scholarly journals The impact of torture on mental health in the narratives of two torture survivors

2018 ◽  
Vol 28 (2) ◽  
pp. 130-139
Author(s):  
Simone M. De la Rie ◽  
Jannetta Bos ◽  
Jeroen Knipscheer ◽  
Paul A Boelen
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Therapeutic Process ◽  
Self Esteem ◽  
Torture Survivors ◽  
Clinical Case Study ◽  
And Control ◽  
The Impact

Introduction: Torture survivors risk developing Posttraumatic Stress Disorder (PTSD) as well as other mental health problems. This clinical case study describes the impact of torture on two survivors who were treated for their PTSD with Narrative Exposure Therapy. Methods: The reports of the narratives of two torture survivors were qualitatively analyzed. It was hypothesized that torture yields overaccommodating cognitions, as well as mental defeat, which in turn, are related to severity of psychological complaints. Results: Both patients have experienced an accumulation of traumatic events. The psychological and physical torture they experienced lead to increased anticipation anxiety, loss of control and feelings of hopelessness, as well as overaccommodating cognitions regarding self and others. Conclusions: Cognitions, culture and beliefs, as well as issues of confidence and a more long-term perspective affect therapeutic work. Building trust, pacing the therapeutic process, and applying tailor-made interventions that focus on cognitions regarding self-esteem, trust in relationships, as well as safety and control are warranted.

scholarly journals Health risk assessment and countermeasure analysis of the elderly population exposed to PM2.5 microenvironment

Work ◽  
2021 ◽  
pp. 1-11
Author(s):  
Yan Xu ◽  
Wantian Cui
Keyword(s):  
Mental Health ◽  
Health Risk ◽  
Elderly Population ◽  
Mental Health Problems ◽  
Negative Impact ◽  
The Elderly ◽  
Exposure Concentration ◽  
Physical Diseases ◽  
The Impact

BACKGROUND: China’s atmospheric PM2.5 pollution is serious, and PM2.5 exerts a negative impact on the human respiratory system, cardiovascular, and mental health, and even more serious health risk for the elderly with weak immunity. OBJECTIVE: This work aims to analyse the impacts of PM2.5 microenvironment exposure on the health of the elderly and provide corresponding countermeasures. METHODS: The survey subjects are 118 retired elderly people in the community. PM2.5 exposure concentrations are monitored in summer (June 10 ∼ July 10, 2019) and winter (November 25 ∼ December 25, 2019). RESULTS: The exposure concentration in winter is higher than that in summer, with statistical difference (P <  0.05). Under the impact of PM2.5 microenvironment exposure, smoking in the elderly can increase the concentration of PM2.5, and long-term exposure to PM2.5 in the elderly can cause mental health problems. CONCLUSION: Long-term exposure of the elderly to the PM2.5 microenvironment leads to physical diseases and even psychological problems, which requires attention.

Parental alienation: the impact on men’s mental health

2015 ◽  
Vol 29 (3) ◽  
Author(s):  
Leo Sher
Keyword(s):  
Mental Health ◽  
Separation Anxiety ◽  
Self Esteem ◽  
Long Term Effects ◽  
Parental Alienation ◽  
Adult Men ◽  
Self Confidence ◽  
High Conflict ◽  
The Impact

Abstract Parental alienation is defined as a mental state in which a child, usually one whose parents are engaged in a high-conflict separation or divorce, allies himself strongly with one parent (the preferred parent) and rejects a relationship with the other parent (the alienated parent) without legitimate justification. Parental alienation may affect men’s mental health: a) parental alienation negatively influences mental health of male children and adolescents who are victims of parental alienation. Alienated children/adolescents display guilt, sadness, and depressed mood; low self-esteem and lack of self-confidence; distress and frustration; lack of impulse control, substance abuse and delinquent behavior; separation anxiety, fears and phobias; hypochondria and increased tendency to develop psychosomatic illness; suicidal ideation and suicide attempt; sleep and eating disorders; educational problems; enuresis and encopresis; b) parental alienation negatively affects the mental health of adult men who were victims of parental alienation when they were children and/or adolescents. Long-term effects of parental alienation include low self-esteem, depression, drug/alcohol abuse, lack of trust, alienation from own children, divorce, problems with identity and not having a sense of belonging or roots, choosing not to have children to avoid being rejected by them, low achievement, anger and bitterness over the time lost with the alienated parent; c) parental alienation negatively influences mental health of men who are alienated from their children. Fathers who have lost some or all contact with their children for months or years following separation or divorce may be depressed and suicidal.

Social care

2020 ◽  
pp. 361-370
Author(s):  
Jo Moriarty
Keyword(s):  
Mental Health ◽  
Social Care ◽  
Mental Health Problems ◽  
Health Problems ◽  
Term Care ◽  
Improved Outcomes ◽  
Broad Term ◽  
Key Policy ◽  
And Control

Social care is the broad term for the support provided to people living at home and in care homes. Major changes have taken place to this sector in the past few years and this chapter describes the key policy developments that have impacted upon the kind of support provided to older people with mental health problems and how that support is funded. The policy of personalization is intended to increase choice and control, but as yet it is unclear whether this will lead to improved outcomes in terms of quality of life or independence. Some long-standing issues, such as the high prevalence of people with unidentified mental health problems in long-term care, continue to provide challenges for organizations providing social care support.

Listening to the child victim of abuse through the process of therapy: A case study

2001 ◽  
Vol 26 (3) ◽  
pp. 18-22 ◽  
Author(s):  
Neerosh Mudaly ◽  
Chris Goddard
Keyword(s):  
Therapeutic Process ◽  
Young Person ◽  
Response To Therapy ◽  
Child Victim ◽  
To Come ◽  
Long Term Impact ◽  
The Impact ◽  
Theoretical Considerations

When a child has been abused by his or her father or father-figure and makes the statement ‘I want Dad to come home’, whose voice are we hearing in treatment, how do we interpret and respond to what the child is saying? Understanding and responding to the voices of victims of abuse is a complex issue. This paper explores the issues of listening to and responding to a young vicitm of abuse in the context of the impact of the abuse on this young person, and how these issues emerged and were addressed in the therapeutic process. Amanda, a 13-year-old girl, disclosed sexual abuse by her stepfather. In the initial months of counselling she repeatedly expressed her wish for her stepfather to return home. Amanda’s response to therapy, the short-term and long-term impact issues that were addressed, and the various therapeutic techniques that were used to assist in her recovery, are traced in the context of theoretical considerations.

Why Provide Music Therapy in the Community for Adults with Mental Health Problems?

1995 ◽  
Vol 9 (1) ◽  
pp. 4-10 ◽  
Author(s):  
Helen Odell-Miller
Keyword(s):  
Mental Health ◽  
Music Therapy ◽  
Mental Health Problems ◽  
Clinical Information ◽  
Health Problems ◽  
Care Programme ◽  
Client Group ◽  
Multidisciplinary Teamwork

This paper describes music therapy within a community mental health setting for adults using a care programme approach in England. It describes the setting, and emphasises the importance of multidisciplinary teamwork in order to enable music therapy to be effective. It provides some statistics and descriptive clinical information which demonstrate the efficacy of music therapy for adults with long-term mental health problems, and argues that music therapy should be apriority for this client group. To support these points of view, the article includes a case study showing a psychoanalytically informed approach in music therapy. This paper was given as a keynote address at the 1994 Australian Conference of Music Therapy.

Children and war: Risk, resilience, and recovery

2012 ◽  
Vol 24 (2) ◽  
pp. 553-558 ◽  
Author(s):  
Emmy E. Werner
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Longitudinal Research ◽  
Negative Impact ◽  
Multiple Informants ◽  
Risk And Resilience ◽  
Cross Sectional ◽  
Wide Range ◽  
The Impact

AbstractThis article reviews and reflects on studies that have explored the effects of war on children around the world. Most are cross-sectional and based on self-reports. They describe a range of mental health problems, related to dose effects and to the negative impact of being a victim or witness of violent acts, threats to and loss of loved ones, prolonged parental absence, and forced displacement. The more recent the exposure to war, and the older the child, the higher was the likelihood of reported posttraumatic stress disorder symptoms. Especially vulnerable to long-term emotional distress were child soldiers, children who were raped, and children who had been forcibly displaced. In adulthood, war-traumatized children displayed significantly increased risks for a wide range of medical conditions, especially cardiovascular diseases. Among protective factors that moderated the impact of war-related adversities in children were a strong bond between the primary caregiver and the child, the social support of teachers and peers, and a shared sense of values. Among the few documented intervention studies for children of war, school-based interventions, implemented by teachers or locally trained paraprofessionals, proved to be a feasible and low-cost alternative to individual or group therapy. More longitudinal research with multiple informants is needed to document the trajectories of risk and resilience in war-affected children, to assess their long-term development and mental health, and to identify effective treatment approaches.

scholarly journals Why Provide Music Therapy in the Community for Adults With Mental Health Problems?

2005 ◽  
Vol 5 (1) ◽  
Author(s):  
Helen Odell-Miller
Keyword(s):  
Mental Health ◽  
Music Therapy ◽  
Mental Health Problems ◽  
Clinical Information ◽  
Health Problems ◽  
Care Programme ◽  
Client Group ◽  
Multidisciplinary Teamwork

This paper describes music therapy within a community mental health setting for adults using a care programme approach in England. It describes the setting, and emphasises the importance of multidisciplinary teamwork in order to enable music therapy to be effective. It provides some statistics and descriptive clinical information which demonstrate the efficacy of music therapy for adults with long-term mental health problems, and argues that music therapy should be a priority for this client group. To support these points of view, the article includes a case study showing a psychoanalytically informed approach in music therapy. This paper was given as a keynote address at the 1994 Australian Conference of Music Therapy.

scholarly journals The Impact of the COVID-19 Pandemic on Those Supported in the Community with Long-Term Mental Health Problems: A Qualitative Analysis of Power, Threat, Meaning and Survival

2022 ◽  
Author(s):  
Dawn Leeming ◽  
Mike Lucock ◽  
Kagari Shibazaki ◽  
Nicki Pilkington ◽  
Becky Scott
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Third Sector ◽  
Health Problems ◽  
Mental Wellbeing ◽  
Positive Coping ◽  
Template Analysis ◽  
Third Sector Organisations ◽  
The Impact

AbstractResearch suggests that the COVID-19 pandemic has had a significant impact on those already living with mental health problems, though there is also evidence of resilience. However, to date there has been limited in-depth qualitative investigation. We interviewed 15 people living with long-term mental health problems who, before the pandemic, were being supported by third sector organisations, to explore how they experienced lockdowns and accessing services remotely. Template analysis was informed by the Power Threat Meaning Framework and suggested that participants experienced significant threats to their mental wellbeing and recovery which were exacerbated by current or previous powerlessness and inequality. Although participants described positive coping strategies, several described a return of unhelpful behaviours that had contributed to the original difficulties. The findings illustrate the wider contributions of social and economic context to mental health problems and the importance of ensuring that people do not feel abandoned and are proactively supported.

scholarly journals Online and Recovery-Oriented Support Groups Facilitated by Peer Support Workers in Times of COVID-19: Protocol for a Feasibility Pre-Post Study

10.2196/22500 ◽  
2020 ◽  
Vol 9 (12) ◽  
pp. e22500
Author(s):  
Jean-Francois Pelletier ◽  
Janie Houle ◽  
Marie-Hélène Goulet ◽  
Robert-Paul Juster ◽  
Charles-Édouard Giguère ◽  
...  
Keyword(s):  
Mental Health ◽  
Peer Support ◽  
Support Groups ◽  
Mental Health Problems ◽  
Control Group ◽  
Web Based ◽  
Clinical Recovery ◽  
Study Results ◽  
And Control ◽  
The Impact

Background In times of pandemics, social distancing, isolation, and quarantine have precipitated depression, anxiety, and substance misuse. Scientific literature suggests that patients living with mental health problems or illnesses (MHPIs) who interact with peer support workers (PSWs) experience not only the empathy and connectedness that comes from similar life experiences but also feel hope in the possibility of recovery. So far, it is the effect of mental health teams or programs with PSWs that has been evaluated. Objective This paper presents the protocol for a web-based intervention facilitated by PSWs. The five principal research questions are whether this intervention will have an impact in terms of (Q1) personal-civic recovery and (Q2) clinical recovery, (Q3) how these recovery potentials can be impacted by the COVID-19 pandemic, (Q4) how the lived experience of persons in recovery can be mobilized to cope with such a situation, and (Q5) how sex and gender considerations can be taken into account for the pairing of PSWs with service users beyond considerations based solely on psychiatric diagnoses or specific MHPIs. This will help us assess the impact of PSWs in this setting. Methods PSWs will lead a typical informal peer support group within the larger context of online peer support groups, focusing on personal-civic recovery. They will be scripted with a fixed, predetermined duration (a series of 10 weekly 90-minute online workshops). There will be 2 experimental subgroups—patients diagnosed with (1) psychotic disorders (n=10) and (2) anxiety or mood disorders (n=10)—compared to a control group (n=10). Random assignment to the intervention and control arms will be conducted using a 2:1 ratio. Several instruments will be used to assess clinical recovery (eg, the Recovery Assessment Scale, the Citizenship Measure questionnaire). The COVID-19 Stress Scales will be used to assess effects in terms of clinical recovery and stress- or anxiety-related responses to COVID-19. Changes will be compared between groups from baseline to endpoint in the intervention and control groups using the Student paired sample t test. Results This pilot study was funded in March 2020. The protocol was approved on June 16, 2020, by the Research Ethics Committees of the Montreal Mental Health University Institute. Recruitment took place during the months of July and August, and results are expected in December 2020. Conclusions Study results will provide reliable evidence on the effectiveness of a web-based intervention provided by PSWs. The investigators, alongside key decision makers and patient partners, will ensure knowledge translation throughout, and our massive open online course (MOOC), The Fundamentals of Recovery, will be updated with the evidence and new knowledge generated by this feasibility study. Trial Registration ClinicalTrials.gov NCT04445324; https://clinicaltrials.gov/ct2/show/NCT04445324 International Registered Report Identifier (IRRID) PRR1-10.2196/22500

scholarly journals Collective Trauma and Mental Health in Adolescents: A Retrospective Cohort Study of the Effects of Retraumatization

2021 ◽  
Vol 12 ◽  
Author(s):  
Hannah Pazderka ◽  
Matthew R. G. Brown ◽  
Vincent I. O. Agyapong ◽  
Andrew James Greenshaw ◽  
Caroline Beth McDonald-Harker ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Post Traumatic Stress ◽  
Trauma History ◽  
Symptom Profile ◽  
Trauma Informed ◽  
Post Traumatic ◽  
Informed Treatment ◽  
The Impact

In the wake of the massive Canadian wildfire of May 2016 in the area of Fort McMurray Alberta, we observed increased rates of mental health problems, particularly post-traumatic stress disorder (PTSD), in school-aged adolescents (ages 11–19). Surprisingly, we did not see these rates decline over the 3.5-year follow-up period. Additionally, our research suggested that the impact of this mass incident resulted in other unanticipated effects, including the finding that children who were not present for and relatively unaffected by the wildfire showed a similar PTSD symptom profile to children more directly involved, suggesting some degree of spillover or stress contagion. A potential explanation for these high rates in individuals who were not present could be undiagnosed retraumatization in some of the students. To investigate this possibility, we compared two groups of students: those who reported the wildfire as their most significant trauma (n = 740) and those who had their most significant trauma prior to the wildfire (n = 295). Those with significant pre-existing trauma had significantly higher rates of both depression and PTSD symptoms, although, unexpectedly the groups exhibited no differences in anxiety level. Taken together, this evidence suggests retraumatization is both longer-lasting and more widespread than might be predicted on a case-by-case basis, suggesting the need to reconceptualize the role of past trauma history in present symptomatology. These findings point to the need to recognize that crises instigated by natural disasters are mass phenomena which expose those involved to numerous unanticipated risks. New trauma-informed treatment approaches are required that incorporate sensitivity to the collective impact of mass crises, and recognize the risk of poorer long-term mental health outcomes for those who experienced trauma in the past.

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