Developing multiple perspectives by eliding agreement: A conversation analysis of Open Dialogue reflections

2021 ◽  
pp. 146144562110374
Author(s):  
Ben Ong ◽  
Scott Barnes ◽  
Niels Buus
Keyword(s):  
Mental Health ◽  
Conversation Analysis ◽  
Mental Health Problems ◽  
Epistemic Authority ◽  
Multiple Perspectives ◽  
Potential Source ◽  
The People ◽  
The Family ◽  
Positive Perspective ◽  
Open Dialogue

Open Dialogue is an approach to working with mental health problems that emphasises promoting dialogue between multiple perspectives within an individual person and between all the people present, including the therapists. Therapists’ own perspectives are often introduced during conversations called reflections, which present a potential source of different perspectives. Using conversation analysis we analysed 14 hours of video-recorded Open Dialogue sessions with a focus on therapists’ reflections. We noticed that therapists did not display explicit agreement with each other’s reflections. This absence of explicit agreement was displayed through a variety of verbal and non-verbal forms. Eliding agreement facilitated deference to the epistemic authority of the client, assertion of epistemic rights from second position, emphasis of a positive perspective or to voice multiple perspectives. Therapists avoided consensus and thus presented multiple perspectives to the family while also attending to issues of contingency. The implications of epistemic primacy and asymmetry connected to sequential structures in talk pose a challenge to the generation of collaborative reflective dialogues.

scholarly journals Experience of stigma among Chinese mental health patients in Hong Kong

2004 ◽  
Vol 28 (12) ◽  
pp. 451-454 ◽  
Author(s):  
K. F. Chung ◽  
M. C. Wong
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Hong Kong ◽  
Mental Health Professionals ◽  
Health Care Professionals ◽  
Mental Health Problems ◽  
Chinese People ◽  
The People ◽  
Mental Health Patients ◽  
Stigma Of Mental Illness

Aims and MethodThe study was intended to rectify the lack of data on how Chinese people experience the stigma of mental illness. A questionnaire on perceived stigmatisation, experiences of rejection and ways of coping with stigma was completed by 193 persons attending a psychiatric out-patient clinic in Hong Kong.ResultsMost of the participants were aware of the stigma associated with mental illness, but experiences of rejection were relatively less frequent. Eleven per cent of the respondents indicated that they were neglected by health care professionals and 8% had been avoided by family members. The most frequently reported coping method was maintaining secrecy about the illness.Clinical ImplicationsIn China, people with mental health problems experience stigma in various degrees. However, some of the people surveyed expressed feelings of relief that others were supportive and sympathetic towards their illness. Mental health professionals should maintain optimism in helping their patients to cope with the stigma.

“When other people try to understand”: exploring the experiences of people with intellectual disabilities, who also have mental health problems

2020 ◽  
Vol 14 (3) ◽  
pp. 91-101
Author(s):  
Sasha Martine Mattock ◽  
Kieron Beard ◽  
Amy Baddeley
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Focus Group ◽  
Health Services ◽  
Intellectual Disabilities ◽  
Mental Health Problems ◽  
Health Problems ◽  
Content Type ◽  
The People ◽  
People With Intellectual Disabilities

Purpose Recent guidelines from the National Institute of Health and Care Excellence highlight that service users (SUs) with intellectual disabilities and co-occurring mental health problems rarely get the opportunity to share their experiences of mental health services. Over the past 20 years, policy documents have stated that these individuals (SUs) must be included in decisions about their care. Research suggests that often this is not the case. Therefore, this paper aims to create a space for SUs to share their experiences of mental health services, and what they found helpful. Design/methodology/approach A focus group was held with five SUs, two psychologists and two researchers. The audio recording of the discussion was transcribed and analysed using thematic analysis. Findings Three main themes were identified, namely, “relationships with others”, “inclusion and communication” and “challenges”. This focus group highlighted that although some SUs felt supported, they reported having little control in their lives and wanted to be listened to. Research limitations/implications Including a SU in the planning and facilitation of the focus group would have made this research more inclusive. Practical implications The implications of this research suggest that by listening to and involving SUs and developing more person-centred services, recovery rates may increase as the services provided would be more targeted. Originality/value Very little research has previously been conducted to explore SUs’ experiences. This paper highlights the value of being heard and the knowledge that is often lost if the authors do not take the time to listen to the people for whom a service is designed.

scholarly journals Mental health and psychosocial characteristics of breast augmentation patients

2018 ◽  
Vol 25 (9) ◽  
pp. 1270-1284 ◽  
Author(s):  
Tilmann von Soest ◽  
Leila Torgersen ◽  
Ingela Lundin Kvalem
Keyword(s):  
Mental Health ◽  
Breast Augmentation ◽  
Mental Health Problems ◽  
Breast Surgery ◽  
Population Based ◽  
Health Problems ◽  
Multiple Perspectives ◽  
Psychosocial Characteristics ◽  
Wide Range ◽  
Mother And Child

Cosmetic breast surgery experience and a wide range of mental health, psychosocial, and sociodemographic variables were assessed in the population-based Norwegian Mother and Child Cohort Study ( N = 78,252). Breast augmentation patients reported elevated mental health problems. Factors in the domains of physical appearance, drug use, relationships, and exposure to abuse were all related to breast augmentation. Adjusting for such factors reduced the relationships between breast augmentation surgery and all mental health problems to non-significance. Results indicate that the increased prevalence of mental health problems among breast augmentation patients has to be understood from multiple perspectives involving several psychosocial domains.

scholarly journals THE MENTAL HEALTH EDUCATION OF COLLEGE STUDENTS

2021 ◽  
Vol 4 (1) ◽  
pp. 39-42
Author(s):  
Ziwei Zhang
Keyword(s):  
Mental Health ◽  
College Students ◽  
Health Education ◽  
Mental Health Problems ◽  
Family Education ◽  
Self Awareness ◽  
Social Harmony ◽  
Mental Health Education ◽  
The Public ◽  
The Family

College Students’ mental health education has become the focus of the whole society, which affects the family and society, and is related to the growth of college students, family happiness and social harmony. In view of the mental health problems of college students, the article is based on the aspects of college students themselves, families, colleges and society, to explore the causes of the problems and make a verification analysis. Through strengthening college students’ self-awareness, improving the content and methods of family education, improving the mechanism of College Psychological education, and purifying the public opinion environment, it promotes the development of College Students’ mental health, and then cultivates a socialist society in China qualified builders of modernization.

scholarly journals GAMBARAN KESEHATAN JIWA MASYARAKAT

2019 ◽  
Vol 6 (1) ◽  
pp. 60
Author(s):  
Livana PH ◽  
Sih Ayuwatini ◽  
Yulia Ardiyanti
Keyword(s):  
Mental Health ◽  
Sex Education ◽  
Mental Health Problems ◽  
Active Role ◽  
Risk Groups ◽  
Central Tendency ◽  
Scientific Publications ◽  
The People ◽  
Health Group ◽  
The Right

Kesehatan jiwa tidak lagi hanya membahas tentang masalah gangguan jiwa saja, namun kelompok sehat dan resiko juga perlu diketahui agar masyarakat mendapatkan tindakan yang tepat yaitu, kelompok sehat agar tetap sehat; kelompok resiko tidak menjadi gangguan; dan kelompok gangguan tetap produktif di masyarakat, sehingga perlunya identifikasi masalah kesehatan jiwa masyarakat desa Banyutowo malalui deteksi dini. Penelitian bertujuan khusus: (1)Mengidentifikasi karakteristik masyarakat, meliputi:usia, jenis kelamin, pendidikan, dan status pernikahan, (2)Mengidentifikasi kelompok sehat, resiko, dan gangguan, (3)Publikasi ilmiah pada jurnal nasional sebagai luaran wajib. Data dianalisis dengan menghitung Central Tendency dan distribusi frekuensi. Hasil penelitian menunjukkan mayoritas masyarakat desa Banyutowo berusia dewasa, berjenis kelamin laki-laki, belum menikah, dan pendidikan  terakhir SD. Hasil identifikasi kesehatan jiwa didapatkan bahwa mayoritas masyarakat desa Banyutowo dalam kelompok usia sehat. Hasil penelitian ini selanjutnya dapat ditindaklanjuti dengan memberikan intervensin pada masing-masing kelompok kesehatan jiwa, sehingga diharapkan dapat meningkatkan pengetahuan masyarakat tentang pentingnya kesehatan jiwa, meningkatkan kemampuan masyarakat menolong dirinya dalam bidang kesehatan jiwa, meningkatkan kesiapsiagaan masyarakat risiko dan bahaya kesehatan jiwa, dan meningkatkan dukungan dan peran aktif stakeholders serta meningkatkan masyarakat melaksanakan perilaku sehat jiwa. Kata kunci: Kesehatan jiwa, masyarakat OVERVIEW OF COMMUNITY MENTAL HEALTH ABSTRACTMental health is no longer just talking about mental disorders, but healthy groups and risks also need to be known so that people get the right action, namely, healthy groups to stay healthy; risk groups do not become a nuisance; and the disorder group remained productive in the community, so the need to identify Banyutowo village mental health problems through early detection. Special purpose research: (1) Identifying community characteristics, including: age, sex, education, and marital status, (2) Identifying healthy groups, risks, and disorders, (3) Scientific publications in national journals as mandatory outcomes. Data were analyzed by calculating Central Tendency and frequency distribution. The results showed that the majority of Banyutowo villagers were adults, male, unmarried, and final education in elementary school. The results of mental health identification found that the majority of the people in the Banyutowo village were in the healthy age group. The results of this study can then be followed up by giving intervensin to each mental health group, so that it is expected to increase public knowledge about the importance of mental health, improve community capacity to help themselves in the field of mental health, improve community preparedness of mental health risks and hazards, and increase support and the active role of stakeholders as well as improving the community to implement healthy mental behavior. Keywords: mental health, society

scholarly journals Screening for family functioning and mental health in adolescents with non-cardiac chest pain: A comparison study for a frequently encountered problem

2021 ◽  
Vol 38 (3) ◽  
pp. 241-245
Author(s):  
Nursel AKMAZ ◽  
Hacer ÖRSDEMİR HORTU ◽  
Kayı ELİAÇIK ◽  
Yavuz DEMİRÇELİK ◽  
Özlem ÜZÜM ◽  
...  
Keyword(s):  
Mental Health ◽  
Chest Pain ◽  
Family Functioning ◽  
Mental Health Problems ◽  
Warning Sign ◽  
Family Issues ◽  
The Family ◽  
Patient Health ◽  
Anxiety Depression ◽  
Brief Screening

Chest pain is highly prevalent in adolescence, represents a considerable burden for health services, and rarely associated with cardiac disease. Since psychosocial factors are related to chest pain there is a need for exploring the accompanying family functioning and mental health problems in adolescents with non-cardiac chest pain. Here, we assessed these determinants in 68 adolescents with non-cardiac chest pain and 68 age and-sex matched control participants using the 4-item Patient Health Questionnaire-4 for a brief screening for anxiety and depression and the Family APGAR Scale to assess the perception of family functioning. Adolescents with non-cardiac chest pain reported more depression, anxiety and experienced impaired family functioning (p=0.003, p<0.001, p<0.001). The results indicated that non-cardiac chest pain is a warning sign of an underlying mental health problem with accompanying family issues and it deserves further psychosocial investigation including anxiety, depression, and impaired satisfaction of the adolescents’ family’s responsiveness.

scholarly journals MOTIVATION FOR ALCOHOL CONSUMPTIONS BY ADULTS: TRADITIONS OR AN ATTEMPT TO SOLVE MENTAL HEALTH PROBLEMS (EXEMPLIFIED BY THE CITY OF LVIV AND LVIV REGION, UKRAINE)

2021 ◽  
Vol 74 (11) ◽  
pp. 2784-2788
Author(s):  
Maryna B. Klimanska ◽  
Larysa D. Klymanska ◽  
Halyna Z. Herasym ◽  
Janusz Sierosławski ◽  
Viktor Ye. Savka ◽  
...  
Keyword(s):  
Mental Health ◽  
Alcohol Consumption ◽  
Mental Health Problems ◽  
Statistical Processing ◽  
European Countries ◽  
Social Motives ◽  
The People ◽  
Motivational Structure ◽  
Abuse Risk ◽  
The City

The aim: To clarify motivation trends of alcohol consumption by adults in the city of Lviv and Lviv region and their mental health risk factors as compared to the specificity of motivation for alcohol consumption by the representatives of other European countries. Materials and methods: The study is based on the data of the representative survey of Lviv region residents (1,200 persons) following the methodology RARHA adjusted for Ukraine and its statistical processing. Results: The results of the study point to the prevalence of social and recreational, traditional motives for alcohol consumption by Lviv region residents (consumption during solemn ceremonies and celebrations). Extremely important, as compared to other European countries, are social motives (the sense of belonging to an important social group). The importance of social factors for the respondents decreases a bit with age and considerably depends on the specific features of religious practices. A wide-spread motive is the striving for changing the emotional state, combined with higher abuse risk as compared to the people who drink on social occasions. Conclusions: The results of the study characterize the specificity of the motivational structure of alcohol consumption by Ukrainians as compared to the general European trends and can be used for the development of targeted regional prevention programs.

scholarly journals MENGATASI STRESS SAAT PANDEMIK DENGAN MEMBUAT BUKU MEWARNAI (Di IEEEL Institute, Tangerang)

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Aprilia Kartini
Keyword(s):  
Mental Health ◽  
Normal Stress ◽  
Emotional Response ◽  
Mental Health Problems ◽  
Virus Disease ◽  
Life Problems ◽  
The Family ◽  
Boarding House ◽  
Household Activities ◽  
One Year

<p align="center"><strong><em>ABSTRACT</em></strong></p><p><strong><em> </em></strong></p><p><em>                </em><em>During the Corona Virus Disease-2019 (Covid-19) pandemic, which has been going on for almost 1 (one) year, many people feel confused, anxious, afraid, and some are also frustrated. This pandemic has an impact on various sectors, such as economy, education, tourism, social and many more. Feelings of fear of contracting and facing death alone and other worries that everyone thinks about so that the level of stress is getting higher. There has been a change in lifestyle that is usually spent with friends now mostly alone at home or boarding house. Those who already have a family have a heavier burden, especially when it comes to dealing with work when working from home or WFH. Coupled with taking care of children's school and household activities. Stress is a person's emotional response caused by external problems or when facing various life problems. To some extent, stress is needed to be prepared to face the threat of problems. This kind of stress is called eustress or normal stress. However, if the stress is prolonged and causes suffering to turn into distress and can cause mental health problems, this should be avoided. One way to deal with stress during a pandemic can be done by making pictures. As stated by Herawati and Iriaji, they argue that drawing is a tool to express thoughts. During a pandemic when people are worried about leaving the house, coloring books are an alternative to relieve stress. But the obstacle is that people are afraid to leave the house to buy books and also during the economic situation in the family that must be regulated because many do not receive full salaries, so making their own coloring books is an alternative.</em><em></em></p><p><strong><em><br /></em></strong><em></em></p><p> </p>

Sign in / Sign up

Export Citation Format

Share Document