Reducing Stress, Coping, and Communicating Effectively: Tips for Family Members and Patients

Author(s):  
Michael T Compton ◽  
Beth Broussard

As discussed in previous chapters, psychosis often first begins in late adolescence or young adulthood. Thus, many people who experience a first episode of psychosis live with and rely on their families for support. In addition to providing a place to live and other basic support, families are key in the recovery process because they love and care for the person with the illness and they want to help. Family members may need to provide emotional support, arrange for treatment, and find new ways to cope with the signs and symptoms of psychosis or other problems that result from the illness. Families are a very important part of the team that is necessary to properly manage psychosis. In fact, now that more effective antipsychotic medicines and psychosocial treatments are available, many people with psychosis often can receive treatment in the community and with their families rather than having extended stays in the hospital. Families play a major role in helping their loved ones manage their illness. As a result, it is vital to create a supportive family environment by reducing stress, coping, and communicating effectively. This chapter focuses on three essential domains of a supportive family environment: reducing stress, enhancing coping, and ensuring effective communication. First, we begin by defining …Families play a major role in helping their loved ones manage their illness. As a result, it is vital to create a supportive family environment by reducing stress, coping, and communicating effectively.… stress and the ways that the early stages of psychosis can lead to stress. We discuss three ways to reduce stress in the family as well as three related ways the family can help the patient to reduce stress. Second, we define coping and talk about the importance of coping with a stressful event, like an episode of psychosis in a family member. We offer three ways of coping effectively for family members as well as three ways that patients can practice effective coping. Third, we address the value of good communication and how the symptoms of psychosis can sometimes interfere with productive communication patterns. We then provide eight points of advice for effective communication within the family.

Author(s):  
Beth Broussard ◽  
Michael T. Compton

Families are key in the recovery process because they love the person with the illness, care for them, and want to help. But stress in a family can sometimes start to break down communication between family members. Certain symptoms of psychosis can also make communication difficult at times. It is vital to create a supportive family environment by reducing stress, coping, and communicating effectively. It is impossible to get rid of all stressors because some are just a natural part of life or trying to reach personal goals. Learning to manage stress is important to everyone’s mental and physical health. Working together to develop better ways of handling stress strengthens relationships and improves the quality of life for everyone in the family. Effective communication helps to improve relationships, resulting in fewer conflicts and unresolved disagreements.


2021 ◽  
Vol 10 (Supplement_1) ◽  
Author(s):  
ERWIN Erwin ◽  
ELLY Nurachmah ◽  
TUTI Herawati

Abstract Funding Acknowledgements Type of funding sources: None. Background The client"s condition for heart failure requires environmental support to be able to be confident and able to carry out activities according to the directions given while the patient is undergoing treatment in the hospital, but sometimes in the client"s time period at home there will be situations where patients may experience complaints or changes in conditions that can affect his cardiovascular status. Purpose this study is conducted to identify psychological and social problems and needs of heart failure clients with a qualitative approach of observation, invite individuals or families to participate, motivate individuals to develop the potential to maintain optimal health. In addition, this study was conducted to assess the need and effectiveness of the practice of consulting for heart failure nursing in hospital outpatients Method qualitative observation approach in nursing consulting practice using steps of the nursing process consisting of an assessment of physical, psychological and social conditions and client needs, formulating problems, making plans and taking care of actions in accordance with the problems that exist by nurses in the outpatient clinic at home sick. Results Clients who came to the outpatient clinic had various  psychological and social problems. From the observations and interviews it was found that psychological and social problems were the most common causes. Psychosocial problems arise due to the client himself, life companion (husband or wife) and family members who live together. So that the family system to support clients with heart failure is not awakened. Health education and promotion to clients, life companions, and family members of heart failure clients who live at home are needed when the client controls health to maintain the client"s health support system while at home. All clients and families in this study stated that the practice of nursing consultations in hospital outpatients is very helpful for clients and families to improve the situation they face. Conclusion the practice of nursing consultations can identify the problems and needs of clients and families. Strengthening the client support system for heart failure at home is needed so that psychological and social problems can be reduced when the client is in the family environment. Nursing consultation practices at outpatient hospitals are needed to help motivate clients and families in maintaining and increasing care and support for clients who suffer from heart failure while at home. Psychosocial problems The client felt anxious, lack of attention, complained sleeping difficulty, often forgot taking medicine, and forgot managing fluid intakeThe client,while at home, was fastidious and wanted to many, was difficult to be told or managed, was always suspicious with their spouse"s activity easily got angry or temperamental, the client"s child felt annoyed because the client acted annoying, the client"s spouse felt annoyed because the client was impatient and temperamentalPsychological, and social problems in heart failure patients


2021 ◽  
Vol LIII (1) ◽  
pp. 84-87
Author(s):  
Alexandra Yu. Kivorkova ◽  
Andrey G. Soloviev

Aim. The aim of the paper was the substantiation the directions of correction the emotional state of the family environment of the family members of dangerous professions on the basis of biobehavioral therapy using biofeedback technology. Methods. 47 women were examined (29.34.7 years) wives of employees whose professional activities are related to solving professional problems in extreme conditions. The hardware and software complex BOS-Pulse with the Pulse module with game plots, Multipsychometer was used. According to the pulse recorded by the photoplethysmographic method, a spectral analysis of heart rate variability was carried out using a program for processing data from game biocontrol. The control of efficiency was carried out according to the functional parameters of the cardiovascular system and indicators of the color choice test. Results. By the end of the training, all women had mastered the skill of increasing RR-intervals. The value of the stress index of Baevskys regulatory systems during the course of biobehavioral therapy decreased from 73.217.8 to 56.825.4, the index of vegetative balance from 132.729.2 to 84.545.2. According to the test of color choices, a pronounced deepening of positive tendencies in terms of psychological indicators was noted, which, in general, was expressed in a significant decrease in anxiety and fatigue with a simultaneous increase in working capacity and indicators of the vegetative coefficient. Conclusions. Correctional trainings with the use of biocontrol technology led to an improvement in personal adaptive characteristics, the formation and consolidation of the conditioned reflex skill of self-regulation and a corrective behavioral stereotype that promotes activation of the bodys reserve capabilities. The effective behavioral strategies of self-regulation developed by women contributed to the training of productive techniques for counteracting stressors associated with the specifics of husbands professional activities and, accordingly, with the family microclimate.


Author(s):  
Sinem Siyahhan ◽  
Elisabeth Gee

The family environment is an important social context where learning takes place for adults and children of all ages, and perhaps the only context in which participation occurs over a life-span. In this social context, playing games has always been one of many activities family members do individually and together that engages them in learning. In this chapter, we offer a broad perspective on learning and discuss how games of all sorts can provide opportunities for learning, and how families can take more advantage of these potential learning experiences.


2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Yessy Gusminalita ◽  
Doli Witro ◽  
Kesi Afrilia

In family that plays an important role in shaping the child's personality is the parent. The personality is obtained through the educational process taught by his parents. First and foremost educators for children in the family are parents because it is from them that the child first gets an education. In essence, education in the family occurs implicitly, starting with communication between family members and the daily behavior of their parents. In addition to good communication, the behavior of both parents also participate in the formation of children’s morals. Because the family is the first and primary madrasa for a child. In general, in a family environment, religious values are instilled in children to shape their behavior. Therefore, religious education in the family environment is needed to find out which boundaries are good and bad in children's daily lives. In Islam it is taught to protect the family (or children) from ignorance, even it is highly recommended not to leave the family in a weak state (educational and economic). As explained in the Qur’an surah an-Nisa’ verse 9. This paper will discuss education in the family perspective of surah an-Nisa’ verse 9. This is important to discuss to avoid the birth of a generation of the weak, both weak in education and economically. With an education in the family, it is expected to form a strong generation is facing the challenges of the times ahead.


Kadera Bahasa ◽  
2018 ◽  
Vol 9 (1) ◽  
pp. 39-52
Author(s):  
Ali Kusno

The golden age of kid was a sensitive period. During this period, the kid was specially receiving the stimulant from theenvironment. The period of kid’s language development was various, dependent on the characteristics. This study relatedto the function development of kid’s language. The example case to the girl 2,5 years old, Azza Aqila Jihan Syuasabitha(Jihan). Jihan was growing in the family environment and child caring. The kid’s language was developing quickly. Theusage of language was devoted to Jihan’s interaction with family members. Collecting data method in this study was theobservation. The subject in this study was the child’s author. This study aimed to describe the development of Jihan’sspeech as child 2,5 years old based on the language function grouping according to M.A.K Halliday. The result of thestudy showed the kid can apply all of language function usage. Those are the instrumental, the regulatory, the interactional,the personal, the heuristic, the imaginative, and the representational. Therefore, she was interpreted has the ability aboveaverage the children the same age. The achievement was influenced by biological factors (parents who have good languageskills) and social environment (in the house, in the school, and so on) which can stimulate Jihan’s language development AbstrakMasa keemasan anak merupakan periode sensitif (sensitive periods). Selama masa tersebut anak secarakhusus mudah menerima stimulus-stimulus dari lingkungan. Tempo perkembangan bahasa anakcenderung variatif tergantung karakteristik anak. Penelitian ini berhubungan dengan perkembanganfungsi bahasa anak. Contoh kasus, Azza Aqila Jihan Syuasabitha (Jihan) anak perempuan yang berusia2,5 tahun. Jihan besar dalam lingkungan keluarga dan taman penitipan anak. Perkembangan fungsibahasanya pesat. Pemakaian bahasa dikhususkan pada interaksi Jihan dengan anggota keluarga.Pengumpulan data dalam penelitian dengan teknik pengamatan berperan serta. Subjek penelitian iniadalah anak penulis sendiri. Penelitian ini bertujuan untuk mendeskripsikan perkembangan tuturanJihan sebagai anak yang berusia 2,5 tahun berdasarkan pengelompokan fungsi bahasa menurut M.A.KHalliday. Hasil penelitian menunjukkan anak itu mampu menerapkan keseluruhan fungsi penggunaanbahasa, yakni instrumental, regulatoris/dogmatis, interaksional, personal, heuristik, imajinatif, danrepresentasional. Dengan demikian, dapat diinterpretasikan bahwa anak itu memiliki kemampuan diatas rata-rata anak seumur dia. Pencapaian tersebut dipengaruhi oleh faktor biologis (orang tua yangmemang memiliki kemampuan berbahasa yang baik) dan lingkungan sosial (di rumah, sekolah, dantempat lain).


2021 ◽  
Vol 3 (2) ◽  
pp. 1-9
Author(s):  
Heppi Sasmita, Neviyarni S, Yarmis Syukur

Every family wants harmony in the family. Awareness of the role and function of accepting circumstances and existence is a very strong foundation in running a household. In realizing a harmonious household, of course there are problems that must be resolved immediately so that family harmony is maintained and realized. The family has an important role in the success of the child, remembering that most of the time in the child's daily life with the family, the family is the first community for the child to interact. But in this digital era, many people of all ages have really changed. Changing to be fast paced, but also decreasing the harmony that has been established in the family, this can be seen by the reduced love, cooperation and sharing in the family because they are busy with their respective activities, especially when dealing with gadgets so that harmony in the family is reduced. The role of school counselors is indispensable in forming empathy for family members to achieve household harmony by using family counseling, which is used as an intervention process for problems that interfere with family harmony. Family counseling seeks to build closer bonds, individuals who are able to control emotions, and families who always have good communication in realizing family harmony.


2020 ◽  
Vol 1 (2) ◽  
pp. 69-78
Author(s):  
Siti Riskika ◽  
Melinda Restu Pertiwi ◽  
Nessy Anggun Primasari ◽  
Niswa Salamung

Introduction: Many things are done by a person to get peace in his life, but sometimes someone does not realize the importance of interacting with other people, in this case communication. Communication is very crucial in life, especially in family life. Someone who is experiencing illness also needs clear communication to help the healing process, be it communication with family or communication with health workers. Method: The literature search was carried out by looking for literature studies in Scopus and in ScienceDirect with the theme of communication in the family. Results: After applying the eligibility criteria in the review, the 15 studies that had been obtained were included. The 15 studies, it shows that the communication provided by the family to other family members is very important in supporting the recovery of a sick family member, even a baby who is sick will gradually improve if he gets good communication from his mother, in the form of communication with physical contact. and attachment. The study of communication is important considering that many do not understand that communication is very important in life. Effective and open communication is also one of the keys to achieving a harmonious life in the family. Conclusion: Effective and open communication is important to apply, especially in family life, and also in the hospital environment, good communication between health workers, patients and families will help heal patients who are experiencing illness


2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S125-S126
Author(s):  
Norma Verdolini ◽  
Silvia Amoretti ◽  
Gisela Mezquida ◽  
Bibiana Cabrera ◽  
Manuel J Cuesta ◽  
...  

Abstract Background Family environment plays a key role in the development of psychotic symptoms (Pitschel-Walz et al., 2001; Tienari et al., 2004) and negative family environmental factors are linked to poor prognosis in psychosis (Geller et al., 2000). By contrast, a positive family environment is associated with greater improvements in negative and disorganized symptoms among individuals at imminent risk of becoming psychotic (O’Brien et al., 2006). Nonetheless, little is known about the implication of family environment on longitudinal functioning in patients that presented a first psychotic episode. Methods This study is part of the “Phenotype-genotype and environmental interaction. Application of a predictive model in first psychotic episodes” (PEPS) study, a multicentric, longitudinal, naturalistic follow-up study (Bernardo et al., 2013). The Functional Assessment Short Test (FAST) was used to assess functional outcome. The Family Environment Scale (FES) evaluated family emotional climate in different categories: COHESION (C) for mutual reliance; EXPRESSIVITY (EX), the extent to which family members express their feelings directly; CONFLICTS (CON) for open expression of anger, aggressiveness and conflict; INDEPENDENCE (IND), the extent to which family members are independent in their decisions; ACHIEVEMENT ORIENTATION (AO) for an achievement-orientated environment; INTELLECTUAL–CULTURAL ORIENTATION (ICO) for political, intellectual, cultural interests; ACTIVE–RECREATIONAL ORIENTATION (ARO) for participation in social activities; MORAL–RELIGIOUS EMPHASIS (MRE) for the importance given to ethical and religious practices and values; ORGANIZATION (ORG) for the organization in activities and responsibilities; and CONTROL (CTL), the extent to which the family considers rules and established procedures. Patients with a first psychotic episode (FEPs) and healthy controls (HCs) have been evaluated baseline and after two years of follow-up. Diagnoses at 2 years have been established according to the Structured Clinical Interview for DSM-IV. Linear regression models have been conducted in order to assess the effect that different family environments exert on functioning at baseline but also at 2 years of follow-up, when the group of FEPs has been divided in patients diagnosed with psychotic disorders (PSYC) versus bipolar disorder (BD). All data were analyzed with the Statistic Package for Social Sciences (SPSS v.23 for Windows). All the analyses were two-tailed with alpha set at p < 0.05. Results At baseline, the total sample included 335 FEPs (mean FAST=27.8±16.1) and 253 HCs (mean FAST 3.5±8.1). At baseline the linear model was not significant neither for FEPs nor for HCs and no family environment was associated with functioning. At 2 years (mean FAST BD=13.8±15.1, mean FAST PSYC =20.98±15.4), in the BD group (F(10,14)=2.6, p=.05) worse functioning was associated with CON (β=.741, p=.004) whilst in the PSYC group (F(10,108)=3.509, p=<.001) it was negatively associated with ARO (β=- .305, p=.006) and AO (β=- .204, p=.039) and positively associated with MRE (β=.268, p=.003). Discussion At baseline, no specific family environment was associated with functioning. At 2 years, in BD worse functioning was associated with higher rates of open expression of conflict in the family whilst in PSYC it was associated with lower rates of participation in social activities and achievement-orientated family environment as well as with higher rates of religious practices and values. Family environment exerts an important role in the functioning of FEPs mainly in the long-term, with important implications for early interventions for both patients and caregivers.


2015 ◽  
Vol 5 (1) ◽  
pp. 27-38
Author(s):  
Dorota Strzelczyk

Abstract One of the actions that affect the quality of life of the family as a complex system of relationships is interpersonal communication that takes place between the members of the family. In line with the transactional analysis, the trend in psychology founded by E. Berne, relationships between individuals should be based on honest and open disclosure of one’s desires and attitudes, i.e. variety of transactions. Otherwise, there are specific game leading to maintain and increase the distance between family members, weaken the ties between them and leading to a reduction in the quality of interpersonal relationships. The paper below aims to make closer the problems of transactional analysis, beginning from the explanation of the structure of “Ego” according to Berne and the terms “transactions”, “reinforcement” and “life scripts”. There will be presented also games played in family environment and their consequences for the proper functioning of the family.


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