Loss, grief and loneliness

2020 ◽  
pp. 85-94
Author(s):  
Janet Batsleer ◽  
James Duggan

Loss is strongly present in early experience of loneliness. This may be bereavement, but it may also be an experience of parental divorce and separation, of moving into foster care. Sometimes a loss of a feeling of safety and good connection which is the result of violence is accompanied by a loneliness; and the stigma, shame and self-reproach which is associated with becoming a victim of violence is then multiplied in a further stigma associated with loneliness. Using examples of attempted suicide, the trauma of witnessing domestic violence and the Post Traumatic Stress Disorder experienced by a young refugee this chapter’s sub-themes are loss and grief; shame; and social isolation.

Homeopathy ◽  
2018 ◽  
Vol 107 (03) ◽  
pp. 202-208 ◽  
Author(s):  
Lidia Llanes-González ◽  
Leopoldo Aguilar-Faisal ◽  
Juan Asbun-Bojalil ◽  
Emma Macías-Cortés

Background Although individualized homeopathic treatment is effective for depression in climacteric women, there is a lack of well-designed studies of its efficacy for depression in battered women or in post-traumatic stress disorder. The aim of this study was to assess the association between individualized homeopathic treatment or fluoxetine and response to depression treatment in climacteric women with high levels of domestic violence, sexual abuse or marital dissatisfaction. Materials and Methods One hundred and thirty-three Mexican climacteric women with moderate-to-severe depression enrolled in the HOMDEP-MENOP Study (a randomized, placebo-controlled, double-blind, double-dummy, three-arm trial, with a 6-week follow-up study) were evaluated. Domestic violence, marital dissatisfaction and sexual abuse were assessed at baseline. Response to depression treatment was defined by a decrease of 50% or more from baseline score of Hamilton scale. Association between domestic violence, sexual abuse, and marital dissatisfaction and response to depression treatment was analyzed with bivariate analysis in the three groups. Odds ratio (OR) and 95% confidence interval (CI) were calculated. Results Homeopathy versus placebo had a statistically significant association with response to depression treatment after adjusting for sexual abuse (OR [95% CI]: 11.07 [3.22 to 37.96]), domestic violence (OR [95% CI]: 10.30 [3.24 to 32.76]) and marital dissatisfaction (OR [95% CI]: 8.61 [2.85 to 25.99]). Conclusions Individualized homeopathic treatment is associated with response to depression treatment in climacteric women with high levels of domestic violence, sexual abuse or marital dissatisfaction. Further studies should be conducted to evaluate its efficacy specifically for post-traumatic stress disorder in battered women. ClinicalTrials.gov Identifier: NCT01635218, URL: http://clinicaltrials.gov/ct2/show/NCT01635218?term=depression+homeopathy&rank=1


2018 ◽  
Vol 7 (2) ◽  
pp. 52
Author(s):  
Ananditya Sukma ◽  
Sasanti Juniar

Selain perempuan, anak merupakan korban tersering dalam domestic violence. Sebagian besar merupakan korban child neglect, diikuti physical abuse dan sexual abuse. Penganiayaan yang dialami saat kecil membuat anak rentan mengalami attachment yang insecure, low self esteem, regulasi emosi yang tidak baik, sense of self yang buruk, kesulitan untuk percaya pada orang lain, penolakan dari teman sebaya, dan pencapaian prestasi pendidikan yang buruk. Psikopatologi yang muncul rentan membuat anak mengalami gangguan jiwa seperti Post Traumatic Stress Disorder (PTSD), penyalahgunaan zat, gangguan tingkah laku dan depresi. Terdapat beberapa penanganan untuk anak-anak korban domestic violence antara lain: Play therapy, Parent-Child Interaction Therapy (PCIT), Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), Group counseling.


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