0:00:00.484,0:00:01.757 Welcome, everybody. 0:00:02.382,0:00:03.945 My name is Łukasz Cichocki, 0:00:04.316,0:00:08.157 and I will tell you something[br]about Pan Cogito Hotel, 0:00:08.183,0:00:10.039 which was mentioned just right now. 0:00:10.469,0:00:13.556 But before, I would like to tell [you] 0:00:13.581,0:00:19.128 about the way to Pan Cogito Hotel. 0:00:20.867,0:00:23.363 So, Pan Cogito is an element 0:00:23.388,0:00:26.384 of an integrated[br]community treatment program 0:00:26.409,0:00:30.550 for people suffering[br]from schizophrenia, in Cracow. 0:00:32.034,0:00:36.464 And this integrated community program 0:00:37.610,0:00:41.771 was supported by the spirit, 0:00:41.796,0:00:44.596 by the [ideas][br]of Professor Antoni Kępiński. 0:00:45.136,0:00:49.178 I hope that some of you,[br]especially [people] from Cracow, 0:00:49.570,0:00:51.013 know this name. 0:00:51.521,0:00:53.981 This man was a Professor of Psychiatry. 0:00:54.978,0:00:59.606 He lived in the 20th century,[br]died in 1972. 0:00:59.958,0:01:05.013 And he taught[br]Cracow's psychiatry many things. 0:01:06.342,0:01:08.451 I would like to mention three of them 0:01:08.920,0:01:12.807 that are, I would say, the most crucial,[br]or most important things 0:01:13.822,0:01:16.929 in the [relationship][br]between the psychiatrist and the patient. 0:01:17.529,0:01:19.091 The first [one] is respect. 0:01:20.751,0:01:23.868 Respect as, I would say, the basis, 0:01:23.893,0:01:30.118 and the thing without which[br]we can't help other people, 0:01:30.143,0:01:33.086 especially people with mental disorders, 0:01:33.111,0:01:36.517 with mental problems. 0:01:37.486,0:01:42.486 I was not sure whether to say[br]what I will say now, 0:01:42.994,0:01:47.086 but German Nazis were present[br]a couple of times 0:01:47.111,0:01:50.973 during today's sessions, 0:01:50.998,0:01:53.439 and I would like to mention them[br]once again. 0:01:53.908,0:01:57.189 Because disrespect for mentally ill people 0:01:57.834,0:02:00.881 sometimes leads to very horrible things. 0:02:01.526,0:02:03.928 In the German Nazi [era], 0:02:05.881,0:02:12.553 more or less 200 thousand[br]mentally ill people were exterminated, 0:02:13.144,0:02:15.702 just because of the fact[br]that they were mentally ill. 0:02:16.426,0:02:20.904 I know that it is, say, the most -- 0:02:21.373,0:02:25.596 The biggest example of disrespect. 0:02:26.349,0:02:32.424 But this disrespect[br]is quite common also today. 0:02:32.951,0:02:35.017 And we as professionals, 0:02:35.042,0:02:36.838 but I think also we as people, 0:02:37.151,0:02:40.100 we should [point out] this disrespect 0:02:40.371,0:02:46.557 to our neighbors, our colleagues,[br]our friends, sometimes, 0:02:46.582,0:02:48.808 or our family [members]. 0:02:49.336,0:02:53.074 Because, as I [said], without this respect 0:02:53.099,0:02:55.735 we can't be helpful, 0:02:55.760,0:02:59.724 and we can't be effective[br]in this relationship. 0:03:01.873,0:03:05.673 The second thing[br]that Prof. Kępiński taught us 0:03:05.698,0:03:06.948 that is very important, 0:03:07.374,0:03:09.474 is listening to these people. 0:03:10.089,0:03:13.311 There was a time in psychiatry,[br]quite a long time, 0:03:13.644,0:03:16.958 that psychiatrists or professionals[br]"knew better" 0:03:16.983,0:03:19.783 what was good for people[br]with mental disorders. 0:03:20.167,0:03:24.170 And let's say that this inequality 0:03:24.600,0:03:28.404 was also in this [aspect of][br]"We know better, 0:03:28.429,0:03:32.080 and so we don't need to listen to them." 0:03:33.038,0:03:37.076 And we learned from Prof. Kępiński, 0:03:37.101,0:03:39.053 but we also learned it from our patients, 0:03:39.078,0:03:41.183 how important it is to listen to them. 0:03:42.257,0:03:44.386 To listen to what they say, 0:03:44.777,0:03:48.507 to pay attention to what they feel. 0:03:50.011,0:03:53.654 To listen to what they need from us. 0:03:53.679,0:03:55.499 Because it's not so -- 0:03:56.218,0:03:58.361 Everybody needs something else, 0:03:58.386,0:04:05.710 something that is [unique to] this person. 0:04:08.191,0:04:12.409 Respect, listening,[br]and the third thing is supporting. 0:04:13.230,0:04:17.583 Because it's not enough[br]to respect and to listen. 0:04:19.262,0:04:26.899 These people are very often[br]in very big pain, very big suffering. 0:04:28.618,0:04:31.698 They are very often isolated, 0:04:31.723,0:04:34.828 socially isolated,[br]they are withdrawn emotionally. 0:04:35.278,0:04:37.680 And they need some kind of encouragement 0:04:37.993,0:04:40.922 to go out of this isolation, 0:04:41.190,0:04:44.799 to start to be with other people,[br]live with other people, 0:04:44.824,0:04:46.660 to cooperate with other people. 0:04:47.324,0:04:52.453 And this support has different aspects. 0:04:52.478,0:04:57.138 Because, of course, there is an aspect[br]of verbal support, 0:04:57.163,0:05:00.464 where we say some words[br]that are supportive for these people. 0:05:02.397,0:05:04.658 But it's sometimes not enough. 0:05:04.683,0:05:09.128 Sometimes, we need to create[br]some kind of social space 0:05:09.153,0:05:10.362 for these people. 0:05:11.045,0:05:15.513 Some social space that would be more safe, 0:05:15.538,0:05:22.197 or more nice than usual social spaces, 0:05:22.900,0:05:26.992 in order to help them[br]to make this step from this isolation 0:05:27.017,0:05:29.692 towards the outer world. 0:05:31.431,0:05:37.604 In these three things, 0:05:37.949,0:05:41.784 we use different tools,[br]or methods, to help these people. 0:05:42.780,0:05:45.651 One of them is, of course,[br]pharmacotherapy. 0:05:46.315,0:05:48.063 There are many situations 0:05:48.088,0:05:51.330 in which we can't help[br]these people effectively 0:05:51.448,0:05:56.447 without the help of the [medication]. 0:05:57.444,0:06:00.529 But it is, in many cases, not enough. 0:06:01.414,0:06:05.883 Many of these people[br]have such a difficult life history, 0:06:05.908,0:06:09.812 such difficult events in their lives, 0:06:09.969,0:06:13.469 that they really need[br]different kinds of psychotherapy. 0:06:13.582,0:06:17.136 It could be individual,[br]group or family psychotherapy. 0:06:17.605,0:06:24.030 In order to make their lives[br]more understandable, 0:06:24.363,0:06:26.452 in order to share their problems, 0:06:27.000,0:06:34.959 in order to see that other people[br]understand them, 0:06:35.076,0:06:37.713 but also to see[br]that they can change their lives, 0:06:37.855,0:06:41.674 that they can cope better[br]with various kinds of stress, 0:06:41.699,0:06:44.995 or the various kinds of trauma[br]they encounter. 0:06:48.704,0:06:52.901 Another important aspect[br]we try to use in helping these people 0:06:52.926,0:06:54.234 is the social approach. 0:06:54.801,0:06:56.199 In many cases, 0:06:56.224,0:07:00.868 they need not only psychotherapy[br]or pharmacotherapy, 0:07:00.893,0:07:04.916 but they need a safe place to live in. 0:07:05.248,0:07:08.919 For example, a sheltered flat. 0:07:09.522,0:07:15.613 They sometimes need their free time[br][to be organized]. 0:07:15.770,0:07:23.087 So, I've often gone with my patients[br]to therapeutical camps 0:07:23.112,0:07:26.197 or therapeutical excursions. 0:07:27.837,0:07:32.172 They need other people[br]they can trust, or cooperate with, 0:07:32.197,0:07:37.782 to do different things in life together. 0:07:39.091,0:07:42.619 Some of these people need rehabilitation. 0:07:42.644,0:07:47.675 So, different methods[br]that will help them to -- 0:07:49.335,0:07:50.370 Or -- 0:07:52.832,0:07:59.253 to recreate some abilities[br]they had before, 0:07:59.605,0:08:03.291 in order that they come back to work, 0:08:03.316,0:08:06.695 or come back to [college] or to school. 0:08:07.437,0:08:14.368 But in many cases what they need[br]is help in finding [a job]. 0:08:15.247,0:08:17.376 Or in coming back to work. 0:08:20.383,0:08:26.450 These people are in many areas[br]more vulnerable, 0:08:26.475,0:08:30.518 or [sensitive][br]than it is usually [the case]. 0:08:32.158,0:08:34.501 But without [a job] -- 0:08:35.767,0:08:40.158 I think that many of you[br]have or will have jobs. 0:08:40.525,0:08:46.110 And work is one[br]of the most important things 0:08:46.135,0:08:52.130 in finding,[br]or in building a sense of life. 0:08:52.287,0:08:57.143 Or the sense that "I am a useful person." 0:08:57.168,0:09:00.189 That I can give other people 0:09:00.214,0:09:02.314 something that is valuable. 0:09:02.808,0:09:08.088 And therefore, we also try[br]to make the step between -- 0:09:09.898,0:09:12.898 Or help these people to make the step 0:09:12.923,0:09:15.418 between their [current] situation 0:09:15.443,0:09:17.543 and [working] in the open market. 0:09:18.314,0:09:20.228 And this way, 0:09:20.253,0:09:23.805 or [with] this program,[br]we try to help them. 0:09:24.079,0:09:27.262 This program [is] "Treatment, Living[br]and Working in the Community." 0:09:29.057,0:09:32.316 I would say that the most -- 0:09:36.401,0:09:41.550 visual, or the best example[br]of this program 0:09:41.882,0:09:44.579 is the Pan Cogito Hotel project. 0:09:45.945,0:09:49.323 Pan Cogito Hotel is a hotel, 0:09:49.910,0:09:52.814 in Dębniki, in Cracow. 0:09:52.839,0:09:54.659 Bałuckiego 6 -- street. 0:09:56.190,0:09:59.745 And this hotel is run 0:10:00.155,0:10:04.564 mostly by people[br]that survived a mental crisis, 0:10:04.589,0:10:06.112 or a mental disorder. 0:10:07.322,0:10:11.373 23 or 24 people with mental disorders[br]are working there. 0:10:11.999,0:10:14.767 And for many of them, 0:10:14.792,0:10:19.534 it is the best workplace[br]they've had in their lives. 0:10:19.987,0:10:25.296 It's a place [where] they don't need[br]to hide with their problems. 0:10:25.903,0:10:28.112 They don't need to -- 0:10:32.368,0:10:35.822 let's say, to be afraid[br]that their problems -- 0:10:38.206,0:10:40.935 will be mistreated, 0:10:40.960,0:10:43.752 or will be the cause[br]of some kind of mistreatment. 0:10:44.768,0:10:47.827 They can talk with other people[br]who are working there, 0:10:47.990,0:10:52.121 because they have similar experiences,[br]or similar problems. 0:10:52.146,0:10:58.161 And they trust or understand[br]these people better. 0:10:59.889,0:11:02.417 They work with people, 0:11:02.526,0:11:04.658 and they say that this work with people 0:11:04.683,0:11:06.124 is very important to them, 0:11:06.149,0:11:10.066 because they [get] 0:11:10.091,0:11:14.925 a lot of positive or warm feedback 0:11:14.950,0:11:18.309 from the guests of this hotel[br]or the restaurant. 0:11:19.696,0:11:21.506 And it is not only a workplace, 0:11:21.531,0:11:24.188 but it is also an educational place. 0:11:24.653,0:11:29.394 A place which many people[br]from all over Poland are coming to, 0:11:29.419,0:11:32.847 and observing that it is possible 0:11:32.872,0:11:35.560 [for] people with severe mental illnesses, 0:11:35.585,0:11:37.266 with severe mental disorders, 0:11:37.391,0:11:41.428 [to] cooperate and build[br]a project that is successful. 0:11:42.658,0:11:46.581 And these visits [are][br]from all over Poland. 0:11:46.606,0:11:51.113 But also, [the fact that][br]this idea is spreading 0:11:51.444,0:11:53.789 not only in Poland, but also in Europe, 0:11:54.258,0:12:00.185 is also a kind of example for people[br]from other cities, other places, 0:12:00.210,0:12:02.808 that they can create similar places. 0:12:03.212,0:12:08.290 Places that will be safe, nice, 0:12:08.315,0:12:14.969 and, I would say, good places to work in 0:12:14.994,0:12:20.906 and to, let's say, be together[br]with other people, 0:12:20.931,0:12:23.837 with other members of society, 0:12:24.543,0:12:28.070 Yeah, with other people, to be together. 0:12:28.095,0:12:30.749 And this aspect that -- 0:12:32.409,0:12:35.470 These people start to feel[br]that they are not [different], 0:12:35.495,0:12:36.686 but they are similar 0:12:36.726,0:12:38.698 and they are together with other people. 0:12:38.972,0:12:43.402 It is, I think, one of the most important[br]effects of the therapy 0:12:44.320,0:12:46.273 we would like to achieve. 0:12:46.918,0:12:48.736 Thank you very much for your attention. 0:12:48.761,0:12:51.060 (Applause)