Kirkpatrick, Kristin LeClair
28 August 2008
Not available / text
Purpose: This study explored the lived experiences of inpatients in an adult acute psychiatric ward aiming to bring the voices, individual journeys and everyday worlds of psychiatric inpatients to the research arena. It tried to understand the meaning of psychiatric illness, acute hospitalization experience and the effects of these upon people‘s lives and identity. Lastly, it investigated the psychologists‘ role in acute wards. Method: Semi-structured interviews were conducted with ten adult inpatients in one psychiatric acute ward in the south of England. Data was collected and analysed according to the interpretative phenomenological analysis (IPA) method leading to case and group analyses of interview transcripts. Results: Themes of inpatient life were found to be: (1) admission and experiences of the early days; (2) every day life on the ward; (3) maintaining connections with the outside world; (4) relationships with other patients; (5) relationships with nursing staff; (6) relationships with psychiatrists; (7) experiences of being sectioned; (8) experiences of medical treatment and (9) reactions to inpatient care. Illness journey themes were determined to be: (1) Making sense of illness; (2) experiences of illness symptoms; (3) reactions to illness; (4) way to recovery; (5) impact on self / identity; (6) impact on life and (7) anticipation of life after illness / hospital care. Conclusions: The results show, in greater detail than in previous studies, that inpatient care and treatment can be dehumanizing and that issues of psychiatric inpatients need immediate attention from service providers. The study shows vividly that social inequalities and stigma are still problematic areas in mental health. A central theme of the research is the importance of supportive relationships to clients' recovery and wellbeing. The congruence of the recovery model with counselling psychology principles is clarified and the exciting possibility that counselling psychologists could implement the recovery model is explored.
Chun, Natalie Kam Hoong,
Thesis (M.A.)--University of Wisconsin--Madison, 1967. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.
"I just want a normal life!" a phenomenological inquiry into children's perspectives on parental addiction and the effects of the addiction in the parent-child relationship /Reinking, Maria Andrea. January 2006 (has links)
Thesis (PH.D.) -- Syracuse University, 2006 / "Publication number AAT 3251809."
15 October 2015
<p> Despite its importance, little is known about how psychologists are trained to reflect on their conduct of psychotherapy. These abilities are collectively known as reflective practice, which is considered a core competence within the field of psychology. This study examined the use of reflective practice by clinical, counseling, and school psychology interns and looked at how reflective practice is being facilitated by supervisors. The study examined the use of reflective practice in different clinical situations and obtained opinions about which reflective practices are believed to most impact clinical effectiveness. The study also examined barriers that may impede engagement in reflective practice. A mixed-method approach, including quantitative and qualitative analyses, was used to examine study questions in a sample of 69 pre-doctoral psychology interns. Results of this study indicated that for clinical cases in which the therapeutic work was “going well,” psychology interns engaged in reflective practice slightly more than once per month. However, for challenging cases (whether the “work was going well or not”) reflective practice was reported to increase, on average, to more than once per month, but less than once a week. There was no significant difference in frequency of reflective practices used between “challenging cases going well” and “challenging cases not going well.” This study found that supervisors facilitated an average of slightly over half of the total reflective practices measured. Further, the number of practices facilitated by supervisor was significantly correlated with the frequency of reflective practice use among interns. The reflective practices perceived to have the most impact on clinical effectiveness were (a) reflecting on feelings during session, (b) examining personal beliefs and values, and (c) reflecting on the quality of the therapeutic relationship. The most significant barrier to engagement in reflective practice was reported to be time. In regard to interns’ beliefs about how helpful reflective practice is to clinical practice, two major themes emerged: (a) whether reflective practice was helpful to the therapist (e.g., increased self-awareness) versus (b) if it was helpful to the client (e.g. helped client process their emotions more). Implications for future research and application to clinical practice are discussed.</p>
Mental health clinical services; a study of the children between 6 and 12 years of age examined by mental health clinics in Vancouver from 1945 to 1947 inclusiveRoberts, Evelyn Marie January 1949 (has links)
There are 2 organizations in Vancouver, the Child Guidance Clinic and the Mental Hygiene Division of the Metropolitan Health Committee, which offer services to maladjusted children. No descriptive account of the work of these 2 clinics has been previously written, particularly from the viewpoint of the social worker. Accordingly, this study undertook a review of the clinic records of a particular group of patients, namely, children of elementary school age, to throw light on the problems and needs in this field. The criteria set for the selection of cases was threefold. (1) The examination took place within a 3 year period (1945 to 1947). (2) Patients were those between the ages of 6 and 12 years, with intelligence quotients of at least 80, who had lived with parents or relatives at least until the age of 5 years, or were still living with them. (3) The children were confined to those residing in Greater Vancouver. The number of cases which satisfied these criteria was 257. These cases were classified into 4 groups on the basis of "problems" or symptoms of maladjustment which led to clinical examination. The classifications adopted distinguished (1) socially unacceptable behaviour, (2) personality reactions, (3) habit disorders, (4) disabilities in specific school subjects. The proportion which this group of 257 cases bears to the total number of cases examined by the clinics is examined, and an attempt is made to demonstrate to what extent the clinical population is a cross-section of the general population, but gaps in information in the clinic records make this possible in part only. A further sample was selected (on a one-in-five basis) from each of the four classifications, in proportion to the number of cases examined by each clinic, as well as to the number of boys and girls in the total survey. More detailed information was obtained from the clinic records on the 52 cases which comprised this sample. An analysis of this material, with the use of case illustrations, throws light on the work of the clinics, and on the factors of disorganization existing within the family and the community which contributed to the maladjustment of the children. The clinical recommendations for the treatment of children are outlined, and so far as possible an evaluation of the outcome of treatment is made. There is evidence that emotionally disturbed patients might be better served by the clinics if more adequate community resources for mentally retarded children existed, thus reducing the number of clinical examinations of such children. More awareness on the part of parents of the availability of clinic services would undoubtedly lead to the earlier referral of many children requiring this kind of help. Improvement of the working relationships between the 2 clinics and between the Child Guidance Clinic and the schools would be beneficial. The enlargement of the Mental Hygiene Clinic staff to include social workers would result in a better integrated clinical service. A third psychiatrist on the Child Guidance Clinic staff would overcome some of the present lacks in clinic services. A treatment and observation centre for emotionally disturbed children is greatly needed in this community. In many instances, staff members of social and health agencies responsible for the preparation of social histories would benefit from brief clinical orientation and discussions with the members of the clinic team on the subject of history taking. The addition of a group worker to clinic teams would enhance the services to maladjusted children. / Arts, Faculty of / Social Work, School of / Graduate
Simmons, Carol Ivy
30 March 2018
<p> This dissertation explored several internal and external factors in relation to psychiatric readmissions. Internal factors are directly related to the individual i.e., demographic information, diagnosis, admission history and status. External factors are factors outside of the individuals control i.e., length of hospital stay and reimbursement processes. The goal of the study was to explore the impact of multiple factors in relation to the phenomenon of psychiatric readmissions. Dynamic Systems Theory (1994) was used as a theoretical foundation to understand the complexities associated with psychiatric readmissions. The study utilized state archival data provided by the Maryland Health Services Cost Review Commission; an agency charged with collecting statewide hospital data on hospital admissions. </p><p> A quasi experimental study was conducted using a logistic regression design to answer the research question: When taken together do age, sex, ethnicity, diagnosis, insurance type, admission status and length of stay predict psychiatric readmission? This researcher predicted that the null hypothesis will be rejected. The sample included a large state-wide data set of over 130,000 individuals who fell under the criteria of being over the age of 18 when readmitted for psychiatric care in Maryland in 2015. The research methodology includes a logistic regression research design, exploring multiple factors, simultaneously, that impact psychiatric readmissions. </p><p> The results of the study indicate that length of stay is the most important factor impacting psychiatric readmissions. The second most important factor associated with psychiatric readmission, is a psychiatric readmission within 30 days. Medicare and Medicaid were also found to be significant factors associated with psychiatric readmission. Additionally, affective disorders were found to be the primary diagnosis associated with psychiatric readmissions. Lastly, individuals at greatest risk for psychiatric readmissions are between the age of 18-39, are non-Hispanic, are enrolled in Medicare, most likely to be disabled, are diagnosed with an affective disorder and have had a previous psychiatric readmission.</p><p>
01 February 2017
<p> International nonprofit workers follow a sense of purpose or calling to serve humanity in the far corners of the world. This study is a phenomenology of thriving in this population. Parallel to the broader mental health field, there is a shift in focus from diagnosing pathology and reason for failure to promoting optimal functioning of this population. Positive psychology increased attention to optimal human function and the field of counseling has focused on wellness and development of people rather than treating pathology. This study has identified nine themes common to global workers who are thriving. Application is made to how workers and organizations can promote the well-being of global workers. Results are compared with established constructs of well-being.</p>
Coleman, Eddie Lee
20 December 2018
<p> Chronic pain is a significant problem in the U.S. pediatric population, conservatively estimated to affect 15% to 20% of children. Few studies have focused on coping strategies African American children use to manage chronic pain. The purpose of this study was to examine coping strategies used by African American children and adolescents ages 11 to 18 years suffering from chronic pain and to examine gender and age differences in this population. The gate control theory provided the framework for the study. The Pain Coping Questionnaire was used to measure coping strategies in a convenience sample of 44 children and adolescents recruited from pain clinics and online pain support groups. Descriptive statistics indicated that active coping was used most often, and emotion-focused coping was used least often. Analyses of variance indicated that age was positively related with cognitive distraction, that male participants used problem-solving more often than female participants, and that female participants sought out social support and used internalizing/catastrophizing more often that male participants. Findings may be used to improve assessment and management of chronic pain by providing mental health professionals and doctors with a better understanding of African American children and adolescents’ coping strategies.</p><p>
Mazur, Kelsey LaSage
02 November 2017
BACKGROUND: Poor mental health and the varying stressors that provoke psychological disturbance are considerable issues that plague the United States young adult population. Within the collegiate student-athlete cohort, where athletes are subjected to unique pressures placed on them secondary to performance demands, significant injury such as an ACL tear requiring surgical reconstruction and a rigorous rehabilitation course remains a major contributor to psychological and physical disruption. Females in particular may be at higher risk of psychological instability due to hormonal and personality factors, increased injury rates, and gender bias that still exists in the collegiate sports world. LITERATURE REVIEW FINDINGS: Despite recognition of the mental health sequelae of injury in this cohort, sports medicine personnel report discomfort in approaching emotional difficulties and mentoring athletes on the utilization of psychological skills. In conjunction, referral to sports psychologists remains low. The use of a universal self-report survey can help athletes and sports medicine providers acknowledge the psychological impact of injury and take proactive action to provide the athlete with the necessary psychological support needed to fully recover and return to play. PROPOSED PROJECT: The goal of this cross-sectional study is to use a previously validated psychometric tool to assess and compare differences in acute psychological response to ACL tear in male and female collegiate soccer players. If there is a consistent gender disparity observed based on survey scores, sports medicine specialists could develop heightened awareness toward a specific gender that is at high-risk for psychological instability following injury and provide immediate psychological intervention if an event occurs. CONCLUSIONS: The use of a psychometric survey to assess mental health in the collegiate athlete population should be standard practice. If used correctly, the tool has the ability to assess injury response and the need for psychological intervention for all athletes suffering from chronic injuries. The benefits are widespread among all parties of the sports medicine team and the end result is increased stability and mental well-being within the athletic environment. SIGNIFICANCE: The clinical significance of the study extends beyond identifying gender and demographic risk factors and aims to stress the importance of recognizing psychological distress following injury and the necessity of appropriate psychological intervention in a large population of student-athletes across the country.
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