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Understanding the experiences of children and adolescents with mental health problems and their families.January 2007 (has links)
Wan, Suk Fan. / Thesis submitted in: December 2006. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2007. / Includes bibliographical references (leaves 170-176). / Abstracts in English and Chinese. / Abstract --- p.i / Acknowledgements --- p.iv / Chapter Chapter 1 --- Introduction --- p.1 / Rationale of the Research Topic --- p.2 / Research Questions --- p.3 / Research Objectives --- p.4 / Overview of the Present Thesis --- p.4 / Chapter Chapter 2 --- Literature Review --- p.6 / The Vicissitudes of the Concept of Mental Health Problems in the Western Culture --- p.6 / The Development of the Concept of Children and Adolescents in the Western Culture --- p.12 / The Traditional Chinese Concept of Children and Parental Role --- p.19 / The Child Mental Health Problem in Hong Kong --- p.24 / Summary --- p.29 / Chapter Chapter 3 --- Theoretical Framework --- p.32 / Orientation of A Critical Social Work --- p.32 / "Discourse, Power / Knowledge" --- p.34 / "Discourse, Subjectivity and Human Problem" --- p.38 / Criticism from Foucault and Inspiration for the Theoretical Framework --- p.40 / Social Constructionism --- p.44 / Summary --- p.46 / Chapter Chapter 4 --- Research Methodology --- p.48 / Rationale of Selecting the Qualitative Research Method --- p.48 / Research Design --- p.50 / Methods of Data Collection and Analysis --- p.51 / The Setting of the Child Psychiatric Unit of the Alice Ho Miu Ling / Nethersole Hospital --- p.54 / Sampling Method and the Profile of the Participant Families --- p.56 / Quality of the Present Research and Its Measure --- p.62 / Summary --- p.65 / Chapter Chapter 5 --- The Results of Study : The Subjective Experiences of the Children and Adolescents --- p.67 / The Subjective Experience related to the Child Mental Health Problems: the Children and Adolescents´ة Perspective --- p.67 / "I have problems, but my problems were not necessarily a child mental health problem.'" --- p.67 / My school and family lives were disturbed not only by my problems; but by the treatment provided by the Child Psychiatric Unit too!´ة --- p.73 / Effects on School Lives --- p.73 / Effects on Family lives --- p.75 / "´بPerhaps the treatment improved my problems, but it was such a painful and meaningless process to me!´ة" --- p.81 / ´بThe Child Psychiatric Ward - a place I never want to go again!´ة --- p.81 / "´بNo one discussed with me about my progress and discharge plan, I felt like being trapped!´ة" --- p.90 / I had no part to play in my treatment!´ة --- p.91 / I was confused by too many helping professionals. They were unhelpful unless I was ready to help myself. ´ب --- p.94 / I had no choice! No one discussed with me before the decision was made!'´ة --- p.95 / Summary --- p.97 / Chapter Chapter 6 --- The Results of Study : The Subjective Experiences of the Parents --- p.99 / The Subjective Experiences related to their Children´ةs Mental Health Problems : the Parents´ةPerspective --- p.99 / ´بMy child does not only have child mental health problem but also problems with other aspects of his / her life.´ة --- p.99 / ´بWe were desperate; the services provided by the Child Psychiatric Unit were our last resource!´ة --- p.106 / "´بMy child's problem affected not only his / her well-being, but it also affected our family relationship, parenting, emotions and mental health!'´ة" --- p.109 / "´بFamily Relationships - it was not his problem only, my whole family was affected.´ة" --- p.109 / "Parenting -1 know I need to adjust my parenting in response to my child's problem, but I am uncertain in what way I should change.´ة" --- p.114 / "´بEmotions and Mental Health - although I was disappointed by my child, I blamed myself for his problem and worried that his future would be destroyed by his problem.´ة" --- p.120 / Who is going to take care of my emotions?´ة --- p.129 / I needed help; but Ifelt that I was not included from the treatment program!´ة --- p.129 / I need more than a pill for my child!' --- p.129 / "´بDoctor, would you listen to my opinions and difficulties in dealing with my child's problem before you design the treatment plan?´ة" --- p.133 / Visiting - the precious moment to show our support to my child but restricted by the hospital policy.' --- p.135 / Summary --- p.137 / Chapter Chapter 7 --- Discussion and Implications --- p.139 / The Constitution of Subjectivities --- p.140 / The Subjectivities of the Children and Adolescents --- p.142 / The Subjectivities of the Parents --- p.145 / Power Relations --- p.149 / Power Relations between Self and Discourse --- p.150 / Power Relations between Parents and Children --- p.151 / Power Relations between Services User and Helping Professionals --- p.152 / Power Relations between Service Users and Hospital Policies --- p.154 / Emergence of New Meanings and Creation ofAlternatives --- p.155 / Implications for Social Work Practice and Future Child Mental Service Development --- p.156 / Contributions and Limitations of this study --- p.160 / Contributions of this Study --- p.160 / Limitations of this Study --- p.161 / Directions for Further Study --- p.163 / Self-reflexivity : My Personal Change after Completing this Study --- p.163 / Conclusion --- p.165 / Appendices / Appendix 1 Guidelines for interview --- p.166 / Appendix 2 Letter to the family and consent form (Chinese version) --- p.168 / Bibliography --- p.170 / List of Tables: / Table 1: Summary of Erikson's Psychosocial Theory --- p.17 / Table 2: Details of the Data Collection Schedule --- p.53 / Table 3: The Socio-Demographic Data of the Six Families --- p.57 / Table 4: Diagnosis and Psychiatric Histories of the Six Children and Adolescents --- p.58 / Table 5: Details of Hospitalization of the Children and Adolescents --- p.59 / Table 6: Details of the Follow up Service Received by the Children and Adolescents --- p.59
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