scholarly journals Meaning-Making of Motherhood Among Mothers With Substance Abuse Problems

2021 ◽  
Vol 12 ◽  
Author(s):  
Siu-ming To ◽  
Ming-wai Yan ◽  
Cheryl Danielle Lau
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Parental Stress ◽  
Meaning Making ◽  
Internal Conflict ◽  
Individual Interviews ◽  
History Of ◽  
Situational Meaning ◽  
Future Direction ◽  
And Coping

Previous literature has documented the unique challenges encountered by mothers with substance abuse problems, which may hinder the ability to fulfill parenting responsibilities. Since there is evidence suggesting the engagement in meaning-making processes can help individuals reinterpret their transitions into parenthood and cope with parental stress, this study examined the meaning-making processes of motherhood among mothers with substance abuse problems. Sixteen Hong Kong Chinese mothers with a history of substance abuse were purposively selected and invited to narrate their life and maternal experiences in individual interviews. Based on the meaning-making model in the context of stress and coping, whereby global meaning refers to orienting system of an individual and situational meaning refers to the meaning one attributes to a particular situation, the global and situational meanings of participants related to motherhood and substance use, and their reappraised meanings in response to the discrepancies between global and situational meanings were analyzed. Using thematic analysis, the results showed that when faced with an internal conflict between global and situational meanings induced by substance abuse, most participants engaged in the meaning-making process of assimilation. Rather than changing their inherent parental beliefs and values, most participants adjusted their appraisals toward the situation, and hence made changes in their cognitions or behaviors such as making efforts to quit substance use or reprioritizing their parenting responsibilities. The analysis further revealed that being a mother provided a significant source of meaning to the participants in confronting highly stressful mothering experiences induced by substance abuse. Altogether, the findings suggest that a meaning-making approach may have benefits and implications for helping this population reorganize their self-perceptions, gain a clearer sense of future direction in motherhood, and achieve more positive life and parenting outcomes.

scholarly journals Identifying factors associated with the discharge of male State patients from Weskoppies Hospital

2017 ◽  
Vol 23 ◽  
Author(s):  
Riaan G. Prinsloo ◽  
Andre Swanepoel ◽  
Gian Lippi
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Length Of Stay ◽  
Substance Use Disorder ◽  
Physical Aggression ◽  
Hospital Data ◽  
Related Factors ◽  
Term Care ◽  
Factors Associated ◽  
History Of

Background: Designated psychiatric facilities are responsible for the care, treatment and reintegration of State patients. The necessary long-term care places a considerable strain on health-care resources. Resource use should be optimised while managing the risks that patients pose to themselves and the community. Identifying unique factors associated with earlier discharge may decrease the length of stay. Factors associated with protracted inpatient care without discharge could identify patients who require early and urgent intervention.Aim: We identify socio-economic, demographic, psychiatric and charge-related factors associated with the discharge of male State patients.Methods: We reviewed the files of discharged and admitted forensic State patients at Weskoppies Psychiatric Hospital. Data were captured in an electronic recording sheet. The association between factors and the outcome measure (discharged vs. admitted) was determined using chi-squared tests and Fischer’s exact tests.Results: Discharged State patients were associated with being a primary caregiver (p = 0.031) having good insight into illness (p = 0.025) or offence (p = 0.005) and having had multiple successful leaves of absences. A lack of substance abuse during admission (p = 0.027), an absence of a diagnosis of substance use disorder (p = 0.013) and the absence of verbal and physical aggression (p = 0.002 and p = 0.016) were associated with being discharged. Prolonged total length of stay (9–12 years, p = 0.031) and prolonged length of stay in open wards (6–9 years, p = 0.000) were associated with being discharged. A history of previous offences (p = 0.022), a diagnosis of substance use disorder (p = 0.023), recent substance abuse (p = 0.018) and a history of physical aggression since admission (p = 0.017) were associated with continued admission.Conclusion: Discharge of State patients is associated with an absence of substance abuse, lack of aggression, multiple successful leave of absences and length of stay in hospital.

scholarly journals Cancer Survivorship: Religion in Meaning Making and Coping Among a Group of Black Prostate Cancer Patients in South Africa

2021 ◽  
Author(s):  
Shai Nkoana ◽  
Tholene Sodi ◽  
Mpsanyana Makgahlela ◽  
Jabu Mokwena
Keyword(s):  
Prostate Cancer ◽  
South Africa ◽  
Cancer Survivors ◽  
Cancer Patients ◽  
Interpretative Phenomenological Analysis ◽  
Meaning Making ◽  
Limpopo Province ◽  
Prostate Cancer Survivors ◽  
Individual Interviews ◽  
And Coping

AbstractThe purpose of the study was to explore the role of religion in meaning making and coping among a group of black patients receiving some form of prostate cancer treatment at a public hospital in Limpopo Province, South Africa. A sample of 20 prostate cancer survivors, with ages ranging from 67 to 85 years (meanage = 76yrs; SD = 5.3) selected through purposive sampling. Data were collected through in-depth, semi-structured individual interviews and analysed using interpretative phenomenological analysis (IPA). The findings demonstrated that religion is an important factor in meaning making and coping by prostate cancer survivors. The findings suggest that healthcare practitioners need to pay close attention to the meanings that cancer patients assign to their illness to provide the appropriate care and support.

Methods and Tools of American Folklore and Folklife Studies

2019 ◽  
pp. 74-104
Author(s):  
Anthony Bak Buccitelli
Keyword(s):  
Meaning Making ◽  
Collaborative Work ◽  
Video Recording ◽  
Digital Tools ◽  
Data Collection And Analysis ◽  
History Of ◽  
Field Notes ◽  
American Folklore ◽  
Situational Meaning ◽  
Potential Methods

This article provides an overview of the analytical and fieldwork methodologies that are employed in the study of American folklore and folklife. It considers the history of method in folkloristics, as well as the historical tension between textual and ethnographic methods. It describes contemporary methods and tools, as they have taken shape since the discipline’s last major reorientation in the 1970s. The discussion of methodology includes different forms of ethnography, field collection, repertoire collecting, and analysis. Tools considered include indexes and archives, audio and video recording, photography, field notes, drawing and measurements, and mapping. Finally, the article covers emerging and potential methods and tools. This section gives particular attention to the integration of digital technologies into folkloristic research. It discusses ways that folklorists are working in digital settings, using powerful digital tools for data collection and analysis of both digital and nondigital folklore, and methods for collaborative work with participants. Informed by practice theory, this article makes the case that the study of aggregated performances and everyday practices of folklore is not only easier with the advent of digital tools, but it could also represent an important new way of linking the concerns for situational meaning-making of performance studies to practice-oriented scholars’ concerns with social structure.

Parental History of Substance Abuse as a Risk Factor in Predicting Crack Smokers' Substance Use, Illegal Activities, and Psychiatric Status

1994 ◽  
Vol 20 (3) ◽  
pp. 341-354 ◽  
Author(s):  
Barry D. Caudill ◽  
Jeffrey A. Hoffman ◽  
Robert L. Hubbard ◽  
Patrick M. Flynn ◽  
James W. Luckey
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Risk Factor ◽  
Parental History ◽  
Psychiatric Status ◽  
History Of ◽  
Illegal Activities

scholarly journals Investigating the experiences of individuals in recovery from problem substance use and their perceptions of the COVID-19 pandemic

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Emma Smith ◽  
Melody Carter ◽  
Elaine Walklet ◽  
Paul Hazell
Keyword(s):  
Substance Use ◽  
Harm Reduction ◽  
Social Isolation ◽  
Social Connectedness ◽  
Structured Interview ◽  
Human Capabilities ◽  
Content Type ◽  
National Response ◽  
History Of ◽  
And Coping

Purpose This paper aims to explore how enforced forms of social isolation arising from the first COVID-19 lockdown influenced experiences of problem substance use, relapse and coping strategies for recovery in individuals engaging with harm reduction recovery services. Design/methodology/approach A qualitative semi-structured interview design was adopted for this research. Seven participants were recruited from a harm reduction recovery organisation. During their initial interview, participants volunteered information regarding their experience of the first lockdown due to emerging concerns of the COVID-19 pandemic. Participants completed a second semi-structured interview at the end of the first lockdown regarding their experience of enforced isolation during this time. Findings Three themes identified from the analysis were isolation resulting in hindered human capabilities; adjusting to a new normal: an individual experience; and unexpected benefits to recovery resulting from isolation. While some participants reported boredom, loneliness and relapse events, others reported that the national response to the virus did not adversely affect them as they had already adjusted to living in a state of anxiety, isolation and uncertainty. These findings illuminate negative, neutral and positive aspects of substance use recovery throughout the COVID-19 lockdown as well as highlighting the complex and individualised role that social connectedness plays in relapse occurrence. Originality/value Participants reported differences in how they were affected by the pandemic, leading to theoretical implications for the effect of social isolation on recovery. For this reason, individuals with a history of dependency should be considered potentially vulnerable to the effects of enforced isolation and should be supported accordingly.

scholarly journals The Meaning of Age: In a Context of Eldercare and Substance Use

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 227-227
Author(s):  
Tove Harnett ◽  
Hakan Jonson
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Social Problems ◽  
Multiple Failures ◽  
Staff Members ◽  
History Of ◽  
Age Limit

Abstract Some people age with substance abuse and social problems and several countries provide members of this population with a type of arrangement referred to as “wet” eldercare facilities. These facilities provide care for people who are judged as unable to become sober, in some cases with a lower age-limit at 50 years. The aim of this study was to investigate the meaning of age for judging the fit between the person and the arrangement. The study was based on interviews with 42 residents, 10 case workers and 21 staff members at five facilities in Sweden. Respondents were asked about the relevance of age and if the facility should include younger people as well. Some staff argued that younger people should be excluded since they could not have the history of multiple failures in treatment that was a prerequisite for admission. Regarding the low age-limit, substance abuse was said to accelerate the process of ageing so that a person aged 50 could be considered 20 years older and in need of eldercare. Residents had a tendency to equate age with activity and argued that people below the age of 50 were active and energetic and the inclusion of younger people would lead to disturbance of the calm pace of the facilities. Given that facilities have been described as “end-stations”, it was puzzling that few respondents linked the question of admitting younger person to the matter of giving up ambitions to make the person sober.

Suicidal behavior in a medical professional with comorbid depression and substance use disorder: an educational case report

2015 ◽  
Vol 27 (2) ◽  
pp. 231-233
Author(s):  
Drew D. Kiraly ◽  
Leo Sher
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Substance Use ◽  
Suicidal Behavior ◽  
Suicide Attempts ◽  
Healthcare Providers ◽  
Unmet Need ◽  
Public Health Issue ◽  
Increased Risk ◽  
History Of

Abstract Here, we publish a report of a previously practicing nurse practitioner who presented to a community hospital with severely depressed mood and neurovegetative symptoms in the context of recent relapse to alcohol and cocaine abuse. This patient had a long history of depression and polysubstance abuse. Additionally, the patient had a history of multiple previous suicide attempts with a high possibility for lethality. All of his attempts occurred in the setting of depression, escalating substance use, and interpersonal difficulties. Due to his chronic struggles with mental health and substance abuse issues, the patient lost his marriage, many close friends, and, eventually, his license to practice medicine. In this report, we highlight the increased risk of suicidal behavior or completed suicide in patients with co-occurring depressive and substance abuse disorders. We also look to highlight the often unmet need of mental health and substance abuse treatment for healthcare professionals. Studies suggest that healthcare providers experience increasing rates of burnout, mood and anxiety disorders, and substance use disorders, but available treatment resources remain scarce. This is a serious public health issue that will require increased vigilance by the community at large to ensure the safety and wellbeing of both patients and their providers.

Assessing Pediatric and Young Adult Substance Use Through Analysis of Prehospital Data

2014 ◽  
Vol 29 (5) ◽  
pp. 468-472 ◽  
Author(s):  
Elizabeth L. Seaman ◽  
Mathew J. Levy ◽  
J. Lee Jenkins ◽  
Cassandra Chiras Godar ◽  
Kevin G. Seaman
Keyword(s):  
Substance Abuse ◽  
Mental Illness ◽  
Substance Use ◽  
Young Adult ◽  
Prescription Drugs ◽  
Illicit Drugs ◽  
Older Adolescents ◽  
History Of ◽  
Secondary Hypothesis ◽  
Primary Hypothesis

AbstractIntroductionSubstance use in young adults is a significant and growing problem. Emergency Medical Services (EMS) personnel often encounter this problem, yet the use of prehospital data to evaluate the prevalence and magnitude of substance abuse has been limited.Hypothesis/ProblemThis study evaluated drug and alcohol use through the use of prehospital and EMS data in one suburban county in Maryland (USA). The primary hypothesis was that the type of drug being abused is associated with age. The secondary hypothesis was substance abuse incidence is associated with location. The tertiary hypothesis was that substance abuse is associated with a history of mental illness.MethodsDeidentified patient care reports (PCRs) were obtained during a 24-month period from October 2010 through September 2012 for patients 0 through 25 years of age. Inclusion criteria included chief complaint of alcohol overdose, drug overdose, or the use of naloxone.ResultsThe primary hypothesis was supported that age was associated with drug category (P < .001). Younger adolescents were more likely to use household items, prescription drugs, or over-the-counter drugs, whereas older adolescents were more likely to use illicit drugs. The secondary hypothesis was supported that both alcohol (P < .001) and drugs (P < .001) were associated with location of call. Calls involving alcohol were more likely to be at a home or business, whereas calls involving drugs were more likely to be at home or at a public venue. The tertiary hypothesis was supported that both alcohol (P = .001) and drug use (P < .001) were associated with history of mental illness. Older adolescents were more likely to report a history of mental illness. Chi-squared tests indicated there were significant differences between genders and drug category (P = .002) and gender and current suicide attempt (P = .004). Females were more likely to use prescription drugs, whereas males were more likely to use illicit drugs. Calls involving younger adolescents under 18 were more likely to be at school or the mall, whereas calls involving older adolescents were likely to be at a prison, public venue, or a business.ConclusionAll three hypotheses were supported: the type of substance being abused was associated with both age and location, and substance abuse was associated with a history of mental illness. This research has important implications for understanding how EMS resources are utilized for substance use. This information is valuable in not only the education and training of prehospital care providers, but also for the targeting of future public health interventions.SeamanEL, LevyMJ, JenkinsJL, GodarCC, SeamanKG. Assessing pediatric and young adult substance use through analysis of prehospital data. Prehosp Disaster Med. 2014;29(4):1-6.

Sign in / Sign up

Export Citation Format

Share Document