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Role of Spirituality in Mental Health Practice
Get PDFMost modern medical disciplines adopt biomedical and positivistic corners while viewing and interpreting various events and phenomena related to living and physical worlds. But in case of mental health the dimension is much complicated and full of abstract elements and relativism; all these areas can be expressed or enumerated what can be possible in other streams of physical and biological sciences. Factors like socio-cultural and human factors, spirituality and religiosity have some definite association with various aspects of mental health and illness. Spirituality in recent times has been entertained as a major factor in determining the course of mental health and illness; it drew the attention of mental health clinicians and researchers to find out its temporal relationship with mental illness and psychological wellbeing. Many authentic literatures came up with the view that positive spirituality does have some potentialities to enhance as well as protect the positive mental health and psychological well-being of the people. Spirituality can also lower the distress level and increase the positive coping ability of people. The aim of this article is to explore the role of spirituality in psychiatry in terms of the evolution of psychopathology, understanding of the illness and finally, its role in the treatment of the psychiatric settings. This article also aims to sensitize mental health clinicians to remain positive towards the religious and spiritual beliefs of patients and to use those things in the therapeutic process.
Keywords: Spirituality, psychiatric practice, psychopatholog
The Resilient Brain: From Trauma to Thriving
No full textResilience - thriving in the face of adversity - was once thought to be a trait of a few invulnerable individuals. However, recent research shows that resilience is a universal, life-long capacity of our adaptive human brains. Further, genes are not destiny since neuroplasticity builds new neural pathways to cope with challenges and heal trauma.
Keywords: Resilient brain, resilienc
Sexuality in Adolescents with Intellectual disability: Felt Needs of Parents
No full textIntroduction: Felt needs of primary caregivers of adolescents with intellectual disabilities (AWID) with regard to sexuality issues have been an under researched area. The present study aimed to develop scientific knowledge in this area. This study gave a better insight into the less spoken area of sexuality among adolescents with intellectual disability, especially in the Indian context.
Methodology: An exploratory design was adopted for this study which involved analysing the review of the literature, 20 unstructured interviews, 35 structured individual interviews, 10 key person interviews and 4 focus group discussions with 16 participants.
Result: The specific concerns of parents with regard to educating sexuality issues of their Intellectually Disabled adolescents were identified.
Conclusion: The findings emphasised the need for adequate knowledge attitude and practice among the parents in order to deal with the sexuality issues of adolescents with intellectual disability. This also laid the base for developing suitable tools and intervention programs for this population.
Keywords: Adolescents, sexuality, intellectual disability, needs, parent
Social Support Problem Solving and Self Esteem among Individuals with Alcohol Dependence Syndrome
No full textIntroduction: Regular alcohol drinking or dependence is changing the individual’s personal, social, occupational, marital, physical and mental health. Alcohol dependence is a major problem worldwide; India is not an exception. Family members’ negative responses to the alcoholic’s behaviour usually reinforce the individual’s alienation and dependency resulting from alcoholism. There are a number of social factors identified as leading factors for the relapse and re-admission such as family conflict and peers pressure which attracts the high attention of mental health professionals including psychiatric social workers.
Aim: The aim of the study was to assess and find out the association between social support, problem solving ability and self esteem among individual with the alcohol dependence syndrome.
Method and Materials: It is a hospital based cross-sectional study. Total 40 participants were selected purposefully for the study from inpatient and outpatient department of the RINPAS, Ranchi. Socio demographic details, social support, the problem solving and self esteem of the individuals with alcohol dependence syndrome were assessed.
Result: There was a significant correlation between social support, problem solving ability and self esteem among individual with the alcohol dependence syndrome which important bearing on treatment and rehabilitation of these population.
Keywords: Social support, problem solving ability, self estee
Helping Families of Persons with Mental Illness: Role of Psychiatric Social Work
No full textFamilies’ ability to adapt positively to a new situation is important to maintain a healthy balance in any difficult situation. It plays a major role in cure and recovery from mental illness. Studies reported that families with severe mental illness often have poor adaptation and functioning. The gross dysfunction in family functioning may be the cause and outcome of mental illness. Families often lack knowledge about the illness and illness management skills. Proper guidance and support from mental health professionals play a significant role in the success of treatment and recovery. The present article will discuss about the strategies for developing better acceptance, providing proper professional support and harvesting resources in the living community to help the families with mentally ill by giving a key focus on the role of Mental Health Social Work.
Keywords: family, mentally ill, adaptation skills, recovery, mental health social wor
Coping Strategies and Perceived Social Support in Wives of Persons with Alcohol Dependence Syndrome
Get PDFBackground: In India alcohol is the most commonly used substance of abuse. The effect of alcoholism in husbands mostly leads to disturbances in marital life.These effects may directly or indirectly drain out caregivers of substance abusers. One of the most affected among caregivers are the marital partners. In other words it is the wives of substance abusing husband who are the victims. Coping mechanisms are used by the wives to handle the stressful situation has a vital role in reducing psychological difficulties. In case of wives with alcohol dependent husbands, the social support is a buffer for crisis periods. Aim of the study: The study is aimed to enquire the coping strategies and perceived social support of the wives of persons with alcohol dependence syndrome. Material and methods: A total 30 wives of persons with alcohol dependence syndrome according to ICD-10 were taken as the sample using purposive sample collection. Socio-demographic profile was assessed through semi-structured questionnaire while coping strategies was assessed through Ways of Coping Scale (1986) and the Multidimensional Scale of Perceived Social Support (1988) was applied to assess the perceived social support after taking their informed consent. Data analysis was done using SPSS for descriptive statistics. Results: The result shows that varied types of coping strategies were used by wives of persons with alcohol dependence. In contrast the previous studies suggest use of emotional focused or escape avoidance coping. This study suggests that adaptive copings such as positive reappraisal, seeking social support and problem solving were used in comparison to escape avoidance. In contrast to previous studies perceived social support was found to be high in this study group. Conclusion: It is well known fact now that coping strategies plays a major role in dealing with stressful life situations and perceived social support also have positive impact over health. Finding from this study suggests that any psychosocial intervention designed for this group must consider these facts and findings. Eventually these findings from the study can be used to help in enhancing the wellbeing of wives of alcohol dependents.
Key words: Alcohol Dependence, coping strategies, perceived social suppor
Mediating Structural Factors in Mental Health in Indian Context
No full textA structural condition, such as an economic crisis, wherein populations experience large scale job and income losses are generally seen to be related to increased rates of suicides. Mental health problems may be seen either as a response to adjust to such and other societal-level strains. Societies, where inequalities are relatively less, are seen to have better mental health, while in those where resources are unequally distributed have poorer well-being. There has been a growing interest regarding the effects of deprived social environments and its organization on its members' mental health. While particular racial groups in Western countries are more likely to be exposed to mentally unwell conditions, could such an explanation be tenable among specific minority groups in India. Research that looks into the social contexts of minority communities and the ways in which caste in India affects health in general and mental health, in particular, would be able to shed additional insights. Inequalities in terms of access to basic health care among poorer groups and skewed regional distribution of availability, the lack of its provisioning or an absence of it in itself should be considered as an important factor of large scale structural discrimination. A conceptual framework that is able to explain the pathways through which race or caste, gender, and SES interact and operate in complex ways to affect emotional well-being of some of these groups is now seen by many to be a more socially all-encompassing explanation by which these factors are inter-relationally understood better.
Keywords: Structural factors, mental health, Indian context, socio-economic statu
Effectiveness of supportive therapy on quality of life among person with chronic schizophrenia: A randomized control trial
Get PDFBackground: Quality of life is a multidimensional concept comprising material, physical, social, emotional wellbeing; Supportive psychotherapy has been developed as an approach to address the long-term difficulties of patients with chronic diseases and complaints.
Aim of the Study: Present study was aimed to investigate the effectiveness of supportive therapy on quality of life among person with schizophrenia at occupational rehabilitation centre. Methodology: This was a hospital based quasi experimental research in which pre and post with control group design was used. Twenty male patients diagnosed with schizophrenia according to ICD-10 DCR were selected for the study. Two stage sampling was used first stage participants (with screening) were selected purposively and in the second stage systematic random technique was used for creating experimental and control groups. A self prepared Motivational Analysis Checklist and WHO Quality of Life Brief was used for pre and post assessment.
Results: Study reports supportive psychotherapy significantly improves participant’s quality of life.
Keywards: Supportive therapy, quality of life, chronic schizophreni
Social Exclusion and Intolerance towards Persons with Mental Illness: Challenge to Mental Health Care and Social Integration
No full textBackground: Social exclusion and intolerance towards people with mental health problems have been seen across the globe and India is not an exception. Their experiences of social exclusion and intolerance include deprivation of chance to participate in social activities and being affected in multiple ways, such as having a low income, poor housing and being socially isolated. Sometimes it also includes severe humiliation and abuse. Ignorance, prejudice and negative public attitudes towards people with mental illness lead to a cycle of distancing and disadvantage which is the biggest challenge to mental health care and social integration of people with mental health problems.
Purpose: To illustrate social exclusion and intolerance towards people with mental health problems which got comparatively little attention in empirical research particularly in the eastern region of the country. The study also demonstrates the feasibility of social case work intervention in such cases.
Methodology: The study is based on single subject research design. The case presented here of a middle aged woman who was very much endearing and helpful to everyone around her in the rural community later got a mental illness. Through an in depth case study using face to face interview with her and her family members, a psychosocial formulation was made and a social case work intervention was accomplished associated issues were also discussed.
Results: Findings of the study illustrate the nature and extent of social exclusion and intolerance of the society towards a person with mental illness which includes sever humiliation and abuse. The role of the family was initially indifferent which was realigned and utilized in intervention which reflected as significant improvement in understanding and awareness about the illness and problem related to that in the family, which ultimately prevented the social execution and enhanced quality of life of the person affected.
Implications: The study enhanced the understanding on the issue and demonstrated social case work intervention is a good choice for intervening social exclusion. This has an important implication on the lack of awareness about psychosocial intervention and its possible benefit among all the stakeholders of mental health care. This is the biggest challenge to mental health care and social integration of people with mental health problems.
Limitations: The Single case has its own limitations.
Keywords: Social exclusion, intolerance, mental illness, stigma, discrimination, psychosocial interventio
Acceptance of Mental Illness Promoting Recovery among Culturally Diverse Groups
No full textAuthors: Lauren Mizock and Zlatka Russinova
Publisher: Oxford University Press
Print Publication Date: Jun 2016
Print ISBN-13: 9780190204273
Published online: Sep 2016
DOI:10.1093/med:psych/9780190204273.001.0001
Pages: 208
Paperback
Price: $47.95
This book has ten chapters covers a wide range of topic of acceptance of mental illness, comprehensively that is often observed in our social setup but some of these issues are often overlooked