scholarly journals Systemic approach to сhild psychiatry: insights in etiopathogenesis and organization of assistance

2020 ◽  
Vol 27 (4) ◽  
pp. 475-486
Author(s):  
Marina A. Bebchuk

Aim. Integration of information on systemic approach published in literature, and of the own practical experience in rendering psychotherapeutic assistance to children with different forms of phobic anxiety disorders (PAD) aimed at improvement of effectiveness of treatment, of social adaptation of patients with PAD, and at search for organization forms of medical assistance to the given category of childrens population. Materials and Methods. Into the study 61 children of 8-17 years old were involved living at home and admitted to G.E. Sukharevskaya Research and Practical Center of Mental Well-Being of Children and Adolescents in 2018 for different mental disorders including PAD. In the study, analysis of medical histories and protocols of classes with a family psychologist were used. Results. On the basis of the parameters of family functioning three groups of phobic anxiety syndromes were isolated: disorders of the structural aspect (limits, hierarchy, coalitions, triangles), disorders of communication sphere, or of family history. The working systemic hypotheses were illustrated with ten classic examples. Conclusion. Systemic hypotheses of formation of PAD in children permit to construct treatment and rehabilitation strategies directed at improvement of patients state through creation of conditions for a prolonged stable remission in the family. Inclusion of classes with a family psychologist/psychotherapist into the plan of treatment and rehabilitation permits to shift the accent of help to a child to the outpatient environment.

2021 ◽  
Vol 11 (3) ◽  
pp. 203-212
Author(s):  
Keivan Kakabaraee ◽  
◽  
Maryam Seidy ◽  

Background: The birth of an exceptional child in a family can decrease the mental well-being of family members. This study aimed to investigate the effect of the family-centered problem-solving intervention on the mental well-being of the mothers of children with autism spectrum disorder. Methods: This was a quasi-experimental research with a pre-test, post-test, follow-up design and a control group. The statistical population of the study included all the mothers of children with autism disorder in Kermanshah City. Using the purposeful sampling method, we selected 30 mothers of autistic children studying at a rehabilitation center and randomly assigned them into the two groups of experimental (n=15) and control (n=15). In this study, the Satisfaction With Life Scale (Diener et al., 1985) and the Positive and Negative Affect Schedule (Watson et al., 1988) were used to measure mental well-being. After collecting the pre-test data of the mothers in the experimental group, 10 2-hour sessions (for a month) of family-centered problem-solving programs were administered. Also, the post-test and follow-up phases were executed after the end of the sessions and a 1-month interval, respectively. Finally, the obtained data were analyzed considering the repeated measures design. Results: The results showed a significant difference between the pre-test and post-test scores in the variable studied. However, the post-test and follow-up scores did not significantly differ in the variable studied. Conclusion: The results of this study supported the effectiveness of family-centered problem-solving training intervention on mental well-being and its subscales. Therefore, the family-centered problem-solving training program is of great importance as a preventive program.


Land ◽  
2020 ◽  
Vol 9 (11) ◽  
pp. 464
Author(s):  
Żaneta Moskalonek ◽  
Marcin Połom ◽  
Krystian Puzdrakiewicz

Allotment gardens are quite common in many European countries. In particular, they are an important part of the urban space in Central and Eastern Europe. They served to improve the inhabitants’ physical and mental well-being during the communist period and relieved the family budget thanks to their own crops. The article analyzes the functioning of allotment gardens in Poland based on the example of the Tri-City, with particular emphasis on allotment gardens in a prestigious, attractive location. Several research questions were asked regarding the change of the traditional function related to growing fruit and vegetables towards the modern function related to recreation and relaxation. A thesis was put forward that the attractive, seaside location of one of the allotment gardens on the border of Gdańsk and Sopot favors the dynamics of the changes in the function. New garden houses often resemble residential apartments in terms of comfort and function and are used for commercial rent during the summer, even though this is prohibited. In the study, the methods of a field query as well as a questionnaire survey and an in-depth interview were applied to check the state of the allotment holders’ knowledge on the applicable regulations regarding the functions of allotment gardens and their development, the size of garden houses and the rules of staying in the gardens, in particular living there. The questionnaire research and in-depth interviews were conducted at the beginning of 2020. The questionnaire research was conducted in February and March, and the in-depth interviews in May. The most pressing issues concerned the changing functions of allotment gardens and the perception of these changes by allotment owners who have gardens in a traditional form of cultivation. This study also allowed looking at possible neighborhood conflicts that may arise from a change in the function, in particular from the construction of houses with residential facilities, which encourages permanent residence in them, and sometimes subletting to tourists due to their attractive coastal location. The study helped to deepen the knowledge on the functioning of allotment gardens and transforming their functions into residential ones during the summer season. The obtained results show that nearly 60% of the surveyed respondents believe that seasonal occupation of allotment gardens should be allowed if their owners wish to do so. Most of the respondents encountered the problem of abnormal buildings and believe that the regulations in this respect should be followed. At the same time, they do not think that it is causing any problems for them. Conducting in-depth interviews, the information was obtained that the change of functions does not affect the existing, traditional users, and they mostly accept the changes taking place.


Autism ◽  
2021 ◽  
pp. 136236132110043
Author(s):  
Cameron A Maitland ◽  
Sinead Rhodes ◽  
Anne O’Hare ◽  
Mary E Stewart

Social identities relate to psychological perceptions of group memberships and form part of the self-concept. Socially identifying with groups has previously been found to associate with better mental well-being outcomes. This study first examined the factor structure and the reliability of measuring social identification in autistic adults. Confirmatory factor analysis showed that a factor structure was replicated in this sample for social identification with other autistic people, but not the family. Second, the study assessed the level to which autistic adults socially identified with different groups, the total number of social identities and whether these were associated with their mental well-being. Autistic adults reported feelings of social identification with many kinds of groups, some with multiple groups, whereas others did not socially identify with any group. Stronger feelings of social identification towards other autistic people and towards one’s family, and with more groups overall, were associated with less severe self-reported depression symptoms and more facets of positive mental health. These findings indicate the importance of facilitating autistic people’s engagement with social groups. Lay abstract Social identities are groups that we are part of and influence how we think about ourselves. However, up until now there has been little examination of the groups that autistic people may belong to, and how these groups may influence their mental health. This survey-based study investigated whether autistic adults answer questions about social groups in a similar way to non-autistic non-autistic adults, including the types and number of social groups they may belong to, and whether these are associated with depression, anxiety and positive traits of mental well-being. In total, 184 autistic adults completed an online survey with questionnaires about their demographics, social groups and mental health. The results found that autistic adults reported on their social groups similarly to non-autistic people. There was a variety in the types and numbers of groups that autistic adults identified with. Some participants reported having no groups that they identified with, whereas others reported up to four groups. These included other autistic people, their family, friends, work colleagues and activity clubs among others. Autistic adults who felt connected with more groups reported better mental well-being. Feelings of connection to other autistic people and the family were also associated with better mental well-being. These results show that it is important for autistic people to be given opportunity to be part of groups that are meaningful to them, as this may be beneficial for their mental health.


2021 ◽  
pp. 0192513X2110300
Author(s):  
Nilay Neyişci ◽  
Şefika Ş. Erçetin ◽  
Şuay N. Açıkalın ◽  
Nilüfer Koçtürk ◽  
Nihan Potas

This study explored the association of quality of life (QOL) during the pandemic with family climate and family integrity. Participants were 1085 parents from Turkey. According to the findings, the participants’ QOL, which demonstrated their judgments regarding their physical health, mental well-being, social relations, and general happiness, was greatly influenced by the COVID-19 pandemic. Women were seen to have lower perceptions in relatedness in the family and cognitive cohesion than male participants. While there was a positive, but low, association between the variables, there were positive and high correlations between cognitive cohesion and relatedness in the family. When the mediation analyses were evaluated, it was concluded that QOL predicted the sense of family coherence alone, while intergenerational authority influenced other variables. The results highlighted the importance of family climate–based prevention and intervention targeting the promotion of family coherence.


Author(s):  
Monalisa Biswas ◽  
Vijetha Shenoy Belle

This article addresses the rights, roles and responsibilities of Healthcare Workers (HCW) who are front line warriors in any pandemic outbreak. Coronaviruses 2019 (COVID-19) pandemic has emerged as international public health emergency in March 2020, and exposed the weak/failed health care system preparedness to respond to the pandemic threat and controlling the community spread. In India, huge population, poor economic growth and unacceptable doctor to patient ratio made swift response to emergence of pandemic, safeguarding HCWs, ability to provide care without mental and physical burn out challenging. This review emphasises the need for safety of HCW and patients, infection control, security to the family, psychosocial and mental well-being, proper allocation of medical supplies, medical ethics and communication.


2017 ◽  
Vol 14 (1) ◽  
pp. 7-9 ◽  
Author(s):  
Monique Chaaya ◽  
Kieu Phung ◽  
Samir Atweh ◽  
Khalil El Asmar ◽  
Georges Karam ◽  
...  

The burden on and mental well-being of family carers for the elderly, especially those with dementia, has been well studied in high-income countries and to a lesser extent in the Arab region. Our study of Lebanese carers highlights the importance of considering the psychological well-being of the family carer, and the role of dementia and depression in increasing the burden of care. Psychosocial interventions have produced equivocal results and therefore customised and contextualised interventions need to be researched. Greater understanding of the coping mechanisms used by carers is required and an examination of the positive aspects of caring is warranted.


2017 ◽  
Vol 17 (3) ◽  
pp. 373-401
Author(s):  
Sebastian Chua

In recent years, Health Promotion Board (HPB) has made a strategic shift from a traditional health education approach to an eco-systemic approach in health promotion, where the Board engages and harnesses the collective power of the 3 Ps (People, Private, and Public). The procuring of core services is a key enabler to support HPB's focus areas in tobacco control, mental well-being, health screening, obesity prevention, nutrition, dietetic services, chronic disease education, etc. In tandem with the Board's strategic shift, the procurement function has taken on strategic importance and is now functioning as an independent department, reporting to HPB's CEO. Fundamentally, HPB Procurement Department has changed the way it interacts with the business as it stands by the belief that the real procurement value goes beyond compliance (Caldwell & Howard, 2010). “Proper”, “simpler”, “faster”, “closer” and “cheaper” are now its mantra for procurement excellence. The objective of this paper is to highlight the transformation journey that HPB's Procurement Department undertook to deliver the results, impact and value to the stakeholders.


GeroPsych ◽  
2019 ◽  
Vol 32 (3) ◽  
pp. 125-134
Author(s):  
Mechthild Niemann-Mirmehdi ◽  
Andreas Häusler ◽  
Paul Gellert ◽  
Johanna Nordheim

Abstract. To date, few studies have focused on perceived overprotection from the perspective of people with dementia (PwD). In the present examination, the association of perceived overprotection in PwD is examined as an autonomy-restricting factor and thus negative for their mental well-being. Cross-sectional data from the prospective DYADEM study of 82 patient/partner dyads (mean age = 74.26) were used to investigate the association between overprotection, perceived stress, depression, and quality of life (QoL). The analyses show that an overprotective contact style with PwD has a significant positive association with stress and depression, and has a negative association with QoL. The results emphasize the importance of avoiding an overprotective care style and supporting patient autonomy.


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