Mental health as perceived by persons with mental disorders – an interpretative phenomenological analysis study

Mental health problems in Indonesia are still severe, WHO SEARO data for 2017 said that Indonesia is ranked second after India, which is 9. 162. Eight hundred eighty-six patients or around 3.7% of the population. Mismanagement of health where there are still many people with mental disorders who experience mounting actions that require attention and involvement of all parties, including community leaders. The purpose of writing this research is to explore the experience of community leaders in carrying out pasung (physical restraint) on people with mental disorders in Southeast Sulawesi. The method that researchers use is qualitative research with a phenomenological interpretative. Participants, as many as 7 (seven) people and selected with a purposive sampling approach, were then analyzed using Interpretative Phenomenological Analysis (IPA). The results of the study found three themes, namely community and family stigma against ODGJ (people with a mental disorder), reasons for retention actions and challenges of community leaders in the release of pasung. The conclusion is that the process of releasing pasung cannot be separated from the experience of a figure in the community so that by involving them is expected to eliminate the act of retention in the community.

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Delivering cognitive therapy for adolescent social anxiety disorder in NHS CAMHS: a qualitative analysis of the experiences of young people, their parents and clinicians-in-training

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465821000047 ◽

2021 ◽

pp. 1-15

Author(s):

Lucy Taylor ◽

Cathy Creswell ◽

Samantha Pearcey ◽

Emma Brooks ◽

Eleanor Leigh ◽

...

Keyword(s):

Mental Health ◽

Anxiety Disorder ◽

Social Anxiety ◽

Young People ◽

Health Services ◽

Qualitative Analysis ◽

Social Anxiety Disorder ◽

Interpretative Phenomenological Analysis ◽

Phenomenological Analysis ◽

Qualitative Exploration

Abstract Background: Social anxiety disorder (SAD) is common. It usually starts in adolescence, and without treatment can disrupt key developmental milestones. Existing generic treatments are less effective for young people with SAD than with other anxiety disorders, but an adaptation of an effective adult therapy (CT-SAD-A) has shown promising results for adolescents. Aims: The aim of this study was to conduct a qualitative exploration to contribute towards the evaluation of CT-SAD-A for adoption into Child and Adolescent Mental Health Services (CAMHS). Method: We used interpretative phenomenological analysis (IPA) to analyse the transcripts of interviews with a sample of six young people, six parents and seven clinicians who were learning the treatment. Results: Three cross-cutting themes were identified: (i) endorsing the treatment; (ii) finding therapy to be collaborative and active; challenging but helpful; and (iii) navigating change in a complex setting. Young people and parents found the treatment to be useful and acceptable, although simultaneously challenging. This was echoed by the clinicians, with particular reference to integrating CT-SAD-A within community CAMHS settings. Conclusions: The acceptability of the treatment with young people, their parents and clinicians suggests further work is warranted in order to support its development and implementation within CAMHS settings.

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