Indian Journal of Psychiatric Social Work
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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
Parenting and Family Adjustment among Parents of children and adolescents with Intellectual Disability and functional psychosis: A Comparative Study
Get PDFBackground: Parenting, a wonderful and rewarding experience, are often accompanied by high levels of stress, because of the difficulties, frustrations, and challenges that parents face in everyday life. This study examined the profile ofParenting and Family Adjustment among Parents of children and adolescents with Intellectual Disability and functional psychosis. Methods: This study was a cross-sectional hospital based study. The study samples were selected through purposive sampling technique. The sample size was 40 parent among which 20 parents of children and adolescent with intellectual disability and 20 parents of children and adolescent with functional psychosis taken from Erna Hoch Child and Adolescent Psychiatry Unit and Charak Outpatient Department, of the Central Institute of Psychiatry, Kanke, Ranchi. Parenting and Family Adjustment Scale used for the data collection. Data were analyzed using Statistical Package for Social Sciences (SPSS- 21 version). Results and Conclusions: The results indicated that parents of children and adolescents with functional psychosis reported higher mean in the subscales of parental consistency, corrective parenting, positive encouragement, parent child-relationship, family relationship and parents of children and adolescents with intellectual disability reported higher mean in the subscale of Parental teamwork.
Keywords: Parenting, family adjustment, psychosis, intellectual disabilit
Needs of Caregivers of Persons with Mental Illness: Rehabilitation Perspective
No full textIntroduction: Chronic nature of major mental illnesses can have a devastating impact on persons with mental illness (PWMI) and the caregivers. Rehabilitation is a long lasting phase of psychiatric treatment. The study focus on rehabilitation needs of the caregivers of PWMI attending psychiatric outpatient department at a tertiary care hospital.
Methods: A cross sectional study was carried out at All India Institute of Medical Sciences (AIIMS) Rishikesh, Uttarakhand. A purposive sample of 100 caregivers of persons with mental illness was interviewed to assess rehabilitation needs. Information on socio-demographic profile and rehabilitation needs was ascertained by using a self-administered pre-tested questionnaire. Appropriate descriptive statistics was applied to formulate the results.
Results: Findings revealed that medical needs (10.04±2.61), self-care (10.11±2.48) and stress management needs (10.20±4.72) were more compared to others needs. Few caregivers reported the incidences of facing stigma at workplace and society (9.74±2.49) because of their ward’s mental illness. Further, it also revealed that needs related to peer/community support, development of right attitude towards the care of the PWMI and management for worries and apprehension due to the condition of PWMI are quite frequently reported rehabilitation needs by the caregivers.
Conclusion: A successful rehabilitation services always should be need based. Types and severity of disability of the PWMI will also play an important role in designing a structured rehabilitation programme. This study warrants further study based on large sample size to design successful rehabilitation services for persons with mental illness.
Keywords- Mental illness, rehabilitation, needs, caregive
Psychiatric Social Work Program in Rural Community: A Multi-sectoral Initiative
Get PDFBackground: Community based programmes with the combined focus on promotive and curative aspects are the planned objective of interventions and services organised by psychiatric social workers in a rural community for identification and treatment linkage provision for mental health problems. Aim of the Study: The aim of the survey is to find out the mental health related problems in the rural community and to provide psychiatric social work services in the rural community by providing linkages to community based psychiatric extension services. Methods: This research cum intervention program used a survey method, with the universe of the study consisting of all the persons residing in Samardoloni village in Sootea Block, in Sonitpur district of Assam. People, who are permanent members of their respective household of Samardoloni village, formed the sample for the present study. Household survey was done with data being collected through the semi-structured tool for socio-demographic data and clinical information. Psychiatric social work programme was conducted in the community for awareness' and de-stigmatization of mental illness. Results: In the survey, 271 households were assessed and it was found that in the surveyed village, forty-seven (47) persons were identified as having mental illness and other related problems; eleven (11) persons were having Epilepsy, thirteen (13) persons had Psychosis, eight (8) persons had Somatization disorder, five (5) persons had Child related psychiatric disorder and ten(10) people were having substance related disorders. Awareness program on mental health and illness was conducted in the community at three levels. First, at the Community-level, sensitization for acceptance and de-stigmatizations of mental illness, secondly, at the School-level, addressing various problems of children and adolescents for teachers and children, and thirdly, at the group level, targeted knowledge and information was given to the persons identified with mental disorders during the survey and were further motivated to access treatment at the local PHC where psychiatric treatment was available. Conclusion: Psychiatric social worker services can address various mental health issues through inter-sectoral collaboration with local rural functionaries. Focused activities for various groups can be useful at community-level for identifications, acceptance, de-stigmatization of mental illness and providing psychosocial care in the community. The role of a psychiatric social worker as a networker for linkage building and coordinating is emphasized apart from being a researcher and as an interventionist in psychiatric social work. Initiative resulted in treatment accession for 37 patients of the 47 identified. Community participation formed an integral component in mobilizing and utilizing community members and for early identification and linkage provision for treatment. The initiative impacted inter-sectoral systems to plan, coordinate, assess, educate, counsel and link- up and sustain within the community resources.
Keywords: Community, psychiatric social work, mental illnes
Socio Demographic and Clinical Profile of Indoor Female Patients of RINPAS
Get PDFThe role of women is very crucial in our society. She cares for her parents, partner, children and other relatives. She performs all types of duties in family and also in the society without any expectations. Because of playing many roles, women often face many challenges in their life including both physical and mental. Mental health problems affect women and men equally, but some problems are more common among women including both physical and mental health problems. Aim of the study- The present study is aimed to describe and compare the clinical and socio-demographic correlates of female mentally ill patients. Methods and Materials: The study includes 180 female mentally ill patients based on cross sectional design and the sample for the study was drawn purposively. A semi structured socio-demographic data sheet was prepared to collect relevantinformation as per the need of the study. Result: The present study reveals that the socio-demographic factors contribute a vital role in mental illness. Findings also showed that majority of patients had mental problems in the age range of 20-30 have high rate. Illiterate and primary level of education and daily wage working women as well as low and middle socio-economic status women are more prone to have mental illness. Other factors like marital status, type of family and religion etc. are also important factors for mental illness.
Keywords: Socio demographic profile, female, psychiatric patien
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
Transcendental Meditation
No full textConsiders Transcendental Meditation (TM) as a nonprofessional psychotherapy. According to the theory of TM, all thoughts originate at the deepest, most refined level of consciousness. Each thought rises through the levels of the mind, becoming progressively more gross until it reaches the surface level of consciousness, the ordinary level of thinking, where it is cognized (i.e., appreciated) as a conscious thought. TM reverses the thought process, training the mind to experience thoughts at earlier and earlier stages of their development. Eventually the source level is reached, establishing contact with the principle of creative intelligence in humans. The resulting transcendence of all thought is said to increase the power of the conscious mind and bring about a state of pure consciousness or self-awareness. During meditation there is likely to be decreased metabolic activity, increased bodily relaxation, and increased interhemispherical synchronization. Reported effects of practicing the technique twice daily for 20 min over a period of months include a reduction of tension and neurotic symptoms and increased creativity. Practice of TM by psychiatric patients has been shown to expedite discharge and decrease the likelihood of readmission. Special techniques of meditation have been developed for the alleviation of specific physical or mental health problems.
Keywords: Transcendental Meditatio
Emotional disturbance and its treatment in a nutshell
No full textAttributes people's emotional disturbances to their commanding, dictating, or insisting that they achieve something and convincing themselves that it is awful, terrible, or horrible when they fail to achieve it. The solution is for people to accept empirical reality by merely preferring or wishing for things and by being merely displeased, frustrated, or disappointed if they do not occur.
Keywords: Emotional disturbance, treatment
Termination of case work-relationship: Some reflections
No full textDiscusses some of the considerations to be made when the process of case work does not terminate spontaneously. In many cases, the process can be structured temporally in such a way that closure proceedings may be begun once the problem is delimited. Given clear-cut indications of the client's basic readiness, the case worker should understand the client's ambivalence in terminating the relationship and should take the initiative in bringing up the topic. The following steps should be taken in the closure of a relationship: (a) reminding the client of the initially agreed upon time limits, (b) putting together a final summary statement with the client that provides him/her with a course of action, (c) providing for possible follow-up or referral, and (d) formal leave taking.
Keywords: Case work, termination, relationshi
A study of anxiety in school children as related to child-rearing attitude and some personality traits of parents
No full textExamined the relationships of personality traits and childrearing attitudes of parents to the anxiety of their children. An anxiety scale was administered to 160 10th- and 11th-grade Hindu school children. 40 "high" scorers (HAs) and 40 "low" scorers" (LAs) were selected. The Childrearing Attitude Scale, a scale of authoritarianism, the Rigidity Scale, and the anxiety scale were administered to the parents of both groups of Ss. Analysis of the data showed that the fathers of HAs were significantly more anxious, authoritarian, and rigid than the fathers of LAs or the mothers of HAs and that fathers of HAs had a significantly more favorable attitude toward strict discipline of the child. No significant differences were found on anxiety, rigidity, authoritarianism, or childrearing attitudes between the mothers of both groups or between the fathers and mothers of LAs. The anxiety, authoritarianism, and rigidity of the fathers but not the mothers showed significant positive relationships with their childrearing attitudes.
Keywords: Anxiety, children, child-rearing, personality traits, parent