Indian Journal of Psychiatric Social Work
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Empathy and Mental Health: An Integral Model for Developing Therapeutic Skills in Counseling and Psychotherapy
Author: Arthur J. Clark
Publication: London: Routledge 2023
Paperback Pages: 202 Price: £ 25.59
ISBN: 9780367764371
Empathy is the ability to understand and share the feelings of another person. It involves putting oneself in someone else's shoes, emotionally connecting with their experiences, and comprehending their perspective. Empathy goes beyond simple intellectual understanding; it includes a genuine emotional resonance and an acknowledgment of the other person's emotional state. This capacity for empathy is essential in various aspects of human interaction, particularly in relationships, communication, and, as emphasized in "Empathy and Mental Health," in the field of counseling and psychotherapy. It forms the basis for compassion, cooperation, and the establishment of meaningful connections with others
You cannot pour from an empty cup, ensure that your own cup is full first: A state of turmoil
In the realm of helping professions, particularly in social work, the axiom 'You cannot pour from an empty cup' resonates profoundly. Nowhere is this truer than when navigating the intricate intersection of clinical services, including psychiatric and neurological illness, with the principles and demands of social work practice. The challenges inherent in this space amplify exponentially, demanding a delicate balance of self-care, resilience, and professional efficacy. Clinical social workers integrate the foundational principles of social work into their daily practice to comprehensively address the needs of clients facing diverse medical challenges, including psychiatric and neurological illnesses. Central to their role is the cultivation of empathy towards clients and their families, as well as providing support to navigate everyday difficulties in a constructive manner. From the outset of their training, clinical social workers are instilled with the principle of maintaining controlled emotional involvement with clients and their families, ensuring professionalism and effective therapeutic relationships. Empathy is thought to be a vital factor in effective helping, and accounts for about 10% of psychotherapy outcomes. Thomas et al., have stated empathy involves a complicated set of capacities such as affective, cognitive, and self-regulatory. While also practicing accurate empathy can be a double-edged sword, for it might help us in effectively assisting our clients, and it also has the aftereffect of leaving us feeling burnt-out and jilted
Psychiatric social work intervention with a person with severe depression based on cognitive behavioural case work approach: A case study
Background: Cognitive behavioural therapy (CBT) is a widely recognized and accepted approach of treatment for depression. Aim: To examine the application of case work based on a cognitive behavioural approach concerning working with a client experiencing severe depression. Methodology: The single-subject case study design was adopted. Based on the assessment, psychiatric social work intervention was provided to client and family members. Pre and post assessment was done to see the effectiveness of psychiatric social work intervention in person with depression. Assessments were done using the Beck Depression Inventory (BDI), Rosenberg Self-Esteem Scale (RSE), Bradford Somatic Inventory (BSI), and Family Assessment Proforma. Results: Client’s level of understanding about the illness was improved and the depressive symptoms were significantly reduced along with somatic complaints. Conclusion: The outcome of the case study approves that the cases with depression can be effectively seen using cognitive behavioural case work approach along with pharmacological treatment.
Keywords: Depression, cognitive behaviour therapy, psychosocial, social work interventio
Impact of family intervention on self-esteem and well-being for individuals with alcohol dependence
Background: Family interventions are the core interventions in which mental health professionals provide support and understanding of the illness to affected individuals and family members. They work together on planning treatment; provide psychological support and understanding of the disorder. Aim: To study the impact of the family intervention on self-esteem and wellbeing of individuals with alcohol dependence syndrome. Methodology: It was a hospital-based pre-post-design intervention study. Ten samples were purposively selected and equal numbers were assigned to the experimental and control group. Tools used for assessment were - a semi-structured socio-demographic and clinical data sheet, the Rosenberg Self-Esteem Scale, PGI General Well-being, and The McMaster Family Assessment Device. Results: The study results show that family intervention brings significant improvement in the family functioning; self-esteem and well being of the study sample which was sustained over three months follow-up period. Conclusion: This line of treatment can be used for better outcome among persons with alcohol dependence syndrome.
Keywords: Alcohol dependence, family interventions, self-esteem, wellbein
Depression among children at shelter care institutions in Terengganu Malaysia
Background: Depression is a state of psychological disease that occurs to someone divers in age due to certain reasons. Among the factors include lack of self-confidence, problematic family, stress, low self-esteem and social environment. It could lead to a mental disorder that endangers the mental health. Aim: To investigate the status of children's depression using the Children Depression Inventory (CDI) at 21 shelter care institutions in Terengganu Malaysia. Methodology: A quantitative research design was used. The sample consists of 404 respondents from 21 Islamic shelter cares such as Tahfiz, Madrasah and Orphanage in Terengganu Malaysia from the age of 10 to 18 years. Data was analyzed using Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA) and Discriminant Analysis (DA) which were then computed to identify the most dominant factors whereas reducing the initial five parameters with recommended >0.50 of factor loading. Results: Forward stepwise of DA shows the total of groups validation percentage by 92.08% (17 independent). The result showed that the highest frequency of respondent index was at a moderate level (62.87% of respondents). This showed that children still can be controlled and cared to reduce depression.
Keywords: Children, depression, Shelter Car
Psychosocial adversities in women substance dependence: A case report
Until recently, psychoactive substance use perceived as a male phenomenon. Although men out-rate woman in prevalence of substance use, women are at greater risk for its adverse effects.[1] Gender status influence many aspects of substance use/dependence. Women substance use associated with psychiatric co-morbidity especially depression and anxiety disorder, while men substance use is related with more externalizing spectrum disorders such as antisocial personality.[2-4] Many studies demonstrated that women suffer substantially higher health complications[5] and psychosocial adversities[6] related to substance dependence. Psychosocial factors influencing to the initiation, continuation and outcome of substance use in women
Types of coping as a determinant of quality of life of mothers of children with intellectual disability and autism
Background: It is well established that caregivers of children with developmental disabilities experience greater stress than caregivers of children without developmental disabilities. However, the experience of stress is dependent on the types of coping strategies that are used to manage stress. Such stress also affects the quality of life (QoL) of parents. Thus, parents of children with disabilities have specific mental health needs which play an important role in affecting their own and their child's QoL. Aim: To study coping as a determinant of QoL of mothers of children with intellectual disability (ID) and children with autism. Methodology: The sample consisted of 100 mothers of children (between 5-12 years of age) selected with purposive sampling, having an ID (n=50) or autism (n=50), diagnosed as per ICD-10 DCR criteria. In addition, the diagnostic assessment was also based on psychometric testing. Types of coping were assessed using Ways of Coping Questionnaires. QoL of caregivers was assessed by WHOQoL-BREF. Result: Multiple regression analysis revealed that seeking social support and planful problem solving were significant determinants of all four domains of QoL. Escape avoidance was a significant determinant of physical, psychological and social domains of QoL of mothers. Positive reappraisal significantly predicted the psychological and social domains of QoL in mothers. Conclusion: Types of coping are the determinant of QoL of mothers of children with ID and autism.
Keywords: Quality of life, coping, autis
Transactional Analysis of Nurses: An Empirical Study
Background: Transactional analysis is a theory of human personality and social behaviour. It is a comprehensive system of psychotherapy founded in the late 1950s by Eric Berne. Lately, organisational psychologists are waking up to the value of transactional analysis as a valuable Human Resources tool, giving them an insight into various interpersonal transactional styles in various professions. Nursing as a profession has always been characterised as a nurturing, caregiving and comfort providing job, which can emerge as a very taxing and stressful profession in return. The myriad role that nurses play requires certain interpersonal tactics and styles which are very typical demands of their job role. But their personalities and dispositions cannot be ignored. Hence, an attempt is being made in the present study to analyse different transactional styles being adopted by female nursing professionals, along with their backup styles and also the role of their marital status on how they deal with their patients. Methodology: For this purpose, a sample of 120 female nurses, 60 married and 60 unmarried, falling in the age range of 25-40 years, working in various private and government hospitals of Chandigarh was taken. The data was collected with the help of Transactional Styles Inventory-Nurses. Results: Results revealed significant differences between married and unmarried nurses. Married nurses were more nurturing while unmarried nurses emerged to be more regulated in their interpersonal transactions. Conclusion: The overall interpersonal efficacy of nurses needs to be improved so that they can attain the position best suited to help them meet the demands of various roles that they have to play.
Keywords: Transactional analysis, transactional functions, nurse-patient interactio
Violence Exposure and Self-esteem of School Going Adolescents in a Metropolitan City: A Preliminary Study
Background: Violence exposure in light of peer victimization and witnessing peer victimization is a common phenomenon in schools across the globe. The present study conceptualizes exposure at three personal levels: a) as a victim, b) as a witness, and c) as a perpetrator. Method & Materials: A semi-structured interview schedule and Rosenberg Self Esteem Scale were used as study tools. Results: The findings of the study show that the entire sample had experienced violence in one form or the other in school and had witnessed the same as well. Few of the adolescents had committed violence to take revenge and settle the score for being bullied. Victimization and witnessing violence in school triggered feelings like hurt, helplessness, sadness, and anger, whereas on committing violent acts feelings of joy, fun, content and satisfaction in adolescents. Twenty per cent of adolescents had low levels of self-esteem and 80% had average levels of self-esteem. The results showcase the reasons for bullying for fun, to hurt, to oppress or dominate others, due to personal grievances, jealousy, and growing less tolerance. Conclusion: Violence exposure to adolescents at school needs intervention.
Keywords: Adolescents, violence exposure, bullying, self-estee
Traumatized Experiences of Children by Multiple Emergency Stressors: An Analysis of Data from the 2004 Tsunami in Sri Lanka
Background: In 2004, in the midst of a civil war, Sri Lanka was struck by a large tsunami, devastating coastal communities. Methods: In the immediate aftermath of the 2004 Asian tsunami, while providing emergency aid, a Canadian NGO interviewed children living in both a refugee camp and an affected village in Sri Lanka. Results: Complete data were available for 63 respondents, aged 3 to 17 years. There were significant reports of sleeping problems, crying, and somatic symptoms consistent with psychological trauma, which were more likely among the village residents than the camp residents. If a respondent had been affected by the war, via family death or injury, then they were more likely to have been similarly affected by the tsunami, as well. Conclusion: These findings are useful for developing strategies to address current emergency situations, such as the Syrian refugee crisis, in which children are likely to be similarly doubly traumatized.
Keywords: Stressors, tsunami, children, Sri Lank