Mental health promotion and co-evolution appreciation of familiar history: Case study

2017 ◽  
Vol 41 (S1) ◽  
pp. S437-S437
Author(s):  
M.H. Figueiredo ◽  
P.D.L. Claúdia ◽  
F. Moreira ◽  
M. Lebreiro ◽  
F. Guimarães

IntroductionThe developments of familiar therapy allows a systemic (collaborative) approach centered in what functions best in the system, integrating action plans which presupposes a family appreciation concept as a transformer system.Objectives/aimsPresentation of a family clinical case (X family) in which one of the members is diagnosed with “elective mutism”, this being labelled as a “a family problem” which led to familiar therapy.MethodsIn the therapeutic process we use a number of resources centered in family strengths as strategies directed to the solution and system change. We incorporate an innovating strategy, which we call “differentiated spectularity”, trying to make something different based on therapy concepts centered on solutions. The presentation of exceptions and the use of scales allowed us to monitor the change process.ResultsThe strategy materialization, where family members in their family environment saw the film of their latest session in a favourable context for the enlargement of their own vision as a family, allowed change expansion amplifying its complexity. The family members perceive themselves as having a moderate cohesion level, increasing the levels of adaptability, which places the X family in a “balanced” class. The family member with a diagnosis of elective mutism, after six months of family therapy, showed changes in withdrawal, anxiety and shyness behaviour.ConclusionsSharing family members different versions allows us to tell the story over and over again. The questioning emerging from the pro-active mirror effect is the core element of the change registered with incidence in the emotional and behaviour domains.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Author(s):  
Amy Weisman de Mamani ◽  
Merranda McLaughlin ◽  
Olivia Altamirano ◽  
Daisy Lopez ◽  
Salman Shaheen Ahmad

The focus on the individual, typical of mainstream U.S. therapies, is alien to other cultures and can cause discomfort that leads to ineffective treatment and early termination. The aim of this chapter is to describe minorities collectivistic beliefs and introduce a rationale for incorporating them into family therapy in a way that creates a cohesive family environment. Skills from this chapter will aid families in emphasizing commonalities while de-emphasizing differences between family members. Therapists are provided suggestions for how to approach any differences that arise in how family members contribute to the family unit. The chapter provides notes on how to encourage family members to practice cultural traditions and destigmatize views of their ill family member. Examples of relevant homework exercises are provided. A case study of a Korean American family is used to illustrate the process.


2017 ◽  
Vol 41 (S1) ◽  
pp. S410-S410
Author(s):  
M.I. Hussain

This is descriptive study was carried out on newly diagnosed dissociative (conversion) disorder patients admitted in private health care facility, Iftikhar Psychiatric Hospital Peshawar.The studied was carried out from January 2012 to December 2012. Cases were diagnosed according to international classification of disease (ICD-10) diagnostic criteria. Subjects were selected through purposive sampling. A total of 139 patients were included in this study. Patterns of and disorder and demographic will be presented in presentation.Due to sociocultural sensitivity of applying dialectical and CBT an indigenes model of psychotherapy was applied.Stage 1: admission of conversion disorder cases for four days admission with informed consent, supportive psychotherapy, and brief psycho-education of attendants to avoid reinforcement of the patient's behavior. Parental single dose medication to break the cycle of fits.Stage 2: it involves exploratory session with the patient and her/his family members focusing on what is the problem with the patient nature of stressors, and the family environment. Meanwhile, we involve the patient in the recreational and occupational therapy to avoid sick role and illness behavior.Stage 3: psychotherapy session with the patient to give psycho-education and insight of her/his mental problem. Discussing different options, and facilitating the patient to come up with the best possible desirable option. Psychotherapy of the family members involved psycho-education about the patient's mental illness, its association with the prevailing stressors, and avoiding reinforcement. Responses have been 85% improvement in conversion disorder, 90% in sensory symptoms, 98% in motor symptoms, 95% in mixed symptoms.Disclosure of interestThe author has not supplied his declaration of competing interest.


2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
ERWIN Erwin ◽  
ELLY Nurachmah ◽  
TUTI Herawati

Abstract Funding Acknowledgements Type of funding sources: None. Background The client"s condition for heart failure requires environmental support to be able to be confident and able to carry out activities according to the directions given while the patient is undergoing treatment in the hospital, but sometimes in the client"s time period at home there will be situations where patients may experience complaints or changes in conditions that can affect his cardiovascular status. Purpose this study is conducted to identify psychological and social problems and needs of heart failure clients with a qualitative approach of observation, invite individuals or families to participate, motivate individuals to develop the potential to maintain optimal health. In addition, this study was conducted to assess the need and effectiveness of the practice of consulting for heart failure nursing in hospital outpatients Method qualitative observation approach in nursing consulting practice using steps of the nursing process consisting of an assessment of physical, psychological and social conditions and client needs, formulating problems, making plans and taking care of actions in accordance with the problems that exist by nurses in the outpatient clinic at home sick. Results Clients who came to the outpatient clinic had various  psychological and social problems. From the observations and interviews it was found that psychological and social problems were the most common causes. Psychosocial problems arise due to the client himself, life companion (husband or wife) and family members who live together. So that the family system to support clients with heart failure is not awakened. Health education and promotion to clients, life companions, and family members of heart failure clients who live at home are needed when the client controls health to maintain the client"s health support system while at home. All clients and families in this study stated that the practice of nursing consultations in hospital outpatients is very helpful for clients and families to improve the situation they face. Conclusion the practice of nursing consultations can identify the problems and needs of clients and families. Strengthening the client support system for heart failure at home is needed so that psychological and social problems can be reduced when the client is in the family environment. Nursing consultation practices at outpatient hospitals are needed to help motivate clients and families in maintaining and increasing care and support for clients who suffer from heart failure while at home. Psychosocial problems The client felt anxious, lack of attention, complained sleeping difficulty, often forgot taking medicine, and forgot managing fluid intakeThe client,while at home, was fastidious and wanted to many, was difficult to be told or managed, was always suspicious with their spouse"s activity easily got angry or temperamental, the client"s child felt annoyed because the client acted annoying, the client"s spouse felt annoyed because the client was impatient and temperamentalPsychological, and social problems in heart failure patients


2021 ◽  
Vol LIII (1) ◽  
pp. 84-87
Author(s):  
Alexandra Yu. Kivorkova ◽  
Andrey G. Soloviev

Aim. The aim of the paper was the substantiation the directions of correction the emotional state of the family environment of the family members of dangerous professions on the basis of biobehavioral therapy using biofeedback technology. Methods. 47 women were examined (29.34.7 years) wives of employees whose professional activities are related to solving professional problems in extreme conditions. The hardware and software complex BOS-Pulse with the Pulse module with game plots, Multipsychometer was used. According to the pulse recorded by the photoplethysmographic method, a spectral analysis of heart rate variability was carried out using a program for processing data from game biocontrol. The control of efficiency was carried out according to the functional parameters of the cardiovascular system and indicators of the color choice test. Results. By the end of the training, all women had mastered the skill of increasing RR-intervals. The value of the stress index of Baevskys regulatory systems during the course of biobehavioral therapy decreased from 73.217.8 to 56.825.4, the index of vegetative balance from 132.729.2 to 84.545.2. According to the test of color choices, a pronounced deepening of positive tendencies in terms of psychological indicators was noted, which, in general, was expressed in a significant decrease in anxiety and fatigue with a simultaneous increase in working capacity and indicators of the vegetative coefficient. Conclusions. Correctional trainings with the use of biocontrol technology led to an improvement in personal adaptive characteristics, the formation and consolidation of the conditioned reflex skill of self-regulation and a corrective behavioral stereotype that promotes activation of the bodys reserve capabilities. The effective behavioral strategies of self-regulation developed by women contributed to the training of productive techniques for counteracting stressors associated with the specifics of husbands professional activities and, accordingly, with the family microclimate.


Author(s):  
Evangeline Bonisiwe Zungu

The recent COVID-19 pandemic took the world by storm. The rate of infection and prevalence of death struck fear in the hearts of many across the globe. The high likelihood of infection required continual testing whilst the trauma of bereavement left many distraught. For traditionalists, a principal concern was whether they would be permitted to exhaustively practise their burial rites in the course of mourning their loved ones. The importance of the custom, as it is believed, is to prevent unsettled feelings in family members. This article is aimed at stimulating consideration, reflection and understanding of the concerns experienced by traditional societies surrounding COVID-19 regulations and the non-performance of important burial rites. Surviving family members experience troubled thoughts as a result of the fear of repercussions, which may include the living-dead withholding their protection of the family which consequently will cause ailments and accidents. This article will utilise inductive thematic analysis to interpret the data collected .


2018 ◽  
Author(s):  
Abdallah Badahdah ◽  
◽  
Azza Abdelmoneium ◽  
John DeFrain ◽  
Sylvia Asay ◽  
...  

All the problems in the world either begin in families or end up in families. Sometimes families create their own problems, and at other times, families are forced to deal with problems that the world has thrust upon them. For this reason, it is imperative that all societies seek to understand families in all their considerable diversity; to protect families; and to help strengthen families through intervention on the level of the family, the immediate community, the nation, and the international community. Research teams were assembled and conducted focus group studies of family members in Qatar, Jordan, and Tunisia. The purpose of this preliminary report is to discuss the qualitative research findings from focus groups with Arab family members in all three countries, revealing their perceptions of Arab family strengths and challenges, and how they see that families under stress can be better supported by society


Author(s):  
Sinem Siyahhan ◽  
Elisabeth Gee

The family environment is an important social context where learning takes place for adults and children of all ages, and perhaps the only context in which participation occurs over a life-span. In this social context, playing games has always been one of many activities family members do individually and together that engages them in learning. In this chapter, we offer a broad perspective on learning and discuss how games of all sorts can provide opportunities for learning, and how families can take more advantage of these potential learning experiences.


Author(s):  
Yoshimi Kataoka

Many Japanese researchers have suggested that both Japanese and Western societies are experiencing individualization of the family; whether or not this is the case in Japanese rural farming villages remains unclear. The purpose of this chapter is to investigate this question using a case study. The research involves interviews of families living in rural areas within the Shimane Prefecture, each engaged in agriculture, forestry, and/or fishery. The emerging picture is that it is increasingly difficult to find traditional Ie in rural farming villages today. For the rural farming family, individual freedom is important. However, respecting individuals seems to occur for the purposes of maintaining unity of the family as a group rather than for the purpose of individual self-realization. Therefore, emphasizing individual freedom does not mean conflict among family members (i.e., enforcement of competition with other family members or compromises by them).


Author(s):  
Diana-Lea Baranovich ◽  
Cheng Chue Han

In Malaysia, some parents leave the duties of child rearing to their domestic helpers. This can cause much trauma to a preschool child who has been raised by his domestic helper if the domestic helper leaves the family. The domestic helper was the primary caregiver of the child; hence, when the domestic helper leaves, the child feels that his “mother” has abandoned him. This in turn cause the child to respond via very negative acting out behaviors. This chapter presents a case study using filial play therapy as a therapeutic intervention for a pre-school child and his mother after the domestic helper left the family. This therapeutic process enhanced the bonding between the child and his mother. As a result of better bonding, the child's negative behaviors subsided.


Author(s):  
Michael T Compton ◽  
Beth Broussard

As discussed in previous chapters, psychosis often first begins in late adolescence or young adulthood. Thus, many people who experience a first episode of psychosis live with and rely on their families for support. In addition to providing a place to live and other basic support, families are key in the recovery process because they love and care for the person with the illness and they want to help. Family members may need to provide emotional support, arrange for treatment, and find new ways to cope with the signs and symptoms of psychosis or other problems that result from the illness. Families are a very important part of the team that is necessary to properly manage psychosis. In fact, now that more effective antipsychotic medicines and psychosocial treatments are available, many people with psychosis often can receive treatment in the community and with their families rather than having extended stays in the hospital. Families play a major role in helping their loved ones manage their illness. As a result, it is vital to create a supportive family environment by reducing stress, coping, and communicating effectively. This chapter focuses on three essential domains of a supportive family environment: reducing stress, enhancing coping, and ensuring effective communication. First, we begin by defining …Families play a major role in helping their loved ones manage their illness. As a result, it is vital to create a supportive family environment by reducing stress, coping, and communicating effectively.… stress and the ways that the early stages of psychosis can lead to stress. We discuss three ways to reduce stress in the family as well as three related ways the family can help the patient to reduce stress. Second, we define coping and talk about the importance of coping with a stressful event, like an episode of psychosis in a family member. We offer three ways of coping effectively for family members as well as three ways that patients can practice effective coping. Third, we address the value of good communication and how the symptoms of psychosis can sometimes interfere with productive communication patterns. We then provide eight points of advice for effective communication within the family.


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