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Treatment satisfaction of different mental disorders is still poorly understood, but of high clinical interest. Inpatients of a general psychiatric care hospital were asked to fill out questionnaires on satisfaction and clinical variables at admission and discharge. On the basis of an exploratory approach, differences in treatment satisfaction among diagnostic groups were examined by means of one-way analysis of variance. Potential associated clinical and socio-demographic variables were studied using multi/univariate tests. Patients with personality disorders (n=18) showed a significantly lower treatment satisfaction (ZUF-8, Zurich Satisfaction Questionnaire) and a slightly lower improvement of symptoms (CGI, Clinical Global Impression) and global functioning (GAF, Global Assessment of Functioning scale) than that of other diagnostic groups (n=95). Satisfaction in patients with personality disorders correlated much stronger with the symptom improvement and slightly with the functioning level than in patients without personality disorders. Interestingly, in patients with personality disorders psychopharmacological treatment in general (present versus not present) was independent from satisfaction. This exploratory investigation suggests that a lower satisfaction of patients with personality disorders in a general psychiatric hospital is mainly based on a reduced improvement of the symptoms and of the global functioning level.

This paper focuses on the adaptations societies make to climate-related disasters. How they learnt from them in the past should indicate how they will respond in the more climate-stressed future. National typhoon disaster politics arise when citizens demand disaster protection from their state.

The paper analyzes one episode of typhoon politics in each of three Asian countries before 1945: the Philippines (1928), India (1942) and Japan (1934). These three countries show high variance in state capacity and level of democracy. Discourse data are found in contemporary newspaper accounts.

In each case, the typhoon disaster politics were shaped by the “distance” (geographical, institutional, class and cultural) between citizen-victims and the state. Where that distance was great (rural Philippines, Bengal-India), the state tended to minimise victimhood. Where it was small (urban Japan), adaptation was serious and rapid.

The findings should stimulate public discussion of the way in which past social relations and power dynamics surrounding climate-related disasters might influence the present. As the political character of climate change adaptation grows clearer, so does the need for debate to be well-informed.

Most historical work on climate-related disasters has focused either on the natural phenomena, or on their societal impact. The present paper's focus on adaptation is part of a small but growing scholarly effort to bend the debate towards the evolution of adaptive capacity.