{"id":2336,"date":"2020-01-14T14:58:53","date_gmt":"2020-01-14T14:58:53","guid":{"rendered":"https:\/\/schizofrenie.cz\/verejne\/?page_id=2336"},"modified":"2025-12-19T11:17:27","modified_gmt":"2025-12-19T10:17:27","slug":"profesni","status":"publish","type":"page","link":"https:\/\/schizofrenie.cz\/verejne\/zivot-se-schizofrenii\/profesni\/","title":{"rendered":"Schizofrenie ve \u0161kole a v pr\u00e1ci"},"content":{"rendered":"\n
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Schizofrenie ve \u0161kole a v pr\u00e1ci<\/h1>

Lid\u00e9 se schizofreni\u00ed maj\u00ed \u010dasto soustavn\u00e9 obt\u00ed\u017ee naj\u00edt si zam\u011bstn\u00e1n\u00ed. Stigma spojen\u00e9 s du\u0161evn\u00edm zdrav\u00edm m\u016f\u017ee v\u00e9st k tomu, \u017ee \u0159ada zam\u011bstnavatel\u016f a vl\u00e1dn\u00edch org\u00e1n\u016f \u0161patn\u011b ch\u00e1pe onemocn\u011bn\u00ed a mo\u017enost takov\u00e9ho \u010dlov\u011bka zam\u011bstnat. Uv\u00e1d\u00edme n\u011bkolik z\u00e1kladn\u00edch n\u00e1vrh\u016f pro zam\u011bstnavatele, rodiny, zdravotn\u00edky a instituce, jak sn\u00ed\u017eit nerovnost p\u0159i zam\u011bstn\u00e1v\u00e1n\u00ed lid\u00ed se schizofreni\u00ed.<\/p><\/a>

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Lid\u00e9 s dlouhodob\u00fdmi du\u0161evn\u00edmi chorobami v\u010detn\u011b schizofrenie se setk\u00e1vaj\u00ed s p\u0159ek\u00e1\u017ekami, kter\u00e9 jim br\u00e1n\u00ed pracovat, a\u0165 u\u017e z d\u016fvodu stigmatu, p\u0159edsudk\u016f nebo diskriminace.1<\/sup> P\u0159esto\u017ee se informovanost ve\u0159ejnosti o du\u0161evn\u00edm zdrav\u00ed obecn\u011b zlep\u0161uje, kdy\u017e p\u0159ijde na schizofrenii, je to st\u00e1le stigma. N\u011bkdo si mysl\u00ed, \u017ee lid\u00e9 se schizofreni\u00ed jsou \u010dasto n\u00e1silni\u010dt\u00ed, \u017ee si nedok\u00e1\u017eou udr\u017eet zam\u011bstn\u00e1n\u00ed anebo \u017ee se jejich chov\u00e1n\u00ed m\u016f\u017ee n\u00e1hle a ne\u010dekan\u011b zm\u011bnit.2<\/sup>

Schizofrenie se obvykle objevuje mezi 18. a 35. rokem v\u011bku, kdy\u017e v\u011bt\u0161ina lid\u00ed studuje nebo si za\u010d\u00edn\u00e1 budovat kari\u00e9ru.3<\/sup> Diagn\u00f3za schizofrenie je pro n\u011b skli\u010duj\u00edc\u00ed a m\u016f\u017ee zhatit jejich pl\u00e1ny, proto\u017ee mo\u017en\u00e1 nikdy nedos\u00e1hnou vzd\u011bl\u00e1n\u00ed a praxe, kter\u00e9 pro \u00fasp\u011b\u0161nou kari\u00e9ru pot\u0159ebuj\u00ed. Schizofrenie m\u00e1 proto kritick\u00fd dopad na mo\u017enosti vzd\u011bl\u00e1n\u00ed a zam\u011bstn\u00e1n\u00ed. T\u011bm, kte\u0159\u00ed jsou zam\u011bstnan\u00ed, mohou p\u0159\u00edznaky nemoci, vedlej\u0161\u00ed \u00fa\u010dinky l\u00e9\u010dby a opakovan\u00e9 epizody br\u00e1nit v tom, aby si zam\u011bstn\u00e1n\u00ed udr\u017eeli.4<\/sup>

N\u011bkolik studi\u00ed uk\u00e1zalo, \u017ee pacienti se schizofreni\u00ed v placen\u00e9m zam\u011bstn\u00e1n\u00ed maj\u00ed p\u011btkr\u00e1t vy\u0161\u0161\u00ed pravd\u011bpodobnost dos\u00e1hnout funk\u010dn\u00edho zotaven\u00ed ne\u017e nezam\u011bstnan\u00ed pacienti nebo pacienti v neplacen\u00e9m zam\u011bstn\u00e1n\u00ed. 5,6<\/sup> I p\u0159es opakovan\u011b zd\u016fraz\u0148ovanou pot\u0159ebu pracovn\u00edho za\u0161kolen\u00ed, za\u0159azen\u00ed a podp\u016frn\u00fdch slu\u017eeb, je v t\u00e9to skupin\u011b jeden z nejvy\u0161\u0161\u00edch pod\u00edl\u016f nezam\u011bstnanosti ze v\u0161ech profesn\u011b znev\u00fdhodn\u011bn\u00fdch skupin.7<\/sup> Nezam\u011bstnanost osob se schizofreni\u00ed se d\u00e1 jen t\u011b\u017eko srovn\u00e1vat s obecnou populac\u00ed, proto\u017ee v\u011bt\u0161ina odhad\u016f v USA a v Evrop\u011b ukazuje, \u017ee pracuje m\u00e9n\u011b ne\u017e 20 % osob se schizofreni\u00ed.8<\/sup> Pr\u016fzkumy proveden\u00e9 u jedinc\u016f se schizofreni\u00ed ukazuj\u00ed nespokojenost s n\u00edzkou zam\u011bstnanost\u00ed, p\u0159i\u010dem\u017e z\u00e1jem pracovat vyjad\u0159uje 55\u201370 % z nich.9<\/sup>

Cena za nezam\u011bstnanost je u t\u00e9to populace vysok\u00e1. Nejde jen o finan\u010dn\u00ed hledisko, ale tak\u00e9 o nedosa\u017een\u00ed spole\u010densky hodnotn\u00e9 role a deprivaci z n\u00ed vypl\u00fdvaj\u00edc\u00edch v\u00fdhod, jako je sebed\u016fv\u011bra a sob\u011bsta\u010dnosti.10<\/sup> Krom\u011b toho m\u016f\u017ee p\u0159\u00edslib pr\u00e1ce alespo\u0148 u n\u011bkter\u00fdch jedinc\u016f sn\u00ed\u017eit nebo zcela eliminovat pot\u0159ebu vypl\u00e1cen\u00ed podpory pro zdravotn\u011b posti\u017een\u00e9 osoby.11<\/sup><\/p><\/div><\/div>\n\n\n\n


Zam\u011bstnanost lid\u00ed se schizofreni\u00ed a odezvu na pracovn\u00ed rehabilitaci m\u016f\u017ee nep\u0159\u00edzniv\u011b ovlivnit n\u011bkolik faktor\u016f.12<\/sup><\/p><\/div><\/div>\n\n\n\n

Zhor\u0161en\u00e9 kognitivn\u00edch funkc\u00ed: u schizofrenie \u010dasto doch\u00e1z\u00ed ke zhor\u0161en\u00ed kognitivn\u00edch funkc\u00ed, kter\u00e9 m\u00e1 nejen klinick\u00fd ale i funk\u010dn\u00ed v\u00fdznam a je patrn\u00e9 v \u0159ad\u011b oblast\u00ed, jako je pozornost, pam\u011b\u0165, v\u00fdkonn\u00e9 fungov\u00e1n\u00ed a rychlost zpracov\u00e1n\u00ed informac\u00ed.12<\/sup> Uk\u00e1zalo se, \u017ee jde o nejproblemati\u010dt\u011bj\u0161\u00ed faktor z hlediska pr\u00e1ce, a to zejm\u00e9na z d\u016fvodu obt\u00ed\u017e\u00ed p\u0159i vz\u00e1jemn\u00e9 komunikaci s ostatn\u00edmi, obt\u00ed\u017e\u00ed s v\u00fdkonn\u00fdm fungov\u00e1n\u00edm nebo oslaben\u00edm kognitivn\u00edch funkc\u00ed, zejm\u00e9na zpracov\u00e1n\u00edm informac\u00ed a u\u010den\u00edm se nov\u00fdm dovednostem.13<\/sup> <\/p>

Poruchy navozen\u00e9 n\u00e1vykov\u00fdmi l\u00e1tkami: Zneu\u017e\u00edv\u00e1n\u00ed n\u00e1vykov\u00fdch l\u00e1tek a z\u00e1vislosti jsou u schizofrenie velmi \u010dast\u00e9 a souvisej\u00ed s hor\u0161\u00edm pr\u016fb\u011bhem tohoto z\u00e1va\u017en\u00e9ho du\u0161evn\u00edho onemocn\u011bn\u00ed v\u010detn\u011b vy\u0161\u0161\u00edho v\u00fdskytu relaps\u016f a pobyt\u016f v nemocnici, hor\u0161\u00edho psychosoci\u00e1ln\u00edho fungov\u00e1n\u00ed a probl\u00e9m\u016f souvisej\u00edc\u00edch se z\u00e1konem, zdrav\u00edm a bydlen\u00edm.14<\/sup><\/p>

T\u011blesn\u00e9 onemocn\u011bn\u00ed: Lid\u00e9 se schizofreni\u00ed jsou n\u00e1chyln\u011bj\u0161\u00ed k t\u011blesn\u00fdm nemocem z d\u016fvodu vedlej\u0161\u00edch \u00fa\u010dink\u016f antipsychotik a jejich p\u016fsoben\u00ed na l\u00e1tkovou v\u00fdm\u011bnu nebo n\u00e1vyku na nezdrav\u00fd \u017eivotn\u00ed styl charakterizovan\u00fd chov\u00e1n\u00edm, jako je siln\u00e9 kou\u0159en\u00ed, fyzick\u00e1 ne\u010dinnost a \u0161patn\u00e1 strava.15<\/sup> <\/p><\/div><\/div><\/div>\n\n\n\n

Pro ty, kte\u0159\u00ed mohou pracovat, m\u00e1 zam\u011bstn\u00e1n\u00ed n\u011bkolik v\u00fdhod, nap\u0159. finan\u010dn\u00ed nez\u00e1vislost, spole\u010densk\u00fd kontakt a vy\u0161\u0161\u00ed sebev\u011bdom\u00ed.16<\/sup> Pr\u00e1ce je jedn\u00edm z hlavn\u00edch zp\u016fsob\u016f, jak\u00fdm lid\u00e9 vstupuj\u00ed do kontakt\u016f se spole\u010dnost\u00ed, ve kter\u00e9 \u017eij\u00ed, a p\u0159in\u00e1\u0161\u00ed nov\u00e9 spole\u010densk\u00e9 kontakty a mo\u017enosti vytvo\u0159it si nov\u00e9 p\u0159\u00e1tele. Nav\u00edc, kdy\u017e dostane pacient v pr\u00e1ci n\u011bco na zodpov\u011bdnost, c\u00edt\u00ed se d\u016fle\u017eit\u011bj\u0161\u00ed a m\u00e1 dojem, \u017ee jeho \u017eivot m\u00e1 n\u011bjak\u00fd \u00fa\u010del. Lid\u00e9 s psych\u00f3zou dosahuj\u00ed ve studi\u00edch hodnot\u00edc\u00edch pocit \u00fa\u010delnosti \u017eivota velmi n\u00edzk\u00fdch sk\u00f3re, co\u017e je m\u016f\u017ee v\u00e9st k zneu\u017e\u00edv\u00e1n\u00ed n\u00e1vykov\u00fdch l\u00e1tek anebo k sebevra\u017eedn\u00fdm pokus\u016fm. 17<\/sup>

Vzhledem k tomu, \u017ee je pod\u00edl zam\u011bstnan\u00fdch lid\u00ed se schizofreni\u00ed zna\u010dn\u011b n\u00edzk\u00fd, sm\u011b\u0159uj\u00ed snahy sp\u00ed\u0161e k z\u00edsk\u00e1n\u00ed pr\u00e1ce pro nezam\u011bstnan\u00e9 ne\u017e k podpo\u0159e t\u011bch, co ji\u017e studuj\u00ed nebo pracuj\u00ed.7<\/sup> V\u010dasn\u011bj\u0161\u00ed intervence by umo\u017enily mlad\u00fdm lidem, kte\u0159\u00ed zat\u00edm studuj\u00ed, zvl\u00e1dnout p\u0159echod do sv\u011bta pr\u00e1ce a lidem, u nich\u017e je stanovena diagn\u00f3za, kdy\u017e u\u017e pracuj\u00ed, zv\u00fd\u0161it \u0161ance na to, aby si pr\u00e1ci udr\u017eeli.5,18<\/sup>

Krom\u011b toho m\u00e1 \u0159ada lid\u00ed se schizofreni\u00ed velkou motivaci pracovat, ale o\u010dek\u00e1v\u00e1n\u00ed zam\u011bstnavatel\u016f a dal\u0161\u00edch z\u00fa\u010dastn\u011bn\u00fdch stran se velmi li\u0161\u00ed. Mnoho z nich nep\u0159edpokl\u00e1d\u00e1, \u017ee bude \u010dlov\u011bk se schizofreni\u00ed schopen se p\u0159izp\u016fsobit dlouhodob\u00e9mu konkurenceschopn\u00e9mu zam\u011bstn\u00e1n\u00ed, a \u010dasto to nevid\u00ed ani jako dosa\u017eiteln\u00fd c\u00edl. Stigma ze strany druh\u00fdch \u010dasto vede ke stigmatizaci sebe sama a m\u00e1 dopad na p\u016fvodn\u00ed motivaci lid\u00ed se schizofreni\u00ed. 6<\/sup> <\/p><\/div><\/div>\n\n\n\n

I p\u0159es zna\u010dn\u00e9 p\u0159ek\u00e1\u017eky p\u0159i z\u00edsk\u00e1n\u00ed a udr\u017een\u00ed si zam\u011bstn\u00e1n\u00ed, kter\u00fdm lid\u00e9 se schizofreni\u00ed \u010del\u00ed, jsou cesty k zam\u011bstn\u00e1n\u00ed, zotaven\u00ed a za\u010dlen\u011bn\u00ed jasn\u00e9. \u0158e\u0161en\u00ed dr\u017e\u00ed v rukou z\u00fa\u010dastn\u011bn\u00e9 strany a je t\u0159eba vyvinout snahu v n\u011bkolika sektorech, jako jsou: <\/p><\/div><\/div>\n\n\n\n

Zam\u011bstnavatel\u00e9: M\u011bli by si zajistit dostate\u010dnou a spr\u00e1vnou informovanost a b\u00fdt p\u0159ipraveni reagovat, kdy\u017e jim zam\u011bstnanec sd\u011bl\u00ed, \u017ee m\u00e1 schizofrenii nebo jinou z\u00e1va\u017enou du\u0161evn\u00ed nemoc. Krom\u011b toho by m\u011bli zlep\u0161it zve\u0159ej\u0148ov\u00e1n\u00ed takov\u00fdch informac\u00ed ve firemn\u00ed kultu\u0159e a prov\u00e1d\u011bt \u00fapravy tak, aby vyhovovaly pot\u0159eb\u00e1m lid\u00ed se schizofreni\u00ed. <\/p>

Rodina a pe\u010dovatel\u00e9: Pro lidi s du\u0161evn\u00ed nemoc\u00ed, jako je schizofrenie, m\u016f\u017ee znamenat z\u00e1sadn\u00ed rozd\u00edl v dosa\u017een\u00e9m v\u00fdsledku s\u00ed\u0165 osob, kter\u00e9 jim poskytuj\u00ed podporu. Jejich \u00fakolem by m\u011blo b\u00fdt podporovat p\u0159\u00e1n\u00ed a c\u00edle pacient\u016f a z\u00edskat pro n\u011b p\u0159\u00edstup ke slu\u017eb\u00e1m, kter\u00e9 nab\u00edzej\u00ed podporu lidem se schizofreni\u00ed a jejich rodin\u00e1m, jako jsou nap\u0159\u00edklad slu\u017eby organizac\u00ed pro pr\u00e1va pacient\u016f, charitativn\u00ed organizace a org\u00e1ny na podporu zam\u011bstnanosti. <\/p>

Zdravotn\u00edci: M\u011bli by se pacient\u016f p\u0159i nejbli\u017e\u0161\u00ed p\u0159\u00edle\u017eitosti zeptat na jejich pracovn\u00ed anamn\u00e9zu a p\u0159\u00e1n\u00ed v oblasti kari\u00e9ry a poskytnout jim kvalitn\u00ed podp\u016frn\u00e9 slu\u017eby. M\u011bli by zohlednit zam\u011bstn\u00e1n\u00ed p\u0159i rozhodov\u00e1n\u00ed o l\u00e9\u010db\u011b. M\u011bli by doporu\u010dit specialisty na kariern\u00ed rozvoj pacient\u016fm, kte\u0159\u00ed jsou na cest\u011b zp\u011bt k zam\u011bstn\u00e1n\u00ed, a pos\u00edlit l\u00e9\u010debn\u00e1 opat\u0159en\u00ed. Tak\u00e9 by m\u011bli podporovat samostatnost a n\u00e1vrat do pr\u00e1ce, jako\u017e i poskytovat p\u0159\u00edle\u017eitosti k pos\u00edlen\u00ed postaven\u00ed lid\u00ed s du\u0161evn\u00edm onemocn\u011bn\u00edm a tak\u00e9 vyu\u017e\u00edt jejich zku\u0161enosti p\u0159i pomoci druh\u00fdm. <\/p>

Vl\u00e1da: Politici by m\u011bli vypracovat region\u00e1ln\u00ed, n\u00e1rodn\u00ed nebo \u0161\u00ed\u0159eji pou\u017eiteln\u00fd pl\u00e1n na zv\u00fd\u0161en\u00ed m\u00edry zam\u011bstnanosti lid\u00ed s t\u011b\u017ek\u00fdm du\u0161evn\u00edm onemocn\u011bn\u00edm. Je nezbytn\u00e9, aby ka\u017ed\u00e1 n\u00e1rodn\u00ed vl\u00e1da z\u0159\u00eddila pracovn\u00ed skupinu odborn\u00edk\u016f z v\u00edce obor\u016f, a to jak z ministerstva zdravotnictv\u00ed, tak z ministerstva pr\u00e1ce a soci\u00e1ln\u00edch v\u011bc\u00ed, jej\u00edm\u017e c\u00edlem by bylo zv\u00fd\u0161it m\u00edru zam\u011bstnanosti v pr\u016fb\u011bhu desetilet\u00ed na 25 %.19<\/sup> <\/p><\/div><\/div><\/div>\n\n\n\n

Obecn\u011b, schizofrenie postihuje ka\u017ed\u00e9ho jedince jinak. Ka\u017ed\u00fd m\u00e1 jin\u00e9 charakteristiky nemoci, jako je vznik a typ p\u0159\u00edznak\u016f, \u010das stanoven\u00ed diagn\u00f3zy a pr\u016fvodn\u00ed choroby, soci\u00e1ln\u00ed situaci a dostupn\u00e9 podp\u016frn\u00e9 s\u00edt\u011b. Proto\u017ee \u017e\u00e1dn\u00fd \u010dlov\u011bk se schizofreni\u00ed nen\u00ed stejn\u00fd, je t\u011b\u017ek\u00e9 vytvo\u0159it strategii slu\u017eeb na podporu zam\u011bstnanosti, kter\u00e1 by fungovala u ka\u017ed\u00e9ho.4<\/sup>

Je zapot\u0159eb\u00ed inkluzivn\u00ed trh pr\u00e1ce pln\u00fd inkluzivn\u00edch pracovi\u0161\u0165 podporovan\u00fd zdravotnick\u00fdm a soci\u00e1ln\u00edm syst\u00e9mem, jeho\u017e prioritou je kvalitn\u00ed pr\u00e1ce jako v\u00fdsledek l\u00e9\u010dby. <\/p><\/div><\/div>\n\n\n\n

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  19. Centre for Mental Health, Department of Health, Mind, NHS Confederation Mental Health Network, Rethink Mental Illness, & Turning Point. 2012.<\/li><\/ol><\/div><\/div>\n\n\n\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":2732,"parent":2330,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-fullwidth.php","meta":{"rea_page_title_signed_in_meta_block_field":"studium a pr\u00e1ce se schizofreni\u00ed","rea_page_title_signed_out_meta_block_field":"studium a pr\u00e1ce se schizofreni\u00ed","rea_page_description_signed_in_meta_block_field":"Lid\u00e9 se schizofreni\u00ed maj\u00ed \u010dasto soustavn\u00e9 obt\u00ed\u017ee naj\u00edt si zam\u011bstn\u00e1n\u00ed. Stigma spojen\u00e9 s du\u0161evn\u00edm zdrav\u00edm m\u016f\u017ee v\u00e9st k tomu, \u017ee \u0159ada zam\u011bstnavatel\u016f a vl\u00e1dn\u00edch org\u00e1n\u016f \u0161patn\u011b ch\u00e1pe onemocn\u011bn\u00ed a mo\u017enost takov\u00e9ho \u010dlov\u011bka zam\u011bstnat. Uv\u00e1d\u00edme n\u011bkolik z\u00e1kladn\u00edch n\u00e1vrh\u016f pro zam\u011bstnavatele, rodiny, zdravotn\u00edky a instituce, jak sn\u00ed\u017eit nerovnost p\u0159i zam\u011bstn\u00e1v\u00e1n\u00ed lid\u00ed se schizofreni\u00ed.","rea_page_description_signed_out_meta_block_field":"Lid\u00e9 se schizofreni\u00ed maj\u00ed \u010dasto soustavn\u00e9 obt\u00ed\u017ee naj\u00edt si zam\u011bstn\u00e1n\u00ed. Stigma spojen\u00e9 s du\u0161evn\u00edm zdrav\u00edm m\u016f\u017ee v\u00e9st k tomu, \u017ee \u0159ada zam\u011bstnavatel\u016f a vl\u00e1dn\u00edch org\u00e1n\u016f \u0161patn\u011b ch\u00e1pe onemocn\u011bn\u00ed a mo\u017enost takov\u00e9ho \u010dlov\u011bka zam\u011bstnat. Uv\u00e1d\u00edme n\u011bkolik z\u00e1kladn\u00edch n\u00e1vrh\u016f pro zam\u011bstnavatele, rodiny, zdravotn\u00edky a instituce, jak sn\u00ed\u017eit nerovnost p\u0159i zam\u011bstn\u00e1v\u00e1n\u00ed lid\u00ed se schizofreni\u00ed.","rea_page_footer_id_meta_block_field":"","rea_page_footer_date_meta_block_field":"","footnotes":""},"class_list":["post-2336","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/pages\/2336","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/comments?post=2336"}],"version-history":[{"count":23,"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/pages\/2336\/revisions"}],"predecessor-version":[{"id":3306,"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/pages\/2336\/revisions\/3306"}],"up":[{"embeddable":true,"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/pages\/2330"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/media\/2732"}],"wp:attachment":[{"href":"https:\/\/schizofrenie.cz\/verejne\/wp-json\/wp\/v2\/media?parent=2336"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}