The importance of relationships in the process of helping people suffering from schizophrenia

2021 ◽  
Vol 36 (6) ◽  
pp. 67-88
Author(s):  
Maryla Malewicz-Sawicka ◽  
Anna Więcek-Durańska

The article presents issues related to the importance of relationships in the process of helping people suffering from schizophrenia. Schizophrenia is one of the most severe mental-health disorder, in its course it often leads to mental disability. Therefore, the mental disability and initiating the recovery process of people with schizophrenia are the most important and central concepts of the text. Working with a patient suffering from schizophrenia aims at preventing disability and minimizing its consequences, and the success of these actions should be measured by the degree to which a disabled person is able to work independently, fulfil daily family and home duties and manage their free time. Creating a good or sufficiently good therapeutic relationship with a person suffering from schizophrenia is a complex configuration of many factors: from purely behavioural and information-sharing to those related to a sense of genuine closeness. The list of factors influencing creation of a therapeutic relationship can be elaborated based on various assumptions, some may emphasize the factor of patients' disability, others – cognitive deficits, and still others may be created based on existential assumptions. In this article, particular emphasis is placed on the area of psychosocial rehabilitation with its specific goals and the role of empathy and therapeutic relationship in the process of recovery of people with mental disorders.

2018 ◽  
Vol 21 (1) ◽  
pp. 10-16 ◽  
Author(s):  
Eirenei Taua'i ◽  
Rose Richards ◽  
Jesse Kokaua

Aims: To explore associations between experiences of mental illness, migration status and languages spoken among Pacific adults living in NZ. Methods: SURVEY FREQ and SURVEY LOGISTIC procedures in SAS were applied to data from Te Rau Hinengaro: The New Zealand (NZ) Mental Health Survey, a survey of 12,992 New Zealand adults aged 16 and over in 2003/2004. Pacific people were over sampled and this paper focuses on the 2374 Pacific participants but includes, for comparison, 8160 non-Maori-non-Pacific (NMNP) participants. Results: Pacific migrant respondents had the lowest prevalence of mental disorders compared to other Pacific peoples. However, Pacific immigrants were also less likely to use mental health services, suggesting an increased likelihood of experiencing barriers to available mental health care. Those who were born in NZ and who were proficient in a Pacific language had the lowest levels of common mental disorders, suggesting a protective effect for the NZ-born population. Additionally, access to mental health services was similar between NZ-born people who spoke a Pacific language and those who did not. Conclusions: We conclude that, given the association between Pacific language and reduced mental disorder, there may be a positive role for Pacific language promotion in efforts to reduce the prevalence of mental health disorder among Pacific communities in NZ.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Stimac Grbic ◽  
I Pavic Simetin ◽  
A Istvanovic

Abstract Issue Care for people with severe mental disorders requires approach that is focused on a person's strengths, not his weaknesses, and is a shift from a deficit model that is often associated with mental illness. Care users and their family members play an important role in this approach. Description of the Problem Mental disorders are the leading group of diseases in Croatia, according to the number of days of hospital treatment. The number of hospitalizations is high, and the rate of hospitalization for depression has tripled in the last twenty years. Such indicators highlight the need for reorientation of mental health care, from hospital-based to community-based, by organizing mobile community intervention teams. Results In Croatia, psychosocial peer teams were established by the NGO Ludruga, financed by local government, to provide peer support to persons with mental disorders. The main activities are: development of a personal recovery plan, home visits and providing psychological support to persons with mental disorders, organizing support groups and education of peer workers. The teams consist of a peer worker, social worker, psychologist, and operate under the supervision of a psychiatrist. The teams have been operating for five years, have had over a hundred users so far and are a significant help to the healthcare system in preventing rehospitalizations. Lessons The goal of therapeutic interventions in mental health care should be recovery. Recovery involves empowering a person to take responsibility for themselves and their health. Peer workers play an important role in the recovery process, providing hope for recovery. Their role must also be recognized by the health system. Key messages People with mental disorders and their families should be co-creators of care and recovery-oriented interventions. Only by comprehensive interventions, tackling all determinants of health, therapeutic goal can be achieved.


2021 ◽  
pp. 1-16
Author(s):  
Peter Fonagy ◽  
Chloe Campbell ◽  
Matthew Constantinou ◽  
Anna Higgitt ◽  
Elizabeth Allison ◽  
...  

Abstract This paper proposes a model for developmental psychopathology that is informed by recent research suggestive of a single model of mental health disorder (the p factor) and seeks to integrate the role of the wider social and cultural environment into our model, which has previously been more narrowly focused on the role of the immediate caregiving context. Informed by recently emerging thinking on the social and culturally driven nature of human cognitive development, the ways in which humans are primed to learn and communicate culture, and a mentalizing perspective on the highly intersubjective nature of our capacity for affect regulation and social functioning, we set out a cultural-developmental approach to psychopathology.


2015 ◽  
Vol 2 (3) ◽  
Author(s):  
Dr. Gopal Chandra Mahakud ◽  
Ritika Yadav

The concept of mental health comprised to the health conditions of people without suffering any mental or psychological problem such as stress, depression, anxiety and other form of psychic disorders. In this regard it can be said that no one is free from and psychological, psycho-physical and psycho-social disorders from which we can derive that no one mentally healthy. But the concept of mental health defined free from the disorders those are prolonged and panic in nature. As the concept of mental health is subjective in nature, it varies from person to person. Besides free from the disorders, a person should pose some of the other positive characteristics to deal with the society effectively. Marry (1958) stated that, a person can be considered mentally healthy with the following characteristics such as (a) Positive attitudes toward himself/herself; (b) Realization of own potentialities through action; (c); Unification of in personality; (d) Degree of independence of social influences; (e) observations of the world around; and (f) Positive adapts to everyday life. Briefly, it can be said that positive mental health of the person make able to an individual to stand on his own two feet without making undue demands or impositions of others. In this regard the role of happiness in day to day life can make the individual more skilled to fight with different mental disorders. The present article is intended to find out the effects of happiness in day to day life in a social situation to deal with different mental disorders to make the individual mentally healthy and prosperous in life.


2015 ◽  
Vol 32 (4) ◽  
pp. 357-376 ◽  
Author(s):  
Jonathan Magee ◽  
Ramón Spaaij ◽  
Ruth Jeanes

This paper builds on the concept of mental health recovery to critically examine three football projects in the United Kingdom and their effects on the recovery process. Drawing on qualitative research on the lived experiences of mental health clients and service providers across the three projects, we explore the role of football in relation to three components of recovery: engagement, stigma, and social isolation. The findings indicate how the projects facilitated increased client engagement, peer supports, and the transformation of self-stigma. The perception of football as an alternative setting away from the clinical environment was an important factor in this regard. Yet, the results also reveal major limitations, including the narrow, individualistic conceptualization of both recovery and stigma within the projects, the reliance on a biomedical model of mental illness, and the potentially adverse consequences of using football in mental health interventions.


Author(s):  
Brian Flynn

This chapter explores the impact that trauma and stress have on the workplace, and, conversely, how the workplace impacts trauma and stress. It focuses mainly on the role of physicians but is also applicable to disciplines such as psychologists, social workers, and others. The chapter examines some of the major challenges and opportunities that workplaces—and physicians working in and with them—face with regard to mental disorders, including stress and trauma. These issues include the range of factors contributing to the reduction or exacerbation of mental disorders, providing creative and positive leadership in addressing these issues, and developing a variety of issues to enhancing mental health and preventing mental disorders.


SAGE Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. 215824402097400
Author(s):  
Meng Zhang ◽  
Yang Gao ◽  
Minghe Sun ◽  
Datian Bi

Little is known about sustainable information-sharing in virtual communities, although it is increasingly recognized as a useful information-sharing tool. The aim of this study is to explore the influential factors and the realization mechanism of sustainable information-sharing in virtual communities. Starting from the similarity between biological fermentation and the information-sharing process in virtual communities, the present study creatively introduces the knowledge fermenting theory used in the analysis. Six factors influencing sustainable information-sharing in virtual communities are first identified based on this theory, which include sharing bodies, interactive topics, communication mechanism, supporting technology, communication environment, and platform scale. The relations among these six factors are then analyzed using the Decision-Making and Trial Evaluation Laboratory (DEMATEL) method. The results indicate that the factor of sharing bodies has the strongest influence on other factors and the factor of interactive topics receives the most influences from the other factors. On this basis, the realization mechanism of sustainable information-sharing in virtual communities is elaborated from the following four aspects: the four stages of the information-sharing realization, the guide role of “strain,” the catalytic role of “enzyme,” and the effect of environment. The results indicate that sustainable information-sharing in virtual communities is a process of spiral evolution. Finally, recommendations are given to virtual community managers, users, and business firms.


2015 ◽  
Vol 32 (4) ◽  
pp. 353-358 ◽  
Author(s):  
F. J. Browne

This article outlines the development of the role of the Health Service Executive Authorised Officer in Ireland, the professional applicant for the involuntary admission of an adult to hospital beyond that which was envisioned in the Mental Health Act 2001.


2017 ◽  
Vol 4 (1) ◽  
pp. 001-005
Author(s):  
Tutut Pujianto ◽  
Retno Ardanari Agustin

Mental health is an integral part of health, and a condition that affects the physical, mental, and  social  development  of  the  individual  optimally.  Mental  disorder  is  disturbances  in:  cognitive, volition, emotion (affective), and actions (psychomotor). Mental disorder is a collection of abnormal circumstances, whether physically related, or mentally. It is divided into two groups, namely: mental disorder  (neurosis)  and  mental  illness  (psychosis).  Mental  disorder  is  caused  by  some  of  the  above causes affected simultaneously or coincidence occurs. The purpose of this study was to increase the role of family and society in the treatment of mental disorder patients which was consequently could reduce the number of mental disorders patients This research used obsevational design with descriptive analy- sis. The subjects were family members who treat mental disorder patients as much as 16 respondents. The data collection was done in October 2012. The family role data grouped into appropriate and inappro- priate  category.  The  research  found  that  11  people  (68.75%)  in  the  category  of  inappropriate,  and appropriate by 5 people (31.25%), with average family role of 63.19%. The higher of inappropriate category was because 9 respondents (56.25%) in the age of elderly (> 50 years). This condition caused a decrease in the ability to perform daily activities, including health treatment. There were 4 patients who have been treated for 7-14 years, so the family feels accustomed to the condition of the patient. There were 8 people (50%) in productive age treated the patients, so it could not be done continuously. Based on these conditions, there should be efforts to increase knowledge and willingness of the patients and families, in caring for patients with mental disorders. The examples of such activities were to consult with the nearest health employees, and report to the health worker if there is a risky condition immedi- ately.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
E. Tsamadou ◽  
P. Voultsos ◽  
A. Emmanouilidis ◽  
G. Ampatzoglou

Abstract Background A subset of adolescents with mental disorders are likely to have decision-making capacity that facilitates their therapy engagement. However, there are high rates of drop-out in mental health settings. Aim This study aims to identify perceived barriers to or facilitators of mental health care engagement among adolescents with decision-making competence in Greece. Methods A qualitative study was conducted using semi-structured interviews of adolescents with a wide range of mental health problems. In addition, two psychometric assessment measures were used to define who to include or exclude from the study sample. Results Positive attitudes and experiences with therapy were reported as strong (“major”) facilitators of therapy engagement for adolescents with mental disorders, whereas negative experiences with therapy were reported as strong barriers to it. Furthermore, and most importantly, a “good” adolescent-therapist relationship was reported as a strong facilitator, whereas negative experiences of participants with their therapist were reported as strong barriers. Moreover, goals such as getting rid of symptoms, improving personal well-being, and improving social skills and relationships (especially with peers) emerged as strong facilitators of therapy engagement. Importantly, the early remission of symptoms emerged from the study as a strong barrier to therapy engagement for participants. Among the weaker (“minor”) perceived facilitators were goals such as confessing to a trustworthy person, becoming able to achieve personal expectations and life goals, enhancing independence and self-esteem, and developing a positive self-image. The (active or supportive) role of family emerged as a facilitator. The stigma related to mental health emerged as both a (“minor”) facilitator of and barrier to therapy engagement for participants. Friends were reported as having a role ranging from neutral to mildly supportive. Conclusion A number of more or less strong barriers and facilitators were identified that, for the most part, were consistent with prior literature. However, the authors identified some nuances that are of clinical importance. For instance, adolescents are most likely to terminate the treatment prematurely if they experience early symptom remission. Highlighting the role of therapy in achieving their goals or improving their families’ well-being might be used by therapists to reduce the attrition rate.


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