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Working After Loss: How Bereavement Counsellors Experience Returning to Therapeutic Work After the Death of Their Parent 失去亲人后的工作:丧亲辅导员在父母去世后重返治疗工作的经历
Q2 Social Sciences Pub Date : 2021-12-29 DOI: 10.1177/10541373211067670
Dr. Colleen Swinden
Despite increased interest in the impact of external events on counsellors, surprisingly little has been written on counsellor bereavement. To address the research question: How do bereavement counsellors experience therapeutic work after the death of their parent? Interviews were conducted with four bereaved counsellors who reflected on its impact on their work. Data were analysed using Interpretative Phenomenological Analysis (IPA). Three major themes emerged; how decisions about returning to work were informed by colleagues and supervision; the benefits of returning to work and the use of ‘bracketing’; long-term implications for practice including heightened empathy with clients’ and disclosure of loss. In addition, participants felt they had insufficient guidance regarding fitness to practice. The possible limitations of the study were that self-selection may have introduced an element of bias to the results. These findings support existing literature and also revealed potential gaps in grief and loss training for counsellors and supervisors. A particular training issue for supervisors might be identifying and discussing fitness to practice issues with supervisees. There are also implications for counsellors in terms of the use of self-disclosure in therapy. Suggested further research to explore the use of self-disclosure in greater depth.
尽管外界事件对咨询师的影响越来越引起人们的兴趣,但令人惊讶的是,关于咨询师丧亲之痛的文章却很少。为了解决研究问题:丧亲辅导员在父母去世后如何体验治疗工作?与四名失去亲人的辅导员进行了访谈,他们反映了这对他们工作的影响。数据分析采用解释现象学分析(IPA)。出现了三大主题;关于复工的决定是如何由同事和主管告知的;重返工作岗位的好处和“隔离”的使用;对实践的长期影响包括提高对客户的同情和披露损失。此外,参与者认为他们在健身方面没有得到足够的指导。这项研究可能存在的局限性是,自我选择可能会给结果带来偏见因素。这些发现支持了现有的文献,也揭示了辅导员和主管在悲伤和损失培训方面的潜在差距。对于主管来说,一个特殊的培训问题可能是识别和讨论与主管的实践问题的适应性。在治疗中使用自我表露对咨询师也有启示。建议进一步研究以更深入地探讨自我表露的使用。
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引用次数: 1
Typologies of Posttraumatic Stress Disorder in the Bam Adult Population: 17 Years After Bam Earthquake Bam成人创伤后应激障碍的类型学:Bam地震后17年
Q2 Social Sciences Pub Date : 2021-12-22 DOI: 10.1177/10541373211054405
M. Rezapour, Hadis Amiri, N. Nakhaee, M. Nekoei-Moghadam, Y. Jahani, Sevda Riyahifar
Posttraumatic stress disorder (PTSD) is one of the most important issues after earthquakes. Following the Bam earthquake, much of the literature has documented the prevalence and correlates of PTSD, but no study has evaluated predominant typologies of PTSD in this population. The present study aims to investigate PTSD typologies among adults exposed to the Bam earthquake after 17 years. The data were collected 17 years after the 2003 Bam earthquake using multistage cluster sampling, in a historical cohort study. In total, 917 people participated in the study. Latent class analyses (LCA) were conducted to identify predominant typologies of PTSD symptoms and associated correlates. The LCA identified four meaningfully different classes that were characterized based on the PTSD items. The common profile was class 1 with 36.1% of the study population, which reported medium on “Re-experiencing” and “avoidance” items and high for “dysphoria” item. Also, the results showed significant differences for marital status, death relative, and age across the four classes of PTSD. The results indicated after 17 years of the Bam earthquake, people who were exposed to this earthquake were divided into subgroups based on the severity and prevalence of PTSD symptoms. These findings highlighted the existence of experimental subgroups of PTSD symptoms following an earthquake, which can help us find those who are most in need of mental health services and also which can find specific interventions for any subgroups.
创伤后应激障碍(PTSD)是地震后最重要的问题之一。在巴姆地震之后,许多文献记录了PTSD的患病率和相关因素,但没有研究评估这一人群中PTSD的主要类型。本研究旨在调查17年后暴露于巴姆地震的成年人的创伤后应激障碍类型。这些数据是在2003年巴姆地震发生17年后,在一项历史队列研究中使用多阶段整群抽样收集的。总共有917人参与了这项研究。进行潜在分类分析(LCA)以确定PTSD症状的主要类型及其相关因素。LCA根据PTSD项目确定了四个有意义的不同类别。共有36.1%的研究人群为1级,他们在“再体验”和“回避”项目上表现中等,在“烦躁不安”项目上表现高。此外,结果显示,在四种类型的创伤后应激障碍中,婚姻状况、死亡亲属和年龄存在显著差异。结果表明,在巴姆地震发生17年后,根据创伤后应激障碍症状的严重程度和流行程度,经历过这次地震的人被分成了几个亚组。这些发现强调了地震后创伤后应激障碍症状的实验亚组的存在,这可以帮助我们找到最需要心理健康服务的人,也可以为任何亚组找到具体的干预措施。
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引用次数: 3
Individual Healthcare and Socially Constructed Identities: Cases of Women Suffering from Cardiovascular Diseases (CVDs) 个人保健和社会建构的身份:妇女患心血管疾病的案例
Q2 Social Sciences Pub Date : 2021-12-16 DOI: 10.1177/10541373211065219
Swati Sharma
Study aims at examining socio-cultural factors in the form of personal perception of the respondents towards Cardiovascular Diseases (CVDs) and the resultant impact of this perception on the CVDs management regimen of the respondents. Social construction of illness is used to investigate these factors. Entire data were collected at Superspeciality Hospital, Jammu (India) and 41 personal interviews were conducted. Field research also consisted of observations which was done by employing purposive sampling method. Results demonstrate that factors like inability to carry out household chores, financial constraints, lethargy etc. have a bearing on the care seeking behavior of the respondents. Women constantly juggle between maintaining family equilibrium and maintaining their health. Socially constructed image of a healthy woman is somewhat difficult to achieve even if technologies of the self and anatomo-politics come into play because gendered nature of healthcare in India makes it difficult for these women to prioritize their health needs.
研究的目的是考察社会文化因素,即受访者对心血管疾病的个人看法,以及这种看法对受访者心血管疾病管理方案的影响。疾病的社会建构被用来调查这些因素。所有数据在查谟(印度)的超级专科医院收集,并进行了41次个人访谈。实地调查还包括采用有目的抽样方法进行的观察。结果显示,无法完成家务、经济拮据、精神不振等因素对受访者的求医行为有影响。妇女经常在维持家庭平衡和保持健康之间徘徊。即使自我技术和解剖学政治发挥作用,社会构建的健康妇女形象也很难实现,因为印度医疗保健的性别性质使这些妇女难以优先考虑她们的健康需求。
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引用次数: 0
Attending Patient Funerals as a Follow-Up Practice of Pediatric Oncologists 参加病人葬礼作为儿科肿瘤学家的后续实践
Q2 Social Sciences Pub Date : 2021-12-16 DOI: 10.1177/10541373211047305
Delaney Schoenbine, James I. Gerhart, K. McLean, Joseph B Debettencourt, Farnaz Dadrass, Edwin Molina, Michael Hoerger, S. Alonzi, P. Kent
This study assessed pediatric oncology professionals’ attitudes and attendance at patient funerals. Many professionals endorsed some level of agreement that funeral attendance respects professional boundaries. Nearly all pediatric oncology professionals (89.2%) reported attending a patient funeral at least once, a rate significantly higher than estimates in other specialties (p <.001). Attitudes and rates of attendance were slightly higher in older physicians. While periodic funeral attendance may have been somewhat normative in this sample, further reflection and research is needed to ensure the risks and benefits of involvement in funerals and other family rituals and practices are better understood.
本研究评估儿科肿瘤专业人员对病人葬礼的态度及出席率。许多专业人士在某种程度上同意,参加葬礼尊重职业界限。几乎所有的儿科肿瘤学专业人员(89.2%)报告至少参加过一次病人的葬礼,这一比例明显高于其他专业的估计(p < 0.001)。老年医生的态度和出勤率略高。虽然在这个样本中,定期参加葬礼可能在某种程度上是规范的,但需要进一步的反思和研究,以确保更好地了解参与葬礼和其他家庭仪式和做法的风险和益处。
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引用次数: 0
Bearing Bad News: The Impact of Delivering and Receiving News of Sudden Bereavement 承受坏消息:传递和接收突然丧亲之痛的消息的影响
Q2 Social Sciences Pub Date : 2021-12-06 DOI: 10.1177/10541373211061650
Susan Sweeney
First responders and care professionals are often required to convey the deeply distressing news to relatives of the sudden death of a loved one. Witnessing the extreme anguish and grief of those receiving such news can have a detrimental effect on the bearers, leading to peritraumatic distress and feelings of inadequacy and burnout. For the recipients of such news, how it is delivered will impact on their understanding, acceptance, and processing of the sudden loss and may be a precursor for complicated grief or mental health issues such as anxiety or depression. Through writing about her own experience, the author aims to illustrate how interaction with professionals supported or impacted adversely on her grief and is intended to maintain professionals’ awareness of the impact of their delivery on recipients. Ancillary professionals also have an important role in how they interact with the bereaved and in ameliorating their deep distress.
急救人员和护理专业人员经常被要求向亲人突然死亡的亲属传达令人深感痛苦的消息。看到那些收到这类消息的人的极度痛苦和悲伤,可能会对消息的传递者产生不利影响,导致创伤周围的痛苦和无能和倦怠感。对于这些消息的接受者来说,它的传递方式将影响他们对突然失去亲人的理解、接受和处理,并可能是复杂悲伤或焦虑或抑郁等心理健康问题的前兆。通过写她自己的经历,作者旨在说明与专业人士的互动如何支持或影响她的悲伤,并旨在保持专业人士对他们对接受者的影响的认识。辅助专业人员也有重要的作用,他们如何与亲人互动,并在改善他们深深的痛苦。
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引用次数: 0
From Isolation to Connection: Empathy, Prosocial Behavior, and Posttraumatic Growth After Pregnancy Loss 从孤立到联系:共情、亲社会行为和流产后的创伤后成长
Q2 Social Sciences Pub Date : 2021-12-06 DOI: 10.1177/10541373211063427
A. Freedle, E. Oliveira
The purpose of this study was to explore the relationship between prosocial behaviors, empathy, and positive psychological change in women who have experienced pregnancy loss. Women who had experienced miscarriage or stillbirth (n = 291) were recruited via social media and completed an online survey that assessed their engagement in in-person or online prosocial behavior, empathy, and posttraumatic growth (PTG). Loss context factors and demographics were also collected. The results indicated that women who engage in in-person prosocial behavior, such as volunteering, report higher levels of PTG compared to those who do not volunteer at all or only volunteer online. A weak positive relationship was found between PTG and empathy. Findings suggest that encouraging clients to engage in in-person volunteering may foster their experience of growth. Future research is needed to further explore the timing of the volunteering in relation to PTG as well as empathy and PTG.
摘要本研究旨在探讨流产妇女的亲社会行为、共情与积极心理变化之间的关系。研究人员通过社交媒体招募了经历过流产或死产的女性(n = 291),并完成了一项在线调查,评估她们在面对面或在线亲社会行为、同理心和创伤后成长(PTG)方面的参与度。还收集了损失背景因素和人口统计数据。结果表明,与那些根本不做志愿者或只在网上做志愿者的女性相比,参与亲自亲社会行为(如志愿服务)的女性报告的PTG水平更高。PTG与共情呈弱正相关。研究结果表明,鼓励客户参与面对面的志愿服务可能会促进他们的成长经验。未来的研究需要进一步探讨志愿服务的时间与PTG以及共情和PTG的关系。
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引用次数: 4
“I’m Grateful, but Am I?”: The Exploration of Gratitude as a Complex Experience Among Malaysian Cancer Patients “我很感激,但我是吗?”:马来西亚癌症患者对感恩这一复杂体验的探索
Q2 Social Sciences Pub Date : 2021-11-23 DOI: 10.1177/10541373211054171
N. Hussin, Taufik Mohammad, Shariffah Suraya Syed Jamaludin
Gratitude has gained attention among health researchers for its benefits among chronic illness. However, most of the studies were focusing on the positive effects, neglecting the complex dimensions of gratitude that can contribute to both opportunities and challenges for chronic illness patients. This study aims to understand gratitude among cancer patients in Malaysia from a sociocultural perspective. This includes understanding how cancer patients view gratitude and the impacts of gratitude throughout their cancer-battling journey. This qualitative study involved 35 cancer patients. A thematic analysis was done to analyze the collected data. Among the themes discovered were searching for meaning, meaningful experience, gratitude through the enrichment activities, and gratitude as religious cultural expectations. This study suggests that gratitude is an important experience for chronic illness patients. The ability to understand this experience is vital to support and empower the patients throughout their daily lives.
感恩对慢性疾病的益处引起了健康研究人员的注意。然而,大多数研究都集中在积极的影响上,忽视了感恩的复杂维度,它可以为慢性病患者带来机遇和挑战。本研究旨在从社会文化的角度来理解马来西亚癌症患者的感恩之情。这包括了解癌症患者如何看待感恩,以及感恩在整个抗癌过程中的影响。这项定性研究涉及35名癌症患者。对收集到的数据进行了专题分析。发现的主题包括寻找意义、有意义的体验、通过丰富活动感恩、感恩作为宗教文化期望。本研究表明,感恩是慢性病患者的重要体验。理解这种经历的能力对于在日常生活中支持和赋予患者权力至关重要。
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引用次数: 3
The Loss of a Service Dog Through Death or Retirement: Experiences and Impact on Partners 因死亡或退休而失去服务犬:对伴侣的经历和影响
Q2 Social Sciences Pub Date : 2021-11-18 DOI: 10.1177/10541373211054168
L. Kogan, W. Packman, Jennifer Currin-McCulloch, Cori Bussolari, Phyllis Erdman
This study was designed to better understand how service dog partners experience the loss of their service dog. An anonymous survey was distributed to service dog partners who had lost a dog within the last five years. One-way ANOVAs were used to assess loss differences (retirement vs. death) on scores for Centrality of Events Scale, Warwick-Edinburgh Mental Well-Being Scale, Social Constraints Measure, and Self-Compassion Scale. Linear regression was conducted on the total bereavement score to determine the impact of the above assessment measures. We found higher grief scores for those whose service dog died compared to those whose dog retired. Perceptions of social constraints and feelings related to the centrality of the event were predictors of overall grief for those who lost a dog due to retirement; centrality of event feelings predicted grief level for those experiencing a death. Findings suggest a need for grief support for service dog partners.
这项研究的目的是为了更好地了解服务犬的伴侣是如何经历失去服务犬的。一份匿名调查被分发给了在过去五年内失去一只狗的服务犬伴侣。采用单因素方差分析评估事件中心性量表、沃里克-爱丁堡心理健康量表、社会约束量表和自我同情量表得分的损失差异(退休与死亡)。对总丧亲得分进行线性回归,以确定上述评价措施的影响。我们发现,那些服务犬死亡的人比那些服务犬退休的人悲伤得分更高。对于那些因退休而失去狗的人来说,社会约束的感知和与事件中心相关的感受是整体悲伤程度的预测因素;事件感受的中心性预测了经历死亡的人的悲伤程度。研究结果表明,服务犬伴侣需要悲伤支持。
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引用次数: 4
Widowhood and Mental Health: Social Predictors of Mental Health Disorders Among Widows 丧偶与心理健康:丧偶妇女心理健康障碍的社会预测因素
Q2 Social Sciences Pub Date : 2021-11-13 DOI: 10.1177/10541373211054189
Brown C. Taylor, Jordan Harrold
This study examines the relationship between three common mental health disorders—anxiety, depression, and post-traumatic stress disorder—in the first year of spousal bereavement and a myriad of social factors—including the security of health insurance and the presence of children at home—among those who have been widowed. We analyzed a novel survey of 503 widows who had participated in the Modern Widows’ Club Widows Empowerment Event. We then used logistic regression to investigate the relationship between these variables, discovering nuance between them. Our findings further elucidate the need for health and mental health providers to be attuned to the unique psychosocial needs of widows, especially among the first year of widowhood.
本研究考察了丧偶妇女在丧偶后第一年出现的三种常见心理健康障碍——焦虑、抑郁和创伤后应激障碍——与无数的社会因素——包括医疗保险的保障和家里是否有孩子——之间的关系。我们分析了一项对参加现代寡妇俱乐部寡妇赋权活动的503名寡妇的新调查。然后,我们使用逻辑回归来研究这些变量之间的关系,发现它们之间的细微差别。我们的研究结果进一步阐明了健康和心理健康提供者需要适应寡妇的独特心理社会需求,特别是在守寡的第一年。
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引用次数: 0
Understanding Suicidal Behavior Using a Comprehensive Approach 用综合方法理解自杀行为
Q2 Social Sciences Pub Date : 2021-11-06 DOI: 10.1177/10541373211051058
Ahmadreza Kiani Chelmardi, S. Rashid, M. Dadfar, D. Lester
A comprehensive understanding of how suicidal risk factors interact with one another to increase the frequency of suicide ideation and attempted suicide is critical for improving theoretical models of suicide and prevention efforts. The aim of the present study was to explore the prediction of suicide ideation formation and its transition to suicide attempt through the interactions of the constructs suggested by the IPTS, IMV and 3ST theories, as well as other clinical factors. The core constructs of several theoretical models were assessed using a battery of scales administered to 909 Iranian college students. The results supported Klonsky's 3ST and O’Connor's IMV models and, in addition, the relevance of non-suicidal self-injury, the acquired capacity for self-harm, sexual abuse, and exposure to family self-harm for the transition from suicide ideation to a suicide attempt. Depression and PTSD were background factors rather than risk factors for suicide ideation or suicide attempt. Limitations were that the information provided by students may have been biased due to the stigma surrounding suicide in Iranian culture, and the proportion of female students was high.
全面了解自杀风险因素如何相互作用以增加自杀意念和自杀未遂的频率,对于改进自杀理论模型和预防工作至关重要。本研究旨在探讨IPTS、IMV和3ST理论的构式与其他临床因素的相互作用对自杀意念形成及其向自杀企图转变的预测作用。本研究以909名伊朗大学生为研究对象,使用一组量表来评估几个理论模型的核心建构。研究结果支持了Klonsky的3ST和O’connor的IMV模型,此外,非自杀性自我伤害、获得性自我伤害能力、性虐待和暴露于家庭自我伤害与自杀意念到自杀企图的转变之间的相关性。抑郁症和创伤后应激障碍是自杀意念或自杀企图的背景因素,而不是危险因素。局限性在于,由于伊朗文化中对自杀的耻辱感,学生提供的信息可能存在偏见,而且女学生的比例很高。
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引用次数: 4
期刊
Illness Crisis and Loss
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