Suchergebnisse

The causal attributions for psychological illness were investigated in a sample of seventy Turkish psychiatric in-patients, using the levels of causal attributions proposed by the transtheoretical model of Prochaska (1984). The factor analysis of replies to a questionnaire tapping various levels of causality revealed seven factors which were greatly overlapping with the causal attribu tional levels proposed by the transtheoretical model and verified in western samples. However, there were important dissimilarities on attributions to family, self, and interpersonal conflicts. Family conflicts and interpersonal conflicts appeared as two separate causal factors, whereas attributions to personal symptoms and family conflicts merged under a single higher-order factor. Results also revealed that types of attributions were related to hope for future well- being. The results and their implications were discussed within the framework of the transtheoretical model, attribution theory research and studies on the Turkish family struc ture and values.

This paper presents findings from a pilot study aiming to strengthen community participation in disaster mitigation and preparedness in a province, Bursa (Turkey), which is located in the first-degree seismic zone. The study was initiated in 1998, right after the Ceyhan-Misis earthquake and a year prior to the devastating 17 August Marmara, Turkey, earthquake. Therefore, the findings will be discussed within the framework of what happened before and after the devastating earthquake in order to analyze possible effects of a major disaster on the momentum and processes of community participation efforts. The initial phase of the pilot study focused on the collection of data through in-depth and focus group interviews aiming to uncover local views on disasters, mitigation, preparedness, and multisectoral collaboration and participation. The results of the initial phase showed an eagerness for local multisectoral participation and favorable attitudes towards community participation. Earthquakes were delineated as the most threatening type of natural disasters in this initial phase. Thus, the study focused solely on earthquakes as a first area to start community involvement and to analyze mechanisms for such involvement. In the second phase of the study, an attempt was made to bring together the local state authorities, municipalities, the private sector, and the nongovernmental organizations, in order to develop an action plan for mitigation and preparedness through the involvement of the local community. This collaboration took place under the initiative of the Local Agenda 21, a local municipal initiative under the U.N. Rio Summit 1992. The most important issue identified by the local multisectoral committee was the need to increase community awareness for earthquakes and to train them on what to do before, during, and after earthquakes. Subsequently, a pamphlet and a training-of-trainers handbook were prepared, and a phase of training of trainees was undertaken. The program had very little momentum due to mainly the hesitancy of the actors from different sectors informing alliances and due to the purely voluntary nature of the work. There were also problems related to the lack of funding for the project. As the study came to its second year, with a further loss of momentum due to local elections and change of the initial municipality, the August 1999 Marmara earthquake occurred. This very devastating earthquake produced a significant momentum for the community participation initiative in Bursa which was considerably slow to develop. The occurrence of a major disaster while a community participation project was underway provided us with valuable insights on what was hindering the project. It was basically the lack of fear/anxiety, lack of acceptance of risks, lack of local ownership, and the lack of an awareness of possible consequences of such a disaster.The Marmara earthquake of August 1999 demonstrated that there were significant shortcomings in earthquake mitigation and preparedness measures. Due to the extensive damage and the fact that the quake affected- a very large area, the response of the government in the immediate postdisaster phase was slow and uncoordinated. However, the Nongovernmental Organizations (NGOs) were very rapid in their responses, and numerous NGOs were involved in the rescue phase and thereafter. Unfortunately, the NGOs were also not prepared for such a disaster, and thus their efforts were not coordinated. This recent earthquake once again pointed out the necessity of increasing community involvement in disaster management and creating collaborative alliances among local governmental bodies, municipality, the private sector and the NGOs. Due to very extensive media coverage of the Marmara earthquake, the majority of people in Turkey watched the consequences from the TV and got sensitised to the damage and losses. Furthermore, the popular cultural view broadcasted through the interviews with survivors was that "you can not trust and rely on external aid. You have to rely on your own resources. " The progress in the Bursa study will be discussed within the framework of the impacts of the Marmara earthquake. The strengths and the weaknesses of the present disaster management system in Turkey and the mechanisms uncovered in the Bursa study will be presented together with implications and suggestions for the future.

Background: Social support is an important facilitator of the quality of life for people with schizophrenia. This study examines what is perceived as helpful and unhelpful support from the members of the natural social networks by 32 Turkish people with schizophrenia. Material: Semi-structured interviews and thematic analysis were used to examine what is perceived as helpful and unhelpful support. Discussion and Conclusion: The findings suggested that instrumental, emotional and socialization supports were the general categories that capture the perceptions of support. Intrusion and belittling/rejection appeared as unhelpful. It is important to take these perceptions into account in providing psychoeducation to families and in designing psychosocial intervention programs.

Denture wearing is a stressful life event which can cause anxiety and depression. Patients' adaptation to dentures may be hindered by their emotional reactions. The present study examined the variables related to anxiety and depression symptoms among 158 adult complete dental prosthesis
patients. The results showed that the participants had mild to moderate depression and moderate state anxiety symptoms. The results of the regression analyses showed that treatment duration, perceived burden due to teeth loss and expected benefits of new dentures were related to anxiety. Age,
burden of teeth loss and perceived social support from the dentist were related to depression symptoms. Therefore, these variables need to be considered in the management of prosthesis patients.

Background: Schizophrenia is a chronic mental illness affecting the social and occupational lives of the sufferers and posing a considerable burden on the patients and their families. Furthermore, negative societal reactions and the internalization of these attitudes exacerbate the difficulties encountered. This study examines the perspectives of Turkish people with schizophrenia on how they view the impact of the illness on their lives, the societal reactions and attitudes to schizophrenia and whether they agree with these reactions. Methods: Twenty-three adult participants, all members of two schizophrenia associations in Ankara, capital of Turkey, were recruited. Semistructured interviews were used to find out their perspectives on how the illness affected their lives, how the society reacts to them and their views on these reactions. Interviews were recorded, transcribed and thematic analysis was used to capture the general and the subthemes. Results: The findings suggest that causal attributions for the illness, the impact of illness on various life domains, challenges of living with the illness and finally stigmatization are general categories that capture the perspectives of the participants. Conclusion: People diagnosed with schizophrenia experience the impacts and burdens of their illness in various domains of their lives and negative societal reactions heighten these burdens. It seems important to consider the challenges faced by people with schizophrenia in living with their illness and the impacts of negative societal behaviors and attitudes in offering psychosocial interventions programs for supporting this group. Furthermore, combating negative societal attitudes also seems to be necessary.