Cultivating Stories of Strength and Meaning and Deconstructing Damaging Discourses: The Course of Treatment

2013 ◽  
Author(s):  
SuEllen Hamkins
Keyword(s):  
Mental Health Treatment ◽  
Well Being ◽  
Gender Preference ◽  
Body Type ◽  
Cultural Discourses ◽  
Financial Status ◽  
Common Value ◽  
The People ◽  
Patient’S Experience ◽  
Many Sources

Listening for narratives of strength and meaning that have not yet been told but are implicit in the patient’s experience is key to the art of narrative psychiatry. In any conversation, there are many openings for finding exceptions to the activities and effects of problems. Each exception to the problem is a seed that can be cultivated into a narrative by fleshing it out with detail, linking it to other exceptions over time, and articulating the meanings that these exceptions have for the person. This new narrative offers fertile ground for freshly imagining what might be possible in the future. It sustains valued aspects of identity and points the way toward freedom from the problem. At the same time that we are nurturing nascent stories of skill and resilience, we are also listening for narratives that fuel problems, so that they may be examined, dismantled, and replaced with narratives that support well-being. Stories that fuel problems come from many sources. For example, someone who is dealing with depression may be influenced by a family story of being the “problem child,” a local story that derides those who seek mental health treatment, and a wider cultural story that narrowly defines a successful life in terms of money. These narratives can be named and closely examined in light of the patient’s own values, allowing the patient more choice over which narratives are taken up and which are set aside. Narrative psychiatry continuously attends to the patient’s social context. Often, the people who consult with us are living under the influence of cultural discourses that make negative claims about their worthiness, seek to limit their prospects, and engage them in processes of self-scrutiny that lead to anxiety or despair. By discourses I mean narratives and practices that share a common value. These discourses include those that privilege or denigrate people on the basis of their race, gender, gender preference, sexual preference, body type, financial status, education, health, or ability. Narrative psychiatry attends to issues of power—of privilege and oppression—and deconstructs the operations of power as they influence someone’s life.

Leisure Activities and the Subjective Well-Being of Older Adults in Croatia

GeroPsych ◽  
2018 ◽  
Vol 31 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Ljiljana Kaliterna Lipovčan ◽  
Tihana Brkljačić ◽  
Zvjezdana Prizmić Larsen ◽  
Andreja Brajša-Žganec ◽  
Renata Franc
Keyword(s):  
Older Adults ◽  
Leisure Activities ◽  
Leisure Activity ◽  
Later Life ◽  
Perceived Health ◽  
Well Being ◽  
Hierarchical Regression ◽  
Subjective Well Being ◽  
Convenience Sample ◽  
Financial Status

Abstract. Research shows that engagement in leisure activities promotes well-being among older adults. The objective of the current study was to examine the relationship between subjective well-being (flourishing) and leisure activities (total number of different activities in the previous year) in a sample of older adults in Croatia, thereby considering the variables of sex, marital status, financial status, and self-perceived health. The differences in the examined variables between the groups of older adults who reported to be engaged in new activities with those who did not were also examined. The sample of N = 169 older adults aged 60 years and above was drawn from a convenience sample of adult internet users in Croatia. Participants reported their self-perceived health and the number of leisure activities they engaged in over the previous year as well as completing the Flourishing Scale. Hierarchical regression analyses indicated that older adults who were engaged in more various leisure activities, who perceived better financial status, and who were married reported higher levels of flourishing. A comparison of the two groups of older adults with and without engagement in leisure activities showed that those engaged in at least one leisure activity were more likely to be women, reported higher levels of flourishing, and perceived their own financial status as better. This study indicated that engaging in leisure activities in later life might provide beneficial effects for the well-being of older adults.

Principles of a Successful Social Life, In The Light of Islamic Teachings

2020 ◽  
Vol 3 (3) ◽  
pp. 37-50
Author(s):  
Muhammad Suleman Nasir
Keyword(s):  
Social Life ◽  
Code Of Conduct ◽  
Well Being ◽  
Human Interaction ◽  
Way Of Life ◽  
The People ◽  
Analytical Research ◽  
Sound Foundation ◽  
Human Intellect ◽  
Islamic Society

Society means a group of people who are living together. People need society from birth to death. Without a collective life, man's deeds, intentions, and habits have no value. Islamic society is the name of a balanced and moderate life in which human intellect, customs, and social etiquette are determined in the light of divine revelation. This system is so comprehensive and all-encompassing that it covers all aspects and activities of life. Islam is a comprehensive, universal, complete code of conduct, and an ideal way of life It not only recognizes the collectiveness of human interaction. Rather, it helps in the development of the community and gives it natural principles that strengthen the community and provides good foundations for it and eliminates the factors that spoil it or make it limited and useless. The Principles of a successful social life in Islamic society seem to reflect the Islamic code of conduct and human nature. Islam is the only religion that advocates goodness and guarantees well-being. Islam gives us self-sacrifice, generosity, trust and honesty, service to the people, justice and fairness, forgiveness and kindness, good society and economy, good deeds, mutual unity, harmony, and brotherhood. Only by practicing the pure thoughts, beliefs, and unparalleled ideas of the religion of Islam, can a person live a prosperous life and he can feel real peace and lasting contentment in the moments of his life. A descriptive and analytical research methodology will be used in this study. It is concluded that for a prosperous social life it is necessary to abide by the injunction of Islamic principles, which provides a sound foundation for a successful social life here in the world and hereafter.

Foundations From Quantum Physics for a Normative Theory of Administration and Governance

Public Voices ◽  
2017 ◽  
Vol 3 (2) ◽  
pp. 35
Author(s):  
R. Philip Brown
Keyword(s):  
Public Administration ◽  
Meaning In Life ◽  
Quantum Physics ◽  
Well Being ◽  
Normative Theory ◽  
The People ◽  
Self Interest ◽  
Prime Meridian ◽  
Organizational Purpose ◽  
Organizing Principles

The modem American ethos is a brand of Lockean individualism gone wrong that now embraces rapacious self-interest as its prime meridian. A new ethicalmodel is necessary to combat this radical, soulless, and excessively particularistic form of individualism. The author proposes a journeyman philosophy of organization and governance for citizen and administrative practitioner alike based upon concepts from quantum theory. This normative model of administration, called authentic individualism, has certain ramifications for a more reflexive, creative and unorthodox approach to public administration. All institutions and organizations are systems guided by general organizing principles that should discard the humans as a resource model, make employee well-being an organizational purpose, encourage humans toward a sense of moral meaning in life and work, recognize legitimate leadership as emerging from the people who make up the organization, and fulfill obligations to the community that supports them and makes them successful.

scholarly journals Evidence-Based Landscape Architecture for Human Health and Well-Being

2020 ◽  
Vol 12 (4) ◽  
pp. 1360 ◽  
Author(s):  
Robert D. Brown ◽  
Robert C. Corry
Keyword(s):  
Human Health ◽  
Architectural Design ◽  
Landscape Architecture ◽  
Well Being ◽  
Evidence Based ◽  
Natural Environments ◽  
The People ◽  
Outdoor Environments ◽  
The Usa ◽  
Health And Well Being

More than 80% of the people in the USA and Canada live in cities. Urban development replaces natural environments with built environments resulting in limited access to outdoor environments which are critical to human health and well-being. In addition, many urban open spaces are unused because of poor design. This paper describes case studies where traditional landscape architectural design approaches would have compromised design success, while evidence-based landscape architecture (EBLA) resulted in a successful product. Examples range from school-yard design that provides safe levels of solar radiation for children, to neighborhood parks and sidewalks that encourage people to walk and enjoy nearby nature. Common characteristics for integrating EBLA into private, public, and academic landscape architecture practice are outlined along with a discussion of some of the opportunities and barriers to implementation.

scholarly journals Spirituality and Conflict in Healthcare: The History of the Canadian Baptists and Medical Mission in Orissa, 1900–1970

Histories ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 69-84
Author(s):  
Tiasa Basu Roy
Keyword(s):  
Religious Identity ◽  
Well Being ◽  
Word Of God ◽  
Health Issues ◽  
Medical Mission ◽  
The People ◽  
Medical Facilities ◽  
History Of ◽  
Ganjam District ◽  
Positive Results

It was from the middle of the eighteenth century that discussions regarding the strategies taken up by the Protestant missionaries to propagate the Gospel generated the issue of healthcare and medical facilities among people in India. Medical mission, which hitherto was not considered, started to gain importance and reaped positive results in terms of curing individuals and its trustworthiness among tribes residing in the frontier regions. However, this developed a separatist religious identity among the population, which apparently did not appear lethal, but later culminated in the fragmentation and impeachment of solidarity among the adivais (tribal) and vengeance from the Hindu population. This article will show how the Canadian Baptist Mission, with its primary aim of spreading the Kingdom of God among the tribal Savaras in the Ganjam district of Orissa, undertook measures for serving health issues and provided medical facilities to both the caste Oriyas and the tribal Savaras. Although medical activities oriented towards philanthropy and physical well-being, medical mission was not limited to healing illness and caring for all, but also extended to spreading the word of God and influencing the people to embrace Christianity as well, which invited political troubles into the region.

The Trajectory of Subjective Well-Being: A Partial Explanation of the Marriage Advantage

2021 ◽  
pp. 0192513X2110300
Author(s):  
Alfred DeMaris ◽  
Gary Oates
Keyword(s):  
Well Being ◽  
Subjective Well Being ◽  
Social Psychological ◽  
Partial Explanation ◽  
Financial Status ◽  
Linear Mixed Effects ◽  
Race And Gender ◽  
Emotional Factors ◽  
Mixed Effects Modeling ◽  
And Gender

Although several studies have documented a distinct marriage advantage in well-being, it is still unclear what it is about marriage that renders this benefit. We hypothesize that it is due to factors theorized to accrue to matrimony, such as elevated financial status and specific social psychological supports. We examine the trajectory of subjective well-being for 1135 respondents from the three-wave 2010 GSS panel survey utilizing linear mixed-effects modeling. We find that about two-fifths of the marriage advantage in subjective well-being is accounted for by a mixture of control variables, finances, and emotional factors, with most of this due to elements that are associated with the marital context. Higher annual income, enhanced interpersonal trust, greater sociability, and less of a sense of loneliness and isolation appear to be responsible for a substantial component of the marital advantage. We further find that the marriage advantage is invariant to both race and gender.

scholarly journals Uncovering Burdens, Examining Needs, and Shedding Assumptions of Evidence-Based Social Support Programs for Mothers: A Descriptive Qualitative Study in a Remote Community

2021 ◽  
Vol 8 ◽  
pp. 233339362110357
Author(s):  
Johanna R. Jahnke ◽  
Julee Waldrop ◽  
Alasia Ledford ◽  
Beatriz Martinez
Keyword(s):  
Social Support ◽  
Young Children ◽  
Healthcare Workers ◽  
Qualitative Interviews ◽  
Well Being ◽  
Evidence Based ◽  
Community Stakeholders ◽  
Significant Burden ◽  
Many Sources ◽  
Evidence Based Programs

Many studies have demonstrated a significant burden of maternal stress and depression for women living on the Galápagos Islands. Here, we aim to uncover burdens and needs of women with young children on San Cristóbal Island and then explore options for implementing evidence-based programs of social support to meet these needs. We conducted 17 semi-structured qualitative interviews with mothers of young children, healthcare workers, and community stakeholders. We then used Summary Oral Reflective Analysis (SORA), an interactive methodology, for qualitative analysis. Despite initial reports of a low-stress environment, women described many sources of stress and concerns for their own and their children’s health and well-being. We uncovered three broad areas of need for mothers of young children: (1) the need for information and services, (2) the need for trust, and (3) the need for space. In response to these concerns, mothers, healthcare workers, and community leaders overwhelmingly agreed that a social support program would be beneficial for the health of mothers and young children. Still, they expressed concern over the feasibility of such a program. To address these feasibility concerns, we propose that a web-based education and social support intervention led by nurses would best meet mothers’ needs. Women could learn about child health and development, develop strong, trusting friendships with other mothers, and have their own space to speak freely among experts and peers.

scholarly journals COVID-19 Barometer: Social Opinion – What Do the Portuguese Think in This Time of COVID-19?

2021 ◽  
pp. 1-9
Author(s):  
Ana Rita Pedro ◽  
Ana Gama ◽  
Patrícia Soares ◽  
Marta Moniz ◽  
Pedro A. Laires ◽  
...  
Keyword(s):  
Health Services ◽  
Online Survey ◽  
Well Being ◽  
Point Of View ◽  
Daily Lives ◽  
The People ◽  
Huge Impact ◽  
The Impact ◽  
Continue Monitoring

The COVID-19 pandemic brought new challenges to the global community, reinforcing the role of public health in society. The main measures to combat it had (and still have) a huge impact on the daily lives of citizens. This investigation aimed to identify and monitor the population’s perceptions about how it faced this period and the impact on health, well-being, and daily life. In this study, we describe the main trends observed throughout the COVID-19 pandemic in terms of mental health status, confidence in the capacity of the health services to respond to the pandemic, and the use of health services by participants. The online survey collected responses from 171,947 individuals ≥16 years of age in Portugal, over a period of 15 weeks that started on 21 March 2020. Participants could fill the questionnaire once or weekly, which enabled us to analyse trends and variations in responses. Overall, 81% of the respondents reported having felt agitated, anxious, or sad during the COVID-19 pandemic; 19% did not experience these feelings. During the confinement period, the proportion of participants feeling agitated, anxious, or sad every day/almost every day ranged between 20 and 30%, but since the deconfinement this proportion decreased. Around 30% reported having more difficulty getting to sleep or to sleep all night; 28.4% felt more agitated; 25.5% felt sadder, discouraged, or cried more easily; and 24.7% felt unable to do everything they had to do, women more frequently than men. Overall, 65.8% of the participants reported feeling confident or very confident in the health services’ capacity to respond to the challenges associated with the pandemic, and this confidence increased over time. Concerning the people who needed a consultation, 35.6% had one in person and 20.8% had one remotely, but almost 44% did not have one due to cancellation by the service (27.2%) or their own decision not to go (16.3%). At this unusual time in which we find ourselves and based on our findings, it is essential to continue monitoring how the population is facing the different phases of the pandemic until it officially ends. Analysing the effects of the pandemic from the point of view of citizens allows for anticipating critical trends and can contribute to preventative action.

scholarly journals Mental Health in Women Living With HIV: The Unique and Unmet Needs

2021 ◽  
Vol 20 ◽  
pp. 232595822098566
Author(s):  
Elizabeth M. Waldron ◽  
Inger Burnett-Zeigler ◽  
Victoria Wee ◽  
Yiukee Warren Ng ◽  
Linda J. Koenig ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Behavioral Therapy ◽  
Well Being ◽  
Future Research ◽  
Health Issues ◽  
Women Living With Hiv ◽  
Mental Health Issues ◽  
Hiv Management ◽  
Living With Hiv

Women living with HIV (WLWH) experience depression, anxiety, and posttraumatic stress symptoms at higher rates than their male counterparts and more often than HIV-unaffected women. These mental health issues affect not only the well-being and quality of life of WLWH, but have implications for HIV management and transmission prevention. Despite these ramifications, WLWH are under-treated for mental health concerns and they are underrepresented in the mental health treatment literature. In this review, we illustrate the unique mental health issues faced by WLWH such as a high prevalence of physical and sexual abuse histories, caregiving stress, and elevated internalized stigma as well as myriad barriers to care. We examine the feasibility and outcomes of mental health interventions that have been tested in WLWH including cognitive behavioral therapy, mindfulness-based interventions, and supportive counseling. Future research is required to address individual and systemic barriers to mental health care for WLWH.

scholarly journals On the Anti-paternalist Project of Reconciliation

Utilitas ◽  
2018 ◽  
Vol 31 (1) ◽  
pp. 20-37 ◽  
Author(s):  
VIKI MØLLER LYNGBY PEDERSEN
Keyword(s):  
Well Being ◽  
The People

How should anti-paternalists deal with policies that seem to be simultaneously reasonable and paternalistic? In the literature, anti-paternalists have sought to show that many policies that prevent people from harming themselves can be justified without appeal to the good accruing to the people interfered with; that is, without appeal to paternalistic reasons. However, while perhaps identifying sufficient non-paternalistic reasons for supporting these policies under realistic circumstances, anti-paternalists often fail, I argue, to identify satisfactory reasons that adequately reflect our underlying concerns pertaining to such policies. Included in those concerns are arguably the interests and well-being of the people whose choices are restricted by the policy in question. In this way, this article reveals that the strategy of reconciling anti-paternalism with seemingly paternalistic policies is beset by serious problems.

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