Respecting recovery: research relationships with people with mental illness

2015 ◽  
Vol 15 (3) ◽  
pp. 256-267 ◽  
Author(s):  
Benjamin Milbourn ◽  
Beverley A McNamara ◽  
Angus J Buchanan
Keyword(s):  
Mental Illness ◽  
Lived Experience ◽  
Small Sample Size ◽  
Discourse Ethics ◽  
Small Sample ◽  
Theoretical Frameworks ◽  
Content Type ◽  
Research Relationship ◽  
People With Mental Illness ◽  
Critical Reflexivity

Purpose – The lived experience of individuals who experience mental illness should be at the heart of recovery-orientated practice and research. The purpose of this paper is to outline key ethical and practical issues that both respect principles of recovery and are fundamental to establishing and maintaining a research relationship with people with severe mental illness (SMI). Design/methodology/approach – Theoretical frameworks of recovery, discourse ethics and critical reflexivity were used in a 12-month longitudinal community study to construct and build methodology to inform the collection of rich descriptive data through informal discussions, observations and interviews. Detailed field notes and a reflective journal were used to enable critical reflexivity and challenge normative assumptions based on clinical and lay views of SMI. Findings – The paper provides an analysis through three vignettes which demonstrate how the principles of recovery were incorporated in an ethically grounded research relationship. Research limitations/implications – The study may have been limited by the small sample size of participants. Practical implications – Aspects of the research methodology may potentially be adopted by researchers working with people who experience SMI or with other hard-to-reach groups. Originality/value – As more research is undertaken with individuals who experience SMI, stigma around understandings of mental illness can be broken down by supporting individuals to find their voice through recovery orientated discourse ethics.

Mentorship and well-being

2019 ◽  
Vol 9 (1) ◽  
pp. 1-20 ◽  
Author(s):  
Maha Al Makhamreh ◽  
Denise Stockley
Keyword(s):  
Lived Experience ◽  
Doctoral Students ◽  
Small Sample Size ◽  
Positive Culture ◽  
Well Being ◽  
Small Sample ◽  
Research Approach ◽  
Content Type ◽  
The Face ◽  
The Individual

Purpose The purpose of this paper is to examine how doctoral students experienced mentorship in their supervision context and how the mentorship they received impacted their well-being. Design/methodology/approach An interpretive phenomenological methodology was selected to frame the research design. This research approach seeks to study the individual lived experience by exploring, describing and analyzing its meaning. Findings The findings revealed three different quality levels of mentorship in this context authentic mentorship, average mentorship and below average/toxic mentorship. Doctoral students who enjoyed authentic mentorship experiences were more motivated and satisfied, students who reported average mentorships needed more attention and time from their supervisors, and students who had below average/toxic mentorships were stressed out and depleted. Research limitations/implications A limitation of this study is the lack of generalizability owing to the small sample size typical in qualitative studies. Another limitation is that this research did not include students who quit their programs because of dysfunctional supervision experiences. Practical implications Students and supervisors can use the findings to reflect on their beliefs and practices to evaluate and improve their performances. Also, authentic mentors can benefit from the findings to create a positive culture for all students to receive support. Finally, current supervisory policies can be reviewed in light of this paper’s findings. Social implications The findings show the nature of mentorship in an authoritative context, and how it can be toxic when power is misused. Originality/value This study provides new knowledge in relation to the different types of mentorship experiences that exist in doctoral supervision, and how each type can influence students’ well-being differently. Additionally, it reveals that doctoral students can graduate, even in the face of toxic mentorship, but at the expense of their well-being.

How meaningful activities influence the recovery process

2018 ◽  
Vol 11 (3) ◽  
pp. 114-125 ◽  
Author(s):  
Ole Martin Nordaunet ◽  
Knut Tore Sælør
Keyword(s):  
Health Care ◽  
Lived Experience ◽  
Small Sample Size ◽  
Recovery Process ◽  
Social Contexts ◽  
Small Sample ◽  
Content Type ◽  
The Road ◽  
On The Road ◽  
Interpretive Design

Purpose The purpose of this paper is to explore two research questions: how do people with concurrent substance abuse and mental health disorders (concurrent conditions) experience and describe meaningful activities? And how do meaningful activities influence the recovery process? Design/methodology/approach This qualitative study uses an explorative and interpretive design in a phenomenological-hermeneutic approach. Transcribed interviews are analysed using a phenomenological-hermeneutic method for researching lived experience. The study was submitted to the Norwegian Center for Research Data where it was approved (Case No. 54661). Findings Structural analysis resulted in three overarching themes: achieving a positive identity through actions and feeling worthwhile; physically outside but inside the norms of society, and idleness, isolation, and obstacles on the road to recovery. Meaningful activities, considered a cornerstone in the recovery process, vary widely and are primarily described in social contexts, thereby confirming the significance of social aspects of recovery in addition to recovery as an individual journey. The findings also show that experiencing meaningful activities contributes to recovery capital and the development of recovery-promotive identities. Research limitations/implications The study consisted of a small sample size, recruited at one location which served as a primary research limitation. Practical implications This paper provides insights for health care practitioners and health care decision makers regarding the importance of meaningful activities viewed through a recovery perspective. Originality/value Few studies to date have used a comprehensive approach to describe the influence of experiencing meaningful activities on the recovery process.

Attitudes and self-efficacy towards adults with mild intellectual disability among staff in acute psychiatric wards: an empirical investigation

2014 ◽  
Vol 8 (2) ◽  
pp. 79-90 ◽  
Author(s):  
Sue Mesa ◽  
Elias Tsakanikos
Keyword(s):  
Mental Illness ◽  
Intellectual Disability ◽  
Self Efficacy ◽  
Psychiatric Care ◽  
Small Sample Size ◽  
Postal Questionnaire ◽  
Small Sample ◽  
Mild Intellectual Disability ◽  
Content Type ◽  
Psychiatric Staff

Purpose – The purpose of this paper is to investigate whether acute inpatient psychiatric staffs’ attitudes and self-efficacy towards adults with mild intellectual disability, were different than towards the general mental health population. And whether their understanding of the policy for those with mental illness and intellectual disability differed. Design/methodology/approach – The study is a between-subject design, using a self-administered postal questionnaire. The sample was all qualified staff from the acute inpatient psychiatric provision of an inner London borough. Potential participants were randomly assigned to two research groups, half being given a questionnaire regarding people with intellectual disability and the other half an identical one regarding people with mental illness. Comparisons were made between the two. Findings – The majority of staff were unaware of the current policy direction for adults with intellectual disability although were on the whole in agreement to the idea that they should access mainstream services. Staff overall did not have more negative attitudes to those with intellectual disability although were less likely to empower or encourage self-advocacy. Staff were significantly less confident that they had sufficient training and experience, and in their perceived ability to be able to communicate, assess and treat adults with mild intellectual disability when compared to those with mental illness. Research limitations/implications – The response rate and small sample size is a limitation. Further research could usefully look at whether self-efficacy and attitudes differ in different models of mainstream psychiatric care. Originality/value – Government policy in the UK regarding services for people with intellectual disability advocates for inclusion and equality (Chaplin and Taggart, 2012). Those requiring psychiatric care should access this from mainstream services (Department of Health, 2001, 2009, 2011; Foundation for People with Learning Disabilities et al., 2004; Bradley, 2009.) There are, however, no UK-based studies investigating the views of mainstream acute inpatient psychiatric staff towards their role. Intellectual disability staff have concerns about their attitudes and self-efficacy and it is know that acute care is the setting where most adults with intellectual disability will come across mainstream psychiatric staff. Findings have relevance to managers and staff in both intellectual disability and psychiatric services and could be considered in the context of trying to work together as is the direction of policy.

Schools and adolescent mental health: education providers or health care providers?

2014 ◽  
Vol 13 (1) ◽  
pp. 20-24 ◽  
Author(s):  
Liza Hopkins
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Health Care Providers ◽  
Public Discourse ◽  
Small Sample Size ◽  
Small Sample ◽  
Research Approach ◽  
Care Providers ◽  
Content Type

Purpose – The issue of mental health amongst students in the senior years of secondary schooling is one which has recently gained traction in mainstream media and public discourse across Australia. The purpose of this paper is to uncover the ways in which schools and other education providers are responding to mental health issues amongst their students both proactively (for prevention) and reactively (for referral and treatment). Design/methodology/approach – The project took a qualitative research approach to gathering data from student support staff based in schools and out-of-school learning settings, through a focus group methodology. Findings – The project found that despite policy rhetoric and research evidence supporting pro-active, curriculum integrated, early intervention to prevent and avoid mental illness and mental distress amongst secondary school students, most schools still take a reactive, piecemeal approach to prevention of mental illness and provision of mental health care. Individual schools and learning providers are responding to issues in a variety of ways, along a continuum of care. Research limitations/implications – The project had a small sample size and restricted geographic area. The divergence in findings between staff from schools in this area and staff from other education providers suggests much more work needs to be done in establishing the implications of bureaucratic sector and school governance on health and wellbeing outcomes. Originality/value – This paper begins to explore an under-researched area of school and other education provider responses to rising concern about student mental health.

Improving new product development performance by risk management

2016 ◽  
Vol 31 (3) ◽  
pp. 418-425 ◽  
Author(s):  
Mehran Salavati ◽  
Milad Tuyserkani ◽  
Seyyede Anahita Mousavi ◽  
Nafiseh Falahi ◽  
Farshid Abdi
Keyword(s):  
Risk Management ◽  
Product Development ◽  
New Product Development ◽  
Small Sample Size ◽  
New Product ◽  
Small Sample ◽  
Content Type ◽  
Total Performance ◽  
The Relationship ◽  
Npd Performance

Purpose The principal aim of this study is to investigate the relationship between technological, marketing, organizational and commercialization risk management on new product development (NPD) performance. Design/methodology/approach Based on questionnaire, the data were collected from a sample of general automotive industry in Iran. Based on theoretical considerations, a model was proposed and descriptive statistic and hierarchical regression were used to measure the relationship between risk management factors and NPD performance. Findings Data analysis revealed that if organization can amplify their knowledge and information about risk and main factors that affect NPD process, not only can they do their work better but can also increase their ability to predict future happenings that affect performance. Research limitations/implications First, due to the relatively small sample size, caution should be exercised when interpreting the results. Second, the data were collected from automotive producer in Iran, which may restrict to some extent generalizability of the findings. Practical implications The results suggest that managers should consider more attention to risk management. If managers spread the risk management in all aspects of the NPD project, total performance will be increased and it can develop the probability of NPD success. Also organizations should perform great market research due to best commercialization. Originality/value Past researches have presented complete information about NPD process. But identifying and considering the effect of the risk management parameters that are connected to the NPD process were the main thrusts to perform the study. In this paper, based on past research about risk management of NPD, the extra aspect of process that can improve total performance of NPD has been examined.

The categorization of expatriates and the support offered by host country nationals

2016 ◽  
Vol 4 (1) ◽  
pp. 18-43 ◽  
Author(s):  
Shirley C. Sonesh ◽  
Angelo S. DeNisi
Keyword(s):  
Host Country ◽  
Small Sample Size ◽  
Small Sample ◽  
Content Type ◽  
Host Country Nationals ◽  
Group Members ◽  
Expatriate Assignments ◽  
The Right ◽  
National Stereotypes

Purpose – Although several authors have suggested that host country nationals (HCNs) play an important role in the management of expatriates (e.g. Toh and DeNisi, 2003; Farh et al., 2010), research has also suggested that this relationship is not always good, and the flow of critical information to expatriates can be limited. This is especially true when HCNs categorize the expatriates as “out-group” members. The purpose of this paper is to examine potential determinants of categorization decisions as well as potential outcomes related to expatriate socialization. Design/methodology/approach – The paper employs a dyadic survey approach to determine the antecedents to expatriate categorization and HCN socialization behaviors from the perspective of both the expatriate and HCN. Findings – The results of survey data from 65 expatriate-HCN dyads indicated that expatriate ethnocentrism and the salience of the expatriates’ nationality were important predictors of categorization, but that categorization was related to only one dimension of socialization. However, affect was found to play a role in predicting socialization behaviors. Research limitations/implications – There is potential selection bias since expatriates chose HCNs as respondents, but results suggested this was not a serious problem. Other limitations include a relatively small sample size and the fact that a number of contextual issues such as national stereotypes and MNC strategy, are not controlled for. Practical implications – Implications of these findings for the successful management of expatriate assignments include sending over expatriates with the right relational skills, and those low in ethnocentrism, rather than just the right technical skills. Originality/value – The present study was one of the first to empirically test the potential role of categorization in the process of socialization.

Individuals' waste separation practice in a relationship with social bonds: a case study of Hanoi, Vietnam

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Thi Kim Nhung Nguyen
Keyword(s):  
Social Bonds ◽  
Small Sample Size ◽  
Influential Factors ◽  
Small Sample ◽  
Household Waste ◽  
Mixed Method Research ◽  
Structured Interviews ◽  
Content Type ◽  
Sociological Approach ◽  
Waste Separation

PurposeThe paper aims to ascertain whether residents in Nguyen Du ward still sort their waste at source following the end of the 3R project that ended in 2009. Additionally, this paper aims to explore the relationship between waste separation practices and social bonds.Design/methodology/approachThe Travis Hirschi theory of social control was applied, together with the mixed method research design which included a structured questionnaire survey. Twelve semi-structured interviews were also conducted with residents and the data processed by SPSS software, using Chi-Square test, Independent-Samples t-test and Pearson's correlation analysis.FindingsA proportion of respondents has continued practicing waste separation since the 3R project ended. The study also indicated that the greater the involvement in family and neighborhood activities the more the participants were likely to practice waste separation.Research limitations/implicationsThe small sample size limits the extent to which the most influential factors can be determined and therefore the degree to which the findings can be generalized.Practical implicationsThe study includes implications for rerunning the waste separation programs for households as together with community campaigns to improve individuals' attachment and commitment and thus their participation in pro-environmental behaviors.Originality/valueTo the author’s knowledge, this is the first study to take a sociological approach to investigate factors affecting household waste separation, which has attracted little attention in previous studies. Useful information is also provided to local authorities for a policy-making process to implement effective domestic waste policies.

Human rights of people with mental illness diagnosis: perceptions among service users, family members and health professionals in Tunisia

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mayssa Rekhis ◽  
Sami Ouanes ◽  
Abir Ben Hamouda ◽  
Rym Rafrafi
Keyword(s):  
Mental Illness ◽  
Human Rights ◽  
Family Members ◽  
Mental Illnesses ◽  
Service Users ◽  
Content Type ◽  
People With Mental Illness ◽  
The Family ◽  
The Right ◽  
Main Factor

Purpose This study aims to assess the awareness about the rights of people with mental illness in the main psychiatric hospital in Tunisia among the service users, the family members and the staff. Design/methodology/approach The Convention of Rights of People with Disabilities mandates that State Parties initiate and maintain campaigns and human rights training to promote understanding of the rights of people with mental illnesses, considered as a main factor for their fulfillment. Service users, family members and staff evaluated, through a survey, the importance of ten rights for persons with mental illness, stated in the convention. Findings Disparities were found in the perception of the different rights by and between the three groups. The highest levels of awareness were associated with the freedom from torture or degrading treatment and the right to live with dignity and respect, whereas the lower importance were assigned to the right to participation in recovery plans, to give consent and to exercise legal capacity. Originality/value The lack of awareness and the poor perception of rights of people with mental illness is one of the barriers to their achievement. More training and awareness raising is necessary.

What women want: the effect of health agency advertising on patient-doctor communication

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Cynthia Morton ◽  
Sabrina Habib ◽  
Jon Morris
Keyword(s):  
Sexual Health ◽  
Small Sample Size ◽  
Health Agency ◽  
Small Sample ◽  
Communication Strategy ◽  
Future Research ◽  
Health Communications ◽  
Content Type ◽  
Women’S Sexual Health ◽  
Doctor Communication

Purpose The purpose of this study is to investigate the relationship between women’s sexual health agency and their intent to initiate communications with their doctors. The research questions examined the effect sexual health agency has on patient-doctor communication, women’s emotional responses to health advertisements encouraging patient communication with their doctors, attitude toward the message and behavioral intentions after exposure to the advertising message. Design/methodology/approach An experimental design was implemented via an online questionnaire instrument to test the differences between younger-aged women (25 to 45 years) and mature-aged women (46 to 70 years). It was observed that 188 women who reported their status as single and sexually active in the past 12 months were exposed to a health advertisement that encouraged patient-doctor communication. Analyses were conducted to compare between-group measures on sexual health agency, emotional response and attitude toward the ad and behavioral intention. Findings No statistical difference existed between younger and older women. In general, women expect their doctor to lead conversations about sexual health but are positively reinforced by health messages that encourage their assertiveness as patients. Research limitations/implications The small sample size also may have limited the study’s potential to evaluate differences between age segments. Future research should explore this further. Practical implications The study provides evidence that sexual health advertising can reinforce women’s intent to initiate conversations with doctors regardless of age. Social implications Health communications can bolster women’s sexual health agency and improve patient-initiated conversations with doctors. Originality/value The study is the first to explore advertising messaging’s potential for applying health agency as a communication strategy for encouraging sexual health communications between women and their doctors.

Intensity of perceived stress and control of anger, anxiety and depression of people staying in Polish penitentiary institutions

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kinga Kołodziej ◽  
Anna Kurowska ◽  
Anna Majda
Keyword(s):  
Perceived Stress ◽  
Small Sample Size ◽  
Prison Population ◽  
Research Area ◽  
Cross Sectional Study ◽  
Small Sample ◽  
Emotional Control ◽  
Coping With Stress ◽  
Cross Sectional ◽  
Content Type

Purpose The purpose of this study is to assess the intensity of perceived stress and measure the subjective control of anxiety, anger and depression in a group of women and men staying in Polish penitentiary institutions. Design/methodology/approach The research was carried out in two penitentiary institutions located in the Lesser Poland Voivodeship at the turn of 2019/2020. The study group consisted of 152 prisoners. In the cross-sectional study, two standardised research tools – the Perceived Stress Scale and the Emotional Control Scale – were used. Findings Over half of the prisoners (57.24%) presented a high level of stress. The intensity of the perceived stress did not depend on the gender and age of the convicted persons. The general indicator of emotional control among the respondents averaged 51.82 points (standard deviation = 14.52) and ranged from 22 to 83 points, which means that people detained in penitentiary institutions suppressed their negative emotions at an average level. The prisoners had the best control over fear (M = 18.68), less over anger (M = 16.86) and the least over depression (M = 16.27). Statistical analysis showed a correlation between the level of emotional control and the intensity of perceived stress. Research limitations/implications The small sample size of the group participating in the study and narrowing of the research area means that results can not be generalised across all isolated prison population. Practical implications The results obtained from the study can be used by a multidisciplinary team to develop therapeutic programmes for convicted persons, the aim of which is to evaluate strategies for coping with stress and controlling emotions. Social implications Popularising reliable information related to the issue of experiencing stress and varied emotions in those staying in penitentiary institutions may lead to the elimination of harmful stereotypes functioning in society, as well as reduce the phenomenon of marginalisation of prisoners, and thus contribute to the success of the social rehabilitation process. Originality/value Research on the level of stress intensity in prisoners is important because the rates of mental health disorders among prisoners consistently exceed the rates of such disorders in the general population.

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