Pub Date : 2023-09-13DOI: 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.
{"title":"An autoethnography of alienation","authors":"Andrew Voyce","doi":"10.1108/mhsi-08-2023-0082","DOIUrl":"https://doi.org/10.1108/mhsi-08-2023-0082","url":null,"abstract":"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.","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134990440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-08DOI: 10.1108/mhsi-05-2023-0050
Naome Al-Saqaff
Purpose The 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/approach A 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. Findings In 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。
{"title":"The role of host national contact in the mental health of displaced Ukrainians in the Netherlands","authors":"Naome Al-Saqaff","doi":"10.1108/mhsi-05-2023-0050","DOIUrl":"https://doi.org/10.1108/mhsi-05-2023-0050","url":null,"abstract":"\u0000Purpose\u0000The 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.\u0000\u0000\u0000Design/methodology/approach\u0000A 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.\u0000\u0000\u0000Findings\u0000In 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","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":"74 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85831077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-31DOI: 10.1108/mhsi-07-2023-0077
H. Á. Marujo
Purpose This 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/approach Theoretical 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). Findings The interventions using dialogic, conversational and community approaches are a possible path to promote peace, mental health and public happiness. Research limitations/implications Examining 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 implications Adopting 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 implications The 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/value Creating 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。
{"title":"The nexus between peace and mental well-being: contributions for public happiness","authors":"H. Á. Marujo","doi":"10.1108/mhsi-07-2023-0077","DOIUrl":"https://doi.org/10.1108/mhsi-07-2023-0077","url":null,"abstract":"\u0000Purpose\u0000This 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).\u0000\u0000\u0000Design/methodology/approach\u0000Theoretical 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).\u0000\u0000\u0000Findings\u0000The interventions using dialogic, conversational and community approaches are a possible path to promote peace, mental health and public happiness.\u0000\u0000\u0000Research limitations/implications\u0000Examining 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.\u0000\u0000\u0000Practical implications\u0000Adopting 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.\u0000\u0000\u0000Social implications\u0000The 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.\u0000\u0000\u0000Originality/value\u0000Creating 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).\u0000","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":"331 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80498198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-23DOI: 10.1108/mhsi-07-2023-0079
Khaled Nasri, M. B. Ben Abdallah, Fethi Amri
Purpose This study aims to investigate the impact of job loss on the mental health of individuals in Tunisia during the COVID-19 crisis. Design/methodology/approach In 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. Findings The 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/value Although 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.
{"title":"The impact of job loss on mental health during the COVID-19 crisis in Tunisia: analysis based on counterfactual decomposition approach","authors":"Khaled Nasri, M. B. Ben Abdallah, Fethi Amri","doi":"10.1108/mhsi-07-2023-0079","DOIUrl":"https://doi.org/10.1108/mhsi-07-2023-0079","url":null,"abstract":"\u0000Purpose\u0000This study aims to investigate the impact of job loss on the mental health of individuals in Tunisia during the COVID-19 crisis.\u0000\u0000\u0000Design/methodology/approach\u0000In 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.\u0000\u0000\u0000Findings\u0000The 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.\u0000\u0000\u0000Originality/value\u0000Although 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.\u0000","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":"8 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89258498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-15DOI: 10.1108/mhsi-07-2023-0080
Georgina Thornton, D. Willmott, Emma Richardson, L. Hudspith
Purpose Many 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/approach The 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. Findings Three 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/value This study offers a further qualitative insight into the real-life experience and psychological consequences of street harassment upon survivors’ mental health.
{"title":"Examining the immediate and enduring psychological impact of street harassment on women’s mental health","authors":"Georgina Thornton, D. Willmott, Emma Richardson, L. Hudspith","doi":"10.1108/mhsi-07-2023-0080","DOIUrl":"https://doi.org/10.1108/mhsi-07-2023-0080","url":null,"abstract":"\u0000Purpose\u0000Many 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.\u0000\u0000\u0000Design/methodology/approach\u0000The 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.\u0000\u0000\u0000Findings\u0000Three 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.\u0000\u0000\u0000Originality/value\u0000This study offers a further qualitative insight into the real-life experience and psychological consequences of street harassment upon survivors’ mental health.\u0000","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":"3 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2023-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86174234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-31DOI: 10.1108/mhsi-06-2023-0068
J. Mullen
Purpose This paper aims to provide an example of patient-led co-production. Design/methodology/approach Using the six principles of co-production to frame the activities undertaken during the author’s relationship with a community mental health nurse. Findings The paper describes the benefit of a collaborative support group for the three lived experienced participants and a mental health nurse. Practical implications Small 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/value Co-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.
{"title":"Patient-led co-production in community mental health nursing practice: part 1","authors":"J. Mullen","doi":"10.1108/mhsi-06-2023-0068","DOIUrl":"https://doi.org/10.1108/mhsi-06-2023-0068","url":null,"abstract":"\u0000Purpose\u0000This paper aims to provide an example of patient-led co-production.\u0000\u0000\u0000Design/methodology/approach\u0000Using the six principles of co-production to frame the activities undertaken during the author’s relationship with a community mental health nurse.\u0000\u0000\u0000Findings\u0000The paper describes the benefit of a collaborative support group for the three lived experienced participants and a mental health nurse.\u0000\u0000\u0000Practical implications\u0000Small 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.\u0000\u0000\u0000Originality/value\u0000Co-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.\u0000","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":"125 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86058914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-24DOI: 10.1108/mhsi-06-2023-0070
V. Gorbunova, V. Klymchuk, Olha Savychenko, Valeriia Palii, Zemfira Kondur, V. Popenko, J. Oates
Purpose This 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/approach For 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. Findings The 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/implications The 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/value To the best of the authors’ knowledge, this paper is original in terms of its topic,
{"title":"Depression, anxiety, suicidal ideation and social determinants of mental health of Romani in Ukraine","authors":"V. Gorbunova, V. Klymchuk, Olha Savychenko, Valeriia Palii, Zemfira Kondur, V. Popenko, J. Oates","doi":"10.1108/mhsi-06-2023-0070","DOIUrl":"https://doi.org/10.1108/mhsi-06-2023-0070","url":null,"abstract":"\u0000Purpose\u0000This 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.\u0000\u0000\u0000Design/methodology/approach\u0000For 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.\u0000\u0000\u0000Findings\u0000The 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).\u0000\u0000\u0000Research limitations/implications\u0000The 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.\u0000\u0000\u0000Originality/value\u0000To the best of the authors’ knowledge, this paper is original in terms of its topic,","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":"13 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77267607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-24DOI: 10.1108/mhsi-07-2023-0073
M. Niklasson
Purpose The 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/approach Paper 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. Findings The 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/implications The author presents his personal perspective on the aforementioned topics. There are contrasting ways to view them. Practical implications A 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 implications A recognition of the importance parents and other adults have for the socialization of infants, children and adolescents. Originality/value This conceptual paper has compiled complementary views of infancy and childhood which are seldom heard about but are of importance for sustainable mental health.
{"title":"Mental health, art and creativity II: develop the child within","authors":"M. Niklasson","doi":"10.1108/mhsi-07-2023-0073","DOIUrl":"https://doi.org/10.1108/mhsi-07-2023-0073","url":null,"abstract":"\u0000Purpose\u0000The 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.\u0000\u0000\u0000Design/methodology/approach\u0000Paper 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.\u0000\u0000\u0000Findings\u0000The 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.\u0000\u0000\u0000Research limitations/implications\u0000The author presents his personal perspective on the aforementioned topics. There are contrasting ways to view them.\u0000\u0000\u0000Practical implications\u0000A 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.\u0000\u0000\u0000Social implications\u0000A recognition of the importance parents and other adults have for the socialization of infants, children and adolescents.\u0000\u0000\u0000Originality/value\u0000This conceptual paper has compiled complementary views of infancy and childhood which are seldom heard about but are of importance for sustainable mental health.\u0000","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":"16 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89786022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-20DOI: 10.1108/mhsi-06-2023-0071
Márta B. Erdős, Tamas Karpati, Robert Rozgonyi, Rebeka Jávor
Purpose This paper aims to explore the potential utility of Identity Structure Analysis (ISA) in single-case and group-level outcome and process evaluations. Design/methodology/approach A 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. Findings Improvements 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/value ISA/Ipseus, integrating the benefits of qualitative and quantitative approaches in evaluation, is a potential method to explore the complexity of identity changes during therapy.
{"title":"Identity Structure Analysis: a potential framework for process and outcome evaluation in psychotherapy","authors":"Márta B. Erdős, Tamas Karpati, Robert Rozgonyi, Rebeka Jávor","doi":"10.1108/mhsi-06-2023-0071","DOIUrl":"https://doi.org/10.1108/mhsi-06-2023-0071","url":null,"abstract":"\u0000Purpose\u0000This paper aims to explore the potential utility of Identity Structure Analysis (ISA) in single-case and group-level outcome and process evaluations.\u0000\u0000\u0000Design/methodology/approach\u0000A 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.\u0000\u0000\u0000Findings\u0000Improvements 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.\u0000\u0000\u0000Originality/value\u0000ISA/Ipseus, integrating the benefits of qualitative and quantitative approaches in evaluation, is a potential method to explore the complexity of identity changes during therapy.\u0000","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":"19 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90155762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-19DOI: 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。
{"title":"Evaluation of the impact of a self-stigma reduction programme on psychosocial outcomes among people with schizophrenia spectrum disorder","authors":"Abd Hasan, Anas Alsharawneh, Nofaa Alasamee","doi":"10.1108/mhsi-12-2020-0083","DOIUrl":"https://doi.org/10.1108/mhsi-12-2020-0083","url":null,"abstract":"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.","PeriodicalId":44476,"journal":{"name":"Mental Health and Social Inclusion","volume":"39 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139357787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}