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Messages to first responders from a bereaved parent 丧亲父母给急救人员的信息
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-09-02 DOI: 10.11157/anzswj-vol33iss2id870
Richard Brown
INTRODUCTION: This article describes the use of autoethnography to explore my experience as a bereaved parent in relation to the traumatic loss of my 12-year-old child in 2009.METHODS: Employing an autoethnographic approach, this research articulates and investigates personal narratives associated with experiences of the death of my young child. Narratives offer a rich description of the event and allow data analysis where emerging themes stream from a personal experience.FINDINGS: Professionals taking control and the caring role of the community are main themes identified and analysed from these personal narratives. The findings advocate for an understanding of the needs of grieving parents at a time of extreme confusion. This article concentrates on professional first responders taking control and guiding traumatised parents when their child has a fatal event. Bereaved parents experience disorientation and traumatic confusion at the sudden death of their child. Emergency responders need to offer active listening skills and guidance.IMPLICATIONS: Professional first responders need to take control of the bereaved parent’s early journey of grief as they are likely to be in a state of deep traumatic shock, where disorientation leaves them vulnerable to lowered cognitive ability. The use of active listening skills and sensitivity can direct traumatised parents, thereby assisting the short- and long-term welfare of the family by addressing their initial needs at a time of crisis.
引言:这篇文章描述了我作为一名失去亲人的父母的经历,与2009年我12岁的孩子的痛苦损失有关。方法:采用自我民族志方法,本研究阐明并调查了与我年幼孩子死亡经历相关的个人叙述。叙述提供了对事件的丰富描述,并允许数据分析,其中新兴主题来自个人经历。研究结果:从这些个人叙述中确定和分析了专业人员控制和社区关怀角色的主要主题。研究结果提倡理解悲伤的父母在极度困惑时期的需求。这篇文章集中在专业的急救人员控制和指导创伤的父母,当他们的孩子有致命的事件。失去亲人的父母在孩子突然死亡时经历了迷失方向和创伤性困惑。紧急救援人员需要提供积极的倾听技巧和指导。启示:专业的急救人员需要控制失去亲人的父母的早期悲伤之旅,因为他们很可能处于深度创伤性休克的状态,在这种状态下,迷失方向使他们容易降低认知能力。使用积极的倾听技巧和敏感性可以指导受到创伤的父母,从而通过解决他们在危机时刻的最初需求来帮助家庭的短期和长期福利。
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引用次数: 0
R.D. Laing’s The Divided Self: An Existential Study of Sanity and Madness (1965) R.D.莱恩的《分裂的自我:理智与疯狂的存在主义研究》(1965)
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-09-02 DOI: 10.11157/anzswj-vol33iss2id867
I. Ferguson
Classic book review
经典书评
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引用次数: 0
“Moving out of the safe zone”: Promoting learning communities and reflective supervision in a social work statutory child protection agency “走出安全地带”:在社会工作法定儿童保护机构推广学习型社区和反思性监督
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-09-02 DOI: 10.11157/anzswj-vol33iss2id871
M. Rankine, A. Thompson
INTRODUCTION: Social work supervision in statutory child protection settings is often confused with line management and has little focus on professional development, critical reflection and exploration of practice. Within Aotearoa New Zealand, the statutory child protection agency Oranga Tamariki (OT), is under considerable scrutiny regarding the management of risk, child abuse, and the over-representation of Ma ̄ori tamariki within the child welfare system. This article covers the first collection of findings from a larger supervision study.METHODS: Using critical reflection as the methodological lens, four experienced OT supervisors participated in a learning community where supervision recordings were brought to each meeting to improve reflective capacity, critical reflection and skills. Data were collected from the learning community and thematic analysis was undertaken to explore current supervision practice in OT.FINDINGS: The three themes generated from the learning community discussions were: supervisory skills/interventions; the structure of supervision; and working with emotion and trauma. These themes highlighted the significance of the learning community as a forum for supervisors to share their existing supervision practice together, “moving out of the safe zone” as they engaged in positive and constructive feedback with their colleagues in a supportive space.CONCLUSIONS: Reflective supervision, within statutory child protection, is essential for learning, critical reflection and cultivating robust decision making in social work practice. The creation and development of professional supervision spaces such as learning communities provide the basis for supervisors and supervisees to develop their skills and ensure accountable, anti-oppressive and ethical practice.
简介:法定儿童保护环境中的社会工作监督往往与直线管理相混淆,很少关注专业发展、批判性反思和实践探索。在新西兰奥特罗阿,法定儿童保护机构Oranga Tamariki (OT)在风险管理、虐待儿童和马族Tamariki在儿童福利系统中的过度代表性方面受到相当严格的审查。本文涵盖了一项更大的监督研究的第一批发现。方法:以批判性反思为方法论视角,四名经验丰富的OT主管参加了一个学习社区,在每次会议上都带着监督录音,以提高反思能力、批判性反思和技能。从学习社区收集数据,并进行专题分析,以探讨当前OT的监督实践。研究发现:学习社区讨论产生的三个主题是:管理技能/干预;监督结构;带着情绪和创伤工作。这些主题强调了学习社区作为管理者分享现有监管实践的论坛的重要性,“走出安全区”,因为他们在一个支持性的空间中与同事进行积极和建设性的反馈。结论:在法定儿童保护范围内,反思性监督对社会工作实践中的学习、批判性反思和培养稳健决策至关重要。创建和发展专业监督空间,如学习社区,为监督者和被监督者提供发展技能的基础,并确保负责任、反压迫和道德的实践。
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引用次数: 4
Recognising the social determinants of mental distress 认识到精神困扰的社会决定因素
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-09-02 DOI: 10.11157/anzswj-vol33iss2id860
Neil Ballantyne, L. Beddoe
Editorial
编辑
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引用次数: 0
Politics of the mind: Marxism and mental distress 心灵的政治:马克思主义与精神痛苦
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-09-02 DOI: 10.11157/anzswj-vol33iss2id874
Neil Ballantyne
Book review
书评
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引用次数: 7
Cessation strategies used successfully by individuals in recovery from methamphetamine addiction 在甲基苯丙胺成瘾恢复过程中成功使用的戒烟策略
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-09-02 DOI: 10.11157/anzswj-vol33iss2id863
Yvonne Gordon, C. Stephens
INTRODUCTION: Methamphetamine (MA) misuse is a recognised health issue in Aotearoa New Zealand, and there is a lack of appropriate treatment available for individuals who are methamphetamine dependent. This exploratory study, undertaken in 2019, sought to gain insight from individuals in Aotearoa who have experienced MA dependence and now identify as being in recovery, to discover which strategies, approaches or treatment appeared helpful in their recovery.METHODS: The participants in the study were seven adults (New Zealand European, Samoan and Māori ethnicity) who had abstained from methamphetamine for six months or more. In-depth interviews were audiotaped and transcribed before being analysed. The data were analysed using interpretative phenomenological analysis, which has its theoretical origins in phenomenology and hermeneutics.FINDINGS: Four themes emerged to describe the lived experience of recovery from methamphetamine misuse: Getting Away, Support, Personal Sources of Strength, and Treatment. Each theme held importance in the participants’ recovery from MA and provided insight into their journey in abstaining and being in recovery.CONCLUSIONS: These findings may be used to assist others entering recovery. The present findings are limited by the size of the sample; however, they provide valuable information on this important health issue as a basis for further research, which is urgently needed in Aotearoa.
简介:甲基苯丙胺(MA)滥用是新西兰奥特罗阿公认的健康问题,对甲基苯丙胺依赖者缺乏适当的治疗。这项探索性研究于2019年进行,旨在从奥特罗阿经历过MA依赖、现在被确定为正在康复的个人那里获得见解,以发现哪些策略、方法或治疗对他们的康复有所帮助。方法:研究的参与者是7名成年人(新西兰、欧洲、萨摩亚和Māori种族),他们戒除甲基苯丙胺6个月以上。在进行分析之前,对深度访谈进行了录音和转录。数据分析使用解释性现象学分析,其理论根源在于现象学和解释学。研究结果:出现了四个主题来描述从甲基苯丙胺滥用中恢复的生活经历:离开,支持,个人力量来源和治疗。每个主题在参与者从MA中恢复的过程中都很重要,并提供了他们在戒酒和康复过程中的见解。结论:这些发现可用于帮助其他人进入康复。目前的研究结果受到样本规模的限制;然而,它们提供了关于这一重要健康问题的宝贵信息,作为进一步研究的基础,这是奥特罗阿迫切需要的。
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引用次数: 0
At home: Field education during lockdown 在家:封锁期间的实地教育
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-09-02 DOI: 10.11157/anzswj-vol33iss2id873
Yesse Cox, D. Mckenzie, Bronwyn Powell-Grub, Liz McCafferty
Field education during the 2020 Aotearoa New Zealand Covid-19 lockdown was a new experience for social work educators and students alike. This case study captures the experience of one social work student during this time while on placement at the Salvation Army. Included in the account are the perspectives of the Community Ministries Manager, the placement supervisor and the placement field coordinator. Due to the Covid-19 restrictions, the student undertook the placement while at home. A pandemic can offer students opportunities to learn about managing difficult situations. Reflection on the experience provided insight into what helped and what could have been done differently. Regular debriefing, supervision and a post- crisis debrief were all important elements that aided the learning and supported the wellbeing of the student.
2020年新西兰奥特罗阿封锁期间的实地教育对社会工作教育工作者和学生来说都是一种新的体验。这个案例研究捕捉了一个社会工作学生在这段时间在救世军安置的经历。包括在帐户是社区部经理,安置主管和安置现场协调员的观点。由于新冠肺炎疫情的限制,该学生在家进行了实习。大流行可以为学生提供学习如何处理困难情况的机会。对这段经历的反思让我们了解到哪些是有帮助的,哪些是可以做得不同的。定期汇报,监督和危机后汇报都是帮助学生学习和支持学生健康的重要因素。
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引用次数: 0
Effective leadership, management and supervision in health and social care (3rd ed.) 在卫生和社会保健方面的有效领导、管理和监督(第三版)
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-09-02 DOI: 10.11157/anzswj-vol33iss2id876
Diane Smithson
Book review
书评
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引用次数: 3
Reflecting on lived experience: Suicide prevention and the importance of social work in mental health 反思生活经验:自杀预防和社会工作在心理健康中的重要性
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-09-02 DOI: 10.11157/anzswj-vol33iss2id861
Behiye Ali, B. Staniforth, C. Adamson
INTRODUCTION: National suicide prevention strategies and action plans have, historically, been written without input from consumers/current users of mental health services. People who could arguably be seen as experts in this area are rarely asked for their knowledge regarding the efficacy of suicide prevention and intervention efforts. The aims of this study were to gain further insight into the effectiveness of suicide prevention intervention in Aotearoa New Zealand by asking service users “What works?” and to promote lived experience as a valid form of evidence. This article focuses on the importance of a holistic model of health and wellbeing and highlights the role played by social workers, both currently and in the future, regarding suicide prevention and intervention efforts.METHODS: Twenty semi-structured interviews were conducted with individuals with lived experience of suicidal ideation and/or attempt.FINDINGS: Using thematic analysis, a variety of interventions were identified which participants found effective, including exercise, addressing physical health needs, practising mindfulness, use of medications and spirituality. These interventions, and others, are presented as themes within a framework of people, body, mind and spirit.CONCLUSIONS: It is important to view health holistically, and social workers can make an important contribution towards wellbeing through the provision of psychosocial interventions. Also, it is crucial to involve individuals with lived experience within research that informs policy and practice, and within collaborative treatment decisions.
导言:历史上,国家自杀预防战略和行动计划的制定没有征求心理卫生服务消费者/当前使用者的意见。可以被视为这一领域专家的人很少被问及他们对自杀预防和干预工作效果的了解。本研究的目的是通过询问服务使用者“什么有效?”来进一步了解新西兰奥特罗阿自杀预防干预的有效性。,并将生活经验推广为有效的证据形式。这篇文章的重点是健康和福祉的整体模型的重要性,并强调了社会工作者在目前和未来在自杀预防和干预工作方面所发挥的作用。方法:对有自杀意念和/或企图的个人进行了20次半结构化访谈。研究结果:通过专题分析,确定了参与者认为有效的各种干预措施,包括锻炼、解决身体健康需求、练习正念、使用药物和精神疗法。这些干预措施和其他干预措施在人、身体、思想和精神的框架内作为主题提出。结论:从整体上看待健康是很重要的,社会工作者可以通过提供社会心理干预来为健康做出重要贡献。此外,让有生活经验的个人参与研究,为政策和实践提供信息,并参与合作治疗决策,这一点至关重要。
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引用次数: 2
Forgotten but not gone: A heuristic literature review of sibling suicide bereavement 遗忘但未消失:兄弟姐妹自杀丧亲的启发式文献回顾
IF 0.7 Q4 SOCIAL WORK Pub Date : 2021-09-02 DOI: 10.11157/anzswj-vol33iss2id862
L. Royden
INTRODUCTION: It is often said that Aotearoa New Zealand suffers from a “culture of silence” around suicide. The sibling experience, it seems, forms a silence within that silence. Suicide- bereaved siblings face what has been termed a “double loss.” Their sibling is gone, and sois their family as they knew it. Typically, they mourn both losses in isolation, the “forgotten bereaved.” Although Aotearoa New Zealand’s suicide rates are amongst the highest inthe developed world, there are currently no academic papers dedicated exclusively to the sibling experience of suicide loss. This has serious implications, as suicide-bereaved siblings experience significantly higher rates of mental illness compared to control groups even when pre-existing psychopathology, health problems, and social disadvantages are taken into consideration. In addition, their own risk of suicide has been found to double.METHOD: This heuristic literature review aims to clarify and summarise what research focused on the sibling experience of suicide bereavement has highlighted so far, drawing on the author’s lived experience to examine key themes of guilt, “unacceptable” anger, social stigmatisation, self-judgement, isolation, and the shattering of relational trust.FINDINGS AND IMPLICATIONS: Siblings cannot be expected to “seek” help, it needs to be offered—strongly and repeatedly. With this in mind, potential implications for mental health practice with suicide-bereaved siblings will be discussed, as well as broader social initiatives and areas in need of future research.
导读:人们常说,新西兰的奥特罗阿地区对自杀有着一种“沉默文化”。兄弟姐妹的经历似乎在沉默中形成了沉默。自杀的兄弟姐妹面临着所谓的“双重损失”。他们的兄弟姐妹走了,他们所熟悉的家庭也走了。通常,他们会孤立地哀悼这两种损失,被称为“被遗忘的亲人”。尽管新西兰的自杀率是发达国家中最高的,但目前还没有专门研究兄弟姐妹自杀经历的学术论文。这有严重的影响,因为自杀丧亲的兄弟姐妹与对照组相比,即使考虑到先前存在的精神病理、健康问题和社会劣势,他们的精神疾病发病率也要高得多。此外,他们自己的自杀风险也增加了一倍。方法:这篇启发式的文献综述旨在澄清和总结迄今为止关于自杀丧亲的兄弟姐妹经历的研究,利用作者的生活经历来研究内疚、“不可接受的”愤怒、社会污名化、自我判断、孤立和关系信任的破碎等关键主题。发现和启示:不能指望兄弟姐妹“寻求”帮助,需要提供帮助——强烈地、反复地提供帮助。考虑到这一点,将讨论对自杀丧亲的兄弟姐妹的心理健康实践的潜在影响,以及更广泛的社会倡议和未来需要研究的领域。
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引用次数: 0
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Aotearoa New Zealand Social Work
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