Attitudes of Psychiatric Patients and their Relatives to Involuntary Treatment

1991 ◽  
Vol 25 (2) ◽  
pp. 231-237 ◽  
Author(s):  
Nicholas H.S. Adams ◽  
R. Julian Hafner
Keyword(s):  
Mental Illness ◽  
Psychiatric Hospital ◽  
Mentally Ill ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
South Australia ◽  
Involuntary Treatment ◽  
Psychiatric Outpatient ◽  
Handicapped People ◽  
Negative Statements

In 1979 a Guardianship Board assumed responsibility in South Australia for the welfare of those mentally ill or handicapped people unable to look after their own health or safety, or to manage their own affairs. This study examines the attitudes to guardianship and involuntary treatment of 79 patients referred to the Board from a psychiatric hospital, all of whom were under guardianship at the time of the study. Forty-seven of their relatives took part in the project, which included measures of patients' psychiatric symptoms and relatives' punitiveness. Although almost 70% of patients objected to Guardianship in principle, they made more positive than negative statements about it. Nearly 60% rated involuntary treatment, including medication, as helpful. Patients reported a level of psychiatric symptoms less than half of that of a psychiatric outpatient sample. Relatives were strongly in favour of Guardianship, stating frequently that it allowed an improved relationship between themselves and the patient. Patients who believed that they were suffering from a mental illness were comparatively happy about being under Guardianship, and a belief that the patient was mentally ill was significantly associated with reduced ex-trapunitiveness in relatives.

scholarly journals Upaya Keluarga Dalam Penyembuhan Pasien Penyakit Jiwa; Studi Pada Pasien Penyakit Jiwa di RSJ HB. Sa’anin Padang

2016 ◽  
Vol 5 (2) ◽  
pp. 102
Author(s):  
Yenni Melia
Keyword(s):  
Mental Illness ◽  
Psychiatric Hospital ◽  
Family Involvement ◽  
Qualitative Method ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
Family Members ◽  
The Family ◽  
Mutual Communication

Madness is a symptom of a disease caused by psychiatric symptoms. Many factors become the cause of insanity, therefore need many approaches in healing. The process of healing the family involvement factor is an important factor. This study discusses family efforts to support the cure of psychiatric patients at psychiatric hospital of Prof. HB. Sa’anin. The research was conducted by qualitative method by following the steps suggested by Miles and Huberman. Data were collected using observation techniques, interviews and documentation studies. The informant consists of the main informant, the family of the mental illness patient and the supporting informant, the hospital officer. The results reveal the efforts provided by the family in the healing of mental illness patients, among others, by providing motivation to return to normal conditions. Another factor that causes healing is the economic and educational factor of family members. What is unique is that ethnic role factors have an effect on patient healing. Strategies that can be done to involve the family in healing is to establish mutual communication and the resignation nature of family members. Gila adalah gejala penyakit yang disbabkan oleh gejala kejiwaan. Banyak faktor yang menjadi penyebab kegilaan, oleh karena itu perlu banyak pendekatan dalam penyembuhannya. Dalam proses penyembuhan tersebut faktor keterlibatan keluarga adalah faktor penting dalam proses penyembuhan. Studi ini membahas tentang upaya keluarga dalam mendukung penyembuhan pasien sakit jiwa di rumah sakti jiwa Prof. HB. Sa’anin. Penelitian dilakukan dengan metode kulitatif dengan mengikuti langkah-langkah yang disarankan Miles dan Huberman. Data dikumpulkan dengan menggunakan teknik observasi, wawancara dan studi dokumentasi. Informan penelitian terdiri dari informan utama, yaitu keluarga pasien penyakit jiwa dan informan pendukung, yaitu petugas rumah sakit. Hasil penelitian mengungkapkan upaya yang diberikan oleh keluarga dalam penyembuhan pasien penyakit jiwa antara lain dengan memberikan motivasi untuk kembali ke kondisi normal. Faktor lain yang menjadi penyebab kesembuhan adalah faktor ekonomi dan pendidikan anggota keluarga. Yang unik adalah, faktor peran etnis ikut berpengaruh dalam upaya penyembuhan pasien. Strategi yang dapat dilakukan untuk melibatkan keluarga dalam penyembuhan adalah dengan menjalin komunikasi timbal balik dengan sesama anggota keluarga dan sifat pasrah anggota keluarga.

scholarly journals Upaya Keluarga Dalam Penyembuhan Pasien Penyakit Jiwa; Studi Pada Pasien Penyakit Jiwa di RSJ HB. Sa’anin Padang

2016 ◽  
Vol 5 (2) ◽  
pp. 102-112
Author(s):  
Yenni Melia
Keyword(s):  
Mental Illness ◽  
Psychiatric Hospital ◽  
Family Involvement ◽  
Qualitative Method ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
Family Members ◽  
The Family ◽  
Mutual Communication

Madness is a symptom of a disease caused by psychiatric symptoms. Many factors become the cause of insanity, therefore need many approaches in healing. The process of healing the family involvement factor is an important factor. This study discusses family efforts to support the cure of psychiatric patients at psychiatric hospital of Prof. HB. Sa’anin. The research was conducted by qualitative method by following the steps suggested by Miles and Huberman. Data were collected using observation techniques, interviews and documentation studies. The informant consists of the main informant, the family of the mental illness patient and the supporting informant, the hospital officer. The results reveal the efforts provided by the family in the healing of mental illness patients, among others, by providing motivation to return to normal conditions. Another factor that causes healing is the economic and educational factor of family members. What is unique is that ethnic role factors have an effect on patient healing. Strategies that can be done to involve the family in healing is to establish mutual communication and the resignation nature of family members. Gila adalah gejala penyakit yang disbabkan oleh gejala kejiwaan. Banyak faktor yang menjadi penyebab kegilaan, oleh karena itu perlu banyak pendekatan dalam penyembuhannya. Dalam proses penyembuhan tersebut faktor keterlibatan keluarga adalah faktor penting dalam proses penyembuhan. Studi ini membahas tentang upaya keluarga dalam mendukung penyembuhan pasien sakit jiwa di rumah sakti jiwa Prof. HB. Sa’anin. Penelitian dilakukan dengan metode kulitatif dengan mengikuti langkah-langkah yang disarankan Miles dan Huberman. Data dikumpulkan dengan menggunakan teknik observasi, wawancara dan studi dokumentasi. Informan penelitian terdiri dari informan utama, yaitu keluarga pasien penyakit jiwa dan informan pendukung, yaitu petugas rumah sakit. Hasil penelitian mengungkapkan upaya yang diberikan oleh keluarga dalam penyembuhan pasien penyakit jiwa antara lain dengan memberikan motivasi untuk kembali ke kondisi normal. Faktor lain yang menjadi penyebab kesembuhan adalah faktor ekonomi dan pendidikan anggota keluarga. Yang unik adalah, faktor peran etnis ikut berpengaruh dalam upaya penyembuhan pasien. Strategi yang dapat dilakukan untuk melibatkan keluarga dalam penyembuhan adalah dengan menjalin komunikasi timbal balik dengan sesama anggota keluarga dan sifat pasrah anggota keluarga.

Children's Attitudes toward Mental Illness as Assessed by the Opinions about Mental Illness Scale

1985 ◽  
Vol 57 (1) ◽  
pp. 251-258 ◽  
Author(s):  
Marc Franchot Weiss
Keyword(s):  
Mental Illness ◽  
Mental Health Professionals ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
School Age Children ◽  
Elementary School Age ◽  
The Public ◽  
Children's Attitudes ◽  
Attitudes Toward Mental Illness ◽  
Opinions About Mental Illness

Research on attitudes toward mental illness held by the public, by mental health professionals and personnel, and by psychiatric patients and their families is substantial. Little attention has been given to children's attitudes toward mental illness and the mentally ill, so this exploratory-descriptive study examined the developmental trends of children's attitudes toward the mentally ill. An adaptation of the Opinions About Mental Illness Scale was given to 512 elementary school age children who were placed in Grades 2, 4, 6, and 8. It was determined that with increasing grade/age children took a less authoritarian attitude toward the mentally ill and viewed mentally ill persons as more like themselves. Children rook an increasingly parernalistic view of the mentally ill, were less likely to see mental illness as an illness like any other, perceived mental patients as less of a threat to society and needing fewer restrictions. Finally, with increasing age/grade children perceived mental illness as less likely attributable to inadequate, deprived or interpersonal experiences. Results were discussed in terms of a relatively increased “positive attitude” and the relative acceptance and rejection of the mentally ill.

scholarly journals Internalized Stigma of Mental Illness and Its Relation with Self- Esteem and Social Support among Psychiatric Patients

2019 ◽  
Vol 1 (3) ◽  
pp. 11
Author(s):  
Amany A. Mohamed
Keyword(s):  
Social Support ◽  
Mental Illness ◽  
Mentally Ill ◽  
Addiction Treatment ◽  
Psychiatric Patients ◽  
Self Esteem ◽  
Internalized Stigma ◽  
Convenience Sample ◽  
Stigma Score ◽  
Stigma Of Mental Illness

Context: Mentally ill patients challenging dual difficulties that are illness and stigma. Internalized stigma viewed as maladaptive psychosocial phenomena that can affect all aspects of mentally ill patient life. Aim: The current study emerged aiming to assess internalized stigma of mental illness and its relation with self-esteem and social support among psychiatric patients. Methods: Descriptive research design used to achieve the aim of this study. A convenience sample of one hundred hospitalized psychiatric patients recruited for the study from inpatient units of Mental Health and Addiction Treatment Hospital in Minia governorate. The data collection tools included socio-demographic and clinical data questionnaire, Internalized Stigma of Mental Illness Scale, Rosenberg's Self Esteem Scale, and Multidimensional Scale of Perceived Social Support. Results: The findings show that less than half of patients have a severe level of total internalized stigma score. There is a highly significant correlation between overall internalized stigma score and its all subscales with self-esteem and social support. Conclusions: Internalized stigma level was high among psychiatric patients. A significant negative correlation found between total internalized stigma score with self-esteem and social support of the studied patients. The study recommended further studies regarding educational interventions to raise awareness and decrease internalized stigma among patient with mental illness. Besides, providing support for patient and families of mentally ill patients to promote their capacity to manage and cope with stigma. 

scholarly journals Dual Diagnosis as a Tool for Therapists and Social Workers

2017 ◽  
Vol 3 (3) ◽  
pp. 31
Author(s):  
Andrzej Lipczyński ◽  
Jarosław Kinal ◽  
Institute of Sociology University of Rzeszow
Keyword(s):  
Mental Illness ◽  
High Risk ◽  
Severe Mental Illness ◽  
Social Workers ◽  
Social Services ◽  
Dual Diagnosis ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Bipolar Affective Disorder ◽  
Psychoactive Substances

The problem of dual diagnosis described as the first in Poland Lehmann in 1993. He noticed that for people with dual diagnosis is needed different diagnostic and therapeutic-specific approach and that social services (Lehman, 2000; Le hman 1993; Lehman, Myers 1994). Clinical experience suggests the need for a clear separation of this group of patients from both patients and the mentally ill odwykowo. T HAT approach allows to carry out homogeneous diagnostic psychiatric patients. Such ayodrębnienie It is dictated by the difficulties of diagnostic and therapeutic (Siegfried 1998; Sciacca 1991; Lehman, 1998). One clinical term for such a diverse group of patients do not permit a homogeneous diagnostic tests and determine the needs, problems and medical treatment and social services. Interest in this group of patients is not only due to cognitive reasons, but also due to the increasing number of people with dual diagnosis, more effective treatment and social assistance. Another reason is the rapidly growing number of people with PD. This group represents a challenge for physicians, social workers (Crome, Myton 2004; Lehman 2000; Alaja, Sepia1998).Clinical studies confirm the phenomenon of interactivity in which a mentally ill person is at high risk of developing mood-dependent dependence, particularly alcohol and those who are at high risk for mental illness (Lehman 2000).Dual diagnosis is the term defining the clinical coexistence in the same person from one side of a mental disorder, and disorders related to psychoactive substances, mostly drugs and / or alcohol (Abel-Saleh 2004; Crome, Myton 2004). The population of patients with dual diagnosis is large and varies widely in type and severity of the mental illness, the type of psychoactive agents and specific disorders resulting from the adoption of psychoactive substances, psychological and social skills which is obtained support and other factors (Lehman 1996; Ridgely 1987), such as schizophrenia. Severe mental illness (severe mental illness) as a concept which takes into account the clinical diagnosis (diagnosis) the degree of impairment of (disability) and duration of disorder (duration). This criterion includes serious mental breakdowns such as schizophrenia, bipolar affective disorder, depression. These disorders seriously impair people-to-people contact, self-care. Treatment of people with dual diagnosis is a problem because it results from the combination of two extremely different ways of dealing with mental illness and addiction.

scholarly journals Dual Diagnosis as a Tool for Therapists and Social Workers

2017 ◽  
Vol 8 (1) ◽  
pp. 31
Author(s):  
Andrzej Lipczyński ◽  
Jarosław Kinal ◽  
Institute of Sociology University of Rzeszow
Keyword(s):  
Mental Illness ◽  
High Risk ◽  
Severe Mental Illness ◽  
Social Workers ◽  
Social Services ◽  
Dual Diagnosis ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Bipolar Affective Disorder ◽  
Psychoactive Substances

The problem of dual diagnosis described as the first in Poland Lehmann in 1993. He noticed that for people with dual diagnosis is needed different diagnostic and therapeutic-specific approach and that social services (Lehman, 2000; Le hman 1993; Lehman, Myers 1994). Clinical experience suggests the need for a clear separation of this group of patients from both patients and the mentally ill odwykowo. T HAT approach allows to carry out homogeneous diagnostic psychiatric patients. Such ayodrębnienie It is dictated by the difficulties of diagnostic and therapeutic (Siegfried 1998; Sciacca 1991; Lehman, 1998). One clinical term for such a diverse group of patients do not permit a homogeneous diagnostic tests and determine the needs, problems and medical treatment and social services. Interest in this group of patients is not only due to cognitive reasons, but also due to the increasing number of people with dual diagnosis, more effective treatment and social assistance. Another reason is the rapidly growing number of people with PD. This group represents a challenge for physicians, social workers (Crome, Myton 2004; Lehman 2000; Alaja, Sepia1998).Clinical studies confirm the phenomenon of interactivity in which a mentally ill person is at high risk of developing mood-dependent dependence, particularly alcohol and those who are at high risk for mental illness (Lehman 2000).Dual diagnosis is the term defining the clinical coexistence in the same person from one side of a mental disorder, and disorders related to psychoactive substances, mostly drugs and / or alcohol (Abel-Saleh 2004; Crome, Myton 2004). The population of patients with dual diagnosis is large and varies widely in type and severity of the mental illness, the type of psychoactive agents and specific disorders resulting from the adoption of psychoactive substances, psychological and social skills which is obtained support and other factors (Lehman 1996; Ridgely 1987), such as schizophrenia. Severe mental illness (severe mental illness) as a concept which takes into account the clinical diagnosis (diagnosis) the degree of impairment of (disability) and duration of disorder (duration). This criterion includes serious mental breakdowns such as schizophrenia, bipolar affective disorder, depression. These disorders seriously impair people-to-people contact, self-care. Treatment of people with dual diagnosis is a problem because it results from the combination of two extremely different ways of dealing with mental illness and addiction.

Managing offenders with psychiatric disorders in general psychiatric services

2012 ◽  
pp. 2009-2014
Author(s):  
James R. P. Ogloff
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Psychiatric Services ◽  
Mentally Ill Offenders ◽  
General Mental Health ◽  
General Community

It has been shown that the prevalence of mental illness among those in the criminal justice system is significantly greater than that found in the general community. As presented in Chapter 11.4, for example, the per capita rate of psychotic illness in prisons is approximately 10 times greater than that found in the general community. Tragically, relatively few services exist that provide continuity of mental health care between gaols and the community. This produces a situation where individuals whose mental illness may have been identified and treated in gaol find themselves without services in the community. Typically, only when in crisis do they find their way into general psychiatric services either in community settings or in hospital. This situation has produced considerable stress on already taxed mental health services. Given the prevalence of offence histories among psychiatric patients, it is important for mental health professionals to be aware of the unique issues—and myths—that accompany patients with offence histories. At the outset it is important to emphasize that the duty of mental health services is to address mental health issues. That ought to be the focus of mental health services. As this chapter makes clear, though, for some patients, there is a relationship between the mental illness and offending and by addressing the mental illness, the risk of re-offending might well be reduced. Moreover, many of the ancillary issues that lead to relapse and destability in psychiatric patients also may lead to offending. Addressing these issues will both help provide long-term stability for patients and will help reduce their risk of offending. As a result, there is a need for general mental health services to acquire expertize to identify and manage patients with offending histories. This chapter will provide information about the relative risk of offending among psychiatric patients and the relationship (or lack thereof) of inpatient aggression and community-based violence and offending. A framework will be provided for assessing and treating patients with offending histories and issues using a typology of mentally ill offenders. The role of forensic mental health services in bolstering general psychiatric services, and in sometimes providing primary care for mentally ill offenders, will also be discussed.

scholarly journals History of psychosurgery at Sainte-Anne Hospital, Paris, France, through translational interactions between psychiatrists and neurosurgeons

2017 ◽  
Vol 43 (3) ◽  
pp. E9 ◽  
Author(s):  
Marc Zanello ◽  
Johan Pallud ◽  
Nicolas Baup ◽  
Sophie Peeters ◽  
Baris Turak ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychiatric Hospital ◽  
18Th Century ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
Public Institution ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
History Of

Sainte-Anne Hospital is the largest psychiatric hospital in Paris. Its long and fascinating history began in the 18th century. In 1952, it was at Sainte-Anne Hospital that Jean Delay and Pierre Deniker used the first neuroleptic, chlorpromazine, to cure psychiatric patients, putting an end to the expansion of psychosurgery. The Department of Neuro-psychosurgery was created in 1941. The works of successive heads of the Neurosurgery Department at Sainte-Anne Hospital summarized the history of psychosurgery in France.Pierre Puech defined psychosurgery as the necessary cooperation between neurosurgeons and psychiatrists to treat the conditions causing psychiatric symptoms, from brain tumors to mental health disorders. He reported the results of his series of 369 cases and underlined the necessity for proper follow-up and postoperative re-education, illustrating the relative caution of French neurosurgeons concerning psychosurgery.Marcel David and his assistants tried to follow their patients closely postoperatively; this resulted in numerous publications with significant follow-up and conclusions. As early as 1955, David reported intellectual degradation 2 years after prefrontal leucotomies.Jean Talairach, a psychiatrist who eventually trained as a neurosurgeon, was the first to describe anterior capsulotomy in 1949. He operated in several hospitals outside of Paris, including the Sarthe Psychiatric Hospital and the Public Institution of Mental Health in the Lille region. He developed stereotactic surgery, notably stereo-electroencephalography, for epilepsy surgery but also to treat psychiatric patients using stereotactic lesioning with radiofrequency ablation or radioactive seeds of yttrium-90.The evolution of functional neurosurgery has been marked by the development of deep brain stimulation, in particular for obsessive-compulsive disorder, replacing the former lesional stereotactic procedures.The history of Sainte-Anne Hospital’s Neurosurgery Department sheds light on the initiation—yet fast reconsideration—of psychosurgery in France. This relatively more prudent attitude toward the practice of psychosurgery compared with other countries was probably due to the historically strong collaboration between psychiatrists and neurosurgeons in France.

Outcomes for Psychiatric Patients following First Admission: Relationships with Voluntary and Involuntary Treatment and Ethnicity

2001 ◽  
Vol 88 (3_suppl) ◽  
pp. 1012-1014 ◽  
Author(s):  
Kimberlyn Gray Houston ◽  
Marco Mariotto ◽  
J. Ray Hays
Keyword(s):  
Sex Differences ◽  
Ethnic Differences ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Involuntary Treatment ◽  
Psychiatric Admission ◽  
Severely Mentally Ill ◽  
Desirable Outcome ◽  
Admission Status ◽  
Male Patients

Research suggests that there are ethnic differences in hospitalization outcomes for severely mentally ill patients. This study examined ethnic and sex differences in admission status, rapid readmission, and discharge placement of 487 patients on their first psychiatric admission. There were sex differences in admission status with significantly more male patients being involuntarily admitted than female patients. Ethnic differences in placement at discharge were not supported, but involuntarily admitted patients were over-represented in the less desirable outcome categories.

“That’s Just the Tip of It Because It Goes Deeper Than That”: A Qualitative Exploration Into the Role of Mental Illness in Offending Onset and Subsequent Offending Behavior

2016 ◽  
Vol 29 (4) ◽  
pp. 341-364
Author(s):  
Stacy Calhoun
Keyword(s):  
Mental Illness ◽  
Criminal Justice ◽  
Criminal Justice System ◽  
Mentally Ill ◽  
Justice System ◽  
Psychiatric Symptoms ◽  
Mentally Ill Offenders ◽  
Direct Role ◽  
Youth At Risk ◽  
Illegal Activities

There continues to be considerable debate regarding the most effective ways to reduce the number of mentally ill offenders in the adult criminal justice system. What is often missing from this national discussion is an examination of the factors associated with their initial involvement in illegal activities. This qualitative study assesses the self-perceived role that psychiatric symptoms had in the onset and continued offending of a sample of 28 parolees with mental illness. The findings showed that psychiatric symptoms rarely played a direct role in the onset and continued offending in this sample. Furthermore, the majority of the sample started offending prior to the age of 18, highlighting the need to devote more resources toward delivering evidence-based interventions to youth at risk of becoming involved in a criminal lifestyle as one strategy for reducing the number of mentally ill who become involved in the adult criminal justice system.

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