From time to time the employment counselor encounters applicants who need referral for psychiatric assistance in order to increase their employability and potential work adjustment. In many instances the client may feel that he has neither an emotional problem nor a need for psychiatric evaluation. The counselor can help the applicant to recognize his problem and to accept a psychiatric referral by using communication alternatives such as reflection of feeling, reflection of experience, sharing of the process experience, interpretation, and confrontation with maintenance of tension. The client can be assisted in evaluating community mental health resources and in arranging for the initial psychiatric evaluation appointment.
The Angels Won't Help You is a book about the uniqueness and primacy of help, particularly in relation to care, love, and caritas. It relies heavily on psychoanalytic and philosophical accounts of help and care and finds that help requires the establishment of a real relationship between persons, where help is given and received in a transitional space that is collapsed by care, unity, or love, which are mental constellations that, while profound, remain within the individuals involved. It contains reflections, memoir, and prose poetry, with an emphasis on psycho-philosophical examinations of help.
In trying to understand help, especially in the ways that it is not a synonym for care, Bowker turns to diverse sources and topics, including treatments of children in a helpless world, as featured in the literature of Kathy Acker and Jerzy Kosiński, a first-person account of help in psychiatric hospitals, an analysis of the phenomenon of Japanese hikikomori ("shutting oneself in"), anxiety and helplessness, an exploration of the nature of help and helplessness in Wilfred Bion's "Attacks on Linking," a rethinking of trauma in light of the circuital structure of the self, and more.
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Put differently, The Angels Won't Help You is a cruel helpless hopeless book raised in Texas roped ridden waddled clowned it developed catastrophic methods of coping. Angels' mama split her tongue and hissed her words like silent / soldier / crisis in the torment of her sunken trailer in the summer where Angels practiced lighting cigarettes with her eyes fetching fireflies making tinctures of dead tissue becoming extraordinarily promiscuous. Angels' nature was to hide in dark places to ride with abandon to sink in the spurs to gnash silver teeth to kick up tipped boots ruining every square dance. Angels, you make me need like a choke rope dream of being sick from head to foot. You are the petaled froth on every steep lapel. You are original and dilapidated depilatory and inflationary ovulary and delusional. O Angels, the scholars will say I failed to know you address you presage you protect you protest you, but we know the truth.
Purpose – The purpose of this paper is to explore the operationalizing of a philosophy of humanization of hostel care and the challenge to such development presented by the proposed adoption of the "housing first" approach ("Chez Soi D'Abord") in Paris.
Design/methodology/approach – The paper is a translation of the transcript of an address given by the author to a symposium of psycho-analytic therapists working with the homelessness resettlement services in their quarter of Paris. It is a narrative of service development, described in some practical detail, with philosophical and psycho-analytic depths.
Findings – A philosophy of care and social education is replacing the philosophy of surveillance that had characterized earlier development of hostels. Psycho-analytic concepts, based on the writings of Lacan, help to understand the importance of addressing the profound psycho-social dislocation of individuals subject to the implicit violence of their situation.
Originality/value – This is the first known paper in print and in English to describe the development of a psychologically informed environment in homelessness resettlement in France.
A sample of 148 (87 Jordanian [61 male, 26 female] and 61 Israeli [26 male, 35 female]) was selected from a psychiatric clinic in Ashdod Israel and Zarka Jordan, using convenience sampling methodology over a 12 month period in late 1997 and early 1998. A revised Hopkins Symptom Checklist: A Self-Report Symptom Inventory (HSCL) was translated into Arabic and Hebrew and distributed to subjects; additional questions explored demographic characteristics, forms of received treatment, patient perceptions of treatment efficacy, patient use of traditional healers, and patient explanation of etiology. Data revealed that there were differences in dimensions between the 2 groups based on nationality and gender. More Jordanians than Israelis expected medications as the main treatment, and unlike Israelis, no Jordanian patients received individual psycho therapy. Israeiis expected medications, advice, directions, and instructions from psychiatrists. Both ethnic groups consulted a wide array of traditional healers, although precise types of healers varied according to gender and ethnicity. Israeli subjects gave more diverse explanations of mental health etiologies: physical, family, divorce, economic, unernploynlent; whereas Jordanians tended to emphasize divine and spiritual sources. implications for psychiatric practice are discussed.
In: Transcultural Psychiatric Research Review, Band 7, Heft 2, S. 180-184
Owing to the language barrier, much Brazilian research is not known in non- Portuguese-speaking countries. A valuable resumé of sociocultural psycho pathological research carried out in Brazil is given by J. LUCENA. Next, J. MARIÁTEGUI and his coworkers report on a carefully planned psychiatric epidemiological study in an urban district of Lima, Peru. In the previous issue of this review ( Transcultural Psychiatric Research 7 [1970] : 56-58), M. DOBKIN DE RIOS presented observations regarding the ritualistic use and the effects of a powerful hallucinogen, ayahuasca, in Peru. In continuation of her studies, she collected data on belief systems connected with the use of this substance. These data are reported. Serving at a medical clinic in the interior of Guate mala, J. H. TENZEL had the opportunity to study indigenous disease concepts and to examine individuals being treated by shamans. On the strength of his observations he arrived at conclusions which diverge from commonly held assumptions. A combined abstract of three papers dealing with attempted suicide and suicide in various Caribbean islands ends this section. Significant differences between different ethnic groups in their tendency to attempt or to commit suicide have been noted.
Abstract Background Within national and international societies of psychosomatic medicine the idea has emerged of bringing together and coordinating psychosomatic, behavioural, psychological and medical actions with common interests throughout Europe as a way to increase their scientific and political influence. Methods It was felt that there was a strong need and opportunity of a common and unifying forum for scientific exchange. Results It was considered desirable to exchange scientific thoughts and experiences in an open minded and boundless way, among individuals and societies, between disciplines and across borders. The course of ideas and discussions within the group of European psychosomatic scientists over 12 years is presented as an effort to combine strengths and actions supporting clinical psychosomatic research and medical practice in Europe. The fields of psycho-cardiology, quality in primary care, psycho-oncology, gastrointestinal psychosomatics, C/L Psychiatry, and Psychosomatics are examples of such positive developments. Discussion Several historic ideas are mentioned and the aims and advantages of the newly founded European Association of Psychosomatic Medicine are discussed. The advantages and virtues of a more powerful common European organisation of Psychosomatic Medicine and Psychiatric Consultation-Liaison are compared to continuing our work within the present Psychosomatic/Psychiatric and Behavioural fields. Conclusion Psychosomatic and Behavioural Medicine have reached a strong position in Europe. There are studies in which the medical speciality is on equal terms with psychosomatic medicine representatives. There is a continuous need for scientific conferences, for teaching, and for better practice with patients. This could be coordinated by a network. Much energy and time is lost in isolated societies and countries. We want to focus our resources in scientific projects within the boundaries of a scientific network with the primary aim of developing psychosomatic scientific exchange.
AbstractBy implementing intervention strategies to help psychiatrically disabled persons choose, get, and keep jobs, supported employment can become a successful element in psychiatric rehabilitation.
Journalists from India-administered Kashmir have endured the psycho-social brunt of living in a militarized zone. Restrictions imposed on the media by the governing class in a neoliberal milieu function to regulate the narrative on the conflict with the help of agenda setting. This analysis identifies themes of direct, indirect and structural violence, and shows how psychological symptoms such as anxiety, alienation, hypervigilance, helplessness, depression and trauma emerge from them. Employing thematic analysis coupled with a deductive approach, the author highlights how working conditions of the journalists shape their psycho-social wellbeing. In-depth interviews with Kashmiri photojournalists, journalists and editors (print and digital) and secondary sources, such as local and international studies on the psychological wellbeing of the population in general, demonstrate the psycho-social wellbeing of journalists in the Kashmir Valley.
India's National Mental Health Program (NMHP) was initiated in 1982 with objectives of promoting community participation and accessible mental health services. A key component involves Central government calculation and funding for psycho-tropic medication. Based on clinical ethnography of a community psychiatry program in north India, this paper traces the biosocial journey of psycho-tropic pills from the Centre to the Periphery. As the pill journeys from the Ministry of Health to the clinic, its symbolic meaning transforms from an emphasis on accessibility and participation to administration of 'treatment'. At its final destination of delivery in the rural health centre, the pill becomes central to professional monologues on compliance that mute the voices of patients and families. Additionally, popular perceptions of government medication as weak and unreliable create an ambivalent public attitude towards psychiatric services. Instead of embodying participation and access, the pill achieves the opposite: silencing community voices, re-enforcing existing barriers to care, and relying on pharmacological solutions for psycho-social problems. The symbolic inscription of NMHP policies on the pill fail because these are contested by more powerful meanings generated from local social and cultural contexts. The authors argue this understanding is critical for development of training and policy that can more effectively address local mental health concerns in rural India. The paper concludes with an outline of potential areas and approaches to interrogate well meaning mental health programs that alienate the very people it is meant to serve.
This brief is about the predictors of mental health diagnoses within a sample of Marines who experienced combat in Iraq and Afghanistan. In policy and practice, support networks should be implemented for servicemembers to share with their peers, clinicians should give female servicemembers and others who have a higher likelihood of developing a mental health disorder after combat information on how to prevent certain psychiatric disorders, and families should know the signs of psychiatric disorders to help servicemembers in their re-adjustment period after deployment. Military branches and policymakers could improve counseling for servicemembers returning from combat and encourage servicemembers to seek help when they feel they have certain psychiatric disorders. Suggestions for future research include determining the factors that lead to more mental disorders among female servicemembers, increasing the sample to include representative samples of female servicemembers, looking at other variables' effects on mental health, and relying on mechanisms besides self-reporting.
BACKGROUND: Psychiatric disorders are one of the increasing causes of disability and work-related problems. As per the available data, 10% of the total working Indian population have major psychiatric disorders such as depression, anxiety disorders, psychosis, and substance use disorders. AIMS: To study the relationship between Psychiatric disorders and Absenteeism in State Government Employees in a Tertiary Healthcare center. METHODOLOGY: The retrospective data of the last two years of the candidates referred for psychiatric evaluation to the Department because of absence at work was collected from the Hospital records and were analyzed for the number, gender, education, presence of mental illness, treatment is taken, substance use and outcome of the referral. STATISTICS: Categorical variables were analyzed with the Chi-squared tests. Significance levels for all analyses were set at P <0.05. Mean ranks were tested using the Kruskal Wallis test. RESULTS: Significant difference was found between Prevalence of Psychiatric disorders, length (p=0.045), and frequent periods of absenteeism (p=0.03). CONCLUSIONS: Our study examined the psychiatric diagnostic categories, past absenteeism at work, the outcome of the referral, and associations if any which might help to provide better psychiatric services for the referrals of government employees in the future.
Abstract Background Universal interventions to prevent postnatal mental disorders in women have had limited success, perhaps because they were insufficiently theorised, not gender-informed and overlooked relevant risk factors. This study aimed to determine whether an innovative brief psycho-educational program for mothers, fathers and first newborns, which addressed salient learning needs about infant behaviour management and adjustment tasks in the intimate partner relationship, prevented postpartum mental health problems in primiparous women. Methods A before and after controlled study was conducted in primary care in seven local government areas in Victoria, Australia. English-speaking couples with one-week old infants were invited consecutively to participate by the maternal and child health nurse at the universal first home visit. Two groups were recruited and followed sequentially: both completed telephone interviews at four weeks and six months postpartum and received standard health care. Intervention group participants were also invited to attend a half-day program with up to five couples and one month old infants, facilitated by trained, supervised nurses. The main outcome was any Composite International Diagnostic Interview (CIDI) diagnosis of Depression or Anxiety or Adjustment Disorder with Depressed Mood, Anxiety, or Mixed Anxiety and Depressed Mood in the first six months postpartum. Factors associated with the outcome were established by logistic regression controlling for potential confounders and analysis was by intention to treat. Results In total 399/646 (62%) women were recruited; 210 received only standard care and 189 were also offered the intervention; 364 (91%) were retained at follow up six months postpartum. In women without a psychiatric history (232/364; 64%), 36/125 (29%) were diagnosed with Depression or Anxiety or Adjustment Disorder with Depressed Mood, Anxiety, or Mixed Anxiety and Depressed Mood in the control group, compared with 16/107 (15%) in the intervention group. In those without a psychiatric history, the adjusted odds ratio for diagnosis of a common postpartum mental disorder was 0.43 (95% CI 0.21, 0.89) in the intervention group compared to the control group. Conclusions A universal, brief psycho-educational group program for English-speaking first time parents and babies in primary care reduces de novo postpartum mental disorders in women. A universal approach supplemented by an additional program may improve effectiveness for women with a psychiatric history. Trial registration ACTRN 12605000567628.
В условиях социально-экономического и политического кризиса в нашей стране предпринята попытка проанализировать ситуацию использования программы «Жилье под защитой» и основные тенденции дальнейшего развития внебольничной психиатрической помощи на региональном уровне. Для оказания поддержки и помощи пациентам после выписки из общежития была разработана программа «Жилье под защитой». Программа «Жилье под защитой» является промежуточным этапом в реабилитации психически больных на пути от общежития к самостоятельному проживанию в обществе. Целью программы является социально-бытовое и социально-трудовое восстановление пациента до возможно более высокого уровня, определяющего его независимое проживание, интеграция пациента в общество и оказание помощи в преодолении трудностей, возникающих при его социальной адаптации. ; In conditions of socially economic and political crisis in our country was made an attempt to analyze the situation of use of program "Habitation under the protection" and basic tendencies of further development of non-hospital psychiatric help at regional level. For providing support and help to patients after discharge from hostel the program "Habitation under the protection" was worked out. Program "Habitation under the protection" is intermediate stage in rehabilitation of mentally diseased on the way from hostel to independent living in society. The aim of the program is social-domestic and social-working recovery of the patient to the higher level, defining its independent living, integration of the patient in society and providing help in overcoming difficulties, which occur during social adaptation.
This paper addresses the relevant of institution of family that had come under considerable strain with the changing present scenario. The aim of this paper is to help middle class family to resolve frequent conflicts that threaten interpersonal relationship and to explore best alternative possible solutions. Employing phenomenological approach, psycho social factors of immediate social environment was assessed using semi structured qualitative interview, telephonic conversations, and observations during therapy sessions over a period of seven months. Depression of the patient and family functions were assessed using Zung self-rating scale and McMaster family assessment device respectively. Results showed that family therapy had been effective to resolve psycho social problems and enhance psycho social functioning among family members. Family stated satisfactions in relationship, healthy communication pattern, decision making and affective involvement to each other. An ultimate result shows an egalitarian environment in the house which strengthens family relationship and reduced conflicts.
