Practical application of family and systems theory in old age psychiatry: three case reports

2006 ◽  
Vol 18 (2) ◽  
pp. 345-353 ◽  
Author(s):  
Carmelle Peisah
Keyword(s):  
Systems Theory ◽  
Old Age ◽  
Psychological Symptoms ◽  
Case Reports ◽  
Home Based ◽  
The Family ◽  
Potential Benefits ◽  
Old Age Psychiatry ◽  
Family Based

The role of the family or carer in old age psychiatry is well acknowledged. However, carer interventions are often focused on addressing carer burden alone and are usually individually rather than family based. Interpersonal conflict and family dynamics are rarely addressed. This is not surprising as there is a paucity of literature in family and systems theory applied to the older person, and clinicians are often skeptical about the efficacy of this treatment mode or daunted by the complexity of family and systems theory. Three cases are presented to illustrate the potential benefits of family-based interventions in the setting of commonly encountered clinical situations: (i) the treatment of chronically depressed older people in the community; (ii) the management of behavioral and psychological symptoms of dementia (BPSD) in residential care; and (iii) home-based support and care of the older patient with dementia.

scholarly journals Likelihood of Participation in Home-Based Cognitive Assessment: The Role of Subjective Cognitive Decline and Age

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 293-294
Author(s):  
Moriah Splonskowski ◽  
Holly Cooke ◽  
Claudia Jacova
Keyword(s):  
Older Adults ◽  
Cognitive Decline ◽  
Old Age ◽  
Cognitive Assessment ◽  
Community Dwelling ◽  
Subjective Cognitive Decline ◽  
Cognitive State ◽  
Home Based ◽  
Increased Risk

Abstract Home-based cognitive assessment (HBCA) services are emerging as a convenient alternative to in-clinic cognitive assessment and may aid in mitigating barriers to detecting cognitive impairment (CI). It is unknown which older adults would be likely to participate in HBCA. Here we investigated the role of age and Subjective Cognitive Decline (SCD). SCD has demonstrated an increased risk for progression to CI/dementia. A nation-wide community-dwelling sample of 494 adults age 50+ were recruited via Amazon Mechanical Turk to complete an online survey assessing perceptions around HBCA and SCD. Our sample was 91.9% White and 66.8% female. It consisted of 174 respondents aged 50-60, 265 aged 61- 70, and 55 aged 71-79. Age groups were comparable with respect to their acceptance of cognitive assessment (Range 4-20, higher score=higher acceptance, 7.9±3.3, 8.15±3.2, 8.05±3.43) and SCD-Q total (43.1±5.8, 43.2±5.7, 43.3±5.7). Correlation analysis revealed a relationship between SCD-QSCD total and perceived likelihood of participation in HBCA for those ages 61-70 (r(263) = .222 p = .000), but not for ages 50-60 or 71-79 (r(172) = .102 p = .152; r(53) = -.102 p = .458). Our findings suggest that SCD influences the likelihood of participation in HBCA for older adults’ transitioning to old age (61-70). Findings show that for adults transitioning into old age (61-70), perceived cognitive state influences their likelihood of participation in HBCA. Importantly, concerns about CI/dementia may generate more favorable perceptions of HBCA for this group.

The role of secrets in the invention or reinvention of families

2021 ◽  
Vol 11 (2) ◽  
pp. 129-141
Author(s):  
Susana Muszkat ◽  
Monica Vorchheimer
Keyword(s):  
Psychological Symptoms ◽  
Clinical Vignettes ◽  
Theoretical Approaches ◽  
The Family

The authors propose that there are secrets in all families and discuss the link effects they produce as they are either transmitted transgenerationally or withheld from members of the family they actually concern. Secrets have determinant influences on the link configuration of families, on its dynamics, and, even, on its symptomatic formations. Often, an intentional or accidental revelation of secrets that were previously kept buried produce an explosive commotion within a family. Unmourned memories shape our destinies in disguised manners, and manifest themselves not as revelations of such secrets but as important psychological symptoms that pervade across generations. Different theoretical approaches are discussed and two clinical vignettes exemplify the text.

scholarly journals Bilingualism, cognition, and aging

2014 ◽  
Vol 18 (1) ◽  
pp. 1-2 ◽  
Author(s):  
JUBIN ABUTALEBI ◽  
HARALD CLAHSEN
Keyword(s):  
Foreign Language ◽  
Old Age ◽  
Experimental Research ◽  
State Of The Art ◽  
The Public ◽  
Potential Benefits ◽  
Cognition And Aging ◽  
The Guardian ◽  
Made In

Topics in psycholinguistics and the neurocognition of language rarely attract the attention of journalists or the general public. One topic that has done so, however, is the potential benefits of bilingualism for general cognitive functioning and development, and as a precaution against cognitive decline in old age. Sensational claims have been made in the public domain, mostly by journalists and politicians. Recently (September 4, 2014) The Guardian reported that “learning a foreign language can increase the size of your brain”, and Michael Gove, the UK's previous Education Secretary, noted in an interview with The Guardian (September 30, 2011) that “learning languages makes you smarter”. The present issue of BLC addresses these topics by providing a state-of-the-art overview of theoretical and experimental research on the role of bilingualism for cognition in children and adults.

scholarly journals Contextual Complexities in Implementing a Family-Based Childhood Obesity Intervention: The Perspectives of Enrolled Children and Their Parents

Children ◽  
2020 ◽  
Vol 7 (12) ◽  
pp. 267
Author(s):  
Didde Hoeeg ◽  
Ulla Christensen ◽  
Louise Lundby-Christensen ◽  
Dan Grabowski
Keyword(s):  
Childhood Obesity ◽  
Family Dynamics ◽  
Qualitative Interviews ◽  
Family Intervention ◽  
Healthy Habits ◽  
The Family ◽  
Obesity Interventions ◽  
Supportive Environments ◽  
Family Based

Family interventions to treat childhood obesity are widely used, but knowledge about how family dynamics are affected by these interventions is lacking. The present study aims to understand how a family intervention impacts the context of family dynamics, and how different contexts affect the families’ implementation of the intervention. Based on qualitative interviews, we studied families with a child between 9–12 years enrolled in a family intervention to treat childhood obesity at a pediatric outpatient clinic. We conducted 15 family interviews including 36 family members. We found that the family intervention created a new context for the enrolled children. They had to navigate in different contexts and non-supportive environments and push for change if they needed more supportive environments in their attempt to adhere to healthy habits. We show the complexities experienced by parents and grandparents when trying to comply with siblings’ and/or grandchildren’s different needs. The enrolled children were often indirectly blamed if others had to refrain from unhealthy preferences to create supportive environments. These findings are significant in understanding the important role of contexts in family-obesity interventions. This knowledge is relevant to health professionals, researchers, and policymakers.

scholarly journals Liaison Old Age Psychiatry Service in a Medical Setting: Description of the Newcastle Clinical Service

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
E. B. Mukaetova-Ladinska ◽  
G. Cosker ◽  
M. Coppock ◽  
M. Henderson ◽  
Y. Ali Ashgar ◽  
...  
Keyword(s):  
Old Age ◽  
Clinical Activity ◽  
Medical Setting ◽  
Qualitative And Quantitative ◽  
Quantitative Studies ◽  
Old Age Psychiatry ◽  
The Uk ◽  
Multidisciplinary Model ◽  
Further Development

Liaison Old Age Psychiatry services (LOAP) have begun to emerge in the UK and further development of the service is supported by the latest health policies. Since qualitative and quantitative studies in this area are lacking, we have undertaken a detailed quantitative prospective review of referrals to the Newcastle LOAP to evaluate the clinical activity of the service. We report high referral rates and turnover for the LOAP service. Reasons for referral are diverse, ranging from requests for level of care and capacity assessments and transfer to other clinical services to management of behaviour, diagnosis, and treatment. We outline the value of a multidisciplinary model of LOAP activity, including the important role of the liaison nursing team, in providing a rapid response, screening, and followup of high number of clinical referrals to the service.

scholarly journals TANTANGAN PARENTING DALAM MEWUJUDKAN MODERASI ISLAM ANAK

2018 ◽  
Vol 11 (2) ◽  
pp. 301-320
Author(s):  
An Ras Try Astuti ◽  
Hardiyani Herman ◽  
Rabiatul Hadawiah ◽  
Nurul Ardiyanti
Keyword(s):  
Old Age ◽  
Social Life ◽  
Rapid Development ◽  
Parenting Education ◽  
Technological Education ◽  
Use Of Technology ◽  
The Family ◽  
Role Of Parents ◽  
Islamic Values

The birth of X, Y, Z and Alpha generations cannot be denied, given the rapid development of technology. The formation of the character of Alpha Generation or Gen-A which was born in 2010 is a concern and a challenge for parents in shaping the personality of a civilized and humanitarian child. This article is motivated by a critical review of the conditions of intolerance among religious people. Where the soul of intolerance that arises in a person is due to the absence of a sense of humanity and civilized human elements in themselves. One of the main causes is the influence of misuse of technology which has led to the birth of the Alpha Generation that is enslaved by technology. A person's social life deteriorates so that he does not respect differences. The use of technology well can avoid the anti-tolerant nature and be able to form prospective generations who are civilized and humane in accordance with Islamic values. The provision of technological education for children of old age can not be separated from the role of parents as the first madrasa for children. The habit of children will be difficult to change when from the beginning parents do not do education in the family through parenting education. Parenting education is one of the efforts made by parents in educating, nurturing and teaching children.

scholarly journals Role and responsibility of the speciality tutor

1999 ◽  
Vol 23 (3) ◽  
pp. 170-172
Author(s):  
Jane Garner ◽  
Yong Lock Ong
Keyword(s):  
Old Age ◽  
Clinical Implications ◽  
Job Description ◽  
Old Age Psychiatry ◽  
Training Programmes

Aims and methodIn order to identify the role and responsibility of the speciality tutor, the tutors' post in old age psychiatry was compared across two regions.ResultsThe role was narrow; but different in the two regions depending on training programmes.Clinical implicationsTutors in all faculties should have an expanded and standardised job description, separate from the role of the regional representative, in order to strengthen the input of the specialisms to training at all levels.

scholarly journals Family-Based Maternal Sensitivity Model as a Strategy to Optimize Family Perception on the Role of Parents and the Growth of Infants

Jurnal NERS ◽  
2018 ◽  
Vol 13 (1) ◽  
pp. 17
Author(s):  
Diyan Indriyani ◽  
Susi Wahyuning Asih
Keyword(s):  
Healthcare Workers ◽  
Maternal Sensitivity ◽  
Sampling Technique ◽  
P Value ◽  
The Family ◽  
Quasi Experimental ◽  
Family Perceptions ◽  
Role Of Parents ◽  
Family Based

Introduction: Family perceptions on the role of parents and the growth of infants must be seriously considered by healthcare workers since they can affect the role of family development in taking care of the babies. A family that has optimally understood the role of their development as a parent will be able to give the appropriate care for the babies.Methods: The study aimed to find out the effects of a family-based Maternal Sensitivity Models (MSM) strategy for family perception optimization on the role of parents and the growth of infants. It used a quasi-experimental design with the samples of 50 families. The samples were obtained using purposive sampling technique. The data were analyzed using dependent t-test.Results: It confirmed that the Family-Based Maternal Sensitivity Models (MSM) strategy significantly affects family perceptions on the role of parents with t-value 5.915 and p-value 0.000. MSM also significantly affects family perceptions on the growth infants with the t-value -11.257 and p-value 0.000.Conclusions: Maternal Sensitivity Models (MSM) can be well applied as one of the health models provided by healthcare workers to optimize parents’ perceptions and infants’ growth as well as to develop a competent family in giving care for their babies.

scholarly journals Fungsi Keluarga Terhadap Pengambilan Keputusan Remaja dalam Pemilihan Jurusan

2020 ◽  
Vol 4 (1) ◽  
pp. 24
Author(s):  
Yeni Anna Appulembang ◽  
Agustina Agustina
Keyword(s):  
Decision Making ◽  
Family Support ◽  
Career Decision ◽  
P Value ◽  
Career Decision Making ◽  
The Family ◽  
Family Based ◽  
Grade One ◽  
Selection Of

Adolescence is a period where their seems to be separated from the role of  their parents and more independent in making their own decisions. But this time, the family plays a role in the behavior of adolescents in the decision making process, one of which is related to education in the selection of majors degree in university  that will determine the future of their children. This research aims to determine the role of family support  In adolescent  for career decision making in major degree a in university. Causal comparative study was used and a sample 301 college student in grade one was selected through nonprobability sampling.  This research was used two research tolls such as the role family was used Family Asessment Device (FAD) and decision making was used Career Decision-Making Profile. The result in this research found that score of the role of family based on mean hipotetic is lower than mean empiric. It means that, the role of family low category. In this research also showed the result  used simple regression ,  F value 0.790 and p value 0.099 > 0.05. it means there is no significant the role of family support in adolescent for decision making in major degree in university.

Impact of the caregiver burden on the effectiveness of a home-based palliative care program: A mediation analysis

2019 ◽  
Vol 18 (3) ◽  
pp. 332-338 ◽  
Author(s):  
Angela J. Pereira-Morales ◽  
Luis Enrique Valencia ◽  
Luis Rojas
Keyword(s):  
Palliative Care ◽  
Caregiver Burden ◽  
Psychological Symptoms ◽  
Care Program ◽  
Palliative Care Program ◽  
Home Based ◽  
High Prevalence ◽  
The Relationship ◽  
Significant Mediator

AbstractObjectiveThe growing aging population and the high prevalence of several concomitant chronic diseases have contributed to the elevated rates of caregiver burden and suffering in patients. In turn, intending to relieve unnecessary pain in patients, there has been a rapid growth of outpatient palliative care programs. However, little has been studied about caregiver burden as a relevant factor potentially affecting the effectiveness of these programs. This study aimed to determine the extent of caregiver burden as a possible mediator on the effectiveness of a home-based palliative care program.MethodSixty-six palliative patients (56% women; mean age + SD = 71, 6 ± 17.7) and their caregivers were assessed with measures for physical, emotional, and psychological symptoms before and 1 month after the start of a home-based palliative care program.ResultsThe association between caregiver burden and palliative outcomes was corroborated with a categorical regression model (p < 0.01). Caregiver burden was found to be a significant mediator in the relationship between outcome measures for palliative care at baseline and after 1 month of enrollment in the program.Significance of resultsTo our knowledge, this is the first study to assess the role of caregiver burden in the effectiveness of a home-based palliative care program. Although further work is required, the results indicate that a patient-focused intervention does not have the same beneficial effect if the caregiver burden is not addressed. Future home-based palliative care programs should focus on caregivers as well as patients, with particular attention to psychosocial intervention on caregivers.

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