Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2008. / Typescript. Includes bibliographical references (leaves 104-106).

Thesis (M.S.W.)--University of Hong Kong, 1991.

M.A. / Die doel van die verhandeling is om bydaende faktore wat aanleiding gee tot psigiatriese terugval vas te stel om sodoende aanbevelings te maak wat op die bevindinge gegrond is om diegene wie met psigiatriese pasiente werk te help . Deur middel van hierdie verhandeling is ‘ n poging aangewend om antwoorde tot die volgende vrae te verkry : • Wat is die persepsies van gesinne teenoor ‘n terugval van hul naasbestaandes ? • Wat word deur gesinne as ‘n vernamme bydraende faktor tot terugval beskou? • Wat is die gevolge van her-toelating op die gesin? • Wat is die algemene gevolge van institusionalisering op die pasient? Nie-waarskynlike steekproeftrekking vir die projek is gebruik. ‘m Onderhoudskedule is gebruik om data in te samel. Onderhoude is met twaalf respondente gevoer en hul antwoorde is aangebied en ontleed. Deur middel van hierdie ondersoek is vasgestel dat die oorgroter meerderheid pasiente pas nie so goed aan by die huis as in die gestig nie. In alle waarskynlikheid ‘n rede vir hierdie toedrag van sake is dat hulle hul voorskrif vir medikasie nakom nie. Hierdie nie-gehoorsaamheid deur pasiente lei daartoe tot die siening deur ‘n toenemende aantal gesinne dat hospitalisasie die geskikste plek is vir pasiente, met ontslag as nie-wenslik beskou. Tydens hierdie navorsingsprojek is vasgestel dat alle respondente nie voorberei is om te werk met geestessiektes nie. Hierdie probleem het daartoe aanleiding gegee tot ‘n mislukte integrasie proses aangesien pasiente nie terug na hulle gesinne en gemeenskappe teruggeplaas kon wees nie. Hierdie probleem het ‘n negatiewe aanslag op staatsbeleid om weg te doen met die institusionalisering van pasiente. / Prof. Mitchell

Indiana University-Purdue University Indianapolis (IUPUI) / “Gendered and Racialized Experiences at Central State Hospital, Indianapolis, 1877 – 1910” analyzes the treatment of African American patients at the now-defunct Central State Hospital in Indianapolis, Indiana, throughout the Gilded Age and Progressive Era, from the late 1870s through the 1900s. This thesis examines the impact of scientific racism and institutionalized sexism on female African American patients’ diagnoses, medical treatment, and the outcome of institutionalization through a close reading of hospital publications and a series of statistical studies of patient data. This thesis also analyzes the intersection of race and gender through the case study of one African American woman, Elizabeth Williams Furniss, who was institutionalized during the 1890s until her death in 1909. I argue that scientific racism and a deeply entrenched sexism significantly shaped the treatment of African American patients and women of all races throughout the Gilded Age and Progressive Era. Preconceived notions of race, gender, and class determined diagnoses, treatments, and treatments outcomes, without regard to individual patients’ needs. I also suggest ways for historians to identify and measure the impact of scientific racism and institutionalized sexism on African American patients in northern psychiatric institutions through statistical studies of patient data.

The purpose of this study was to explore alcohol use among psychiatric in-patients in a mental hospital in Ethiopia. A quantitative, descriptive, cross-sectional study design was used. Data were collected through face to face structured interviews and a document analysis checklist. A researcher-modified interview-version of the Alcohol Use Disorder Identification Test (AUDIT) questionnaire was used to measure alcohol use. The study population comprised of 70 psychiatric in-patients. Data analysis showed that being male, living in an urban area, being diagnosed with schizophrenia, and having parents who drink alcohol had a statistical significant association with the alcohol use of the respondents. Respondents reported that it was difficult to abstain or stop using alcohol. They also felt discriminated against when forbidden by relatives to drink. It was alarming to find that thioridazine, which has been discontinued in most countries for the treatment of psychosis, was still being prescribed in Ethiopia. The study highlighted the need for health education to strengthen patients’ perceptions about the negative consequences of alcohol use. Care should be taken when prescribing psychotropic drugs such as thioridazine to psychiatric in-patients because of possible cardiotoxic effects. / Health Studies / M.A. (Public Health)

M.Cur. / Violence and aggression in psychiatric hospitals are a worldwide known phenomenon. South Africa is no exception to the rule. Previous researches conducted in psychiatric institutions have mainly focused on the patients, leaving everyone to guess how this violence affects nurses who are in contact with the patients on a daily basis and who are key role-players in the care, treatment, and rehabilitation of the patients under their responsibility. The research aimed to explore and describe the lived experience of aggression and violence by the registered nurses in a Gauteng psychiatric institution, the essence of this violence, and how nurses cope with this violence, in order to formulate guidelines and recommendations that could assist them to manage violence. A qualitative, explorative, descriptive, and contextual study design was utilised. Data was collected by means of semi-structured interviews, and naïve sketches. Tesch’s method was used for data analysis, here and an independent coder was utilised. The uniqueness of this study was to bring to the surface the other side of violence as it is perceived and lived by the nurses. The findings show that the nurses face violence on a daily basis. Among the contributing factors there are: the type of patients admitted in the hospital; the staff shortage; the lack of support among the members of the multidisciplinary team (MDT); and the lack of structured and comprehensive orientation. The consequences of this violence to the nurses are emotional, psychological, and physical and take the form of: fear, anger, frustration, despair, hopelessness and helplessness, substance abuses, absenteeism, retaliation, a development of an “I don’t care attitude”, injuries, and damage to personal properties such as clothes, and spectacles.

M.A. (Psychology) / The aim of this dissertation is to investigate the services and methods provided by the various medical and psychological professions within an inpatient psychiatric hospital setting. While working at a psychiatric hospital, the researcher was struck by the high readmittance rate of patients. This tended to create a general feeling of disappointment, frustration and impotence amongst the professions. The importance of such an investigation was therefore required, in order to help facilitate and improve current methods. A thorough investigation of the literature with regard to the current treatment methods at psychiatric hospitals, both on an international and national level, were undertaken. An in-depth case study was described and analysed to indicate the recurrent procedures, methods and treatment modalities that were being instituted within the hospital setting. The aim of this thesis was also to propose an alternative method to the current procedures, using an in-depth case study to indicate the use thereof.

The primary interest of this investigation concerned the self-injurious thoughts and behaviors (SITBs) of inpatient adolescents. Previous researchers have provided descriptive information regarding either automatic (or intrinsic) and social components using the Self-Injurious Thoughts and Behaviors Interview (SITBI). However, the presence and trends of these components have not firmly been established, suggesting the need to explore this area further. Eighty-two adolescent inpatients were selected and interviewed using the SITBI to evaluate the predictive ability of self-reported self-injurious behavior with regard to social and automatic, negative and positive functions. Results showed that depending on the type of thought or behavior displayed one could discern the motivation behind their actions. Automatic-Negative was seen to have the strongest relationship across all SITB behaviors while Automatic-Negative was not found to be relatively low compared to other SITB behaviors. Both Social-Positive and Social-Negative were found to be present in moderate relationships compared to Automatic in general.

The purpose of this study was to explore alcohol use among psychiatric in-patients in a mental hospital in Ethiopia. A quantitative, descriptive, cross-sectional study design was used. Data were collected through face to face structured interviews and a document analysis checklist. A researcher-modified interview-version of the Alcohol Use Disorder Identification Test (AUDIT) questionnaire was used to measure alcohol use. The study population comprised of 70 psychiatric in-patients. Data analysis showed that being male, living in an urban area, being diagnosed with schizophrenia, and having parents who drink alcohol had a statistical significant association with the alcohol use of the respondents. Respondents reported that it was difficult to abstain or stop using alcohol. They also felt discriminated against when forbidden by relatives to drink. It was alarming to find that thioridazine, which has been discontinued in most countries for the treatment of psychosis, was still being prescribed in Ethiopia. The study highlighted the need for health education to strengthen patients’ perceptions about the negative consequences of alcohol use. Care should be taken when prescribing psychotropic drugs such as thioridazine to psychiatric in-patients because of possible cardiotoxic effects. / Health Studies / M.A. (Public Health)

published_or_final_version / Social Work / Master / Master of Social Work