scholarly journals Nonconsensual Sexual Experience Histories of Incarcerated Men: A Mixed Methods Approach

Author(s):  
Raymond M. McKie ◽  
Shulamit Sternin ◽  
Chelsea D. Kilimnik ◽  
Drake D. Levere ◽  
Terry P. Humphreys ◽  
...  

Nonconsensual sexual experiences (NSEs) may contribute to mental health concerns among incarcerated individuals, yet NSEs are understudied in this population. This study takes a novel approach in examining the prevalence of NSEs among incarcerated males by utilizing both quantitative and qualitative measures. The sample consisted of 189 men from three provincial maximum-security prisons in Ontario, Canada. Based on quantitative findings, 44.2% of the sample experienced NSEs before the age of 18, and 41.7% of the sample endorsed an experience that fit the legal definition of a NSEs as adults. Participants also responded to a qualitative open-ended question about their history of NSEs. Based on qualitative findings, a total of 23% of the men reported at least one incident of a NSE (e.g., child and adult). Based Findings highlight the high prevalence of NSEs among incarcerated men with quantitative responses demonstrating how the use of a behavioral questionnaire may, to some extent, correct for underreporting of NSEs. Qualitative responses illustrate the lived experience of incarcerated men and provide a deeper understanding of their NSEs. Responses also speak to the lack of resources and support available to these men. Findings underscore the need for proactive approaches in meeting mental health needs of incarcerated men in general and with regard to NSEs in particular. Results may inform the development of future correctional procedures (i.e., intake protocols that account for men with NSEs) and resources to support incarcerated men in navigating the psychological impact of non-consensual sexual experiences.

1980 ◽  
Vol 25 (3) ◽  
pp. 251-253 ◽  
Author(s):  
P. Burra ◽  
R. Kimberley ◽  
C. Miura

The issue of mental competence in relation to consent to treatment has been high-lighted in the recently amended Mental Health Act in Ontario. The definition of mental competence in this context, how it is to be determined, and some practical implications of the Section of the Act pertaining to this matter, are discussed. The case history of a young woman is used to illustrate some of the points made.


2021 ◽  
pp. 003329412110268
Author(s):  
Juliana Alvares Duarte Bonini Campos ◽  
Lucas Arrais Campos ◽  
Bianca Gonzalez Martins ◽  
Filomena Valadão Dias ◽  
Rodrigo Ruano ◽  
...  

Objective To identify people with history of mental health disorders before the COVID-19 pandemic in the Brazilian population and estimate the prevalence of mood swings and the subjective distress of the pandemic among individuals with or without mental health disorders. Methods Through an online survey, participants were asked about presence or absence of mental health disorders. In addition, they answered the Brunel Mood Scale and the Impact of Event Scale. The mean percentile of mood swing indicators and psychological impact scores were estimated, and data were analyzed by logistic regression. Results 13,248 people participated (70.5% women, mean age 35.4 years, 31.2% with history of mental health disorder). Women and younger people were more likely to be diagnosed with mental health disorder. All participants had significant changes in mood due to the pandemic. Anger, depressed mood, mental confusion, and fatigue were higher among individuals with bipolar disorder or with combined disorders. Individuals with mental health disorders had a greater subjective distress, especially the group with bipolar disorder (OR = 4.89 [3.64–6.56]) and combined disorders (OR = 6.89 [5.21–9.10]). Conclusion Individuals previously diagnosed with mental health disorders at some point in life are more vulnerable to psychological impact from the pandemic.


2020 ◽  
Author(s):  
Julie Arsandaux ◽  
Ilaria Montagni ◽  
Mélissa Macalli ◽  
Nathalie Texier ◽  
Mathilde Pouriel ◽  
...  

ABSTRACTBackgroundCovid-19 pandemic and its consequences have raised fears of its psychological impact. The objective of this study was to estimate the effect of student status on mental health conditions during Covid-19 general lockdown among adults in France.MethodsUsing cross-sectional data of the Confins cohort, we estimated the effect of student status on depressive and anxiety symptoms, suicidal thoughts and perceived stress using multivariate logistic regression analyses. Stratified models for college students and non- students were performed to identify associated population-specific factors.ResultsAmong the 2260 included participants, students represented 59% (n=1335 vs 925 non- students) and 78% of the total sample were female. Student status was more frequently associated with depressive symptoms (adjusted OR(aOR)=1.58; 95%CI 1.17;2.14), anxiety symptoms (aOR=1.51; 95%CI 1.10;2.07), perceived stress (n=1919, aOR=1.70, 95%CI 1.26;2.29) and frequent suicidal thoughts (n=1919, aOR=1.57, 95%CI 0.97;2.53). Lockdown conditions that could be potentially aggravating on mental health like isolation had a higher impact on students than non-students.LimitationsParticipants were volunteers, which could limit generalisation of the findings. The cross-sectional design did not allow determining if lockdown impacted directly mental health or if there is another cause. However, we adjusted analyses with the history of psychiatric disorders, and factors related to lockdown conditions were associated with mental health disturbances.ConclusionsCollege student’s mental health is of great importance in the context of the general lockdown set up during the pandemic. Follow-up and interventions should be implemented especially for those at high-risk (younger people and those with history of psychiatric disorders).


2020 ◽  
Vol 2019 (25) ◽  
pp. 167
Author(s):  
Graham Morgan

An account of the work of the engagement and participation officers with lived experience as users and carers in the MWC, showing: the history of user and carer involvement in the Commission, the reason for the employment of the present workers and the creation of the department of engagement and participation. Told from the perspective of lived experience of using services, describing  the development of the roles to date, the activities carried out to date, especially those connected with mental health law, capacity, and the role of the NPM in safeguarding against cruel and degrading treatment and torture, some assessments of the impact of these activities and a presentation of the personal perspective of using lived experience as an integral part of a professional role.


2018 ◽  
Vol 11 (4) ◽  
pp. 137-146
Author(s):  
Kelly J. Elsegood ◽  
Lucinda Anderson ◽  
Rachel Newton

Purpose The purpose of this paper is to undertake a preliminary evaluation of a novel intervention – Recovery Inspiration Group, which uses recovery stories to promote hope and inspiration for recovery among people with complex mental health difficulties. Design/methodology/approach The Recovery Inspiration Group was delivered to women on a specialist personality disorder inpatient unit, who were concurrently participating in a dialectical behaviour therapy (DBT) Programme. In total, 12 service users participated in the RIG and as part of the intervention, wrote down key reflections after hearing each recovery story. A thematic analysis of these reflections formed the primary basis of the evaluation. Descriptive statistics derived from a service user feedback survey (n=6) supplemented the qualitative findings. Findings Three themes were identified in the qualitative data, suggesting that participants had engaged with recovery-oriented reflections and experiences: recovery stories as validating and inspiring; Generalisation of DBT skills; shifting perspectives of recovery: doing better rather than being better. The survey results unanimously endorsed the RIG as a worthwhile and validating experience, which participants would recommend to other service users. Practical implications Recovery Inspiration Group appears to be a low-cost and easily replicable intervention with the potential to promote hope and inspiration for recovery among people with complex mental health difficulties. Originality/value Recovery Inspiration Group is a novel approach to harnessing the wisdom of people with lived experience of mental health difficulties, to foster hope among users of mental health inpatient services.


Author(s):  
Elsie Mobbs

Growth treatment for human growth failure when its cause is not identified is generally justified by two possible outcome measures: an increase in height and an increase in psychological well-being. An endocrinological cosmetic increase in height can arguably only be justified if it can be demonstrated as being likely to increase psychological well-being. New evidence is pointing to improved growth and mental health outcomes through psychotherapeutic family intervention during the child’s infancy. The medical definition of short stature (SS) is arbitrary (Cowell 1995): SS is usually defined for the height of an individual who is in less than the 3rd percentile of the reference range, which is 1.88 standard deviations (SDs) below the population mean (National Center for Health Statistics 1977; WHO 1986, 2006). Short stature may be caused by a multitude of factors, sometimes overlapping, and it may have many potential classifications. The condition of maturational delay occurs when significant SS and delayed pubertal development are seen in an otherwise healthy male (Cowell 1995; Cowell, Craig, and Ambler 1999; Cowell and Walker 1996). The medical diagnosis of maturational delay short stature (MDSS) is (a) considered in individuals with a late onset of puberty in which there is a family history of delayed puberty and an absence of organic symptoms or signs; and (b) diagnostic differentiation is made between MDSS and idiopathic short stature (ISS), with the latter encompassing MDSS but failing to meet the criteria of delayed puberty. When a history of SS is present in family members, the diagnosis of familial SS (FSS) is considered. Males present for treatment of SS much more frequently than females, which is a reflection of biology and possible societal bias, and some will present with behavioral disturbances. Multifactorial causes for these behavior problems can be embedded in past history and are not always easily accessible (Seegal 2000). Home environment problems may be present in growth failure, especially when demonstrated behavior problems are present (Gohlke et al. 1998; Nieves-Rivers et al. 1998).


2017 ◽  
Vol 28 (3) ◽  
pp. 326-343 ◽  
Author(s):  
Tiago Pires Marques

In the last few decades, the definition of deontological ethics, a well-identified ethical territory in psychiatry, has been the object of increasing concerns. This has been the case in France, where claims of a specific ethical tradition in psychiatry have accompanied the institutionalization of psychiatric ethics and the perceived globalization of an Anglo-American model of mental health care. This study traces the history of the ‘French ethical tradition in psychiatry’ and its relationship with establishing institutional spaces for ethical decision-making. The ‘ethical tradition’ thus conceived proves to be functional in terms of preserving the threatened identity of French psychiatry. Nevertheless, this movement also pinpoints impasses that transcend the French context and may provide valuable resources for ethical reflections on mental health on a global scale.


2019 ◽  
Vol 18 (2) ◽  
pp. 148-152 ◽  
Author(s):  
Penelope Hasking ◽  
Stephen P. Lewis ◽  
Mark E. Boyes

Purpose The purpose of this paper is to call on researchers and clinicians to carefully consider the terminology used when discussing non-suicidal self-injury (NSSI), and specifically the use of the term “maladaptive” coping. Design/methodology/approach Drawing on literature regarding stigma, language and self-injury to support the argument that the term maladaptive is inappropriate to describe self-injury. Findings Use of the term maladaptive conflates short-term effectiveness with long-term outcomes and ignores context in which the behaviour occurs. Social implications Use of the term maladaptive to describe self-injury can invalidate the person with a history of NSSI, impacting stigma and potentially help-seeking. An alternate framing focussed on specific coping strategies is offered. Originality/value Language is a powerful medium of communication that has significant influence in how society shapes ideas around mental health. In proposing a change in the way the authors’ talk about self-injury there is potential to significantly improve the wellbeing of people with lived experience of self-injury.


2021 ◽  
Vol 10 (23) ◽  
pp. 5578
Author(s):  
Raúl Soto-Cámara ◽  
Noemí García-Santa-Basilia ◽  
Henar Onrubia-Baticón ◽  
Rosa M. Cárdaba-García ◽  
José Julio Jiménez-Alegre ◽  
...  

Health professionals (HPs), especially those working in the front line, have been one of the groups most affected by the COVID-19 pandemic. The objective of this study is to identify the best available scientific evidence on the impact of the COVID-19 pandemic on the mental health of out-of-hospital HPs in terms of stress, anxiety, depression, and self-efficacy. A living systematic review of the literature was designed, consulting the electronic online versions of the CINHAL, Cochrane Library, Cuiden, IBECS, JBI, LILACS, Medline PyscoDoc, PsycoINFO, Scopus, and Web of Science databases in November 2021. Original research was selected, published in either English, Spanish, French, Italian, or Portuguese. In total, 2082 publications were identified, of which 16 were included in this review. The mental health of out-of-hospital HPs was affected. Being a woman or having direct contact with patients showing suspicious signs of COVID-19 or confirmed cases were the factors related to a greater risk of developing high levels of stress and anxiety; in the case of depressive symptoms, it was having a clinical history of illnesses that could weaken their defenses against infection. Stopping unpleasant emotions and thoughts was the coping strategy most frequently used by these HPs.


2008 ◽  
Vol 30 (1) ◽  
pp. 1-13 ◽  
Author(s):  
Lisa Cosgrove ◽  
Varda Konstam

Although mental health professionals have attempted to specify the meaning of forgiveness, lack of consensus exists. Despite the lack of consensus over the meaning of forgiveness, there is agreement that forgiving is not forgetting or pardoning. However, the relationship between forgiving and forgetting has been undertheorized, and as a result, this relationship has not been empirically investigated. In this paper, we suggest that it would be fruitful to assess the meaning systems individuals associate with the definition of forgiveness. Focusing on the lived experience of individuals may help researchers and counselors avoid unhelpful dichotomizations such as "authentic vs. inauthentic" forgiveness. Implications for both research and mental health counseling are discussed.


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