scholarly journals Subjective perception of psychosis in patients with schizophrenia: the experience of transcultural research

2018 ◽  
pp. 59-64
Author(s):  
N. B. Lutova ◽  
M. Yu. Sorokin ◽  
K. E. Novikova ◽  
V. D. Vid
Keyword(s):  
Pilot Study ◽  
Cultural Differences ◽  
Subjective Experience ◽  
Psychiatric Patients ◽  
Therapeutic Process ◽  
Subjective Perception ◽  
Subjective Meaning ◽  
Life Context ◽  
Disease Experience

Development of salutogenesis theory in the psychology of therapeutic process causes an interest in  studying  the  subjective  experience  of  psychosis  in  psychiatric  patients.  In  the  pilot  study  85  patients  with schizophrenia  took  part.  Translation  and  adaptation  of  Hamburg  test  of  subjective  meaning  of  psychosis (SuSi)  have  been  completed.  Hypothesized  connection  of  constructive  experience  of  psychosis  and  the  ability of  patients  to  integrate  disease  experience  into  their  life  context  was  confirmed.  Data  on  significant  cultural differences  between  the  German  and  Russian-speaking  populations  were  obtained.  Further  perspectives  of transcultural studies in psychiatry and the study of the subjective concept of morbidity in psychiatric patients were  discussed.

The Clinician’s Subjective Experience during the Interaction with Adolescent Psychiatric Patients: Validity and Reliability of the Assessment of Clinician’s Subjective Experience

2021 ◽  
pp. 1-8
Author(s):  
Angelo Picardi ◽  
Sara Panunzi ◽  
Sofia Misuraca ◽  
Chiara Di Maggio ◽  
Andrea Maugeri ◽  
...  
Keyword(s):  
Clinical Examination ◽  
Subjective Experience ◽  
Rating Scale ◽  
Mood State ◽  
Psychiatric Patients ◽  
Temporal Stability ◽  
Young Patients ◽  
Reliability And Validity ◽  
Mental States ◽  
Validity And Reliability

<b><i>Introduction:</i></b> The last decade has witnessed a resurgence of interest in the clinician’s subjectivity and its role in the diagnostic assessment. Integrating the criteriological, third-person approach to patient evaluation and psychiatric diagnosis with other approaches that take into account the patient’s subjective and intersubjective experience may bear particular importance in the assessment of very young patients. The ACSE (Assessment of Clinician’s Subjective Experience) instrument may provide a practical way to probe the intersubjective field of the clinical examination; however, its reliability and validity in child and adolescent psychiatrists seeing very young patients is still to be determined. <b><i>Methods:</i></b> Thirty-three clinicians and 278 first-contact patients aged 12–17 years participated in this study. The clinicians completed the ACSE instrument and the Brief Psychiatric Rating Scale after seeing the patient, and the Profile of Mood State (POMS) just before seeing the patient and immediately after. The ACSE was completed again for 45 patients over a short (1–4 days) retest interval. <b><i>Results:</i></b> All ACSE scales showed high internal consistency and moderate to high temporal stability. Also, they displayed meaningful correlations with the changes in conceptually related POMS scales during the clinical examination. <b><i>Discussion:</i></b> The findings corroborate and extend previous work on adult patients and suggest that the ACSE provides a valid and reliable measure of the clinician’s subjective experience in adolescent psychiatric practice, too. The instrument may prove to be useful to help identify patients in the early stages of psychosis, in whom subtle alterations of being with others may be the only detectable sign. Future studies are needed to determine the feasibility and usefulness of integrating the ACSE within current approaches to the evaluation of at-risk mental states.

Economy of Time Applied to Interpersonal Relationships

1976 ◽  
Vol 43 (2) ◽  
pp. 585-586 ◽  
Author(s):  
Michel Silberfeld
Keyword(s):  
Pilot Study ◽  
Interpersonal Relationships ◽  
Psychiatric Patients

A method is described for surveying and analyzing time spent in activities such as interpersonal relationships. A pilot study of relationships of psychiatric patients was carried out to illustrate the method.

scholarly journals Engagement Complications of Adolescents with Borderline Personality Disorder: Navigating Through a Zone of Turbulence

2020 ◽  
Author(s):  
Lyne Desrosiers ◽  
Micheline St-Jean ◽  
Lise Laporte ◽  
Marie-Michèle Lord
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychosocial Functioning ◽  
Health Care Services ◽  
Subjective Experience ◽  
Therapeutic Process ◽  
Borderline Personality ◽  
Warning Signs ◽  
Constructivist Grounded Theory ◽  
Grounded Theory Method

Abstract Objective: Premature treatment discontinuation is a widespread phenomenon in child and adolescent mental health services that impacts treatment benefits and costs of care. Adolescents with borderline personality disorder (BPD) are heavy users of health care services and notoriously difficult to engage in treatment. However, there is hardly any data regarding this phenomenon with these youths. Considering that BPD treatment is associated with intense and chaotic therapeutic processes, exploring barriers emerging in the course of treatment could be relevant. Thus, conceptualizing treatment dropout as a process evolving from engagement to progressive disengagement, and ultimately to dropout, could highlight the mechanisms involved. The aim of this study was to describe the process of treatment disengagement and identify warning signs that foreshadow dropouts of adolescents with BPD. Method: A constructivist grounded theory method was used. This method has been favoured based on the assumption that the behaviours and decisions leading to disengagement may be better informed by the subjective experience of treatment. Thirty-three interviews were conducted to document 11 treatment trajectories with 3 groups of informants (9 adolescents with BPD 13-17 of age, 11 parents, and 13 clinicians). Results: Well before dropout occurs, different phenomena identified as “engagement complications” characterize the disengagement process. These unfold according to a three-step sequence starting with negative emotions associated with the appropriateness of treatment, the therapeutic relationship or the vicissitudes of treatment. These emotions will then generate treatment interfering attitudes that eventually evolve into openly disengaged behaviours. These complications, which may sometimes go unnoticed, punctuate the progression from treatment engagement to disengagement leading the way towards the development of a “zone of turbulence” which creates a vulnerable and unstable therapeutic process presenting risk for late dropout. Conclusion: Engagement of adolescents with BPD is neither static nor certain, but on the contrary, subject to their fluctuating perceptions. Therefore, it can never be taken for granted. Clinicians must constantly pay attention to emergent signs of engagement complications. Maintaining the engagement of adolescents with BPD should be a therapeutic objective akin to reducing symptomatology or improving psychosocial functioning, and should therefore be given the same attention.

scholarly journals Prevalence of perceived coercion among psychiatric patients: literature review and meta-regression modelling

2012 ◽  
Vol 36 (9) ◽  
pp. 335-340 ◽  
Author(s):  
Giles Newton-Howes ◽  
James Stanley
Keyword(s):  
Subjective Experience ◽  
Psychiatric Care ◽  
Psychiatric Patients ◽  
Published Data ◽  
Perceived Coercion ◽  
Explanatory Variables ◽  
Regression Modelling ◽  
Confounding Variables ◽  
The Usa ◽  
Meta Regression

Aims and methodTo assess how common the subjective experience of coercion is in psychiatric care and what affects its prevalence. A review of published data was undertaken to assess prevalence of coercion and potential confounding variables. The heterogeneity of results was studied using meta-regression to quantify the relative impact of four potential explanatory variables.ResultsThe raw prevalence of perceived coercion ranged from 16 to 90%. A quarter of legally detained patients did not feel coerced into psychiatric care, whereas a quarter of voluntary in-patients reported coercion in care. Coercion was more common in studies outside the USA, among patient populations subject to legal detention and populations studied using the MacArthur Perceived Coercion Scale as opposed to other measures. Timing of the interview was not associated with coercion.Clinical implicationsCoercion in psychiatric care remains highly prevalent but varies widely by study. Consistency in measurement is necessary to allow better comparison between studies.

Psychiatric Patients Tracking Through a Private Social Network for Relatives: Development and Pilot Study

2016 ◽  
Vol 40 (7) ◽  
Author(s):  
Francisco J. García-Peñalvo ◽  
Manuel Franco Martín ◽  
Alicia García-Holgado ◽  
José Miguel Toribio Guzmán ◽  
Jesús Largo Antón ◽  
...  
Keyword(s):  
Social Network ◽  
Pilot Study ◽  
Psychiatric Patients

How national culture influences individuals’ subjective experience with paradoxical tensions

2018 ◽  
Vol 25 (3) ◽  
pp. 443-467 ◽  
Author(s):  
Joshua Keller ◽  
Erica Wen Chen ◽  
Angela K.-Y. Leung
Keyword(s):  
Cultural Differences ◽  
National Culture ◽  
Indirect Effects ◽  
Subjective Experience ◽  
Cross Cultural ◽  
Cultural Environment ◽  
Content Type ◽  
Cross Cultural Differences ◽  
Cultural Effects ◽  
Task Oriented

Purpose The purpose of this paper is to examine how national culture influences individuals’ subjective experience of tension when confronting paradoxical demands that arise during their day-to-day organizational experience. The paper further explores two types of paradoxical demands (task oriented and relational oriented) and two mediating mechanisms (tolerance for contradictions and harmony enhancement concerns) that exhibit contrary cultural effects. Design/methodology/approach Drawing from a sample of white-collar workers in China and the USA, the authors first inductively generated scenarios with task-oriented and relational-oriented paradoxical demands and then conducted three studies where participants rated the perceived tension from the scenarios. In Study 1, they examined cross-cultural differences in perceived tension and the mediating role of tolerance for contradictions. In Study 2, they primed Americans with proverbs that promoted tolerance for contradictions. In Study 3, they examined the indirect effects of harmony enhancement concerns in China in relational-oriented paradoxical demands. Findings The results found that for task-oriented paradoxical demands, Chinese participants were less likely than American participants to experience tension and the effects were mediated by a higher tolerance for contradictions. Americans exposed to proverbs that promoted tolerance for contradictions also experienced less tension. For relational-oriented paradoxical demands, on the other hand, the authors found no cross-cultural differences, as the indirect effects of a tolerance for contradictions were mitigated by negative indirect effects of greater harmony enhancement concerns. Originality/value This paper demonstrates that culture can influence the tension that individuals subjectively experience when they confront paradoxical conditions, suggesting that individuals learn implicitly how to cope with tensions associated with paradoxes from their broader cultural environment. However, the authors also found different cultural effects within different paradoxical conditions, suggesting that the knowledge that individuals acquire from their broader cultural environment is multifaceted.

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