scholarly journals Dissociation debates: everything you know is wrong

2018 ◽  
Vol 20 (3) ◽  
pp. 229-242 ◽  

Controversy about dissociation and the dissociative disorders (DD) has existed since the beginning of modern psychiatry and psychology. Even among professionals, beliefs about dissociation/DD often are not based on the scientific literature. Multiple lines of evidence support a powerful relationship between dissociation/DD and psychological trauma, especially cumulative and/or early life trauma. Skeptics counter that dissociation produces fantasies of trauma, and that DD are artefactual conditions produced by iatrogenesis and/or socio-cultural factors. Almost no research or clinical data support this view. DD are common in general and clinical populations and represent a major underserved population with a substantial risk for suicidal and self-destructive behavior. Prospective treatment outcome studies of severely ill DD patients show significant improvement in symptoms including suicidal/self-destructive behaviors, with reductions in treatment cost. A major public health effort is needed to raise awareness about dissociation/DD, including educational efforts in all mental health training programs and increased funding for research.

2021 ◽  
Author(s):  
Mahboobeh Afzali ◽  
Jamileh Mokhtari ◽  
Abbas Ebadi ◽  
Milad Rezaiye

Abstract Introduction: Destructive behavior is considered a chronic, deep-rooted problem in the profession of nursing. Academic articles addressing the issue have existed in literature for the past three decades. Destructive behavior costs healthcare institutions in terms of funds, and it has unpleasant impacts such as escalating absenteeism, reduced productivity, and reduced quality of care for the patients. Finding ways to eliminate such behavior requires a perception and full recognition of the factors that cause and promote it. Since destructive behavior is a complex, multi-dimensional concept that is dependent on context and the culture of the particular organization or society, this research concentrates on the factors shaping such behavior and promoting it in Iranian healthcare institutions.Material and Methods: The present study makes use of the conventional content analysis method to explore the views and experiences of nurses and other healthcare workers by interviewing 30 individuals and one focus group and recording 120 hours of observation in 6 hospitals around the capital city of Tehran comprising 2 private facilities and 4 state hospitals. The interviews were all recorded, transcribed and analyzed.Results: Through data analysis 26 subcategories and 5 main categories of underlying causes, namely, inappropriate organizational mindset, ineffectual management, complex conditions of work in the nursing occupation, unprofessional standards of education and training for nurses, and personal contributions were identified.Conclusion: The present study demonstrates that the main factors promoting destructive behavior in Iranian healthcare organizations are the organizations themselves. To solve the problem of destructive behaviors organizational problems such as ineffectual management, shortage of facilities and infrastructures, a chronic human resource shortage, institutionalized injustice stemming from a state of physicians’ oligarchy, favoritism as a cultural trait, and systematic bullying must first be tackled.


2018 ◽  
Vol 11 (3) ◽  
pp. 489-508 ◽  
Author(s):  
Melissa Anderson ◽  
Aliza Werner-Seidler ◽  
Catherine King ◽  
Aimée Gayed ◽  
Samuel B. Harvey ◽  
...  

Animals ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. 2576
Author(s):  
Antonio Santaniello ◽  
Susanne Garzillo ◽  
Serena Cristiano ◽  
Alessandro Fioretti ◽  
Lucia Francesca Menna

Dogs are considered the most important species involved in animal-assisted therapy (AAT), and the scientific literature focuses on the benefits linked to the involvement of dogs in various therapeutic areas. In this study, we carried out a systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, exploring the scientific literature from the last 5 years (2016–2021) on three databases (PubMed, Scopus, and Web of Science) to highlight the characteristics of the dogs involved in AATs. Based on the scientific literature relevant to such dogs, we considered different parameters (i.e., number, age, sex, breed, temperament, methods of choice and training, health status, research goals, and activities with dogs) to include studies in our paper. After screening 4331 papers identified on the searched databases, we selected 38 articles that met the inclusion criteria. Analysis of the included articles showed that the characteristics of the dogs were neglected. Our findings indicated a lack of information about the dogs, as well as the absence of standardized and univocal criteria for dog selection, training programs, and health protocols.


Author(s):  
Bruce L. Mann

The news has not been good for mental health training programs for police in Australia, Canada, the U.S., and the UK. Police training is seen as inadequate to prepare police officers to identify and deal with persons with a mental illness. This chapter describes one approach of writing a proposal to conduct a comparison of attitude-training programs with police cadets. The main aspects of writing a proposal are covered: the background, problem statement, hypothesis, and the design of the treatments for comparison. Isolating the main features of each treatment requires designing some instruction based on factors that can influence police attitude toward suspects with a mental illness. Contemporary design guidelines are recommended, which should be informed by the designer's personal assumptions about how people learn from multimedia.


1982 ◽  
Vol 7 (3) ◽  
pp. 180-188 ◽  
Author(s):  
Thomas S. Woods

This study presents data covering the application of a response cost contingency to the self-injurious and aggressive/destructive behaviors of an autistic adolescent boy. The subject's target response rate was reduced from a mean of 29 per day during baseline to a daily mean of 0.3 during the final phase of the treatment condition. The fact that nonintrusive management strategies (such as response cost) are seldom reported in the literature covering aggressive and self-destructive behavior is discussed. Further, advantages of the response cost technique over other more frequently used methods are described.


2015 ◽  
Vol 28 (4) ◽  
pp. 195-198 ◽  
Author(s):  
Timothy R Rice ◽  
Leo Sher

ObjectiveThe Germanwings 9525 incident drew significant attention to the ‘plane-assisted suicide’ construct, yet little scientific literature exists on this topic. This paper reviews the available literature and applies lessons from the suicide-homicide and men’s mental health literature to better understand this construct from a scientific perspective.MethodsA systematic review of the relevant clinical literature was undertaken.ResultsMultiple lines of evidence suggests the applicability and relevance of suicide-homicide research and men’s mental health to the plane-assisted suicide phenomenon. Plane-assisted suicides occur within an overwhelmingly male, middle aged population who, in addition to suicide, commit large scale acts of murder. Issues of divorce, separation, and threats to masculinity appear integral to an effective prevention program.ConclusionFurther research in the understanding of plane-assisted suicide as a product of neuropsychiatric disorder may advance such prevention efforts and have the opportunity to reduce the loss of life in future tragedies.


1970 ◽  
Vol 10 (2) ◽  
pp. 153-155 ◽  
Author(s):  
T. E. Anderson ◽  
M. L. Blank

Sign in / Sign up

Export Citation Format

Share Document