This study explored the perspectives on place of eight people with severe mental illness living, for one year or longer, in an urban psychiatric hospital. The research questions were: how do people with severe mental illness view the psychiatric hospital as place?; and how do they make meaning of the experience of living in hospital. The research employed a phenomenological approach, as described by Giorgi (1985). Using purposive sampling, one time, semi-structured, individual interviews were conducted. The audio recorded interviews were transcribed and thematically coded using Giorgi’s (2005) method. The meanings of the participants’ experiences are captured by the meta-theme: this is not a home; it’s a hospital. Four additional major themes emerged; and each of the major themes also had sub-themes The findings of this study challenged commonly held assumptions on how people living long term in a psychiatric hospital view the hospital as place and on institutionalization.

This study explored the perspectives on place of eight people with severe mental illness living, for one year or longer, in an urban psychiatric hospital. The research questions were: how do people with severe mental illness view the psychiatric hospital as place?; and how do they make meaning of the experience of living in hospital. The research employed a phenomenological approach, as described by Giorgi (1985). Using purposive sampling, one time, semi-structured, individual interviews were conducted. The audio recorded interviews were transcribed and thematically coded using Giorgi’s (2005) method. The meanings of the participants’ experiences are captured by the meta-theme: this is not a home; it’s a hospital. Four additional major themes emerged; and each of the major themes also had sub-themes The findings of this study challenged commonly held assumptions on how people living long term in a psychiatric hospital view the hospital as place and on institutionalization.

This case study evaluates the process of affirmative business development within a federal correctional psychiatric facility for federal offenders with mental illness serving long or indeterminate sentences. It examines how the business associates (i.e., offenders with mental illness who are self-employed in the affirmative business) change through working in the affirmative business, and what challenges and benefits they experience. The aim is to disseminate knowledge that will assist in developing supported employment opportunities for offenders with serious mental illness. Qualitative and participatory research methods are used to give a descriptive account of the experience of 14 business associates within a critical paradigm. The framework that guided this study included the Canadian Model of Occupational Performance and Engagement (CMOP-E); the Theory of Planned Behaviour (TPB); and a Community Economic Development (CED) approach. Strategies were incorporated to maintain rigor and ensure trustworthiness and quality of the findings. The data outlined the first 6 years of the affirmative business. Interviews and observations were conducted during year 7 and 8 of the affirmative business. Reviews of documents and artifacts were current and historical in nature. Three overlapping phases of business development, outreach, and replication are discussed along with their corresponding core tasks of skepticism, tensions of growth, and transformation. Within each phase, six overlapping themes emerge: business development; personal growth, recovery, and hope; ongoing support; the prison environment; volunteerism; and the community. Self-employment within the affirmative iii business emerges as having an encouraging effect on promoting empowerment and recovery, increasing self-reliance and self-efficacy, helping symptoms, learning new ways to resolve conflict, and improving understanding of employment support needs. / Thesis (Master, Rehabilitation Science) -- Queen's University, 2010-04-26 15:43:13.848

No description available.

Research in several domains has revealed that when individuals are asked to estimate the probability that their judgments are correct, they reveal an overconfidence effect. Judgments produced in decision environments such as psychodiagnosis, which are by their nature ambiguous and complex, appear to be most vulnerable to overconfidence. By implication, this phenomenon threatens the validity of clinical judgment and subjects clients to risks of flawed diagnoses and unsuitable treatments. / In an effort to identify variables implicated in judgment confidence and overconfidence, this study examined the relationship between four different inferential biases (dispositionalism, confirmationism, truncated data search, and narrow problem formulation) and diagnostic confidence in the context of a psychological assessment task. A second aspect of this study examined the effect of clinical experience on psychodiagnostic confidence. Thirty-six clinicians (18 experienced professionals and 18 clinical trainees) were individually presented a written client casefile, which was segmented and serially presented, to read and clinically interpret aloud. Analyses of participants' verbal protocols revealed that one of the four inferential biases studied (i.e., dispositionalism) accounted for a significant proportion of the variance in psychodiagnostic confidence scores. The author concludes that other clinician variables likely moderate the relationship between particular heuristics and judgment confidence. Regarding the second hypothesis, the data revealed no difference between experienced clinicians and clinical trainees in the degrees of psychodiagnostic confidence manifested in their verbal protocols. / The author proposes that effective remedies to overconfidence begin in training programs that lead students through problem-solving experiences that can invalidate facile, premature, and dubious diagnostic judgments. The author delineates a number of strategies that may be used by educators to achieve this end.

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The full experience of mental illness cannot be described in isolation from the context in which one lives, yet the internal physical manifestation of symptoms has been the focus of treatment in western cultures. The “recovery” paradigm is emerging as best-practice philosophy for mental health practice and represents a significant departure from existing standards thereby challenging mental health organizations to re-negotiate their relationship with the dominant bio-medical model. Despite the growing acceptance of recovery philosophy, literature exploring large-scale recovery-oriented organizational change is sparse. The purpose of this research was twofold; 1) to outline the steps taken by change agents within an organization embarking on recovery organizational change, and 2) to understand the experience, including successes and challenges associated with change. The qualitative data obtained from interviewing seventeen participants revealed the impact of organizational contextual factors, leadership and communication on recovery organizational change. Further, the data exposed the complexity of challenging preconceptions and practice when trying to adopt recovery approaches. The findings may guide other community based mental health organizations in their recovery journey.

Female offenders’ experiences within the criminal justice system and the way in which they become involved with the criminal justice system are very different than that of male offenders. Previous research that has been conducted on female offending does show that womens’ contact with the criminal justice system can often be related to histories of abuse and to mental illness, and that these can also be related to subsequent re-contacts with the criminal justice system. Abuse, mental illness and gender, along with control variables (age, aboriginal identity, LSI-OR score), were investigated in a sample of 522 male and female Ontario Provincial offenders. When males and females were compared at the bivariate level using a chi-square comparison, females were found to be significantly more likely to re-contact. Abuse and mental illness were not found on their own to be significantly related to re-contact, but when the relationship between the three variables was examined, mental illness was found to be both significant and positively correlated to both gender and abuse. Examination into the relationship between the variables found a strong relationship between gender and abuse, gender and mental illness, mental illness and abuse as well as strong relationship in the three way interaction between gender, mental illness and abuse. The cross tabulation demonstrated that women who had experienced abuse were identified as being much more likely to be suffering from a mental illness. Logistic regression was used to model the relationship between re-contact, gender, abuse and the risk for re-contact. All possible interactions (as noted above) were included in the model, but the model that best fit the data included only the controls (age, aboriginal identity, LSI-OR score), gender, abuse, mental illness and the interaction between mental illness and gender. Results indicated that there was a significantly higherrisk for re-contact for females with mental illness, compared with men with mental illness or or to men and women without mental illness.. Even though abuse as a single variable or as part of an interaction was not found to be significantly related to re-contact, it is still of importance to note that the chi-square comparisons demonstrated that abuse is significantly related to gender and mental illness, therefore the relationship was still important when looking at the implications of the research. It is recommended that future research further investigate the different needs of male and female offenders and the role that experienced physical, sexual and emotional abuse, mental illness and gender plays in not only offending behaviour, but in the treatment and rehabilitation of offenders within the provincial correctional system.

Research Doctorate - Doctor of Philisophy (PhD) / This thesis examines the experiences of parents (both mothers and fathers) with mental illness. Following a tradition of sociology, this thesis is guided by the concepts of ‘generosity’ from Frank and ‘stigma’ from Goffman and ‘risk’ from Lupton. The thesis has gathered data from three sources. In-depth interviews with parents with mental illness are explored to gain an insight into their lived experiences of parenthood and mental illness. The national and state mental health policies on mental illness are analysed in order to assess their applicability to support services for parents with mental illness. The submissions to the Senate Select Committee Inquiry on Mental Health (2006) are also analysed to gain further information about the experiences of parents with mental illness based on a small number of submissions relating to their perspectives. Analysis of the data collected and assimilated in this thesis provides a clear picture of the troubled terrain faced by parents with mental illness. The narratives from the interviews reveal stories of long-term mental health issues for parents with mental illness whose parenting role is largely unsupported. Analysis of this data provides a greater understanding of how parents negotiate their parenting role within the context of socially prescribed notions, limited agency, and limited capacity due to a lack of support services for parents with mental illness. Analysis of mental health policies highlights the disparity between policy and practice. Whilst national mental health policies are now in place, parenthood continues to be overlooked through the continued medicalisation of people with mental illness, and policies that operate under an individualist and economic rationalist discourse.The motivation for this research was to elicit increased understanding and insight into how parental mental illness affects experiences of parenthood. This thesis focuses upon lived experience, social processes, and social policies relating to parents with mental illness. The specific contribution of this research to the sociology of mental health is that it documents for the first time parenthood as lived by parents with mental illness. Finally, it offers theories as to how the gaps in policies and services can be filled to support the ‘silent’ parents whose parenthood is so often unacknowledged the lack of attention paid to their mental illness.

No description available.