Family accommodation in pediatric body dysmorphic disorder: A qualitative study

2020 ◽  
Vol 84 (4) ◽  
pp. 319-336
Author(s):  
Amita D. Jassi ◽  
Aysha Baloch ◽  
Kike Thomas-Smith ◽  
Angela Lewis

Family accommodation (FA) is significant in a range of disorders, yet it has never been explored in body dysmorphic disorder (BDD). Interviews were conducted with five young people with BDD, five parents, and five clinicians to explore the types, impact, and purpose of FA in BDD. Every participant reported significant FA of BDD, and the types reported were broadly similar to those found in other disorders. Reassurance giving/seeking and engagement in rituals were the two most common forms of FA reported with funding products being the third. Unsurprisingly, the driver for FA was to reduce the young person's distress and risk. Every participant commented on the negative impact FA had, including the financial burden, social implications, emotional well-being of family members, relationships, and conflict within the family, yet all young people also thought there were positive aspects to FA. Findings are discussed in the context of the limitations of this study.

1981 ◽  
Vol 9 (1) ◽  
pp. 33-53 ◽  
Author(s):  
Stella R. Quah

AbstractThe present interest on the family in Singapore is shared by other countries. There is continuous discussion on the effects of legislation on the family both in Europe and in the United States. The concern is primarily with family well-being and with the search for effective strategies to attain it. This search leads to the question: can the family be strengthened by legislation? The aim of this paper is to suggest a qualified answer to this question based on our own and other nations' experiences. The discussion will be divided into three parts. The first part is a brief review of what is meant by family and family policy. The second part deals with the situation of family and policy in Singapore and discusses some direct and indirect policies affecting the family. The third and final part draws some lessons for the 1980s.


2018 ◽  
Author(s):  
Megan Winsall ◽  
Simone Orlowski ◽  
Gillian Vogl ◽  
Victoria Blake ◽  
Mariesa Nicholas ◽  
...  

BACKGROUND A key challenge in developing online well-being interventions for young people is to ensure that they are based on theory and reflect adolescent concepts of well-being. OBJECTIVE This exploratory qualitative study aimed to understand young people’s concepts of well-being in Australia. METHODS Data were collected via workshops at five sites across rural and metropolitan sites with 37 young people from 15 to 21 years of age, inclusive. Inductive, data-driven coding was then used to analyze transcripts and artifacts (ie, written or image data). RESULTS Young adults’ conceptions of well-being were diverse, personally contextualized, and shaped by ongoing individual experiences related to physical and mental health, along with ecological accounts acknowledging the role of family, community, and social factors. Key emerging themes were (1) positive emotions and enjoyable activities, (2) physical wellness, (3) relationships and social connectedness, (4) autonomy and control, (5) goals and purpose, (6) being engaged and challenged, and (7) self-esteem and confidence. Participants had no difficulty describing actions that led to positive well-being; however, they only considered their own well-being at times of stress. CONCLUSIONS In this study, young people appeared to think mostly about their well-being at times of stress. The challenge for online interventions is to encourage young people to monitor well-being prior to it becoming compromised. A more proactive focus that links the overall concept of well-being to everyday, concrete actions and activities young people engage in, and that encourages the creation of routine good habits, may lead to better outcomes from online well-being interventions.


2019 ◽  
Vol 6 (4) ◽  
pp. e580 ◽  
Author(s):  
Janine Beekman ◽  
Aysha Keisler ◽  
Omar Pedraza ◽  
Masayuki Haramura ◽  
Athos Gianella-Borradori ◽  
...  

ObjectiveTo gain insights into NMOSD disease impact, which may negatively affect QoL of patients, their families, and social network.MethodsThe current study used validated instruments to assess physical, emotional, and socioeconomic burden of NMOSD on QoL among 193 patients.ResultsA majority of patients reported an initial diagnosis of a disease other than NMOSD. Overall, two-thirds of patients reported NMOSD as having a strong negative impact on physical health (Short Form-36 [SF-36] score 27.1 ± 39.1), whereas emotional well-being was relatively unimpaired on average (SF-36 score 54.0 ± 44.9). A subset of patients reported having the highest category of emotional health despite worse physical health or financial burden, suggesting psychological resilience. Pain (r = 0.61) and bowel/bladder dysfunction (r = 0.41) imposed the greatest negative physical impact on overall QoL. In turn, ability to work correlated inversely with worsened health (r = −0.68). Increased pain, reduced sexual function, inability to work, and reduced QoL had greatest negative impacts on emotional well-being. Dissatisfaction with treatment options and economic burden correlated inversely with QoL.ConclusionsCollectively, the current findings advance the understanding of physical, emotional, social, and financial tolls imposed by NMOSD. These insights offer potential ways to enhance QoL by managing pain, enhancing family and social networks, and facilitating active employment.


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e037315
Author(s):  
Henrik Hein Lauridsen ◽  
Anna Bjellekjær Stolpe ◽  
Cornelius Myburgh ◽  
Lise Hestbæk

ObjectivesIt is currently unknown whether children, adolescents and adults experiencing non-specific spinal pain are affected by their pain in a similar manner. It is also unclear whether questionnaires developed for adults can simply be transferred to paediatric populations. The objective of this study was to explore the physical, psychological and social consequences of a life with non-specific spinal pain among Danish children and to compare these consequences with the content of common adult questionnaires.Design and settingA qualitative study based on individual interviews and focus group discussions with participants recruited from two public schools in Denmark.ParticipantsThirty-six children aged 9–12 years with spinal pain were invited to an interview using a purposive sampling strategy with age, pain intensity and frequency, and general well-being status as inclusion criteria. Nineteen (9 girls, 10 boys) accepted to participate.MethodsData were transcribed verbatim and coded by following a thematic approach to elicit key concepts relevant to spinal pain. Subsequently, focus group interviews were conducted, and all codes were assigned categories corresponding to the International Classification of Function, Disability and Health (ICF) for comparison to adult questionnaires.ResultsNineteen interviews were included, and 21 individual codes identified. Across the codes, five themes emerged in relation to children’s experiences of living with spinal pain: ‘Sports and play’, ‘Axial loading’, ‘Coping strategies’, ‘Mood changes’ and ‘Pain anxiety’. Codes and themes were elaborated on by the focus groups. Only approximately 40% of the identified ICF categories were covered by adult spinal questionnaires.ConclusionsThe negative impact of non-specific spinal pain on children aged 9–12 years pivots around codes which are considerably different to adults. Psychological and social factors were more prominent and pain anxiety was dominant in the lived lives of children. New questionnaires should be age specific and include the identified codes within each theme.


2019 ◽  
Vol 15 (1) ◽  
pp. 13-29
Author(s):  
Maciej Dębski ◽  
Łukasz Sułkowski

Small and micro businesses form the largest group of entities offering services to tourists in tourist destinations. A majority of them are family businesses accommodation facilities. The study tests the hypothesis that the family nature of a business offering accommodation services can be a source of real competitive advantage being of significance for a certain group of clients. The advantage can be shaped by creating an image based on the owner’s involvement and hospitality. As the literature research indicated, in the case of the businesses described, it is relatively easy to develop a bond between the facility’s manager and their clients. The deliberations were extended by an empirical study conducted on a group of young people from Poland and Ukraine. Its results have indicated that accommodation services are significant elements of the satisfaction among the clients surveyed, and that in the group surveyed, the key reason for a trip is the intention to “experience and learn” and not comfort. It has also been confirmed that the determinants of accommodation services related to broadly defined hospitality are significant, however, not key in the group analyzed.


2020 ◽  
pp. 100-118
Author(s):  
I. V. Klymenko

In the article, we have analyzed the information that concerns the potential impact of volunteer activity on the psycho-emotional state and the family well-being of volunteers, in particular those who carry out their activities in extreme conditions. We have analyzed the peculiarities of the activities of Ukrainian volunteers who assisted the combatants and victims of the war during the most fierce military confrontation in the East of Ukraine in 2014– 2016 and found that their activities could have a negative impact on the socio-psychological climate and the functioning of their families due to prolonged, tensional, emotionally intense and sometimes risky nature of activities. We have researched the peculiarities of matrimonial relationship and some indicators of family well-being (level of satisfaction with marriage and marriage partner, peculiarities of communication, readiness for interaction, level of mutual respect and emotional attraction) in the families of active participants of the volunteer movement, who directed their efforts to assist the military and civilian during a period of active military confrontation. We have analyzed the correlation between the family well-being of volunteers and the peculiarities of their activities. Particular attention was paid to the analysis of the specifics of activities and relationships with marital partners for volunteers whose families eventually have broken up (every fifth of studied participants have experienced a divorce during active engagement in volunteering). The indicators of the psycho-emotional status of volunteers (fixation and somatization of anxiety, depression) were also analyzed. We have identified a number of factors that can negatively affect the family well-being and the psycho-emotional state of volunteers who operate in conditions of military confrontation, in particular the intensity and duration of volunteering activity, significant personal responsibility, high emotional involvement, lack of support from family members.


Author(s):  
Khurshid Abdirashidovich Mirzakhmedov

The article considers new non-traditional types of mass culture that hinder the formation of the spiritual and moral life of the youth. In the era of market economy and transformation of national values and ideals, there is a need to improve the tolerant attitude of mass culture. We often hear from TV screens, from leading politicians, the word «tolerance» or «toleration in various guises and meanings of socialization of young people», which we were not familiar with until recently. In many cultures, the concept of «tolerance» is characterized by a kind of synonym for toleration: Latin-tolerantia; Portuguese-tolerância; Italian-tolleranza; Dutch-tolerantie; Uzbek-bag'rikenglik and sabr-toqatlilik. Sociological analyses show that some types of modern non-traditional forms and patterns of culture have a negative impact on the spiritual and moral life of the younger generation. In our opinion, it is tolerance that has become the basis for the spread of new types of mass culture among young people. Starizm (translated from English «stars», means celebrity cult) causes young people to have new artifi cial idols to copy. Kitsch — hack, tasteless, «cheap». Flash mob — a pre-planned mass gathering. Vandalism was manifested in the past in the destruction of national historical monuments, which passes into the area of the spiritual life of the population, especially young people. We stand in solidarity with those specialists who are in favor of the expediency and consistency of the work carried out among young people. However, the most important innovative method that ensures the effectiveness of educational work, as we think, is the revival of the traditional social status and function of the family. The family as a traditional institution has been modernized to the detriment of national peculiarity and ideals. The work on the formation of tolerance in modern society should be associated not only with the training of young people in specific skills of tolerant behavior, but also with the formation of certain personal qualities. It is about self-esteem and the ability to respect the dignity of others; the awareness that each person is diverse in their manifestations and is not like others; a positive attitude towards oneself and representatives of other peoples and other cultures.


2021 ◽  
pp. 119-124
Author(s):  
S.V. Hemanova ◽  
◽  
E.A. Khomutnikova

Presented is his article presents the experience of forming responsible parenting among university students, that is characterized by diversity and integration of it’s constituent areas, programs, development routes. The urgency of this problem is due to the interest of the state in the person of its social institutions in the high-quality preparation of young people for family life, since a strong family is a guarantee of stability and well-being of society and a leading factor in the preservation of spiritual and moral values and national customs. To participate in the study selected were 500 students of 1–3 courses, aged 18 to 21, of which 250 respondents were boys, 250 were girls. The sample was represented by students from five institutes of Kurgan state university without emphasis on their professional orientation. Based on research results, the article defines structure and content of value paradigm among young people in the sphere of family relations. Within the framework of inter-network interaction, researchers attempt to create conditions for the formation of ideological attitudes towards the family as the highest ethical value among students, and also to analyze the organization of gender-role interaction, and also make an attempt to provide opportunity for young people to build their own individual life trajectory. The experience gained in formation of family values and preparation for parenting at university is summarized in periodicals; collections of scientific papers, guidelines and textbooks on pedagogy and psychology of family and family education, speeches at conferences at various levels, and master classes.


2018 ◽  
Vol 71 (suppl 3) ◽  
pp. 1220-1227 ◽  
Author(s):  
Iara Falleiros Braga ◽  
Wanderlei Abadio de Oliveira ◽  
Jorge Luiz da Silva ◽  
Flávia Carvalho Malta de Mello ◽  
Marta Angélica Iossi Silva

ABSTRACT Objective: To analyze the experiences of gay and lesbian adolescents and young people in the process of revealing sexual orientation to their families. Method: A qualitative study carried out in a city in the state of São Paulo. Twelve gay and lesbian adolescents and youngsters participated. For the data collection, the semi-structured interview was used and data analysis was performed using the method of interpretation of the senses. Results: The family reactions in the process of “coming out of the closet” of the participants were violent, with persecution and even expulsion from home, in addition to the repression of expressions of homoerotic experiences, which impacted on their health and quality of life. Final considerations: The family is an essential component of the support network, but also a space that can generate and reproduce forms of violence in the name of heteronormativity. Health services should develop care practices and care for the family and adolescent and homosexual youth victim of violence.


Author(s):  
E. Alessandra Strada

This chapter describes palliative psychology competencies in the third domain of palliative care, which focuses on identifying and addressing psychological and psychiatric needs in the patient and the family. Palliative psychology is a holistic discipline. It emphasizes not only the management of distress, but also the importance of facilitating psychospiritual well-being for the patient and for family caregivers. Because psychotherapy is one of the main psychological interventions provided by psychologists, this chapter defines palliative psychotherapy as a relevant framework for the palliative care setting. The essential components related to structure, delivery, and therapeutic stance are discussed. This chapter also discusses major depression, anxiety, and anticipatory grief reactions. Nonpharmacological and pharmacological approaches are discussed.


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