1 00:00:00,484 --> 00:00:01,757 Welcome, everybody. 2 00:00:02,382 --> 00:00:03,945 My name is Łukasz Cichocki, 3 00:00:04,316 --> 00:00:08,157 and I will tell you something about Pan Cogito Hotel, 4 00:00:08,183 --> 00:00:10,039 which was mentioned just right now. 5 00:00:10,469 --> 00:00:13,556 But before, I would like to tell [you] 6 00:00:13,581 --> 00:00:19,128 about the way to Pan Cogito Hotel. 7 00:00:20,867 --> 00:00:23,363 So, Pan Cogito is an element 8 00:00:23,388 --> 00:00:26,384 of an integrated community treatment program 9 00:00:26,409 --> 00:00:30,550 for people suffering from schizophrenia, in Cracow. 10 00:00:32,034 --> 00:00:36,464 And this integrated community program 11 00:00:37,610 --> 00:00:41,771 was supported by the spirit, 12 00:00:41,796 --> 00:00:44,596 by the [ideas] of Professor Antoni Kępiński. 13 00:00:45,136 --> 00:00:49,178 I hope that some of you, especially [people] from Cracow, 14 00:00:49,570 --> 00:00:51,013 know this name. 15 00:00:51,521 --> 00:00:53,981 This man was a Professor of Psychiatry. 16 00:00:54,978 --> 00:00:59,606 He lived in the 20th century, died in 1972. 17 00:00:59,958 --> 00:01:05,013 And he taught Cracow's psychiatry many things. 18 00:01:06,342 --> 00:01:08,451 I would like to mention three of them 19 00:01:08,920 --> 00:01:12,807 that are, I would say, the most crucial, or most important things 20 00:01:13,822 --> 00:01:16,929 in the [relationship] between the psychiatrist and the patient. 21 00:01:17,529 --> 00:01:19,091 The first [one] is respect. 22 00:01:20,751 --> 00:01:23,868 Respect as, I would say, the basis, 23 00:01:23,893 --> 00:01:30,118 and the thing without which we can't help other people, 24 00:01:30,143 --> 00:01:33,086 especially people with mental disorders, 25 00:01:33,111 --> 00:01:36,517 with mental problems. 26 00:01:37,486 --> 00:01:42,486 I was not sure whether to say what I will say now, 27 00:01:42,994 --> 00:01:47,086 but German Nazis were present a couple of times 28 00:01:47,111 --> 00:01:50,973 during today's sessions, 29 00:01:50,998 --> 00:01:53,439 and I would like to mention them once again. 30 00:01:53,908 --> 00:01:57,189 Because disrespect for mentally ill people 31 00:01:57,834 --> 00:02:00,881 sometimes leads to very horrible things. 32 00:02:01,526 --> 00:02:03,928 In the German Nazi [era], 33 00:02:05,881 --> 00:02:12,553 more or less 200 thousand mentally ill people were exterminated, 34 00:02:13,144 --> 00:02:15,702 just because of the fact that they were mentally ill. 35 00:02:16,426 --> 00:02:20,904 I know that it is, say, the most -- 36 00:02:21,373 --> 00:02:25,596 The biggest example of disrespect. 37 00:02:26,349 --> 00:02:32,424 But this disrespect is quite common also today. 38 00:02:32,951 --> 00:02:35,017 And we as professionals, 39 00:02:35,042 --> 00:02:36,838 but I think also we as people, 40 00:02:37,151 --> 00:02:40,100 we should [point out] this disrespect 41 00:02:40,371 --> 00:02:46,557 to our neighbors, our colleagues, our friends, sometimes, 42 00:02:46,582 --> 00:02:48,808 or our family [members]. 43 00:02:49,336 --> 00:02:53,074 Because, as I [said], without this respect 44 00:02:53,099 --> 00:02:55,735 we can't be helpful, 45 00:02:55,760 --> 00:02:59,724 and we can't be effective in this relationship. 46 00:03:01,873 --> 00:03:05,673 The second thing that Prof. Kępiński taught us 47 00:03:05,698 --> 00:03:06,948 that is very important, 48 00:03:07,374 --> 00:03:09,474 is listening to these people. 49 00:03:10,089 --> 00:03:13,311 There was a time in psychiatry, quite a long time, 50 00:03:13,644 --> 00:03:16,958 that psychiatrists or professionals "knew better" 51 00:03:16,983 --> 00:03:19,783 what was good for people with mental disorders. 52 00:03:20,167 --> 00:03:24,170 And let's say that this inequality 53 00:03:24,600 --> 00:03:28,404 was also in this [aspect of] "We know better, 54 00:03:28,429 --> 00:03:32,080 and so we don't need to listen to them." 55 00:03:33,038 --> 00:03:37,076 And we learned from Prof. Kępiński, 56 00:03:37,101 --> 00:03:39,053 but we also learned it from our patients, 57 00:03:39,078 --> 00:03:41,183 how important it is to listen to them. 58 00:03:42,257 --> 00:03:44,386 To listen to what they say, 59 00:03:44,777 --> 00:03:48,507 to pay attention to what they feel. 60 00:03:50,011 --> 00:03:53,654 To listen to what they need from us. 61 00:03:53,679 --> 00:03:55,499 Because it's not so -- 62 00:03:56,218 --> 00:03:58,361 Everybody needs something else, 63 00:03:58,386 --> 00:04:05,710 something that is [unique to] this person. 64 00:04:08,191 --> 00:04:12,409 Respect, listening, and the third thing is supporting. 65 00:04:13,230 --> 00:04:17,583 Because it's not enough to respect and to listen. 66 00:04:19,262 --> 00:04:26,899 These people are very often in very big pain, very big suffering. 67 00:04:28,618 --> 00:04:31,698 They are very often isolated, 68 00:04:31,723 --> 00:04:34,828 socially isolated, they are withdrawn emotionally. 69 00:04:35,278 --> 00:04:37,680 And they need some kind of encouragement 70 00:04:37,993 --> 00:04:40,922 to go out of this isolation, 71 00:04:41,190 --> 00:04:44,799 to start to be with other people, live with other people, 72 00:04:44,824 --> 00:04:46,660 to cooperate with other people. 73 00:04:47,324 --> 00:04:52,453 And this support has different aspects. 74 00:04:52,478 --> 00:04:57,138 Because, of course, there is an aspect of verbal support, 75 00:04:57,163 --> 00:05:00,464 where we say some words that are supportive for these people. 76 00:05:02,397 --> 00:05:04,658 But it's sometimes not enough. 77 00:05:04,683 --> 00:05:09,128 Sometimes, we need to create some kind of social space 78 00:05:09,153 --> 00:05:10,362 for these people. 79 00:05:11,045 --> 00:05:15,513 Some social space that would be more safe, 80 00:05:15,538 --> 00:05:22,197 or more nice than usual social spaces, 81 00:05:22,900 --> 00:05:26,992 in order to help them to make this step from this isolation 82 00:05:27,017 --> 00:05:29,692 towards the outer world. 83 00:05:31,431 --> 00:05:37,604 In these three things, 84 00:05:37,949 --> 00:05:41,784 we use different tools, or methods, to help these people. 85 00:05:42,780 --> 00:05:45,651 One of them is, of course, pharmacotherapy. 86 00:05:46,315 --> 00:05:48,063 There are many situations 87 00:05:48,088 --> 00:05:51,330 in which we can't help these people effectively 88 00:05:51,448 --> 00:05:56,447 without the help of the [medication]. 89 00:05:57,444 --> 00:06:00,529 But it is, in many cases, not enough. 90 00:06:01,414 --> 00:06:05,883 Many of these people have such a difficult life history, 91 00:06:05,908 --> 00:06:09,812 such difficult events in their lives, 92 00:06:09,969 --> 00:06:13,469 that they really need different kinds of psychotherapy. 93 00:06:13,582 --> 00:06:17,136 It could be individual, group or family psychotherapy. 94 00:06:17,605 --> 00:06:24,030 In order to make their lives more understandable, 95 00:06:24,363 --> 00:06:26,452 in order to share their problems, 96 00:06:27,000 --> 00:06:34,959 in order to see that other people understand them, 97 00:06:35,076 --> 00:06:37,713 but also to see that they can change their lives, 98 00:06:37,855 --> 00:06:41,674 that they can cope better with various kinds of stress, 99 00:06:41,699 --> 00:06:44,995 or the various kinds of trauma they encounter. 100 00:06:48,704 --> 00:06:52,901 Another important aspect we try to use in helping these people 101 00:06:52,926 --> 00:06:54,234 is the social approach. 102 00:06:54,801 --> 00:06:56,199 In many cases, 103 00:06:56,224 --> 00:07:00,868 they need not only psychotherapy or pharmacotherapy, 104 00:07:00,893 --> 00:07:04,916 but they need a safe place to live in. 105 00:07:05,248 --> 00:07:08,919 For example, a sheltered flat. 106 00:07:09,522 --> 00:07:15,613 They sometimes need their free time [to be organized]. 107 00:07:15,770 --> 00:07:23,087 So, I've often gone with my patients to therapeutical camps 108 00:07:23,112 --> 00:07:26,197 or therapeutical excursions. 109 00:07:27,837 --> 00:07:32,172 They need other people they can trust, or cooperate with, 110 00:07:32,197 --> 00:07:37,782 to do different things in life together. 111 00:07:39,091 --> 00:07:42,619 Some of these people need rehabilitation. 112 00:07:42,644 --> 00:07:47,675 So, different methods that will help them to -- 113 00:07:49,335 --> 00:07:50,370 Or -- 114 00:07:52,832 --> 00:07:59,253 to recreate some abilities they had before, 115 00:07:59,605 --> 00:08:03,291 in order that they come back to work, 116 00:08:03,316 --> 00:08:06,695 or come back to [college] or to school. 117 00:08:07,437 --> 00:08:14,368 But in many cases what they need is help in finding [a job]. 118 00:08:15,247 --> 00:08:17,376 Or in coming back to work. 119 00:08:20,383 --> 00:08:26,450 These people are in many areas more vulnerable, 120 00:08:26,475 --> 00:08:30,518 or [sensitive] than it is usually [the case]. 121 00:08:32,158 --> 00:08:34,501 But without [a job] -- 122 00:08:35,767 --> 00:08:40,158 I think that many of you have or will have jobs. 123 00:08:40,525 --> 00:08:46,110 And work is one of the most important things 124 00:08:46,135 --> 00:08:52,130 in finding, or in building a sense of life. 125 00:08:52,287 --> 00:08:57,143 Or the sense that "I am a useful person." 126 00:08:57,168 --> 00:09:00,189 That I can give other people 127 00:09:00,214 --> 00:09:02,314 something that is valuable. 128 00:09:02,808 --> 00:09:08,088 And therefore, we also try to make the step between -- 129 00:09:09,898 --> 00:09:12,898 Or help these people to make the step 130 00:09:12,923 --> 00:09:15,418 between their [current] situation 131 00:09:15,443 --> 00:09:17,543 and [working] in the open market. 132 00:09:18,314 --> 00:09:20,228 And this way, 133 00:09:20,253 --> 00:09:23,805 or [with] this program, we try to help them. 134 00:09:24,079 --> 00:09:27,262 This program [is] "Treatment, Living and Working in the Community." 135 00:09:29,057 --> 00:09:32,316 I would say that the most -- 136 00:09:36,401 --> 00:09:41,550 visual, or the best example of this program 137 00:09:41,882 --> 00:09:44,579 is the Pan Cogito Hotel project. 138 00:09:45,945 --> 00:09:49,323 Pan Cogito Hotel is a hotel, 139 00:09:49,910 --> 00:09:52,814 in Dębniki, in Cracow. 140 00:09:52,839 --> 00:09:54,659 Bałuckiego 6 -- street. 141 00:09:56,190 --> 00:09:59,745 And this hotel is run 142 00:10:00,155 --> 00:10:04,564 mostly by people that survived a mental crisis, 143 00:10:04,589 --> 00:10:06,112 or a mental disorder. 144 00:10:07,322 --> 00:10:11,373 23 or 24 people with mental disorders are working there. 145 00:10:11,999 --> 00:10:14,767 And for many of them, 146 00:10:14,792 --> 00:10:19,534 it is the best workplace they've had in their lives. 147 00:10:19,987 --> 00:10:25,296 It's a place [where] they don't need to hide with their problems. 148 00:10:25,903 --> 00:10:28,112 They don't need to -- 149 00:10:32,368 --> 00:10:35,822 let's say, to be afraid that their problems -- 150 00:10:38,206 --> 00:10:40,935 will be mistreated, 151 00:10:40,960 --> 00:10:43,752 or will be the cause of some kind of mistreatment. 152 00:10:44,768 --> 00:10:47,827 They can talk with other people who are working there, 153 00:10:47,990 --> 00:10:52,121 because they have similar experiences, or similar problems. 154 00:10:52,146 --> 00:10:58,161 And they trust or understand these people better. 155 00:10:59,889 --> 00:11:02,417 They work with people, 156 00:11:02,526 --> 00:11:04,658 and they say that this work with people 157 00:11:04,683 --> 00:11:06,124 is very important to them, 158 00:11:06,149 --> 00:11:10,066 because they [get] 159 00:11:10,091 --> 00:11:14,925 a lot of positive or warm feedback 160 00:11:14,950 --> 00:11:18,309 from the guests of this hotel or the restaurant. 161 00:11:19,696 --> 00:11:21,506 And it is not only a workplace, 162 00:11:21,531 --> 00:11:24,188 but it is also an educational place. 163 00:11:24,653 --> 00:11:29,394 A place which many people from all over Poland are coming to, 164 00:11:29,419 --> 00:11:32,847 and observing that it is possible 165 00:11:32,872 --> 00:11:35,560 [for] people with severe mental illnesses, 166 00:11:35,585 --> 00:11:37,266 with severe mental disorders, 167 00:11:37,391 --> 00:11:41,428 [to] cooperate and build a project that is successful. 168 00:11:42,658 --> 00:11:46,581 And these visits [are] from all over Poland. 169 00:11:46,606 --> 00:11:51,113 But also, [the fact that] this idea is spreading 170 00:11:51,444 --> 00:11:53,789 not only in Poland, but also in Europe, 171 00:11:54,258 --> 00:12:00,185 is also a kind of example for people from other cities, other places, 172 00:12:00,210 --> 00:12:02,808 that they can create similar places. 173 00:12:03,212 --> 00:12:08,290 Places that will be safe, nice, 174 00:12:08,315 --> 00:12:14,969 and, I would say, good places to work in 175 00:12:14,994 --> 00:12:20,906 and to, let's say, be together with other people, 176 00:12:20,931 --> 00:12:23,837 with other members of society, 177 00:12:24,543 --> 00:12:28,070 Yeah, with other people, to be together. 178 00:12:28,095 --> 00:12:30,749 And this aspect that -- 179 00:12:32,409 --> 00:12:35,470 These people start to feel that they are not [different], 180 00:12:35,495 --> 00:12:36,686 but they are similar 181 00:12:36,726 --> 00:12:38,698 and they are together with other people. 182 00:12:38,972 --> 00:12:43,402 It is, I think, one of the most important effects of the therapy 183 00:12:44,320 --> 00:12:46,273 we would like to achieve. 184 00:12:46,918 --> 00:12:48,736 Thank you very much for your attention. 185 00:12:48,761 --> 00:12:51,060 (Applause)