Abstract Background: Previous studies show that ADHD is associated with lower educational attainment, lower level of employment and increased risk for stressful life events. No previous studie was found that compared conditions before and after diagnosis was set. The aim of this study was to examin if a neuropsychiatric diagnostic assessment and support afterward had any impact on the life situation for adult persons with ADHD regarding occupational outcome, economical status and social support. Method: A sample of 214 adults participated in the study. Data were collected from the participants’ medical records. Statistical analyses were applied to identify possible changes before and after a neuropsychiatric examination. Results: Changes were seen in occupational outcome, economical outcome and in the help received from the community before and after the examination. Conclusions: Neuropsychiatric examinitions starts a process that could lead to a better socialeconomical situation for the person with ADHD.

The Alzheimer's Disease Life Events study examines whether there is a relationship between life events and Alzheimer's disease (AD). The ADLE study uses a mixed methods approach to answer the central research question:Are life events a risk factor for Alzheimer's disease? The central research question uses the following theory questions to examine:1. Is there a difference between the number of life events between patients and controls, using the Life Events and Difficulties Schedule (LEDS)(Brown and Harris, 1978) as a measurement tool?2. Is there a difference in the way (i.e. positive, neutral and negative) life events are discussed and in the range of emotions expressed when discussing life events between the patients and controls? 3. Are there any differences in the narrative constructions of life events, as interpreted by the Biographic Narrative Interpretive Method (BNIM)(Wengraf, 2001, 2008) between the patient and control groups? 4. Can the differences, between the patient and control groups, in the narratives be developed into a diagnostic marker? 5. Can the Emotion Word Coding (EWC)(Danner et aI., 2000) be used as a diagnostic marker by being applied to text collected from patients and controls over a period of decades? The ADLE study found that the patient group had experienced more life events in comparison with the control group as defined by the LEOS (Brown and Harris, 1978), and that the patient group had experienced more bereavements under the age of 51 years. The evidence supports the association between life events and AD.Even though there were significantly more life events experienced by the patients, the EWC (Danner et aI., 2001) found significantly fewer discussions expressing emotion bythe patients, particularly the negatively described ones. The range of negative and positive words used to describe the life events was significantly fewer too. This implies that the ways the patients express emotions about life events is substantially different from the controls. This finding was mirrored in the thematic field analysis of the BNIM interviews (Wengraf, 2001, 2008), which found differences in the content and structure of the narratives, and the emotional expression in the narratives about life events. A tool has been constructed using the differences between patients and controls to contribute to the early diagnosis of AD. In addition, the ADLE study has contributed to a gap in the knowledge about life events and AD.

Doctor of Philosophy / Department of Educational Leadership / Kakali Bhattacharya / Royce Ann Collins / How can an adult make meaning from and develop through experiences of mental illness, spiritual awareness, and death? The purpose of this autoethnographic bildungsroman is to explore how a male in the general population describes how life events have influenced his identity development over a period of 23 years, spanning three decades. The researcher-participant asks two primary questions: 1) How does the individual describe his adult development in terms of life events or “individual and cultural episodes” (Smith & Taylor, 2010, p. 52) related to mental illness, spiritual awareness, and death over time? and 2) How does the individual describe his possible selves in constructing a new sense of identity? Addressing these questions contributes to the literature of adult and continuing education by providing a glimpse into stories of lived experiences over time in the light of adult development.

Losing a loved one – a child or a spouse –is described as one of the most stressful or negative experience of a person’s life. Aging is associated with a higher risk of the death of close family members, yet few studies have investigated the impact of such losses on different health outcomes either by type of loss or by the combined loss of both a child and a spouse. This thesis is based on three studies examining the effect of bereavement on the health of older adults who have lost a child, spouse, or both and whether the different losses were associated with Life Satisfaction (LS) or mortality. The sample was collected from the Swedish National Study of Aging and Care (SNAC). The results showed that the loss of a child, spouse or both was experienced as among the three most important negative life events in the bereaved groups. About 70% of those bereaved of a child or a spouse mentioned these losses as among their three most important negative life experiences. In the child-and-spouse-bereaved group, 48% mentioned both losses while 40% mentioned only the loss of a child or a spouse, but not both. However, only marginally effects on LS and mortality after child, spouse or child-spouse bereavement in older adults was found. Longer time since the loss was associated with higher LS and lower mortality risk, and type of loss did not seem to determine LS or mortality. Gender differences were found: child-, spouse and child-and-spouse-bereaved men had lower LS than the corresponding groups of bereaved women, and furthermore, child-bereaved men had an increased mortality risk compared to child-bereaved women. Finally, significantly more women in the child-and-spouse-bereaved group compared to the men in this group, mentioned the loss of their child but not the spouse, among the three most important negative life events.

<p>Tidigare forskning pekar på att psykologiska faktorer påverkar hur individen rekryteras till en sekt. Förförståelsen inför denna intervjustudie var att det skulle kunna finnas ett behov av ett rehabiliteringscentrum i Sverige, och frågeställningen gällde vilka behov som föreligger hos en individ som lämnar en destruktiv sekt sett utifrån professionella hjälpares perspektiv. 14 personer deltog, psykiatriker, präster, politiker, terapeuter och psykologer. Resultatet visade att det finns olika anledningar till att individer rekryteras in i en sekt liksom till att de lämnar den. Resultatet visade också att det föreligger ett hjälpbehov hos individer som lämnar sekter och gemensamma svar för alla respondenter var att det behövs: (1) samtal, (2) gemenskap, (3) någon som lyssnar.</p>

Tidigare forskning pekar på att psykologiska faktorer påverkar hur individen rekryteras till en sekt. Förförståelsen inför denna intervjustudie var att det skulle kunna finnas ett behov av ett rehabiliteringscentrum i Sverige, och frågeställningen gällde vilka behov som föreligger hos en individ som lämnar en destruktiv sekt sett utifrån professionella hjälpares perspektiv. 14 personer deltog, psykiatriker, präster, politiker, terapeuter och psykologer. Resultatet visade att det finns olika anledningar till att individer rekryteras in i en sekt liksom till att de lämnar den. Resultatet visade också att det föreligger ett hjälpbehov hos individer som lämnar sekter och gemensamma svar för alla respondenter var att det behövs: (1) samtal, (2) gemenskap, (3) någon som lyssnar.

This study was motivated by encounters with persons with repeated suicidality in clinical psychiatry. Their suicide attempts are frequently regarded as manipulative, and the patients are often labelled a “borderline personality disorder”. They cause frustration and are sometimes met with repellent attitudes among clinicians, but clinical experience as well as research shows that their personal history regularly includes severe childhood trauma and often childhood sexual abuse. The first part of the study was undertaken to investigate the frequency of borderline personality disorder among consecutive persons admitted to hospital after a suicide attempt, the experience of adverse life events among them and the motives for the act. The concept and definition of parasuicide was used as inclusion criterion. During the 10 months of the study 81% of all parasuicide inpatients gave their consent to partake, altogether 64 patients, 41 women and 23 men. Standardized instruments were used for assessment of personality disorders, and self-report questionnaires were used to investigate motives and adverse life events. Seven years later, follow-up interviews were conducted with 51 of these persons, 32 women and 19 men. This second part of the study used qualitative methods in the form of thematic open-ended interviews to allow for the patients’ own descriptions of their suicidality and mental health in the years following the suicide attempt. The role of psychiatry in this process was one of the themes in the interview. Use of psychiatric treatment and support during the follow-up period was investigated through a review of the medical charts recorded at the psychiatric clinic. The quantitative part of the study showed that among the parasuicide patients there was a considerable overrepresentation of borderline personality disorder, and that the frequency of adverse life events was much higher in this subgroup. The motives for the parasuicide did not differ between those with borderline personality disorder and the others. Childhood sexual abuse could be identified as the most important factor influencing suicidality and extent of psychiatric treatment after the index parasuicide. The patients’ own descriptions in the follow-up interview were related to the theoretical perspectives of symbolic interactionism, therapeutic alliance, perception of difference, empowerment and the concept of modernity. In the narratives a picture emerges of a psychiatric health care that carries the potential to offer therapeutic relationships, but often fails in its aims. In therapeutic alliances built on personal relationships, characterized by close and frequent encounters and a focus not only the weaknesses but also the strengths of the patient, there was room for personal development. A reliance on therapeutic method instead of a therapeutic alliance with the patient and a lack of a collaborative perspective in therapeutic work set definite hindrances for the therapeutic process, according to the views of the patients. Regardless of the severity of the life experiences and personality dimensions that had lead to the parasuicide, the core prerequisite for subsequent stabilisation was an orientation towards significant others that saw and supported the potential for change and helped redefine the situation. These significant others were sometimes found in the psychiatric health care services, but were mainly found outside of psychiatry. The conclusions of the study are that there is a close correlation between repeated suicidality, borderline personality disorder, female gender and adverse events such as childhood sexual abuse, and that the repeated suicidality is better explained by adverse events such as childhood sexual abuse than by personality disorder. This background seriously challenges repellent attitudes towards these patients. The narratives of the patients pose definite challenges for the therapeutic community to embrace new ways to find working therapeutic alliances after a parasuicide, possibly based around perspectives of empowerment and mutuality. Identifying the processes that helps the person find “the difference that makes a difference” should be in focus of future psychiatric research and at the heart of psychiatric support and treatment after parasuicide, to enable the patients to find their own strengths and resources and in this way be able to leave it all behind.

The United States Latino population has experienced unprecedented growth in the past several decades. Despite these growing numbers there has been relatively little research that explores how exposure to negative life events and chronic strains affects the physical health outcomes of Latinos. This thesis examines the extent to which traumatic life events and chronic strains affect the physical health outcomes of foreign-born and native-born Mexican-origin individuals (age 45 an older) residing along the U.S./Mexico border. Results from the multivariate analysis show that there is no direct association between traumatic life events and self-reported health. However, chronic strains were found to negatively impact the well-being of both foreign-born and native-born groups. Finally, the hypothesis suggesting that foreign-born respondents would fare better in terms of health (Latino/Hispanic paradox) compared to their native-born counterparts is not supported, with the results shown to be consistently in the opposite direction. Future research is needed on the interplay between different types of stressors and physical health outcomes among Mexican-origin individuals.

Purpose: The purpose of this study was three-fold. Firstly, it examined whether there was a positive relationship between the two burnout dimensions of emotional exhaustion and depersonalisation, for career women in particular. Secondly, this relationship was further examined by considering whether stressful life events and racial differences moderated the association between emotional exhaustion and depersonalisation. Thirdly, racial differences in depersonalisation were assessed. Motivation for study: In the fast paced environment of the 21st century, individuals are faced with increased demands which they need to address at an ever-increasing rate. This can translate into burnout, which is quickly becoming an epidemic. Existing theories on burnout postulate that burnout and its dimensions develop in a specific order, in that depersonalisation develops from increased levels of emotional exhaustion. Although several studies have tested this theory, limited research exists on how the relationship between emotional exhaustion and depersonalisation may be influenced by negative factors outside of the work environment (i.e., stressful life events). In addition, the relationship between the burnout dimensions has not been assessed in relation to racial differences in the unique cultural context of South Africa. Studies have shown that burnout is detrimental both on an individual and collective level, and can result in extensive cost implications for organisations. Therefore, this research could assist organisations, perhaps including South African organisations, to understand which factors may accelerate the occurrence and development of burnout and its dimensions. Subsequently, organisations may be advised to introduce tailored interventions to reduce or prevent burnout from occurring. Research design, approach, and method: A post-positivistic quantitative research strategy was used with a sample of 31 female participants, aged between 25 and 60 years of age. Participants were employed at a higher education institution in South Africa. Data were obtained through the use of an online questionnaire consisting of three measurement scales: the emotional exhaustion and depersonalisation scales from the Maslach Burnout Inventory General survey, and a stressful life events checklist. Data were analysed through the use of hierarchical multiple regression analysis and a one-way ANOVA. Main Findings: The results contradicted previous studies on burnout dimensions as the relationship between emotional exhaustion and depersonalisation was not significant. Furthermore, both stressful life events and race did not have a significant impact on the relationship between emotional exhaustion and depersonalisation. Finally, the different racial groups assessed in this study did not differ significantly in terms of levels of depersonalisation. Practical Implications: Based on the findings of this study, organisations should not gear burnout interventions toward specific groups of women, that is, women experiencing greater stressful life events or women from specific racial groups, as these factors do not appear to have an influence on the occurrence of burnout or its dimensions. In addition, the occurrence of depersonalisation does not seem to be avoided by addressing levels of emotional exhaustion in women. Contribution/value-add: The study makes a knowledge contribution to the existing gap in burnout research regarding the development of emotional exhaustion and depersonalisation, and the impact that stressful life events and race can have on this relationship. Even though the hypotheses were not supported, it adds value by equipping organisations with additional information regarding which factors to include or exclude when designing interventions to address burnout. / Mini Dissertation (MCom)--University of Pretoria, 2016. / Human Resource Management / MCom / Unrestricted

Background: Individuals experiencing negative and potentially traumatic life events are at increased risk for suicidal thoughts and behaviors; however, suicidal outcomes are not inevitable. Individuals who attribute negative life events to external, transient, and specific factors, rather than internal, stable, and global self-characteristics, may experience fewer deleterious outcomes, including suicidal behavior. Aims: This study examines the moderating effect of explanatory style on the relationship between negative life experiences and suicide ideation in a college student sample. Methods: A total of 138 participants (73% female) were recruited from a rural. Eastern college and completed a self-report psychosocial assessment. Results: Optimistic explanatory style mitigates the influence of negative and potentially traumatic life events on thoughts of suicide, above and beyond the effects of hopelessness and depression. Conclusions: Beliefs about the origin, pervasiveness, and potential recurrence of a negative life event may affect psychological outcomes. Optimistic explanatory style was associated with reduced suicide ideation, whereas pessimistic explanatory style was associated with increased thoughts of suicide. Optimistic reframing of negative life events for clients may have treatment implications for the prevention of suicidal activity.