Think Family, Think Relationship: Factors Influencing Stronger Professional Relationships with Parents Diagnosed with a Mental Illness. A Qualitative Study

Author(s):  
A Grant ◽  
J Devaney ◽  
G Davidson ◽  
S Lagdon ◽  
J Duffy

Abstract This qualitative study explored how professionals and parents with mental illness experience their relationships with each other, what aspects of interaction promote a constructive relationship and the role of wider organisational and systemic factors. A purposive sample of 30 adult mental health and children’s services professionals, and 21 parents completed semi-structured interviews. Professionals’ transparent, non-judgemental, empathetic and positive approach and ability to form partnerships and to share power with parents were keys in building trusting relationships with them. Professionals’ capacity to use limited self-disclosure of their own personal experiences (i.e. parenting) enabled them to develop constructive relationships with parents. Equally, important was parents’ willingness to form partnerships with professionals and to accept a whole family approach to service delivery. Professionals’ limited understanding of mental illness and focus on administration hindered their relationships with parents. An understanding of what constitutes a constructive relationship between professionals and parents and how it develops may help professionals to reflect upon how they engage parents and to do it well. It may also assist organisations to develop the necessary structures and resources to create the conditions for promoting constructive engagement between professionals and parents.

2014 ◽  
Vol 38 (3) ◽  
pp. 116-121 ◽  
Author(s):  
Lawrence Martean ◽  
Chris Evans

Aims and methodTo explore experiences of psychiatrists considering medication for patients with personality disorder by analysis of transcribed, semi-structured interviews with consultants.ResultsThemes show important relational processes in which not prescribing is expected to be experienced as uncaring rejection, and psychiatrists felt helpless and inadequate as doctors when unable to relieve symptoms by prescribing. Discontinuity in doctor–patient relationships compounds these problems.Clinical implicationsProblems arise from: (a) the psychopathology creating powerful relational effects in consultation; (b) the lack of effective treatments, both actual and secondary to under-resourcing and neglect of non-pharmaceutical interventions; and (c) the professionally constructed role of psychiatrists prioritising healing and cure through provision of technological interventions for specific diagnoses. There is a need for more treatments and services for patients with personality disorder; more support and training for psychiatrists in the relational complexities of prescribing; and a rethink of the trend for psychiatrists to be seen primarily as prescribers.


2017 ◽  
Vol 6 (3) ◽  
pp. 781
Author(s):  
Fatma Kenevir

<p><strong>Abstract</strong></p><p>       This study consists of the results of the research conducted with convicted female prisoners who committed crimes against the immunity and body immunity in Ankara (Sincan), İzmir (Şakran) and İstanbul (Bakırköy) women's closed prisons. The scope of the research includes women convicted of crimes against life and body immunity, who are more religious than prisoners convicted of theft, drugs etc. In this respect, the factors that lead to the criminality of women, who were convicted of murder or attempt murder, convicted of wounding offenses and who defined themselves as religious, are determined. Another aim is to demonstrate the crime and victim relationship, how convicts explain criminal actions to themselves and their surroundings and how they justify themselves. Questionnaires and semi-structured interview techniques were used as a method. In this direction, the findings obtained from the results of the questionnaire conducted with 151 women convicts were evaluated by descriptive statistical method and the results of semi-structured interviews with 8 women were included in the results. These types of explanations, included in neutralization techniques, are: commitment to values, the role of the victim, and rejection of responsibility. In the first place, the victim sees the situation as a matter of honor and explains the guilt involved with their beliefs / beliefs. Secondly, the violence (domestic problems) that is experienced is said to be the result, as in the opposite party deserves it. In the third place, the victim rejects the responsibility, indicating that the mental illness or depression is the result of suicide.</p><p><strong>Öz</strong></p><p>     Bu çalışma, Ankara (Sincan), İzmir (Şakran) ve İstanbul (Bakırköy) kadın kapalı ceza infaz kurumlarında bulunan hayata ve vücut dokunulmazlığına karşı suç işlemiş hükümlü kadın mahkûmlarla yapılan araştırma sonuçlarından oluşmaktadır. Araştırmanın kapsamı ise, hırsızlık, uyuşturucu vs. gibi suç türlerinden hüküm giymiş mahkûmlara kıyasla dindarlığı daha yüksek olan, hayata ve vücut dokunulmazlığına karşı suçlardan hüküm giymiş kadın mahkûmlarla sınırlandırılmıştır. Bu doğrultuda, adam öldürme veya adam öldürmeye teşebbüs, yaralama suçlarından hüküm giymiş olup, kendilerini dindar olarak tanımlayan kadınların, suça yönelmesindeki etken faktörler ele alınmış olup; kadın mahkûmlarda suç ve mağdur ilişkisi, suç eylemini kendisine ve çevresine açıklayıp, gerekçelendirme biçimlerinin ortaya çıkarılması amaçlanmıştır. Yöntem olarak anket ve yarı yapılandırılmış mülakat teknikleri beraber kullanılmıştır. Bu doğrultuda 151 kadın mahkûma uygulanan anket sonuçlarından elde edilen bulgular, tanımlayıcı istatistiksel metot ile değerlendirilmiş, ayrıca 8 kadınla yapılan yarı yapılandırılmış görüşme sonuçlarına yer verilmiştir. Bulguların değerlendirilmesi sonucunda, hayata ve vücut dokunulmazlığına karşı suç işlemiş kadın mahkûmların karıştıkları suçu dindarlıkları içinde genellikle üç şekilde açıkladığı sonucuna ulaşılmıştır. Nötrleştirme teknikleri içinde yer alan bu açıklama tipleri, değerlere bağlılık, mağdurun rolü ve sorumluluğu reddetme şeklindedir. Birincisinde, durumu namus meselesi olarak görme ve sahip olduğu değerlerle/inançla karıştıkları suçu açıklama söz konusudur. İkincisinde, maruz kalınan şiddet (aile içi sorunlar) sonucu, karşı tarafın bunu hak etmesi olarak açıklanmaktadır. Üçüncüsü ise, akli hastalık ya da bunalım sonucu bu suça karıştığını belirterek, sorumluluğu reddetme şeklindedir.</p>


2021 ◽  
Vol 5 (1) ◽  
pp. 100
Author(s):  
Nik Md Saiful Azizi Nik Abdullah ◽  
Fathiyah Solehah Mohd Sabbri ◽  
Rabi'atul Athirah Muhammad Isa

This article sought to explore the student motivation in memorizing the Quran. A qualitative study through semi-structured interviews with six participants was done to gain data for this study. The findings showed that parents, teachers and the participants themselves influenced student motivation in memorising the Quran. The role of parental guidance and advice was the most influential factor leading to cause among students in learning the Quran. Implications of this study, the students themselves and teachers also were the source of motivation to memorize. At the same time, teachers should always assist and help students in their memorization of the Quran. That way, students will feel more confident to continue their memorization. Therefore, this study can be helpful as a reference in lowering the gap in motivation in Quranic memorization. Hence, the researchers believe that this study will help the other researchers continue and elaborate more on Quranic memorization about the cause.


2021 ◽  
Author(s):  
Maryam Maddineshat ◽  
Efat Sadeghian ◽  
Ali Ghaleiha ◽  
Mitra Khalafbeigi ◽  
Fatemeh Cheraghi

Abstract Background: Many factors affect return to work (RTW) in employees and workers (hereinafter referred to as working people) with serious mental illness (SMI). Identifying these factors can prevent long-term sick leave absence and work disability. Aim: The current study was conducted to identify facilitators and barriers RTW in working people with SMI admitted to a psychiatric hospital and clinic affiliated with the Hamadan University of Medical Sciences, Iran.Methods: A qualitative study was conducted in 2020 on 27 participants with SMI, families, supervisors, managers, and mental health team members. The participants were selected through purposive sampling. Data were collected using in-depth and semi-structured interviews. A total of 40 interviews were conducted face-to-face and fallow-up by the telephone. The interviews were based on a conventional content analysis approach.Results: Two main themes emerged, including social support and RTW's challenges. Social support consisted of four main categories: emotional support, information support, instrumental support, and supervisor's flexibility. RTW's challenges consisted of two main categories: personal obstacles and general issues.Conclusion: We found that two facilitator and barrier factors including social support and RTW's challenges affected the RTW process in working people with SMI. Identifying facilitator and barrier factors gives us comprehensive information to use in RTW programs and developing policies RTW in working people with SMI.


2021 ◽  
Author(s):  
Dylan Chan Tai Kong ◽  
Ashfaq Chauhan ◽  
Anaïs Tiffany Ah Leung ◽  
Melvin Chin

Abstract Background:Prior to the Covid-19 pandemic, telemedicine was only used to deliver health care to patients living in remote areas of Australia. However, the spread of the Covid-19 virus pushed the widespread uptake of telemedicine across Australia, including in metropolitan regions. This qualitative study will explore the medical oncology (MO) patient and clinician experience of telemedicine in a metropolitan setting as a result of Covid-19.Method:Participants were selected and invited to participate by theoretical sampling from MO clinicians and patients attending MO clinics at Prince of Wales Hospital. Data was collected by in-depth semi-structured interviews. Thematic analysis was performed to analyse the interview data. Transcripts were coded using the grounded theory approach to identify overarching themes.Results:Twelve participants were recruited to the study. Most participants viewed the adoption of telemedicine positively because it was considered as convenient, efficient and could be used in order to reduce the spread of Covid-19. Nonetheless, participants complained about the poor implementation of telemedicine, technical difficulties and lack of proper training. Finally, providers expressed mixed views over the lack of personal interaction and the lack of physical examination from telemedicine. However, both clinicians and patients viewed telemedicine as acceptable to be used in the context of routine follow-ups.Conclusion:Although some operational improvements are necessary, the role of telemedicine in the follow up of MO patients seems likely to continue beyond Covid-19.


2021 ◽  
Vol 12 ◽  
Author(s):  
Silvio Carlo Ripamonti ◽  
Laura Galuppo ◽  
Sara Petrilli ◽  
Angelo Benozzo

The way in which managers perceive their organization's intellectual and social capital has an impact in shaping their choices and how they lead change. The aim of the study was to explore how the managers of a trade union framed the role of its intangible assets in a context of organizational change. A qualitative approach was used; 30 semi-structured interviews were conducted with the leaders of a trade union and then analyzed using the method of thematic analysis. Particular attention was paid to the metaphors the managers used to narrate change. The hypothesis underlying this approach is that metaphors are a meaningful resource in that they can convey how organization and its intangible assets are framed. In the results, three “root metaphors” are illustrated—the trade union seen either as a system of domination, an organism, or a culture—together with the consequences of each of these images for the perception and value attributed to the trade union's intangible assets. In conclusion, implications for changing management practices and for further research are discussed.


2020 ◽  
pp. 026921632096759
Author(s):  
Erin Tutty ◽  
Philomena Horsley ◽  
Rowan Forbes Shepherd ◽  
Laura E. Forrest

Background: CASCADE is a successful, Australia-first cancer rapid autopsy programme. Patients are recruited to the programme by their clinician once they understand that further treatment has only palliative intent. Despite its value, rapid autopsy is a rare research method owing partly to recruitment challenges. Aim: This research aimed to explore (1) how, in practice, clinicians select and recruit patients to the programme and (2) patient experiences of this process. Design: This was a qualitative study grounded in phenomenology. CASCADE team members (clinicians and researchers) and patients participated in semi-structured interviews. Data were analysed using an inductive, team-based approach to thematic analysis. Participants: Interviews were conducted with 31 participants (11 patients and 20 CASCADE team members). Results: Patient selection and recruitment to a rapid autopsy programme is both an art and science. In practice, patient selection is a subjective process that involves assessing a patient’s psychosocial suitability for the programme. Trust and rapport are necessary for informing this assessment and to create an environment conducive to discussing rapid autopsy. Clinicians have also crafted their own ways of delivering information about CASCADE, with both clinicians and patients acknowledging that, if not handled sensitively, recruitment could cause distress. Overall, patients were satisfied with the way in which they were recruited. Conclusion: Findings provide insight into how clinicians successfully select and recruit patients to a rapid autopsy programme and suggests that discussing such topics are acceptable to end-of-life patients. This research also raises thought-provoking questions about the ‘gatekeeping’ role of clinicians in recruitment.


2020 ◽  
Vol 2 (7) ◽  
pp. 398-403
Author(s):  
Chanel Watson

Nursing and midwifery practice has evolved, with many nurses and midwives now holding prescriptive authority. This paper reports on findings in relation to care which formed part of a broader qualitative study which aimed to explore the experiences of nurse and midwife prescribers in the maternity setting in Ireland. Following research ethics approval, 16 nurse/midwife prescribers participated in one-to-one audio recorded semi-structured interviews. Prescriptive authority both enhances the caring role of the nurse/midwife and supports safer care. The ways in which this happened have been illuminated though barriers have also been identified. In order for the full potential of nurses/midwives with prescriptive authority to be realised, measures such as increasing the number of prescribers and the provision on non-interruption zones need to be considered.


2020 ◽  
pp. 002076402097243
Author(s):  
Colins B Tanyuy ◽  
Chinyere M Aguocha ◽  
Emeka C Nwefoh ◽  
Mispar G Wankam

Background: People with mental illness are vulnerable to abuse in the community. Cultural and social practices may be contributory. Aim: To explore the social representation of abuse of persons with mental illness among the inhabitants of Jakiri municipality in Cameroon. Method: This was a qualitative study based on the Theory of Reasoned Action, conducted in 2018 among 11 inhabitants of Jakiri municipality, aged above 18 years and who had lived in the town for at least 2 years. In-depth face-to-face semi-structured interviews were conducted. Data were analyzed using the basic thematic approach. Results: The belief that mental illness is incurable, a curse from the gods, a result of witchcraft, and a punishment for violation of core social norms were identified as the reasons for physical violence against persons with mental illness. Beliefs that persons with mental illness were disorganized, destructive, physically aggressive, and dependent on others were identified as reasons for emotional abuse. Conclusion: A misconception of mental illness was the major underlying factor for the abuse of persons with mental illness.


2018 ◽  
Vol 5 (2) ◽  
pp. 12
Author(s):  
Maha Abdulwahed Alzahrani

This qualitative study examines the challenges faced by Saudi students in the process of applying to graduateprograms while studying in an anglophone country. Through the lens of gatekeeping scholarship, this study sought toshed light on the role of letter of intent on predicting the success of Saudi students with their graduate programsapplications. Writing a letter of intent in one of the main factors influencing students’ applications. Data collectedwas mainly through semi-structured interviews and analysis of the students’ letters of intent. In conclusion, theletters of intent were found to be one of the defining factors in successful graduate applications


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