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Physiotherapy in the treatment of anxiety disorders 物理疗法在焦虑症治疗中的应用
Q1 Social Sciences Pub Date : 2017-03-21 DOI: 10.1080/17542863.2017.1303075
J. Torales, I. Barrios, M. Almirón, Roberto De la Cueva
Physiotherapy in the treatment of anxiety disorders Julio Torales, Iván Barrios, Marcos Almirón and Roberto De la Cueva Department of Psychopathology, School of Kinesiology and Physiotherapy, National University of Asunción, San Lorenzo, Paraguay; School of Medicine, National University of Asunción, San Lorenzo, Paraguay; School of Kinesiology and Physiotherapy, National University of Asunción, San Lorenzo, Paraguay
物理疗法在焦虑症治疗中的应用Julio Torales, Iván Barrios, Marcos Almirón和Roberto De la Cueva巴拉圭圣洛伦索国立大学运动与物理治疗学院精神病理学系;巴拉圭圣洛伦索国立大学Asunción医学院;巴拉圭圣洛伦佐国立大学Asunción运动机能学与物理治疗学院
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引用次数: 4
Through a glass, darkly: ethics of mental health practitioner-patient relationships in traditional societies 透过玻璃,黑暗:传统社会中精神健康医生与病人关系的伦理
Q1 Social Sciences Pub Date : 2017-03-21 DOI: 10.1080/17542863.2017.1301975
P. Bhola, S. Chaturvedi
ABSTRACT Assumptions about the universality of ethics and the use of dominant ethical frameworks of mental health care may obscure the differences and contextual realities in traditional societies. The ‘culture’ of the encounter between the mental health practitioner and the patient can be viewed through three dominant perspectives; paternalism, autonomy and reciprocity. Culture strongly influences how persons construct and negotiate their autonomous identities and the concept of relational autonomy may be more relevant in traditional societies like India. In this article, research studies and practitioner viewpoints are brought together to highlight the debates related to patient-practitioner communication, confidentiality and disclosure, informed consent and decision-making capacity, involuntary admissions and discharge processes, use of covert medication, advance directives and cultural influences on the definition of professional boundaries. Understanding the complex interplay of cultural beliefs and processes, culturally embedded practitioner value systems, economics, social justice paradigms and existing mental health care systems in traditional and resource-poor societies can provide a deeper understanding of the ethics of mental health care. A view of reality as interpretative and contextual can enhance our understanding of the ethical playing field in mental health care in both traditional and modern societies.
关于精神卫生保健伦理的普遍性和主流伦理框架的使用的假设可能会掩盖传统社会的差异和背景现实。心理健康医生和病人之间的“文化”相遇可以通过三个主要的观点来看待;家长作风、自治和互惠。文化强烈地影响着人们如何构建和协商他们的自主身份,而关系自主的概念可能在印度这样的传统社会中更为相关。在本文中,研究研究和从业者的观点汇集在一起,以突出与患者-从业者沟通,保密和披露,知情同意和决策能力,非自愿入院和出院过程,使用隐蔽药物,预先指示和文化影响对专业界限的定义有关的辩论。了解传统和资源贫乏社会中文化信仰和过程、文化嵌入从业者价值体系、经济学、社会正义范式和现有精神卫生保健系统之间复杂的相互作用,可以更深入地了解精神卫生保健的伦理。将现实作为解释性和情境性的观点可以增强我们对传统和现代社会精神卫生保健伦理竞争环境的理解。
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引用次数: 4
The association between perceived social support and posttraumatic stress symptoms among Eritrean and Sudanese male asylum seekers in Israel 在以色列的厄立特里亚和苏丹男性寻求庇护者感知到的社会支持与创伤后应激症状之间的关系
Q1 Social Sciences Pub Date : 2017-03-07 DOI: 10.1080/17542863.2017.1299190
Ora Nakash, Maayan Nagar, Anat Shoshani, I. Lurie
ABSTRACT We investigated the combined effect of the severity of exposure to traumatic events and perceived social support on posttraumatic stress disorder (PTSD) symptoms among male asylum seekers in Israel. A convenience sample of 90 men who sought asylum from Eritrea and Sudan and presented at the Open-Clinic in Tel-Aviv, Israel, participated in the study. Participants completed measures assessing exposure to traumatic events, perceived social support and PTSD symptoms in their native language. The majority of participants had been exposed to traumatic events. Lack of shelter, ill health without access to medical care, imprisonment and torture were most prevalent. Perceived social support was associated with lower PTSD symptoms only among those who reported low exposure to traumatic events. Among asylees who reported high exposure to traumatic events, social support did not affect the association between exposure to traumatic events and PTSD symptoms. Our findings show that perceived social support serves as a significant moderator in the relationship between exposure to traumatic events and PTSD symptoms among asylum seekers, depending on the severity of exposure to traumatic events. The complex relationship between protective factors such as perceived social support, exposure to trauma and mental health should inform mental health services for forced migrants.
摘要:我们调查了创伤事件暴露严重程度和感知到的社会支持对以色列男性寻求庇护者创伤后应激障碍(PTSD)症状的综合影响。来自厄立特里亚和苏丹寻求庇护的90名男子参加了这项研究,他们在以色列特拉维夫的开放诊所接受了治疗。参与者用母语完成了创伤事件暴露、感知社会支持和创伤后应激障碍症状的评估。大多数参与者都经历过创伤性事件。其中最普遍的是缺乏住所、无法获得医疗保健、监禁和酷刑。感知到的社会支持与较低创伤性事件暴露率的PTSD症状相关。在报告创伤性事件暴露程度高的被庇护者中,社会支持不影响创伤性事件暴露与PTSD症状之间的关联。我们的研究结果表明,在寻求庇护者暴露于创伤性事件和PTSD症状之间的关系中,感知到的社会支持起到了显著的调节作用,这取决于暴露于创伤性事件的严重程度。感知到的社会支持、遭受创伤和心理健康等保护因素之间的复杂关系应该为强迫移徙者的心理健康服务提供信息。
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引用次数: 17
The role of implicit associations and explicit expectancies related to alcohol use: a comparison of Lithuanian and US college samples 与饮酒相关的内隐联想和外显期望的作用:立陶宛和美国大学样本的比较
Q1 Social Sciences Pub Date : 2017-03-06 DOI: 10.1080/17542863.2017.1296877
Inga Curry, Walter Scott, Laima Bulotaitė, S. Freng
ABSTRACT The purpose of the current study was to (1) explore for cultural differences in harmful alcohol use and (2) examine whether explicit alcohol expectancies and implicit alcohol associations predict use. University students from Lithuania (n = 63) and the USA (n = 81) completed explicit and implicit measures regarding alcohol use. We found that compared to Lithuanian college students, US college students reported higher harmful alcohol use, endorsed more positive alcohol expectancies and had significantly fewer negative implicit alcohol associations. For both samples, both positive expectancies and implicit associations predicted harmful use.
本研究的目的是:(1)探索有害酒精使用的文化差异;(2)检验外显酒精期望和内隐酒精关联是否能预测使用。来自立陶宛(n = 63)和美国(n = 81)的大学生完成了关于酒精使用的显性和隐性测量。我们发现,与立陶宛大学生相比,美国大学生报告了更高的有害酒精使用,认可了更多积极的酒精预期,并显着减少了消极的隐性酒精关联。对于这两个样本,积极期望和内隐关联都预测有害使用。
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引用次数: 3
Definitions of social inclusion and social exclusion: the invisibility of mental illness and the social conditions of participation 社会包容和社会排斥的定义:精神疾病的隐蔽性和参与的社会条件
Q1 Social Sciences Pub Date : 2017-03-06 DOI: 10.1080/17542863.2017.1295091
Steven Davey, Sarah E. Gordon
ABSTRACT Current definitions of social exclusion and social inclusion tend to focus on actual participation. Whilst this provides an objective basis for policy measurement, it can overlook the underpinning social dynamics. As part of a conceptual analysis, a précis is provided of a qualitative study undertaken in New Zealand that investigated social inclusion and exclusion from the subjective perspectives of people who experience mental distress. This study highlights subtle cases that cannot be adequately assessed under current definitions. Rather than actual participation, focusing on the ‘terms and conditions’ of social exclusion and inclusion can encompass invisible phenomena, such as mental illness, and bring the concepts closer to underlying social processes. Definitions would be improved if they focused less on measurement and more on the social constructs involved.
当前对社会排斥和社会包容的定义往往侧重于实际参与。虽然这为政策衡量提供了一个客观的基础,但它可能忽略了基本的社会动态。作为概念分析的一部分,提供了在新西兰进行的一项定性研究的概要,该研究从精神痛苦患者的主观角度调查了社会包容和排斥。这项研究强调了在当前定义下无法充分评估的微妙案例。而不是实际参与,关注社会排斥和包容的“条款和条件”可以涵盖无形的现象,如精神疾病,并使概念更接近潜在的社会过程。如果不那么注重测量,而更多地注重所涉及的社会结构,定义将会得到改进。
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引用次数: 36
‘Power positions are embedded in our minds’: focus group discussions on psychotherapy ethics in India “权力地位嵌入我们的思想”:印度心理治疗伦理焦点小组讨论
Q1 Social Sciences Pub Date : 2017-03-01 DOI: 10.1080/17542863.2017.1294192
Ananya Sinha, P. Bhola, A. Raguram, P. Chandra
ABSTRACT Background: Ethical issues are ubiquitous during therapeutic work, despite the presence of professional ethics codes that guide ethical decision making. This exploratory research looks at how mental health trainees and practitioners, across various mental health disciplines, perceive and experience ethical dilemmas in the therapy space. Method: The sample included 12 mental health practitioners from varied mental health disciplines (clinical psychology, psychiatry and psychiatric social work), and practising counsellors, from an urban city in India. Three focus group discussions were conducted, where participants expressed the ethical issues and challenges encountered during their sessions with clients. Results: Content analysis of the narratives of the focus group discussions highlighted prominent ethical dilemmas in these domains: negotiation of boundaries or frames of the interaction; involvement of family in therapeutic decisions; negotiation of issues of gender and power in therapy; value conflicts in working with sexuality issues; therapist competence; and method of resolution of ethical dilemmas. Personal and cultural values emerged as impacting the perceptions, interpretations and experience of ethically challenging situations. The findings have implications for the development of culturally sensitive and value-based training methodologies.
背景:尽管存在指导伦理决策的职业道德规范,但伦理问题在治疗工作中无处不在。本探索性研究着眼于心理健康培训生和从业者,跨越各种心理健康学科,如何感知和体验治疗空间中的伦理困境。方法:样本包括来自不同心理健康学科(临床心理学、精神病学和精神病学社会工作)的12名心理健康从业人员,以及来自印度一个城市的执业咨询师。进行了三次焦点小组讨论,参与者表达了与客户会面时遇到的道德问题和挑战。结果:焦点小组讨论叙述的内容分析突出了这些领域中突出的伦理困境:边界谈判或互动框架;家庭参与治疗决策;心理治疗中性别与权力问题的协商处理性问题时的价值冲突;治疗师的能力;以及解决伦理困境的方法。个人和文化价值观的出现影响了对道德挑战情况的感知、解释和体验。研究结果对发展具有文化敏感性和基于价值的培训方法具有影响。
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引用次数: 3
Perceptions and understandings of mental health from three Sudanese communities in Canada 加拿大三个苏丹社区对心理健康的看法和理解
Q1 Social Sciences Pub Date : 2017-03-01 DOI: 10.1080/17542863.2017.1296876
D. Este, L. Simich, H. Hamilton, C. Sato
ABSTRACT As Canada becomes increasingly ethno-culturally diverse, health and human services professionals are challenged to provide mental health services that effectively meet the needs of newcomer populations. Currently, there is a dearth of literature focused on the ways in which members of Sudanese communities in Canada understand or make meaning of the constructs of mental health and illness. The purpose of this article is to explore the perceptions and understandings of mental health and illness through the lens of Southern Sudanese community members in Toronto, Ontario, and Calgary and Brooks, Alberta . Thirty-two in-depth interviews across the three sites were completed using a semi-structured interview guide. Multi-lingual Sudanese research assistants conducted the interviews. Using an inductive data analysis approach, seven major themes emerged related to the focus of the study: Sudanese perceptions and understandings of mental health; social isolation; neglect of personal hygiene; stigma; mental health as multi-dimensional; stress as a cause; and positive mental health. The paper concludes with implications for mental health practitioners.
随着加拿大种族文化的日益多样化,健康和人类服务专业人员面临着提供有效满足新移民需求的心理健康服务的挑战。目前,关注加拿大苏丹社区成员如何理解或理解心理健康和疾病概念的文献很少。本文的目的是通过安大略省多伦多、阿尔伯塔省卡尔加里和布鲁克斯的南苏丹社区成员的视角,探讨对心理健康和疾病的认知和理解。使用半结构化访谈指南完成了三个站点的32次深度访谈。多语种苏丹研究助理进行了访谈。采用归纳数据分析方法,出现了与研究重点相关的七个主要主题:苏丹人对心理健康的看法和理解;社会隔离;忽视个人卫生;污名;精神卫生是多维的;压力作为原因;积极的心理健康。论文总结了对心理健康从业者的启示。
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引用次数: 7
Body image among three denominations of Jewish women in Israel 以色列三个教派犹太妇女的身体形象
Q1 Social Sciences Pub Date : 2017-02-20 DOI: 10.1080/17542863.2017.1290126
J. Handelzalts, S. Geller, Sigal Levy, Tal Vered, Shimrit Fisher
ABSTRACT Religious identity has been shown to be related to women’s healthy body image, though research is still scarce, with most of it having been carried out in the context of the Christian religion. We used measures of positive body image (Body Appreciation Scale) and negative body image (Body Image Concern Inventory) as well as body care attitude (Body Care Subscale) to study 230 women belonging to three Jewish denominations in Israel in mid 2013. Compared to modern-Orthodox and secular Jewish women, ultra-Orthodox Jewish women were found to possess a more positive and less negative body image; they also exhibited more positive attitudes regarding body care. Regarding body satisfaction, modern-Orthodox women were shown to be significantly more satisfied than were the secular women. This reflects a continuum, ranging between secular, modern-Orthodox, and ultra-Orthodox women regarding body image in all its aspects. The possible protective power of religion regarding body image is discussed in light of possible underlining mechanisms.
宗教认同已经被证明与女性健康的身体形象有关,尽管研究仍然很少,大多数研究都是在基督教的背景下进行的。2013年年中,我们采用积极身体形象(身体欣赏量表)和消极身体形象(身体形象关注量表)以及身体护理态度(身体护理量表)对以色列三个犹太教派的230名妇女进行了研究。与现代正统派和世俗犹太女性相比,极端正统派犹太女性的身体形象更积极,负面形象更少;他们对身体护理也表现出更积极的态度。在身体满意度方面,现代正统派女性明显比世俗女性更满意。这反映了一个连续统一体,从世俗,现代正统和极端正统妇女对身体形象的各个方面。从可能的强调机制出发,探讨了宗教对身体形象可能的保护作用。
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引用次数: 9
The psychometric properties of an Arabic version of the Personality Inventory for DSM-5 (PID-5) across three Arabic-speaking Middle Eastern countries 阿拉伯语版DSM-5 (PID-5)在三个阿拉伯语中东国家的心理测量特征
Q1 Social Sciences Pub Date : 2017-02-15 DOI: 10.1080/17542863.2017.1290125
A. Al-Attiyah, Ahmed M. Megreya, Mousa Alrashidi, S. Domínguez-Lara, Amani Al-Sheerawi
ABSTRACT The nature and extent of the influence of culture on psychopathology have long been studied, with a central emphasis on whether abnormal behavior is etic (universalized) or emic (cultural based). This study aimed to examine the psychometric properties (factorial structure, inter-correlations, reliability, and criterion validity) of an Arabic translation of the Personality Inventory for DSM-5 across three Arabic-speaking countries (Bahrain, Kuwait, and Qatar; N = 710). The results of first-order 25-factor CFAs indicated generally acceptable to good fit for the Arabic version of the PID-5. In addition, the results of higher-order five factors CFAs (using the five domains) indicated a generally acceptable fit. Furthermore, the 25 facets of the PID-5 had moderate to high reliability using Cronbach’s alpha. Finally, the five domains of the PID-5 had strong inter-correlations and expected associations with the FFM model of personality. Therefore, this study replicated the adequate psychometric properties of the PID-5 in Arabic-speaking Middle Eastern countries.
文化对精神病理学影响的性质和程度长期以来一直被研究,重点是异常行为是etic(普遍的)还是emic(基于文化的)。本研究旨在检验三个阿拉伯语国家(巴林、科威特和卡塔尔;N = 710)。一阶25因子CFAs的结果表明,对阿拉伯语版本的PID-5的拟合总体上可以接受。此外,高阶五因子cfa(使用五个域)的结果表明,总体上可以接受的拟合。此外,使用Cronbach 's alpha, PID-5的25个方面具有中等到高的信度。最后,PID-5的5个领域与人格FFM模型具有较强的相互关联和预期关联。因此,本研究在讲阿拉伯语的中东国家复制了充分的PID-5心理测量特性。
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引用次数: 35
Improving access to and engagement with mental health services among young people from refugee backgrounds: service user and provider perspectives 改善难民背景青年获得和参与精神卫生服务的机会:服务使用者和提供者的观点
Q1 Social Sciences Pub Date : 2017-01-31 DOI: 10.1080/17542863.2017.1279674
E. Colucci, Madeleine C. Valibhoy, Josef Szwarc, I. Kaplan, H. Minas
ABSTRACT Limited research has been conducted worldwide on the experiences that children and young people from refugee backgrounds have with mental health services, despite evidence that they have significant vulnerability to the development of mental health problems and to suicidal behaviour and that those with mental ill-health typically underutilise services. The authors were particularly interested in barriers and facilitators to service access and engagement, and conducted two qualitative research projects to improve understanding of the issues – the first with service providers experienced in the refugee area and the second with young refugee service users. The aim of this project was to compare the perspectives of professionals and service users and to identify similarities and differences. The perspectives of the service users and providers were strikingly similar. The analysis identified 21 implications for policy makers, agencies and practitioners, which ranged from issues concerning cultural sensitivity, background matching and mental health literacy to accessibility, setting boundaries and expectations and implementing a holistic and outreach approach. There is a range of specific, practical measures that policy makers and service providers can introduce to enhance access to and engagement with mental health services for young people from refugee backgrounds.
尽管有证据表明,难民背景的儿童和青少年对心理健康问题的发展和自杀行为有明显的脆弱性,而且那些有精神疾病的人通常没有充分利用服务,但在世界范围内,对心理健康服务的经验进行了有限的研究。作者对服务获取和参与的障碍和促进因素特别感兴趣,并开展了两个定性研究项目,以提高对这些问题的理解——第一个是与在难民地区有经验的服务提供者合作,第二个是与年轻的难民服务使用者合作。这个项目的目的是比较专业人员和服务使用者的观点,并找出相同点和不同点。服务使用者和提供者的观点惊人地相似。分析确定了对决策者、机构和从业人员的21项影响,范围从文化敏感性、背景匹配和心理健康素养问题到可及性、设定界限和期望以及实施整体和外联办法。决策者和服务提供者可以采取一系列具体、切实可行的措施,加强难民背景青年获得和参与心理健康服务的机会。
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引用次数: 12
期刊
International Journal of Culture and Mental Health
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