The Multiple Dimensions of the Acceptance of Mental Illness

2016 ◽  
pp. 37-51
Author(s):  
Lauren Mizock ◽  
Zlatka Russinova
Keyword(s):  
Mental Illness ◽  
Sense Of Self ◽  
Cognitive Dimension ◽  
Five Dimensions ◽  
Multidimensional Construct ◽  
Multiple Dimensions ◽  
Emotional Dimension ◽  
Clinical Strategies ◽  
Positive Sense ◽  
The Face

This chapter explains the multidimensional construct of acceptance, including the five dimensions of this process. Interview excerpts are provided as evidence of each of these five dimensions. The five dimensions include (1) identity dimension (developing a positive sense of self in the face of mental illness); (2) cognitive dimension (developing thoughts, beliefs, and awareness around accepting one’s mental illness); (3) behavioral dimension (engaging in actions and behaviors that signify acceptance of one’s mental illness); (4) emotional dimension (experiencing emotions that signify acceptance of one’s mental illness); and (5) relational dimension (engaging in relationships and interacting with others in a manner that promotes acceptance of the illness). A clinical strategies list, discussion questions, activities, the “Dimensions of Acceptance Worksheet,” and diagrams are also included.

Racial–Ethnic Cultural Factors in the Process of Acceptance of Mental Illness

2016 ◽  
pp. 115-130
Author(s):  
Lauren Mizock ◽  
Zlatka Russinova
Keyword(s):  
Mental Illness ◽  
Culturally Responsive ◽  
Sense Of Self ◽  
Cultural Factors ◽  
Self Awareness ◽  
Cultural Backgrounds ◽  
Beliefs And Practices ◽  
Clinical Strategies ◽  
Cultural Self ◽  
Racial Ethnic

This chapter examines barriers and facilitators to the acceptance process that stem from the norms, values, beliefs, and practices found within various racial and ethnic groups. To illustrate this, five case narratives are provided, representing participants from various racial and ethnic backgrounds. The chapter emphasizes that although barriers may be found across a range of racial and ethnic cultural backgrounds, people with serious mental illness can be supported in drawing from their respective cultures of origin to locate various resources and actions that reinforce a positive sense of self in accepting and dealing with the experience of mental illness. Culturally responsive rehabilitation interventions can help individuals overcome cultural stigma and other barriers to reach an acceptance of their mental illness. A clinical strategies list, discussion questions, activities, the “Cultural Self-Awareness Worksheet,” and an explanatory table are also included.

Multidimensional Models of Information Need

2009 ◽  
Vol 08 (01) ◽  
pp. 53-66
Author(s):  
Yun-jie (Calvin) Xu ◽  
Kai Huang (Joseph) Tan
Keyword(s):  
Information Science ◽  
Retrieval System ◽  
Multidimensional Model ◽  
Dimensional Model ◽  
Information Need ◽  
Multidimensional Construct ◽  
Multiple Data ◽  
Multiple Dimensions ◽  
Multidimensional Models ◽  
Better Than

User studies in information science have recognised relevance as a multidimensional construct. An implication of multidimensional relevance is that a user's information need should be modeled by multiple data structures to represent different relevance dimensions. While the extant literature has attempted to model multiple dimensions of a user's information need, the fundamental assumption that a multidimensional model is better than a uni-dimensional model has not been addressed. This study seeks to test this assumption. Our results indicate that a retrieval system that models both topicality and the novelty dimension of a users' information need outperforms a system with a uni-dimensional model.

Anxiety and Coping Based on Emotions may contribute to Reduced Quality of Life in Patients with Mild Systolic Heart Failure

2018 ◽  
pp. 1-6
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Self Efficacy ◽  
Sense Of Self ◽  
Coping Styles ◽  
Nyha Class ◽  
Systolic Heart Failure ◽  
Emotional Dimension ◽  
And Coping

Aims and Scope: Perception of health related quality of life (QoL) may result from the complex interplay between the severity of the disease and the patient’s psyche. It the present study we assumed that anxiety and coping based on emotions may contribute to reduced QoL in patients with mild systolic heart failure (HF). Methods: We examined mainly males with systolic HF (almost all with ischemic etiology of HF, all classified in the NYHA class II, receiving standard pharmacological treatment). Each patient underwent a physical examination, routine laboratory tests and standard transthoracic echocardiography and completed psychological questionnaires assessing: coping styles, sense of self efficacy, acceptance of illness, optimism and the level of anxiety and QoL (by Minnesota Living with Heart Failure Questionnaire). Results: Emotion-oriented coping was strongly positively related to an overall score reflecting QoL (r=0.37) as well as to both dimensions of QoL, with exceptionally high correlation with the emotional dimension (r=0.24 and r=0.62, respectively, all p<0.05). More reduced QoL (overall score as well as scores in both analysed dimensions) was significantly (all p<0.05) but weakly (r=-0.21, r=-0.20 and r=-0.26, respectively) related to lower acceptance of the illness. Higher level of anxiety was related to more reduced QoL (all p<0.05). Reduced QoL in emotional dimension was related to the tendency to avoidance-oriented coping (r=0.26, including also a sub style based on distraction, r=0.34) as well as to lower sense of self-efficacy (r=-0.20) and lower level of optimism (r=-0.20, all p<0.05). Conclusion: The results indicate that HF patients are psychologically diverse, which is not related to disease severity. However, QoL was related to emotion-oriented coping and anxiety. Psychological support for patients with HF should be focused on teaching adequate methods of coping and reducing anxiety.

Moving Social Policy from Mental Illness to Public Wellbeing

2021 ◽  
pp. 1-15
Author(s):  
MATTHEW FISHER
Keyword(s):  
Mental Illness ◽  
Social Policy ◽  
Universal Access ◽  
Theoretical Work ◽  
Theory Of Change ◽  
Psychological Wellbeing ◽  
Policy Action ◽  
Recent Theoretical Work ◽  
The Face ◽  
Fundamental Shift

Abstract In the face of global epidemics of mental ill-health, the future of social policy lies with promotion of public wellbeing. This article aims to provide an explanatory rationale and methods for a fundamental shift in social policy; away from a remedial focus on mental ill-health defined in terms of disease or aberrant behaviour and toward a focus on universal access to social conditions favourable to psychological wellbeing. The paper begins with prefacing argument about the urgent need for such a shift, noting the high rates of mental ill-health globally and the failure of current biomedical responses to reduce these. Building on recent theoretical work on public wellbeing and evidence on social determinants of mental health, the paper then proposes nine domains for social policy and broader public policy action, to create conditions supportive of wellbeing abilities. Finally, the paper presents several conceptual issues relating to the challenge of putting such action into practice and concludes that contemporary understanding of wellbeing offers a theory of change to shift social policy from mental illness to public wellbeing.

The Problem of Suffering in the Age of Prozac

2016 ◽  
Author(s):  
Christina Simko
Keyword(s):  
Mental Illness ◽  
American Culture ◽  
The Self ◽  
Biomedical Model ◽  
Personal Stories ◽  
The Face

Personal stories about depression and anti-depressants have become a ubiquitous facet of American culture. Such depression memoirs represent a crucial forum for grappling with the problem of suffering; they also illuminate the narrative templates people utilize in the face of depression. An analysis of the literature shows both the increasing salience of the biomedical model for depression, and also the various ways it is co-opted into the project of recasting the self in light of mental illness. Much as biomedical language runs through the pages of these memoirs, so do broader narrative templates, such as spiritual discovery and therapeutic self-reconstruction. Collectively, these narratives represent an enduring effort to find sense in suffering: to work with and around the biomedical model in order to find a place for depression in a meaningful self-narrative.

Master plots: Psychoanalysis and Catholicism

2018 ◽  
Author(s):  
Patricia Moran
Keyword(s):  
Female Sexuality ◽  
Sense Of Self ◽  
Psychoanalytic Treatment ◽  
Master Plots ◽  
Psychoanalytic History ◽  
The Face ◽  
Psychic Distress

This chapter explores the two main interpretative frameworks White adopted to conceptualise a sense of self in the face of her recurrent psychic distress and inexplicable behaviour. White’s entrance into psychoanalytic treatment coincided with a moment in psychoanalytic history in which the thinking about female sexuality centred upon the ‘female castration complex’. White’s diary provides unmistakeable evidence that she developed an explanation for her illness that was heavily influenced by the ideas of Karl Abraham, who initiated this line of psychoanalytic theorising and who profoundly shaped British psychoanalysis. The recurrence of symptoms following her supposed ‘cure’ impelled White to reconvert to Catholicism at the end of 1940. White’s letters and diary show how she superimposes Catholic doctrine on that of psychoanalysis. Together these interpretative frameworks worked to affirm the centrality of father-daughter eroticism in White’s identity narrative.

Acceptance of Mental Illness Among Men

2016 ◽  
pp. 102-114
Author(s):  
Lauren Mizock ◽  
Zlatka Russinova
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Help Seeking ◽  
Health Resources ◽  
Health Conditions ◽  
Self Medication ◽  
Supportive Relationships ◽  
Clinical Strategies ◽  
Traditional Masculinity ◽  
The Impact

This chapter explores the unique barriers and facilitators to acceptance that men with serious mental illness may experience. The values associated with traditional masculinity are discussed as they pertain to the process of accepting mental illness. Barriers specific to men in our research studies are detailed, including avoidance of help-seeking and self-medication with substance abuse. In addition, the literature on misdiagnosis and underdiagnosis of mental health conditions among men is presented. Facilitators to the process of acceptance for men in the present research are discussed, including accessing supportive relationships and other mental health resources. Several participant case narratives are provided in order to demonstrate the impact of various masculinities on the process of acceptance. A clinical strategies list, discussion questions, activities, the “Men’s Acceptance of Mental Health Worksheet,” and an explanatory table are included at the close of the chapter.

Acceptance of Mental Illness Among Women

2016 ◽  
pp. 90-101
Author(s):  
Lauren Mizock ◽  
Zlatka Russinova
Keyword(s):  
Mental Illness ◽  
Serious Mental Illness ◽  
Clinical Care ◽  
Clinical Recommendations ◽  
Stigma And Discrimination ◽  
Clinical Strategies ◽  
Multiple Levels ◽  
The Impact ◽  
Experiences Of Women

This chapter reviews the experiences of women with serious mental illness and the various disparities encountered by them. These disparities include higher rates of victimization, unemployment, poverty, homelessness, and inequities in clinical care. The impact of these disparities and associated stigma on the acceptance process is presented. This chapter centers on a discussion of intersectional stigma, or overlapping, multiple levels of stigma and discrimination, faced by women with serious mental illness. Several participant case narratives are presented in order to demonstrate the impact of intersectional stigma on the process of acceptance for women with serious mental illness. Clinical recommendations are provided to facilitate acceptance among women who experience intersectional stigma. A clinical strategies list, discussion questions, activities, the “Intersectional Stigma Worksheet,” and an explanatory table are included at the close of the chapter.

scholarly journals Importance of specialisation in psychiatric services: Commentary on … How did we let it come to this?

2012 ◽  
Vol 36 (10) ◽  
pp. 364-365 ◽  
Author(s):  
Helen Killaspy
Keyword(s):  
Mental Illness ◽  
Clinical Outcome ◽  
Continuity Of Care ◽  
Mental Healthcare ◽  
Evidence Base ◽  
Delivery Systems ◽  
Psychiatric Services ◽  
The Face

SummaryIn this issue, Dr Lodge makes a plea for continuity of care in the face of the increased specialisation of mental healthcare over recent years. However, continuity of care is not a straightforward concept and its relationship to clinical outcome is not established. The increased specialisation of mental healthcare reflects an evolving evidence base that has increased our understanding of mental illness and the treatments and delivery systems that are most effective. In other words, specialisation is the sign of a progressive field.

scholarly journals Stigma and self-esteem across societies: avoiding blanket psychological responses to gay men experiencing homophobia

2015 ◽  
Vol 39 (4) ◽  
pp. 167-173 ◽  
Author(s):  
Karyofyllis Zervoulis ◽  
Evanthia Lyons ◽  
Sokratis Dinos
Keyword(s):  
Mental Health Professionals ◽  
Sense Of Self ◽  
Well Being ◽  
Self Esteem ◽  
Two Cities ◽  
Positive Sense ◽  
Sex With Men ◽  
The Relationship ◽  
The City ◽  
Different Levels

Aims and methodThe relationship between homophobia (varying from actual and perceived to internalised) and measures of well-being is well documented. A study in Athens, Greece and London, UK attempted to examine this relationship in two cities with potentially different levels of homophobia. One-hundred and eighty-eight men who have sex with men (MSM) living in London and 173 MSM living in Athens completed a survey investigating their views on their sexuality, perceptions of local homophobia and their identity evaluation in terms of global self-esteem.ResultsThe results confirmed a negative association between homophobia and self-esteem within each city sample. However, Athens MSM, despite perceiving significantly higher levels of local homophobia than London MSM, did not differ on most indicators of internalised homophobia and scored higher on global self-esteem than London MSM. The city context had a significant impact on the relationship.Clinical implicationsThe findings are discussed in relation to the implications they pose for mental health professionals dealing with MSM from communities experiencing variable societal stigmatisation and its effect on a positive sense of self.

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