scholarly journals The Construction of Self-Identity in the Chronically Mentally Ill: A Focus on Autobiographic Narratives of Mentally Ill Patients in South Korea

2022 ◽  
Vol 4 (1) ◽  
pp. 150-170
Author(s):  
Sang-hui Nam
Keyword(s):  
Mental Health ◽  
South Korea ◽  
Narrative Analysis ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Social Environments ◽  
Self Identity ◽  
Rehabilitation Programs ◽  
The Individual ◽  
Chronic Psychiatric Patients

A systematic policy for treatment and management of chronic psychiatric patients in South Korea was begun with the passage of the Mental Health Act in 1995. The mentally ill patients who were previously separated from the society now have opportunities to live in local communities under medication with the help of rehabilitation facilities. This study aims to understand how mentally ill patients deal with their new medical environment. An autobiographic narrative analysis is methodically applied in order to link the social and the individual levels. Autobiographic narratives of illness show how the patient’s self-identity is formed and further developed according to the chronic conditions of his illness and the continual learning from experiences. In regard to the construction of selfidentity, two aspects should be taken into consideration: First, medication is absolutely necessary before patients can leave the hospital and participate in rehabilitation programs. Secondly, social integration is usually evaluated by the return of the patient into a normal biographical stage. It turns out that medication deprives the patients of control over their emotions, their bodies. Furthermore, their social environments – including family, friends and the labor market – work against them. Under these circumstances, mentally ill patients are liable to adhere to their own interpretation of mental illness, and what they experience is far different from the expectations of experts in the field. The new mental health environment also contributes to the formation of patient communities. As a result, chronic psychiatric patients are able to build their own subculture and to see themselves through their own eyes. Further studies are needed to explore whether and to what extent the ongoing improvement of social conditions for mentally ill patients has an impact on autobiographic narratives and self-identity construction.

scholarly journals Maternal Adaptation of Working Mothers with Infants or Toddlers in South Korea: A Systematic Review

2020 ◽  
Author(s):  
Jeong-Ah Ahn ◽  
Eun Ha Roh ◽  
Tiffany Kim ◽  
Jin Hyang Lee ◽  
Ju-Eun Song
Keyword(s):  
Systematic Review ◽  
South Korea ◽  
Narrative Analysis ◽  
Working Mothers ◽  
Psychological Adaptation ◽  
Working Mother ◽  
Her Family ◽  
Familial Support ◽  
Maternal Adaptation ◽  
The Individual

Abstract Background: The fertility rate in South Korea has been decreasing dramatically, as working women postpone or avoid childbirth due to the challenges of maintaining a career while raising a family. Working mothers with infants or toddlers have unique maternal adaptation needs, which must be understood in order to support their needs during childbearing years. Supporting successful maternal adaptation of working mothers is not only essential for each individual new working mother, but also benefits her family, her workplace, and the country. Methods: A systematic review was conducted to describe the current state of the science on maternal adaptation of working mothers with infants or toddlers in South Korea. Eligible studies, published between 2009 and 2018, were identified by searching electronic databases. Quantitative studies related to the maternal adaptation of Korean working mothers who had a child younger than age 3 years were included. Thirty-eight articles met the inclusion criteria for narrative analysis and synthesis. Results: Studies were classified into four major groups by maternal adaptation categories as psychological, behavioral, relational, and cognitive adaptation. The majority of studies were focused on working mothers’ psychological adaptation (n=37, 97.4%), followed by behavioral (n=11, 28.9%), relational (n=9, 23.7%), and cognitive (n=3, 7.9%) adaptation. We found that the maternal adaptation of working mothers was intimately influenced by diverse variables of their community, spousal and familial support, personal attributes, and job-related characteristics. Conclusions: These findings demonstrate the importance of understanding variable aspects of maternal adaptation of working mothers with infants or toddlers. The complexity of working mothers’ needs at the individual, family, and community levels must be considered in order to develop effective intervention programs and public policy for supporting maternal adaptation in Korea.

Psychiatric intensive care after two years

1989 ◽  
Vol 13 (8) ◽  
pp. 421-422 ◽  
Author(s):  
J. M. O'Dwyer ◽  
B. S. Mann
Keyword(s):  
Mental Health ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
General Hospital ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
District General Hospital ◽  
Descriptive Study ◽  
Psychiatric Unit ◽  
Health Authorities

The following is a descriptive study of Willoughby Ward, a psychiatric intensive care unit, opened in Parkside Hospital, Macclesfield, in July 1986. It provides a moderately secure facility for the treatment of psychiatric patients within both Crewe and Macclesfield Health Authorities. The unit has 15 beds, of which two are funded and used by Crewe area, where, unlike Macclesfield, the psychiatric unit is located in the district general hospital. Managed as a locked ward, the patients are admitted under the provisions of the Mental Health Act 1983. As well as being mentally ill as defined in the Act, the patients were disturbed to a degree as to be unmanageable in open conditions.

Mental Health in a Remote Community

1983 ◽  
Vol 53 (1) ◽  
pp. 95-100 ◽  
Author(s):  
P. M. Valliant ◽  
D. Cooper ◽  
P. Simpson-Housley ◽  
B. Hall ◽  
D. Farmsworth
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Mental Health Professionals ◽  
Mentally Ill ◽  
Group Membership ◽  
Psychiatric Patients ◽  
Attitude Scale ◽  
Northern Ontario ◽  
Remote Community ◽  
Mentally Ill Persons

A total of 118 persons, 44 male and 74 female, from a Northern Ontario community with a local psychiatric hospital were administered a community mental health attitude scale. The groups were relatives of discharged and current psychiatric patients, citizens with no psychiatric relatives, mental health professionals, and psychiatric patients. Significant differences were noted for educational level, age, and community mental health ideology. Analysis suggests that group membership could be predicted with 67% success for patients and 87% for others. Citizens from the community leaned toward a denial of social freedom and recognition for mentally-ill persons and toward treating them as disparate from the rest of the community.

Feasibility of Discharge of Chronic Psychiatric Patients

1984 ◽  
Vol 18 (4) ◽  
pp. 364-372 ◽  
Author(s):  
Jerzy Krupinski ◽  
Alan Mackenzie ◽  
Norman Carson
Keyword(s):  
Mental Health ◽  
Nursing Care ◽  
Hospital Care ◽  
Psychiatric Patients ◽  
Care Homes ◽  
Behavioural Problems ◽  
Chronic Patients ◽  
Charge Nurses ◽  
Therapeutic Activities ◽  
Chronic Psychiatric Patients

In a survey of all (2795) chronic psychiatric patients resident in Victorian Mental Health Division hospitals, charge nurses were asked to assess patients' levels of physical and psychological dependence on nursing care, aggressive and difficult behaviour and their preferred future placement. The vast majority were ‘old’ chronic patients and nurses considered the present placement as the most appropriate for two-thirds of the surveyed population. We adopted our own criteria of placement needs, such as level of physical and psychological dependence, behavioural problems and treatment received. Of the 2795 patients, one-quarter (682) would require continuing hospital care. The remainder could be transferred, depending on their characteristics, to intensive or general nursing care homes, hostels or special accommodation houses, provided that such facilities are available and the participation of patients in various therapeutic activities was ensured.

Per una storia dell'affidamento dei malati psichiatrici alle famiglie: Towards a history of the family care of psychiatric patients

2009 ◽  
Vol 18 (1) ◽  
pp. 34-39 ◽  
Author(s):  
Patrizia Guarnieri
Keyword(s):  
Mental Health ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Family Care ◽  
Special Role ◽  
The Past ◽  
The Family ◽  
History Of ◽  
Psychiatric Staff

SummaryInserting adults with psychic problems into families has recently been practiced in various European countries and also in Italy, where some mental health departments support such families. Beyond the well known story of Gheel, the etero and omofamily care of psychiatric patients has a forgotten history. Methods – On the basis of unexplored and exceptionally rich sources from the archives of the asylums in Florence, as well as of the Province di Florence, which funded assistance to the mentally ill – this research focuses on the subsidized “domestic custody” of hundreds of psychiatric patients, who had already been institutionalized. Beginning in 1866, outboarding was supported by the provincial administration in Florence with the collaboration of the asylum medical direction. Results – In the late 19th C. and in the early 20th C. prestigious psychiatrists sought alternatives to the institutionalisation. These alternatives involved varied participants in a community (the patients and their families, the administrators and the medical specialists, the neighborhood and the police). The families played a special role that historians of the psychiatry exclusively dedicated to the insane asylums have not really seen. Conclusions – The role of the families in the interaction with the psychiatric staff is not, even on a historiographical level, simply an additional and marginal chapter of the practices and of the culture of the mental health. These archival evidence contradicts some common places on the past of the Italian psychiatry before 1978, and provokes new reflections of possible relevance to the present.

Managing offenders with psychiatric disorders in general psychiatric services

2012 ◽  
pp. 2009-2014
Author(s):  
James R. P. Ogloff
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mental Health Services ◽  
Health Services ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Psychiatric Services ◽  
Mentally Ill Offenders ◽  
General Mental Health ◽  
General Community

It has been shown that the prevalence of mental illness among those in the criminal justice system is significantly greater than that found in the general community. As presented in Chapter 11.4, for example, the per capita rate of psychotic illness in prisons is approximately 10 times greater than that found in the general community. Tragically, relatively few services exist that provide continuity of mental health care between gaols and the community. This produces a situation where individuals whose mental illness may have been identified and treated in gaol find themselves without services in the community. Typically, only when in crisis do they find their way into general psychiatric services either in community settings or in hospital. This situation has produced considerable stress on already taxed mental health services. Given the prevalence of offence histories among psychiatric patients, it is important for mental health professionals to be aware of the unique issues—and myths—that accompany patients with offence histories. At the outset it is important to emphasize that the duty of mental health services is to address mental health issues. That ought to be the focus of mental health services. As this chapter makes clear, though, for some patients, there is a relationship between the mental illness and offending and by addressing the mental illness, the risk of re-offending might well be reduced. Moreover, many of the ancillary issues that lead to relapse and destability in psychiatric patients also may lead to offending. Addressing these issues will both help provide long-term stability for patients and will help reduce their risk of offending. As a result, there is a need for general mental health services to acquire expertize to identify and manage patients with offending histories. This chapter will provide information about the relative risk of offending among psychiatric patients and the relationship (or lack thereof) of inpatient aggression and community-based violence and offending. A framework will be provided for assessing and treating patients with offending histories and issues using a typology of mentally ill offenders. The role of forensic mental health services in bolstering general psychiatric services, and in sometimes providing primary care for mentally ill offenders, will also be discussed.

scholarly journals Stigma and Attitudes towards Psychiatric Patients in Portuguese Medical Students

2015 ◽  
Vol 28 (6) ◽  
pp. 715 ◽  
Author(s):  
Diogo Telles-Correia ◽  
João Gama Marques ◽  
João Gramaça ◽  
Daniel Sampaio
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Medical School ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Self Report ◽  
Psychiatric Education ◽  
Cross Sectional Survey ◽  
Community Attitudes ◽  
The Impact

<p><strong>Introduction:</strong> This study aims to assess the impact of psychiatric education on attitudes of medical students towards psychiatric patients.<br /><strong>Material and Methods:</strong> A cross-sectional survey of medical students was conducted at the biggest Portuguese medical school. The students completed an anonymous self-report questionnaire, including sociodemographic data, family history of psychiatric illness, and the Community Attitudes toward the Mentally Ill scale.<br /><strong>Results:</strong> Of the 2 178 students, 398 answered the survey, representing 18.2% of the whole medical school. There was a significant improvement in all Community Attitudes toward the Mentally Ill scale dimensions along the medical course. The higher scores were in Restrictiveness subscale (38.01), and the lower scores were for Authoritarianism (36.13). The best improvement along the course was for Authoritarianism (5th year score - 1st year score = 2.03), and the worse was for Benevolence (5th year score - 1st year score = 0.39). The biggest improvement, in all scores, was found at the end of the 3rd year.<br /><strong>Discussion: </strong>The authors propose that the better attitudes found on third year students were due to a very specific anti-stigma module on the theoretical discipline ‘Introduction to Mental Health’. After that, this positive effect was lost, with fourth and fifth year medical students showing a worsening of their attitudes.<br /><strong>Conclusion:</strong> Our results highlight the importance of anti-stigma specific education modules in order to improve students’ attitudes toward mental health. Thus more anti-stigma preventive measures can be taken onward, on preparing the best way possible, the next generation of doctors.</p>

Quality of life in chronically mentally ill patients in day treatment

1990 ◽  
Vol 20 (3) ◽  
pp. 703-710 ◽  
Author(s):  
Anthony J. Levitt ◽  
T. P. Hogan ◽  
Catherine M. Bucosky
Keyword(s):  
Quality Of Life ◽  
Mentally Ill ◽  
Social Life ◽  
Psychiatric Illness ◽  
Day Treatment ◽  
Psychiatric Patients ◽  
Assessment Instrument ◽  
Clinical Benefits ◽  
Chronic Psychiatric Patients

SynopsisA structured assessment instrument, the Quality of Life Interview, was used to explain the quality of life of seventy patients with chronic psychiatric illness attending a day treatment programme. The interview was found to have acceptable psychometric properties. Factors that best predicted the quality of life of these patients included the number of re-admissions in the last year, frequency of family contacts, satisfaction with social life, psychiatric health and adult education. The theoretical implications and potential clinical benefits of these findings for chronic psychiatric patients are discussed.

scholarly journals Talking to Others About Sexual Assault: A Narrative Analysis of Survivors’ Journeys

2019 ◽  
pp. 088626051986165
Author(s):  
Bonnie Yuen ◽  
Jo Billings ◽  
Nicola Morant
Keyword(s):  
Mental Health ◽  
Sexual Assault ◽  
Narrative Analysis ◽  
Case Analysis ◽  
Individual Case ◽  
Clinical Practices ◽  
Sexual Assault Survivors ◽  
The Individual ◽  
Cross Case Analysis ◽  
Assault Survivors

Previous research suggested the benefits for sexual assault survivors to talk about their trauma and its mental health implications, but it remained unclear what steps sexual assault survivors need to take to be able to have these conversations. To address this gap in the literature, this study aims to explore the journeys of sexual assault survivors with the use of narrative interviews to retain the richness of the data. This study reports the findings of a narrative analysis of the accounts of six female sexual assault survivors aged between 20 and 38. The analysis provides an individual case profile for each participant, the core aspects and tone of each narrative, and a cross-case analysis. The cross-case analysis reveals an overarching theme of “the bumpy journey” within which the individual difficulties encountered are examined. The analysis also reveals the two main factors that motivated the participant to strive to make a difference for other sexual violence survivors and to improve their mental health through talking about their experiences. The implications for services providing continuous and long-term support to sexual assault survivors and clinical practices are discussed.

scholarly journals The effect of lockdown due to COVID-19 on mentally ill patients and their caregivers: a cross sectional study

2021 ◽  
Vol 8 (3) ◽  
pp. 1276
Author(s):  
Jayashree Janagam ◽  
K. C. Muraleedharan ◽  
Deepthi Gilla ◽  
N. D. Mohan
Keyword(s):  
Mental Health ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
Psychological Impact ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Givers ◽  
Increased Risk

Background: Pandemics are known to cause poor mental well-being and an increased risk of mental disorders. The foremost concern emerging from different aspects of COVID-19 is its impact on mental health. There were many surveys conducted on the general population related to the effect of COVID-19 and few studies on its psychological impact but there is sparse literature on how the containment measures affected the psychiatric patients. Objective of the study was to investigate whether the COVID-19 related lockdown affected the subjective mood and behavior of psychiatric patients and their caregivers. The secondary purpose is to assess the difficulties encountered in procuring medicines and the effect of non-availability of homoeopathic medicines if any.Methods: A cross-sectional survey was conducted on mentally ill patients and their care-givers in the Outpatient Department of Psychiatry in National Homoeopathy Research Institute in Mental Health (NHRIMH), Kottayam. Respondents were evaluated with a specially framed questionnaire containing 22 questions to assess the effect of lockdown on psychiatric patients and their caregivers, who attended the OPD after the COVID-19 related lockdown. The data generated through the study are analysed and presented in this article.Results: Out of the total 548 participants (M-65.9%, F-34.1%) who responded to the survey, 290 (53%) cases expressed that they were distressed to be under lockdown. 26.5% of the clients reported worsening of mental health conditions during lockdown compared to pre-lockdown. 54.2% of the patients found difficulty in procuring homoeopathic medicines during Lockdown.Conclusions: Authorities should consider the ways of limiting the effects of confinement on mentally ill patients and their caregivers by developing strategies to mitigate the adverse consequence of the pandemic. 

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