Long Term Unemployment and Rehabilitation Counselling: Problems Faced and Competencies Required

1995 ◽  
Vol 1 (2) ◽  
pp. 118-129 ◽  
Author(s):  
Lynda R. Matthews ◽  
Trevor Hawkins
Keyword(s):  
Knowledge Base ◽  
People With Disabilities ◽  
Self Esteem ◽  
Psychosocial Issues ◽  
Self Confidence ◽  
The Impact ◽  
To Receive ◽  
Sydney Australia

The impact of long-term unemployment is not confined to the vocational sphere but also includes a psychosocial component. Many who are out of work for long periods of time not only report deskilling but also lack of support, poor self esteem and low self confidence. This paper examines some of these issues by reference to both the Australian government's ‘Working Nation’ paper on unemployment and research carried out with 77 unemployed persons in Sydney, Australia. While it is not unusual for rehabilitation counsellors to receive referrals of people with disabilities who have been unemployed for considerable periods, contact with the general long-term unemployed population has been less common. The rehabilitation counselling profession is closely examined in terms of the degree to which its skill and knowledge base matches the needs profile of this general unemployed population. Rehabilitation counselling was found to be an appropriate profession to deal with the complex mix of vocational and psychosocial issues confronted by persons who have remained unemployed for long periods of time.

Parental alienation: the impact on men’s mental health

2015 ◽  
Vol 29 (3) ◽  
Author(s):  
Leo Sher
Keyword(s):  
Mental Health ◽  
Separation Anxiety ◽  
Self Esteem ◽  
Long Term Effects ◽  
Parental Alienation ◽  
Adult Men ◽  
Self Confidence ◽  
High Conflict ◽  
The Impact

Abstract Parental alienation is defined as a mental state in which a child, usually one whose parents are engaged in a high-conflict separation or divorce, allies himself strongly with one parent (the preferred parent) and rejects a relationship with the other parent (the alienated parent) without legitimate justification. Parental alienation may affect men’s mental health: a) parental alienation negatively influences mental health of male children and adolescents who are victims of parental alienation. Alienated children/adolescents display guilt, sadness, and depressed mood; low self-esteem and lack of self-confidence; distress and frustration; lack of impulse control, substance abuse and delinquent behavior; separation anxiety, fears and phobias; hypochondria and increased tendency to develop psychosomatic illness; suicidal ideation and suicide attempt; sleep and eating disorders; educational problems; enuresis and encopresis; b) parental alienation negatively affects the mental health of adult men who were victims of parental alienation when they were children and/or adolescents. Long-term effects of parental alienation include low self-esteem, depression, drug/alcohol abuse, lack of trust, alienation from own children, divorce, problems with identity and not having a sense of belonging or roots, choosing not to have children to avoid being rejected by them, low achievement, anger and bitterness over the time lost with the alienated parent; c) parental alienation negatively influences mental health of men who are alienated from their children. Fathers who have lost some or all contact with their children for months or years following separation or divorce may be depressed and suicidal.

scholarly journals PSIKOEDUKASI MENGENAI DAMPAK BULLYING DAN CARA MENINGKATKAN SELF-ESTEEM PADA REMAJA

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Grace Amin
Keyword(s):  
Young People ◽  
Negative Impact ◽  
Self Esteem ◽  
Religious Communities ◽  
Short Term ◽  
Aggressive Action ◽  
Effects Of Bullying ◽  
Anxiety Depression ◽  
The Impact

Bullying is deliberate aggressive action, using an imbalance of strength physically or mentally by hurting physical, verbal, or emotional / psychological forms repeatedly. In the last decade, cases of bullying in Indonesia continue to increase and if not handled properly will increasingly have a negative impact on the development of the children of the nation's next generation. Bullying does not only affect children who are bullied but can also affect children who bully, children who witness bullying. Some of the effects of bullying include anxiety, depression, and low self-esteem. The purpose of community engagement is to socialize the impact of bullying and how to increase self-esteem to adolescents. Through psychoeducation programs in adolescents such as schools and teenagers religious communities in the Cikarang - Bekasi region, young people gain an in-depth understanding of bullying, its effects and how to increase their confidence. Through this psychoeducation, teenagers understand the understanding, types and effects of bullying both short term and long term so they promise to resist bullying starting from themselves. Teenagers learn that humans are social beings who need each other. They learn about the meaning of diversity and bhineka tunggal ika and try to implement it in their next lives by respecting the differences in their environment. These teenagers learn to respect themselves more, see the positive things that God has given them. They try to always believe in themselves that they are perfect and valuable beings in God's eyes so that even though the environment around them may not appreciate, they can still see positive things in themselvesABSTRAK:Bullying adalah tindakan agresif yang disengaja, menggunakan ketidakseimbangan kekuatan secara fisik atau mental dengan cara menyakiti bentuk fisik, verbal, atau emosional/ psikologis secara berulang – ulang. Dalam satu decade terakhir, kasus bullying di Indonesia terus meningkat dan bila tidak ditangani dengan baik akan semakin berdampak negative bagi perkembangan anak – anak generasi penerus bangsa. Tindakan bullying tidak hanya berdampak pada anak yang di-bully tetapi juga dapat berdampak pada anak yang mem-bully, anak yang menyaksikan bullying. Beberapa dampak bullying diantaranya kecemasan, depresi, serta rendahnya harga diri (self-esteem). Tujuan dari pengabdian kepada masyarakat ini adalah untuk mensosialisasikan dampak bullying serta cara meningkatkan self-esteem kepada para remaja. Melalui program psikoedukasi di lingkungan remaja seperti sekolah maupun komunitas keagamaan remaja wilayah Cikarang – Bekasi, para remaja mendapatkan pemahaman mendalam mengenai bullying, dampaknya serta bagaimana cara meningkatkan kepercayaan diri mereka. Melalui psikoedukasi ini, para remaja memahami pengertian, jenis serta dampak bullying baik jangka pendek maupun jangka panjang sehingga mereka berjanji untuk bersikap menolak bullying mulai dari diri mereka sendiri. Para remaja belajar bahwa manusia adalah mahluk social yang saling membutuhkan. Mereka belajar tentang makna keberagaman dan Bhineka Tunggal Ika serta berusaha mengimplementasikannya dalam kehidupan mereka selanjutnya dengan cara menghargai perbedaan yang ada di lingkungannya. Remaja ini belajar untuk lebih menghargai diri mereka, melihat hal positif yang telah diberikan Tuhan kepada mereka. Mereka mencoba untuk selalu menanamkan dalam diri bahwa mereka adalah mahluk yang sempurna dan berharga di mata Tuhan sehingga walaupun lingkungan di sekitar mereka mungkin tidak menghargai, mereka tetap dapat melihat hal positif dalam diri mereka.

scholarly journals The Impact of Secure Attachment on Interpersonal Relationship: A Review

2017 ◽  
Vol 4 (4) ◽  
Author(s):  
Oladiti Olawale
Keyword(s):  
Interpersonal Relationships ◽  
Interpersonal Relationship ◽  
Self Esteem ◽  
Insecure Attachment ◽  
Psychological Interventions ◽  
Secure Attachment ◽  
Family Crisis ◽  
Post Modernism ◽  
The Impact ◽  
To Receive

Attachment has been defined as the psychological bond between a growing child and a caregiver. It is a relationship that develops over a period of time between a child and the caregiver, or any other significant person in the life of a child. It is characterized by intimacy, warmth, and continuity thus eventually becoming the hallmark of all other relationships in the life of a human being. Research has shown that when children experienced secure attachment during their early stages of development in life, they are likely to develop capabilities in exploring the world of interpersonal relationships. Some of the factors that contribute to the diminishing of attachment between children and their caregivers include modernism and post-modernism, family crisis, disability in the life of the mother, death of the caregiver and the scourge of debilitating sicknesses and diseases which incapacitate caregivers. And so it is not uncommon to find individuals who experienced insecure attachment in their childhood having difficulties in their interpersonal relationship as adults. Some of the manifestations of interpersonal relationship difficulty and insecure attachment include low self-esteem, anxiety, inability to trust others, unwillingness to receive help from others, dependence syndrome, aggression, and feeling unloved, among others. However, with timely and appropriate psychological interventions, some of these challenges can be overcome although more research is encouraged in the area of attachment especially in Asia and Africa.

scholarly journals Length of Initial Prescription at Hospital Discharge and Long-Term Medication Adherence for Elderly, Post-Myocardial Infarction Patients: Protocol for an Interrupted Time Series Study (Preprint)

2020 ◽  
Author(s):  
J D Schwalm ◽  
Noah M Ivers ◽  
Zachary Bouck ◽  
Monica Taljaard ◽  
Madhu K Natarajan ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Usual Care ◽  
Intervention Group ◽  
Interrupted Time Series ◽  
Interventional Study ◽  
Cardiac Medication ◽  
The Impact ◽  
To Receive ◽  
Discharge Prescription

BACKGROUND Based on high-quality evidence, guidelines recommend the long-term use of secondary prevention medications post-myocardial infarction (MI) to avoid recurrent cardiovascular events and death. Unfortunately, discontinuation of recommended medications post-MI is common. Observational evidence suggests that prescriptions covering a longer duration at discharge from hospital are associated with greater long-term medication adherence. The following is a proposal for the first interventional study to evaluate the impact of longer prescription duration at discharge post-MI on long-term medication adherence. OBJECTIVE The overarching goal of this study is to reduce morbidity and mortality among post-MI patients through improved long-term cardiac medication adherence. The specific objectives include the following. First, we will assess whether long-term cardiac medication adherence improves among elderly, post-MI patients following the implementation of (1) standardized discharge prescription forms with 90-day prescriptions and 3 repeats for recommended cardiac medication classes, in combination with education and (2) education alone compared to (3) usual care. Second, we will assess the cost implications of prolonged initial discharge prescriptions compared with usual care. Third, we will compare clinical outcomes between longer (>60 days) versus shorter prescription durations. Fourth, we will collect baseline information to inform a multicenter interventional study. METHODS We will conduct a quasiexperimental, interrupted time series design to evaluate the impact of a multifaceted intervention to implement longer duration prescriptions versus usual care on long-term cardiac medication adherence among post-MI patients. Intervention groups and their corresponding settings include: (1) intervention group 1: 1 cardiac center and 1 noncardiac hospital allocated to receive standardized discharge prescription forms supporting the dispensation of 90 days’ worth of cardiac medications with 3 repeats, coupled with education; (2) intervention group 2: 4 sites (including 1 cardiac center) allocated to receive education only; and (3) control group: all remaining hospitals within the province that did not receive an intervention (ie, usual care). Administrative databases will be used to measure all outcomes. Adherence to 4 classes of cardiac medications — statins, beta blockers, angiotensin system inhibitors, and secondary antiplatelets (ie, prasugrel, clopidogrel, or ticagrelor) — will be assessed. RESULTS Enrollment began in September 2017, and results are expected to be analyzed in late 2020. CONCLUSIONS The results have the potential to redefine best practices regarding discharge prescribing policies for patients post-MI. A policy of standardized maximum-duration prescriptions at the time of discharge post-MI is a simple intervention that has the potential to significantly improve long-term medication adherence, thus decreasing cardiac morbidity and mortality. If effective, this low-cost intervention to implement longer duration prescriptions post-MI could be easily scaled. CLINICALTRIAL ClinicalTrials.gov NCT03257579; https://clinicaltrials.gov/ct2/show/NCT03257579 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/18981

scholarly journals Colonial Values and Asylum Care in Brazil: Reclaiming the Streets Through Carnival in Rio de Janeiro

2020 ◽  
pp. 155-161
Author(s):  
Julia Evangelista ◽  
William A. Fulford
Keyword(s):  
Local Community ◽  
Well Being ◽  
Colonial History ◽  
Self Confidence ◽  
History Of ◽  
The Impact ◽  
Mental Well Being ◽  
The City

AbstractThis chapter shows how carnival has been used to counter the impact of Brazil’s colonial history on its asylums and perceptions of madness. Colonisation of Brazil by Portugal in the nineteenth century led to a process of Europeanisation that was associated with dismissal of non-European customs and values as “mad” and sequestration of the poor from the streets into asylums. Bringing together the work of the two authors, the chapter describes through a case study how a carnival project, Loucura Suburbana (Suburban Madness), in which patients in both long- and short-term asylum care play leading roles, has enabled them to “reclaim the streets,” and re-establish their right to the city as valid producers of culture on their own terms. In the process, entrenched stigmas associated with having a history of mental illness in a local community are challenged, and sense of identity and self-confidence can be rebuilt, thus contributing to long-term improvements in mental well-being. Further illustrative materials are available including photographs and video clips.

The psychological effects of unmarried women “a field study on a sample of unmarried women in Algeria”

2017 ◽  
Vol 41 (S1) ◽  
pp. s902-s902
Author(s):  
L. Fekih ◽  
B. Mounis
Keyword(s):  
Psychological Stress ◽  
Negative Impact ◽  
Self Esteem ◽  
Professional Status ◽  
Self Confidence ◽  
Common Problems ◽  
Competing Interest ◽  
The Impact ◽  
Late Stages ◽  
Confidence Scale

BackgroundThe present research was designed to determine the psychological stress as experienced by unmarried women in the education sector, and how to help them to discover the meaning of their presence in the framework, innovation and achievement, art, science, comprehension, love and adaptation in life.AimThis research aims to identify the various problems and mental disorders that unmarried women suffering from, and to determine the differences between unmarried women in terms of the psychological problems resulting from “unmarried” in: ages, kind and professional status.MethodThe method used in this research is purely descriptive following the collected data from the sample of 200 unmarried women. The tools that were used in this research as follow: Self-Confidence Scale, Psychological Stress Scale, “List of Information Collection for unmarried women”; we proceeded with some statistical techniques.ResultsThe findings of this research were:– emotional problems are the most common problems experienced by unmarried women;– the present study indicates the presence of depressive symptoms in 17%, which can evolve toward psychotic depression as dysthymia (loss of interest in daily activities, hopelessness, low self-esteem, self-criticism, trouble concentrating and trouble making decisions, effectiveness and productivity, avoidance of social activities, feelings of guilt and worries over the past, insomnia…);– the impact of unmarried on late stages have more negative impact, and psychological effect on them was more severe and the greatest harm.ConclusionThe advancement of women in the age without marriage or “unmarried women” is origin of psychological stress and low self-confidence.Dissclosure of interestThe authors have not supplied their declaration of competing interest.

Employment Attitudes and Mental Health of Long-term Unemployed People with Disabilities: Implications for Rehabilitation Counselors

1997 ◽  
Vol 28 (2) ◽  
pp. 21-25 ◽  
Author(s):  
Regina Pernice
Keyword(s):  
Mental Health ◽  
General Health Questionnaire ◽  
People With Disabilities ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
Rehabilitation Counselors ◽  
Cross Sectional ◽  
Unemployed People ◽  
High Distress

Employment attitudes and mental health of long-term unemployed people with disabilities were investigated in a cross sectional study. During an interview, people selected themselves into four employment attitude groups, those who wanted employment (28%), those who were not able to work (35%), those who had alternatives to employment (30%) and those who were interested in training (7%). Mental health was assessed by the General Health Questionnaire (GHQ-12) and the Rosenberg Self-Esteem Scale (RSE). The results indicated that mental health was low with high distress and low self-esteem scores evident in the four groups. Implications for rehabilitation counselors are discussed.

scholarly journals Effect of Dehydroepiandrosterone Replacement on Lipoprotein Profile in Hypoadrenal Women

2009 ◽  
Vol 94 (3) ◽  
pp. 761-764 ◽  
Author(s):  
Manivannan Srinivasan ◽  
Brian A. Irving ◽  
Ketan Dhatariya ◽  
Katherine A. Klaus ◽  
Stacy J. Hartman ◽  
...  
Keyword(s):  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Low Density ◽  
Lipoprotein Profile ◽  
Double Blind ◽  
Caucasian Women ◽  
Study Participants ◽  
The Impact ◽  
To Receive

Abstract Context: Levels of dehydroepiandrosterone (DHEA) and its sulfate form (DHEAS) are inversely associated with cardiovascular mortality in men but not women. Very little evidence is available on the impact of DHEA administration on lipoprotein profile in women. DHEAS levels are very low/undetectable in hypoadrenal women. Objective: The objective of the study was to determine the impact of DHEA replacement on lipoprotein profile in hypoadrenal women. Design and Setting: A double-blind, randomized, placebo-controlled, cross-over design study was conducted at the Mayo Clinic. Participants: Thirty-three hypoadrenal Caucasian women (mean ± sd; age 50.3 ± 15.2 yr, body mass index 26.6 ± 4.4 kg/m2) took part in the study. Intervention: Study participants were assigned to receive either a placebo or 50 mg/d of DHEA for 3 months each. Lipid levels and lipoprotein profile were analyzed using the Lipo Science Lipoprotein nuclear magnetic resonance system. Main Outcome Measures: Changes in various lipoprotein sizes and levels were measured. Results: The DHEA period had higher plasma DHEAS levels than during placebo (<0.3 ± 0.0 vs. 3.5 ± 1.3 nmol/liter, P < 0.001). DHEA replacement significantly reduced total cholesterol (20.0 vs. −22, P = 0.02) and high-density lipoprotein (HDL) levels (2.0 vs. −6.0, P = 0.006) and tends to reduce triglyceride and total low-density lipoprotein levels. Although, DHEA replacement had no effect on low-density lipoprotein particle size, it significantly reduced larger HDL particles and to modest extent small HDL particles. Conclusions: Our study findings showed that oral DHEA administration in hypoadrenal women results in an unfavorable lipoprotein profile. The results warrant long-term studies to determine the impact of DHEA replacement on cardiovascular risk.

scholarly journals TMJ Ankylosis: Multidisciplinary Approach of Treatment for Dentofacial Enhancement—A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Pavankumar Janardan Vibhute ◽  
Nitin Bhola ◽  
Rajiv M. Borle
Keyword(s):  
Speech Therapy ◽  
Mouth Opening ◽  
Self Esteem ◽  
Team Approach ◽  
Tmj Ankylosis ◽  
Self Confidence ◽  
Facial Esthetics ◽  
Mandibular Retrognathism ◽  
Preauricular Approach ◽  
The Impact

This report describes the multidisciplinary phasewise treatment of a 20-year-old female patient having unilateral right TMJ bony (true) ankylosis whose mouth opening was restricted to 2 mm and mandibular retrognathism; additionally, she was also suffering from speech problems, snoring, difficulty in breathing, and low level of self-esteem and self-confidence. Bilateral gap arthroplasty and temporalis myofascial graft interpositioning through preauricular approach were done in surgical phase followed by the aggressive jaw physiotherapy in postsurgical period. Oral prophylaxis and restorations were followed by the fixed orthodontic therapy to resolve bimaxillary protrusion. Advancement sliding genioplasty was performed to enhance the chin button. Speech therapy and psychological counseling were also performed from time to time to boost up the self-esteem and self-confidence. At the end of treatment, facial esthetics was improved considerably and patient got over the impact of disfigurement, impaired functions, and psychosocial stigma. Rationale to use the multidisciplinary team approach in treatment of such cases is discussed.

scholarly journals Mediators and Moderators of Reinforced Self-Affirmation as a Method for Reducing the Memory Misinformation Effect

2021 ◽  
Vol 12 ◽  
Author(s):  
Malwina Szpitalak ◽  
Romuald Polczyk
Keyword(s):  
Sense Of Self ◽  
Self Esteem ◽  
Misinformation Effect ◽  
Sources Of Information ◽  
Witness Testimony ◽  
Self Confidence ◽  
Forensic Psychologists ◽  
External Sources ◽  
The Impact ◽  
Memory Confidence

The misinformation effect occurs when an eyewitness includes information in his or her account that is incongruent with the event he or she witnessed, and stems from being exposed to incorrect external sources. This is a serious threat to the quality of witness testimony and to the correctness of decisions reached by courts. However, few methods have been developed to reduce the vulnerability of witnesses to misinformation. This article presents such a method, namely, reinforced self-affirmation (RSA), which, by increasing memory confidence of witnesses, makes them less inclined to rely on external sources of information and more on their own memory. The effectiveness of this method was confirmed in three experiments. It was also found that memory confidence, but not general self-confidence, is a mediator of the impact of RSA on misinformation effect (ME), and that contingent self-esteem and feedback acceptance, but not sense of self-efficacy or general self-esteem, are moderators of this impact. It is concluded that RSA may be a promising basis for constructing methods, which can be used by forensic psychologists in real forensic settings.

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