavul psihic trebuie tratat cu respect, r\u0103bdare \u0219i empatie. Datorit\u0103 celorlalte specialit\u0103\u021bi, dar \u0219i a informa\u021biei din mediul on line, sim\u021bim c\u0103 stigma asupra acestei categorii de pacien\u021bi a sc\u0103zut sim\u021bitor, fapt care nu poate dec\u00e2t s\u0103 ne bucure. De multe ori medicii din alte specialit\u0103\u021bi au reac\u021bionat dispropor\u021bionat fa\u021b\u0103 de pacien\u021bii no\u0219tri, secundar dezinform\u0103rii sau lipsei de informare legat\u0103 de patologia psihiatric\u0103. Aceste reac\u021bii dispropor\u021bionate pornesc tocmai din frica rezultat\u0103 din lipsa de informa\u021bie \u0219i probabil de aici apari\u021bia stigmei.
\nTocmai pentru a reu\u0219i s\u0103 avem un limbaj medical comun, anual organiz\u0103m conferin\u021be pe tema interdisciplinarit\u0103\u021bii, precum cea de pe 6 martie 2025, de aceast\u0103 dat\u0103 cu colegii din specialitatea medicina legal\u0103, c\u0103rora \u021bin s\u0103 le mul\u021bumesc \u0219i pe aceast\u0103 cale pentru aportul ridicat pe care l-au adus \u00een organizarea acestei conferin\u021be.<\/p>\n","protected":false},"excerpt":{"rendered":"

  Prof. dr. Adela Magdalena Ciobanu \u2022 Profesor Universitar Habilitat \u2022 \u0218ef Disciplin\u0103 Psihiatrie a Facult\u0103\u021bii de Medicin\u0103, UMF \u201cCarol Davila\u201d \u2022 Doctor \u00een \u0218tiin\u021be medicale \u2022 Pre\u0219edinte Asocia\u021bia Psihiatrilor […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[276],"tags":[1183,1182,1181,1185,1184],"class_list":["post-17043","post","type-post","status-publish","format-standard","category-interviu","tag-a-p-l-r","tag-asociatia-psihiatrilor-liberi-din-romania","tag-prof-dr-adela-magdalena-ciobanu","tag-psihiatrie-medico-legala","tag-tulburarile-psihice-implicatii-juridice-si-medico-legale"],"yoast_head":"\n\u201eConsider c\u0103 mereu este loc pentru mai bine\u201d - Interviu cu prof. dr. 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