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An autoethnography of alienation 一本关于异化的自我民族志
Q4 SOCIAL WORK Pub Date : 2023-09-13 DOI: 10.1108/mhsi-08-2023-0082
Andrew Voyce
Purpose The purpose of this study is to discuss alienation from a viewpoint of autoethnography. Literature since the 19th century has described the economic determinants of social relations. The proposition is that human beings are strangers in a world they have created. The author revisits this paradigm and aims to show the relevance of alienation in the 20th and 21st centuries. Design/methodology/approach This paper uses the qualitative methodology of autoethnography with data from lived experience. The author relates the author’s personal experience to the meta-narrative of alienation. Findings Autoethnography is an excellent tool for interpretation of the author’s experiences. The author’s work life correlates to models of alienation put forward by Marxist and Critical Theory thought. The author gave the surplus value of the author’s labour to others, and as such, the author’s autoethnography is an authentic statement. The author’s experiences of poor mental health are in the context of pathology residing in alienation. Originality/value Findings reveal that alienation in work and in mental health is a plausible explanation for the way that social situations worked for the author. The author’s experiences support a model of alienation in 20th and 21st century economies. The author shows that the author’s experiences are shared by other vulnerable people.
本研究的目的是从自我民族志的角度探讨异化。自19世纪以来,文学作品一直在描述社会关系的经济决定因素。其主张是,人类在自己创造的世界中是陌生人。作者重新审视了这一范式,旨在展示异化在20世纪和21世纪的相关性。设计/方法/方法本文采用了自我民族志的定性方法,数据来自生活经验。作者将自己的个人经历与异化元叙事联系起来。自我民族志是解释作者经历的一个很好的工具。作者的工作生活与马克思主义和批判理论思想所提出的异化模式息息相关。作者将自己劳动的剩余价值给予他人,因此,作者的自我民族志是一种真实的陈述。提交人的精神健康状况不佳的经历是在异化的病理学背景下进行的。原创性/价值调查结果显示,工作和心理健康方面的疏离感是对社会状况对作者起作用方式的合理解释。作者的经历支持了20世纪和21世纪经济中的异化模型。作者表明,作者的经历是由其他弱势群体分享的。
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引用次数: 0
The role of host national contact in the mental health of displaced Ukrainians in the Netherlands 东道国接触在荷兰流离失所的乌克兰人心理健康中的作用
IF 1.2 Q4 SOCIAL WORK Pub Date : 2023-09-08 DOI: 10.1108/mhsi-05-2023-0050
Naome Al-Saqaff
PurposeThe Russian invasion of Ukraine in February 2022 has led to the displacement of many Ukrainians. The purpose of this study is to investigate the relationship between their contact with Dutch society and their mental health. To this end, 136 adult, mostly female, displaced Ukrainians in the Netherlands participated in an online survey to investigate the relationship between quality of host national contact and mental health, as moderated by quantity of host national contact. The survey had a Ukrainian, Russian and English version, and it consisted of single questions assessing various variables, including quality of host national contact, quantity of host national contact, amount of discrimination/prejudice as well as five questions assessing mental health (Mental Health Inventory 5 [MHI-5]; Berwick et al., 1991). Contrary to the hypotheses, no interaction was found between quality of host national contact and quantity of host national contact, and quality of host national contact did not have a significant main effect on mental health. However, there is a significant, yet nonlinear main effect of quantity of host national contact on mental health. Moreover, there is a significant correlation between quality of host national contact and quantity of host national contact. Finally, and interestingly, there is a positive relationship between the amount of discrimination/prejudice and mental health among people who chose to fill out the Ukrainian version of the survey. These results provide a nuanced view of the relationship between the host environment and mental health, and governmental policies should take into account the complexity of this relationship.Design/methodology/approachA total of 161 displaced, mostly female (90.40%), Ukrainians in the Netherlands with the average age of 35 agreed to participate in this online survey. The main variables measured were mental health (dependent variable), quality of host national contact (independent variable 1) and quantity of host national contact (independent variable 2/moderator). Additional variables, such as the level of perceived discrimination/prejudice, have been included in the analyses. The survey was available in three different languages: Ukrainian, Russian and English.FindingsIn this study, the role of host national contact in the mental health of displaced Ukrainians in the Netherlands was investigated. The results showed that there was no interaction between quality of host national contact and quantity of host national contact in the prediction of mental health. Moreover, quality of host national contact did not predict mental health. Thus, both of the (preregistered) hypotheses of this study were refuted. However, the amount of perceived discrimination/prejudice turned out to be linked to mental health. Surprisingly, the amount of perceived discrimination/prejudice predicted higher mental health scores among participants who chose to fill out the survey in Ukrainian. More
俄罗斯于2022年2月入侵乌克兰,导致许多乌克兰人流离失所。本研究的目的是调查他们与荷兰社会的接触与他们的心理健康之间的关系。为此目的,136名在荷兰流离失所的乌克兰成年人(主要是女性)参加了一项在线调查,以调查东道国国家接触质量与心理健康之间的关系,并受东道国国家接触数量的影响。该调查有乌克兰语、俄语和英语版本,由评估各种变量的单一问题组成,包括东道国国家接触的质量、东道国国家接触的数量、歧视/偏见的数量,以及评估心理健康的五个问题(心理健康清单5 [MHI-5];Berwick et al., 1991)。与假设相反,东道国接触的质量与东道国接触的数量之间没有相互作用,东道国接触的质量对心理健康没有显著的主要影响。然而,东道国接触数量对心理健康有显著的非线性主效应。此外,东道国国家接触的质量与东道国国家接触的数量之间存在显著的相关关系。最后,有趣的是,在选择填写乌克兰版调查的人中,歧视/偏见的数量与心理健康之间存在正相关关系。这些结果为东道国环境与心理健康之间的关系提供了细致入微的观点,政府政策应考虑到这种关系的复杂性。设计/方法/方法共有161名流离失所的荷兰乌克兰人同意参加这项在线调查,其中大多数是女性(90.40%),平均年龄为35岁。测量的主要变量为心理健康(因变量)、与东道国接触的质量(自变量1)和与东道国接触的数量(自变量2/调节因子)。分析中还包括其他变量,例如感知到的歧视/偏见程度。这项调查有三种不同的语言版本:乌克兰语、俄语和英语。在这项研究中,东道国接触在荷兰流离失所的乌克兰人的心理健康的作用进行了调查。结果表明,东道国接触的质量和东道国接触的数量对心理健康的预测不存在交互作用。此外,东道国国家接触的质量并不能预测心理健康。因此,本研究的两个(预先登记的)假设都被驳斥了。然而,感知到的歧视/偏见的数量被证明与心理健康有关。令人惊讶的是,在选择用乌克兰语填写调查问卷的参与者中,感知到的歧视/偏见的数量预示着更高的心理健康得分。此外,在纳入分析的受访者中,94.85%的人给出了心理健康担忧的理由,如MHI-5转换得分低于60分所示。虽然这项研究确实表明,在填写乌克兰版调查的流离失所的乌克兰人中,歧视/偏见水平与心理健康之间存在正相关关系,但它并没有明确解释为什么会出现这种看似意想不到的结果。本研究无法就东道国接触与心理健康之间的关系得出因果结论。实际意义本研究的结果表明,与东道国社会成员接触中的某些事件以意想不到的和看似复杂的方式与心理健康有关。这可能意味着,这项研究有可能使目前关于东道国接触与心理健康之间关系的科学知识有细微差别。这些细微差别可能非常重要,因为科学研究往往构成旨在改善流离失所者心理健康的政府政策的基础。因此,政府决策者应该意识到,对于影响各种流离失所群体心理健康的复杂的东道国社会因素,目前还没有一个简单、明确的答案。此外,对东道国接触的作用进行调查可能会使我们对有助于难民心理健康的因素有宝贵的了解。如前所述,难民面临出现各种心理健康问题的风险,因此他们可能需要帮助来管理自己的心理健康。为此,决策者可能需要基于证据的信息来制定针对特定难民群体的干预措施。通过调查在荷兰流离失所的乌克兰人的心理健康状况,将获得新的见解,以优化这一特定难民群体的心理健康护理。
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引用次数: 0
The nexus between peace and mental well-being: contributions for public happiness 和平与心理健康之间的联系:对公众幸福的贡献
IF 1.2 Q4 SOCIAL WORK Pub Date : 2023-08-31 DOI: 10.1108/mhsi-07-2023-0077
H. Á. Marujo
PurposeThis underscores individual and social implications for how mental disorders and mental well-being are constructed, conceived of and treated. Further, this paper aims to examine positive psychology’s role in supporting the advancement of a broader systemic and contextual approach to mental health. With that aim, this paper connects data on mental health and well-being with peace studies to describe the systems of value and social ecologies underpinning mental disorders, using public happiness/Felicitas Publica as a possible framework to enhance public mental health while intervening at the local level (Bruni and Zamagni, 2007; Marujo and Neto, 2013, 2014, 2016, 2017, 2021; Marujo et al., 2019).Design/methodology/approachTheoretical foundations and data on positive peace and mental well-being are described with the intention to propose a systemic, contextual, relational, communitarian, economic and sociopolitical perspective of well-being that goes beyond individual bodies and/or brains and, instead, views mental disorder and mental health as social currency (Beck, 2020).FindingsThe interventions using dialogic, conversational and community approaches are a possible path to promote peace, mental health and public happiness.Research limitations/implicationsExamining the interplay between the fields of positive psychology, mental health and cultures of peace, this work contributes to the broadening of research and subsequent intervention topics through transdisciplinary approaches while reinforcing the role of systemic and social determinants and complementing the prevalent medical model and intraindividual perspective of mental health and well-being.Practical implicationsAdopting positive psychology to address mental health through public happiness concepts and interventions opens opportunities to respond to the ebb and flow of social challenges and life-giving opportunities. Therefore, the paper intends to articulate actor-related, relational, structural and cultural dimensions while moving away from discrete technocratic and individual models and pays attention to the way their implementations are aligned with both individual and social needs.Social implicationsThe work offers an inclusive, equalitarian, politically sensitive approach to positive mental health and positive psychology, bringing forward a structural transformation and human rights-based approach perspective while rethinking the type of social and political solutions to mental health issues.Originality/valueCreating a critically constructive debate vis-à-vis the fluidity and complexity of the social world, the paper examines mental health and positive psychology simultaneously from a “hardware” (institutions, infrastructures, services, systems, etc.) and a “software” (i.e. individuals and community/societal relations).
目的:本研究强调了精神障碍和精神健康是如何构建、构思和治疗的个人和社会影响。此外,本文旨在研究积极心理学在支持更广泛的系统性和情境性心理健康方法的发展中的作用。为此,本文将关于心理健康和福祉的数据与和平研究联系起来,以描述支持精神障碍的价值体系和社会生态,利用公共幸福/公共幸福作为可能的框架,在地方一级进行干预的同时加强公众心理健康(Bruni和Zamagni, 2007年;Marujo和Neto, 2013年,2014年,2016年,2017年,2021年;Marujo et al., 2019)。设计/方法/方法描述积极和平与心理健康的理论基础和数据,旨在提出一种超越个体身体和/或大脑的系统性、情境性、关系性、社群性、经济和社会政治的幸福感视角,相反,将精神障碍和心理健康视为社会货币(Beck, 2020)。使用对话、对话和社区方法的干预措施是促进和平、心理健康和公众幸福的可能途径。研究局限/影响本研究考察了积极心理学、心理健康和和平文化领域之间的相互作用,有助于通过跨学科方法拓宽研究和后续干预主题,同时加强了系统和社会决定因素的作用,并补充了流行的医学模式和心理健康与福祉的个人视角。实际意义采用积极心理学通过公共幸福概念和干预措施来解决心理健康问题,为应对社会挑战和赋予生命的机会的潮起潮落提供了机会。因此,本文打算在远离离散的技术官僚和个人模型的同时,阐明与行动者相关的、关系的、结构的和文化的维度,并关注它们的实现方式与个人和社会需求相一致。社会影响这项工作为积极心理健康和积极心理学提供了包容、平等和政治敏感的方法,提出了结构转型和基于人权的方法视角,同时重新思考心理健康问题的社会和政治解决方案类型。原创性/价值针对-à-vis社会世界的流动性和复杂性展开了一场批判性的建设性辩论,本文同时从“硬件”(机构、基础设施、服务、系统等)和“软件”(即个人和社区/社会关系)两方面考察了心理健康和积极心理学。
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引用次数: 0
The impact of job loss on mental health during the COVID-19 crisis in Tunisia: analysis based on counterfactual decomposition approach 突尼斯2019冠状病毒病危机期间失业对心理健康的影响:基于反事实分解方法的分析
IF 1.2 Q4 SOCIAL WORK Pub Date : 2023-08-23 DOI: 10.1108/mhsi-07-2023-0079
Khaled Nasri, M. B. Ben Abdallah, Fethi Amri
PurposeThis study aims to investigate the impact of job loss on the mental health of individuals in Tunisia during the COVID-19 crisis.Design/methodology/approachIn this research, the authors use the counterfactual decomposition technique and the potential outcome approach. In the first part, the authors calculated mental health indicators for all individuals included in the sample based on the World Health Organization-5 items. The individuals were then grouped into two subpopulations: the first group included those who had lost their jobs and the second group included individuals whose status in the labor market had remained unchanged. In the second part, the authors used the Blinder and Oaxaca decomposition to explain the mean difference in the mental health scores between the two groups and determine the factors contributing to this difference.FindingsThe empirical results identified symptoms of depressed mood, decreased energy and loss of interest in several individuals. Based on these three symptoms, the authors were able to classify individuals into three types of depression: mild, moderate and severe. In addition, it appeared that job loss had significantly contributed to the worsening mental health of the individuals.Originality/valueAlthough the psychological impact of the COVID-19 outbreak among health-care professionals has been the subject of other studies in health literature on Tunisia, to the best of the authors’ knowledge, no research has addressed the impact of job loss on the mental health of Tunisian workers. Thus, this study fills this gap in the literature.
目的本研究旨在调查2019冠状病毒病危机期间突尼斯失业对个人心理健康的影响。设计/方法/方法在本研究中,作者使用了反事实分解技术和潜在结果方法。在第一部分中,作者根据世界卫生组织第5项计算了样本中所有个体的心理健康指标。然后,这些人被分成两个亚群:第一组包括那些失去工作的人,第二组包括那些在劳动力市场上地位保持不变的人。在第二部分中,作者使用Blinder和Oaxaca分解来解释两组之间心理健康得分的平均差异,并确定导致这种差异的因素。实验结果表明,一些人出现了情绪低落、精力下降和失去兴趣的症状。基于这三种症状,作者能够将个体分为三种类型的抑郁症:轻度、中度和重度。此外,失业似乎是个人心理健康恶化的重要原因。原创性/价值尽管COVID-19疫情对卫生保健专业人员的心理影响一直是突尼斯卫生文献中其他研究的主题,但据作者所知,没有研究涉及失业对突尼斯工人心理健康的影响。因此,本研究填补了这一文献空白。
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引用次数: 0
Examining the immediate and enduring psychological impact of street harassment on women’s mental health 研究街头骚扰对妇女心理健康的直接和持久的心理影响
IF 1.2 Q4 SOCIAL WORK Pub Date : 2023-08-15 DOI: 10.1108/mhsi-07-2023-0080
Georgina Thornton, D. Willmott, Emma Richardson, L. Hudspith
PurposeMany women report experiences of street harassment during their lifetime. Previous quantitative survey research has shown the variety of ways in which this type of harassment can impact upon a victim’s life, including restricting their freedom of movement and fear of further victimisation. The purpose of this study is understand the immediate and enduring psychological impact of street harassment on female victim-survivors.Design/methodology/approachThe present study aims to explore, qualitatively, women’s experiences of street harassment through thematic analysis of on 35 online blog posts. Data were collected from the “Stop Street Harassment” website, where women are invited to share their experiences anonymously.FindingsThree main themes were generated from the data. First was the age at which women began to experience street harassment, with recurring early incidents during formative childhood years. Second was the impact that experiences had on their mental health and psychological well-being with feelings of shame, fear, self-loathing, as well as decreased self-esteem and confidence experienced in the immediate aftermath – though the longer-term negative emotions reported were enduring feelings of anger alongside a constant state of anxiety from feelings of vulnerability to further victimisation. The final theme was the modification of behaviour after experiencing street harassment where women choose to avoid walking alone on the streets or consciously changed their clothing choices, to avoid being harassed.Originality/valueThis study offers a further qualitative insight into the real-life experience and psychological consequences of street harassment upon survivors’ mental health.
许多妇女报告说她们一生中都经历过街头骚扰。以前的定量调查研究表明,这类骚扰可以以各种方式影响受害者的生活,包括限制他们的行动自由和害怕进一步受害。本研究的目的是了解街头骚扰对女性受害者-幸存者的直接和持久的心理影响。设计/方法/方法本研究旨在通过对35篇网络博客文章的专题分析,定性地探讨女性对街头骚扰的经历。数据是从“停止街头骚扰”网站收集的,该网站邀请女性匿名分享她们的经历。调查结果从数据中产生了三个主要主题。首先是女性开始经历街头骚扰的年龄,在童年时期反复发生早期事件。其次是经历对他们的心理健康和心理健康的影响,包括羞耻、恐惧、自我厌恶,以及在直接后果中经历的自尊和自信的下降——尽管报告的长期负面情绪是持续的愤怒感和持续的焦虑状态,从脆弱的感觉到进一步的受害者。最后一个主题是经历街头骚扰后的行为改变,女性选择避免独自在街上行走,或者有意识地改变自己的着装选择,以避免被骚扰。原创性/价值本研究为街头骚扰对幸存者心理健康的真实经历和心理后果提供了进一步的定性见解。
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引用次数: 1
Patient-led co-production in community mental health nursing practice: part 1 社区精神卫生护理实践中患者主导的合作生产:第1部分
IF 1.2 Q4 SOCIAL WORK Pub Date : 2023-07-31 DOI: 10.1108/mhsi-06-2023-0068
J. Mullen
PurposeThis paper aims to provide an example of patient-led co-production.Design/methodology/approachUsing the six principles of co-production to frame the activities undertaken during the author’s relationship with a community mental health nurse.FindingsThe paper describes the benefit of a collaborative support group for the three lived experienced participants and a mental health nurse.Practical implicationsSmall support groups like the one described in this paper can be established effectively through the process of co-production between people with lived experience and mental health professionals working in partnership.Originality/valueCo-production is usually used with groups of stakeholders working together in an equitable way to design or deliver a new service; this paper, however, seeks to demonstrate how the process can be effectively used when the project is patient-led within the context of a therapeutic relationship.
本文旨在提供一个以患者为主导的合作生产的例子。设计/方法/方法利用共同制作的六项原则来确定提交人与社区精神卫生护士关系期间所开展的活动。研究结果这篇论文描述了一个协作支持小组对三个生活经验丰富的参与者和一个心理健康护士的好处。实际意义像本文中描述的小型支持小组可以通过有生活经验的人与精神卫生专业人员合作的共同生产过程有效地建立起来。原创性/价值生产通常与利益相关者群体一起以公平的方式设计或提供新服务;然而,本文试图证明,当项目在治疗关系的背景下由患者主导时,该过程如何有效地使用。
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引用次数: 0
Depression, anxiety, suicidal ideation and social determinants of mental health of Romani in Ukraine 乌克兰罗姆人的抑郁、焦虑、自杀意念和心理健康的社会决定因素
IF 1.2 Q4 SOCIAL WORK Pub Date : 2023-07-24 DOI: 10.1108/mhsi-06-2023-0070
V. Gorbunova, V. Klymchuk, Olha Savychenko, Valeriia Palii, Zemfira Kondur, V. Popenko, J. Oates
PurposeThis paper aims to explore the prevalence of depression, anxiety symptoms and suicidal ideation among the Romani population in Ukraine and their connections with various social health determinants: age, gender, household characteristics, employment and living conditions.Design/methodology/approachFor measuring mental health conditions, GAD-7 and PHQ-9 were used. Individual interviews were conducted by trained volunteers of the International Charitable Organization “Roma Women’s Foundation Chirikli”. Data were gathered from January to March 2020.FindingsThe overall level of depression found in the sample was 8.08, while the mean for anxiety was 7.22. In general, 32.7% of respondents scored positively for signs of depression and 29.6% for anxiety. The two-week prevalence of suicidal ideations was 26.9%. Compared to the general population, the prevalence of depression among the Romani research participants was twofold higher, and anxiety was 2.5-fold higher. Signs of depression and anxiety in women were significantly higher (36% vs 28.6% for depression and 33.9% vs 24.2% for anxiety) than in men. Signs of depression and anxiety were higher for people without education than for university students (9.32 vs 3.04 for depression and 8.26 vs 3.00 for anxiety). The lowest levels of depression, anxiety and suicidal ideation were among officially married persons (6.61, 6.36 and 0.23, respectively). Significant small positive correlations were found between all measurements and the number of household members (0.149 for depression, 0.124 for suicidal ideation and 0.175 for anxiety; p < 0.001) and the number of children (0.303 for depression, 0.224 for suicidal ideation and 0.243 for anxiety; p < 0.001). In terms of employment, the highest scores for depression, anxiety and suicidal ideation were found among those who are employed seasonally (9.06, 8.25 and 0.61) or irregularly (9.09, 8.12 and 0.57) in contrast with self-employed (4.88, 4.90 and 0.19) and full-time employees (5.86, 5.51 and 0.18). Living place (city, village or camp) showed no relation with mental health, except for suicidal ideation: those living in villages had higher levels of suicidal ideation than those living in cities (0.49 vs 0.31).Research limitations/implicationsThe study has some limitations. Data were gathered from January to March 2020, and since then, the situation in Ukraine has drastically changed due to the full-scale Russian invasion. While this study’s data and conclusions might serve as a baseline for further research, they do not represent the real-time situation. While many social factors were analysed, the effects found for them do not necessarily represent causality, given the statistical methods used. Interactions among factors were not studied; therefore, no firm conclusions can be made about the effects of those interactions on mental health.Originality/valueTo the best of the authors’ knowledge, this paper is original in terms of its topic,
目的:本文旨在探讨乌克兰罗姆人口中抑郁、焦虑症状和自杀意念的流行情况,以及它们与各种社会健康决定因素(年龄、性别、家庭特征、就业和生活条件)的关系。设计/方法/方法使用GAD-7和PHQ-9来测量心理健康状况。个别访谈由国际慈善组织“奇里克利罗姆妇女基金会”训练有素的志愿人员进行。数据收集于2020年1月至3月。研究结果样本中抑郁的总体水平为8.08,而焦虑的平均水平为7.22。总体而言,32.7%的受访者在抑郁症状方面得分为正,29.6%的受访者在焦虑症状方面得分为正。两周自杀意念患病率为26.9%。与普通人群相比,罗姆研究参与者中抑郁症的患病率是普通人群的两倍,焦虑症的患病率是普通人群的2.5倍。女性的抑郁和焦虑症状明显高于男性(36%比28.6%的抑郁症和33.9%比24.2%的焦虑)。没有受过教育的人比大学生有更高的抑郁和焦虑症状(9.32比3.04,8.26比3.00)。正式结婚人士的抑郁、焦虑和自杀意念水平最低(分别为6.61、6.36和0.23)。所有测量结果与家庭成员数量之间存在显著的小正相关(抑郁0.149,自杀意念0.124,焦虑0.175;P < 0.001)和儿童人数(抑郁0.303,自杀意念0.224,焦虑0.243;P < 0.001)。就业者中,季节性就业者(9.06分、8.25分、0.61分)和非正规就业者(9.09分、8.12分、0.57分)的抑郁、焦虑和自杀意念得分最高,而个体经营者(4.88分、4.90分、0.19分)和全职就业者(5.86分、5.51分、0.18分)得分最高。除自杀意念外,生活地点(城市、村庄或营地)与心理健康没有关系:生活在农村的人的自杀意念水平高于生活在城市的人(0.49比0.31)。研究的局限性/意义这项研究有一些局限性。数据收集于2020年1月至3月,从那时起,由于俄罗斯的全面入侵,乌克兰的局势发生了巨大变化。虽然这项研究的数据和结论可以作为进一步研究的基线,但它们并不代表实时情况。虽然分析了许多社会因素,但考虑到所使用的统计方法,发现的影响并不一定代表因果关系。未研究各因素之间的相互作用;因此,对于这些相互作用对心理健康的影响,还没有确切的结论。原创性/价值据作者所知,这篇论文在其主题方面是原创的,作为乌克兰有史以来第一次对罗姆人心理健康和社会决定因素的定量研究。
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引用次数: 0
Mental health, art and creativity II: develop the child within 心理健康、艺术和创造力II:发展儿童的内在
IF 1.2 Q4 SOCIAL WORK Pub Date : 2023-07-24 DOI: 10.1108/mhsi-07-2023-0073
M. Niklasson
PurposeThe purpose of this paper is to elevate the importance of complementary views concerning the first years of life as important precursors for personal growth and sustainable mental health.Design/methodology/approachPaper II is a follow up to Paper I. After a short overview, connecting to the previous paper, the focus is on infancy followed by a few overlooked aspects and then a short summary on childhood and adolescence. Finally, some concluding remarks have been provided to put the paper together.FindingsThe main findings are connected to publications by other authors with insights which could be viewed as either “politically incorrect” or as simply overlooked in present research studies and discussions.Research limitations/implicationsThe author presents his personal perspective on the aforementioned topics. There are contrasting ways to view them.Practical implicationsA recognition of the importance for a child to experience a “good as possible” infancy and childhood, which could mean to grow up with less use of computers and less influences from social media.Social implicationsA recognition of the importance parents and other adults have for the socialization of infants, children and adolescents.Originality/valueThis conceptual paper has compiled complementary views of infancy and childhood which are seldom heard about but are of importance for sustainable mental health.
目的本文的目的是提高关于生命最初几年作为个人成长和可持续心理健康的重要前兆的互补观点的重要性。设计/方法论/方法论文二是论文一的后续。在一个简短的概述之后,与上一篇论文相连,重点是婴儿期,然后是几个被忽视的方面,然后是关于童年和青春期的简短总结。最后,对全文进行了总结。主要发现与其他作者发表的见解有关,这些见解可能被视为“政治上不正确”,或者在当前的研究和讨论中被忽视。研究局限/启示作者就上述主题提出了他的个人观点。有两种截然不同的方式来看待它们。认识到让孩子经历一个“尽可能好的”婴儿期和儿童期的重要性,这可能意味着在成长过程中少使用电脑,少受社交媒体的影响。社会影响认识到父母和其他成年人对婴儿、儿童和青少年社会化的重要性。原创性/价值这篇概念性论文汇编了婴儿期和儿童期的互补观点,这些观点很少被听到,但对可持续的心理健康很重要。
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引用次数: 1
Identity Structure Analysis: a potential framework for process and outcome evaluation in psychotherapy 身份结构分析:心理治疗过程和结果评估的潜在框架
IF 1.2 Q4 SOCIAL WORK Pub Date : 2023-07-20 DOI: 10.1108/mhsi-06-2023-0071
Márta B. Erdős, Tamas Karpati, Robert Rozgonyi, Rebeka Jávor
PurposeThis paper aims to explore the potential utility of Identity Structure Analysis (ISA) in single-case and group-level outcome and process evaluations.Design/methodology/approachA study was conducted to evaluate mentalization-based therapy by using ISA and its linked framework software, Ipseus. Ten patients with borderline personality disorder and substance use disorder were involved in the study. ISA/Ipseus was administered prior to and at the completion of the treatment. Five-year follow-up data, comprising behavioural indicators, were also collected and compared to ISA/Ipseus results.FindingsImprovements occurred in the evaluation of stressful, demanding and emotionally burdening situations. Evaluations on concerned others also improved, together with progress in self-reflection. Changes in the evaluation of recovery-related themes were less salient. On a case level, changes in the self-states and role models were consistent with the results of the five-year-follow up data. An initial crisis state seems suggestive of progress, while initial defensive positions with high positive self-regard, of stagnation.Originality/valueISA/Ipseus, integrating the benefits of qualitative and quantitative approaches in evaluation, is a potential method to explore the complexity of identity changes during therapy.
目的探讨认同结构分析(ISA)在个案和群体层面的结果和过程评估中的潜在效用。设计/方法/方法采用ISA及其相关框架软件Ipseus对心理化治疗进行评价。10例边缘型人格障碍和物质使用障碍患者参与了这项研究。ISA/Ipseus分别在治疗前和治疗结束时使用。还收集了包括行为指标在内的五年随访数据,并与ISA/Ipseus的结果进行了比较。对压力、要求和情绪负担情况的评估有所改善。对他人的评价也有所提高,自我反省也有所进步。与复苏有关的主题的评价变化不太突出。在个案层面上,自我状态和榜样的变化与五年随访数据的结果一致。最初的危机状态似乎暗示着进步,而最初具有高度积极自我关注的防御状态则暗示着停滞。原创性/价值isa /Ipseus结合了定性和定量评价方法的优点,是一种探索治疗过程中身份变化复杂性的潜在方法。
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引用次数: 0
Evaluation of the impact of a self-stigma reduction programme on psychosocial outcomes among people with schizophrenia spectrum disorder 评估减少自我污名化计划对精神分裂症谱系障碍患者心理社会结果的影响
IF 1.2 Q4 SOCIAL WORK Pub Date : 2023-07-19 DOI: 10.1108/mhsi-12-2020-0083
Abd Hasan, Anas Alsharawneh, Nofaa Alasamee
Purpose The purpose of this study is to evaluate the effectiveness of a self-stigma reduction programme on self-stigma. Design/methodology/approach A randomized controlled trial was conducted from November 2017 to December 2018 with 278 people diagnosed with schizophrenia (PDwS). Participants were randomly assigned to receive a self-stigma reduction programme (psychoeducation, cognitive behavioural therapy and social skills training) or treatment as usual. Findings PDwS in the intervention group experienced a greater reduction in the level of self-stigma (20.19 vs −0.62; p < 0.001) at post-intervention and (37.35 vs −0.66; p < 0.001) at six-month follow-up. Originality/value The first RCT examines the problem and implements intervention in middle east country. Also, the authors have conducted high-quality RCT.
目的 本研究旨在评估减少自我鄙视计划对自我鄙视的效果。 设计/方法/途径 2017年11月至2018年12月期间,对278名精神分裂症患者(PDwS)进行了随机对照试验。参与者被随机分配接受减少自我污名化计划(心理教育、认知行为疗法和社交技能培训)或常规治疗。 研究结果 干预组的帕金森病患者在干预后(20.19 vs -0.62;p < 0.001)和六个月随访时(37.35 vs -0.66;p < 0.001)的自我污名化程度有了更大的降低。 原创性/价值 首次在中东国家进行 RCT 研究并实施干预。此外,作者还进行了高质量的 RCT 研究。
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引用次数: 0
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Mental Health and Social Inclusion
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