...constant is change,” is true, then one must wonder how the mental health field resisted change for so long. In light of the modern age, characterized by scientific methodologies, the mental health field advanced rapidly. Amazingly, the human condition could be put to test, understood and categorized. Sadly, anything falling outside the “norm” became “abnormal.” Once a person was identified as “abnormal,” they were the lucky recipients of a label they carried with them for life, or until they “recovered.” Mental health labels carry with them a certain stigma that communicates to the person they are different, perhaps less of a person and that “normal” may never be a reality with their “illness.” Recovery would be based on becoming symptom-free, or at the very least, a significant reduction in symptoms (Gehart, 2012). The mental health field has experienced tremendous growth in terms of understanding the plethora of conditions people experience, as well as in treatment of those conditions. However, one thing remained unchanged until recently. The idea behind recovery shifted from coercive treatment to person-centered change (Onken, et al, 2007). Gehart states is this way, “instead of using the medical paradigm of disease, the recovery paradigm approached mental “illness” using a social model of disability that emphasizes psychosocial functioning over medical symptomatology” (2012). The focus of recovery shifted from the illness to the person. The recovery model gave way to the idea...
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...It means that an ill person is telling his story through someone else’s perspective and observation. (Charise, 2015) Winakur’s love in the time of dementia determines the chaos narrative, which is a type of illness narrative that is used to explain and understand the ill person’s story from his perspective. Additionally, Winakur used figurative language to explain how a person with dementia feels and experiences as well as how his family suffer from his illness that has no cure. Likewise, diseases and the experiences of illness are frequently explained using metaphor. Winakur used a metaphor to describe Leonard’s journey, “the story of his life unfolds page by page. Her voice (his wife and caregiver), his story, spills into the tangled interstices of his mind” (Jones et al., 2014, p. 307). This metaphor demonstrates direct comparison of lived experiences of Leonard’s illness and that is how the readers can understand his disability and...
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...is it so important in the context of health and social care? • What do we mean by ‘health’ and why is psychology central to the effective delivery of health and social care? • What are the main approaches to psychological thinking and research? • Who are psychologists and what do they contribute to the promotion of health and well-being? Introduction This chapter emphasizes the importance of psychology in the context of health and social care. For many years, psychology and the other social sciences were viewed by the medical profession as ‘soft sciences’, interesting but unimportant. With the advent of research into the links between physical and mental states in the late twentieth and early twenty-first centuries it is now possible to demonstrate that psychology can make a fundamental difference to physical as well as mental health. In this chapter, we explore the nature of psychology and its relevance to health and social care. We outline the different schools of thought and methods of inquiry in psychology. We seek to distinguish between psychology as an academic discipline and popular notions of psychology, and identify professionals whose practice is mainly concerned with the application of psychology. In order to show how psychology can be applied to health and social care, we introduce a family scenario whose characters appear in examples throughout the book. What is psychology? Psychology is the study of human behaviour, thought processes and emotions. It can contribute...
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...Atul Gawande’s Being Mortal is about experiences he learned from while being a doctor. In his final chapter, “Courage,” he discusses the idea of death and how some of his patients and family went into it. As Gawande discusses the stories and emotions he shared with these people, he explores the idea of narrative medicine that Rita Charon discusses. Rita Charon is a physician that practices narrative medicine in her practice. In her Ted Talk, “Honoring the stories of illness,” Charon presents the idea that we, as doctors and caregiver, should act as if the patient is more than their illness. Instead of treating just their physical illness, helping them understand and process it, as well as helping their mental health, are just as important....
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...misunderstanding that people have on the mentally ill, it is no wonder why the society and any of the institutes that treat those often in distress do more harm than good. Society believes that the mentally ill are burdens to live with. Charlotte Perkins Gilman used her personal experiences to talk about her battle...
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...Richard Russo’s memoir, Elsewhere, provides a son’s narration of a lifetime of adventures and tribulations with his mother, Jean. The piece also provides an ideal case study of development, experiences, challenges, and transitions across the adult phases of the human lifespan, thereby allowing for an application and analysis of adult psychology theories and concepts that are commonly presented in more objective and less narrative works. First, attention will be paid to the roles and relationships that Richard and Jean Russo establish throughout their lives. Then, cognitive aging and decline will be discussed in relation to Jean’s physical and mental health and her dementia. Richard’s role as Jean’s primary caregiver will be studied through...
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...Understanding Non-Adherence in Patients with Severe Mental Illness Grand Canyon University-NRS-433V November 17, 2013 During many situations in nursing it may feel like fighting an uphill battle, especially when discussing the importance of compliance and long-term adherence to the treatment plans to our patients on a daily basis. Whether it be a patient with newly diagnosed diabetes, heart disease or a mental illness, continued follow up and care are essential for patient outcomes. A large part of compliance is continuing medication as prescribed, The Center for Disease Control and Prevention, (2012) estimates that of prescriptions written 20-30% are never even filled. For those suffering from severe mental illness the issue arises when adherence stops and symptoms take control of their daily lives, putting them at increased risk for substance abuse, assaultive behavior and lower quality of life. Despite continued evidence supporting the efficacy of psychiatric medications in improving symptoms only about half of those receiving medication treatment take it as prescribed. Even worse, in a recent randomized clinical-trial studying anti-psychotic for effectiveness it was reported that 74% of those prescribed medication discontinued use after 18 months (Roe, Goldblatt, Baloush-Klienman, Swarbrick & Davidson, 2009). But for many patients more medication means additional side effects, less freedom and change in their view of themselves. Professionals taking care of these...
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...reissued by the Feminist Press with an exceptional commentary by Elaine Hedges and finally became popularly rediscovered. Elaine Hedges explained the work as a “pioneering masterpiece of feminist literature” (Pompele 61). Since the publication, theorists using a Feminist approach most overwhelmingly study the story.Gilman’s emphasis on the importance of language and text, and the fact that “The Yellow Wallpaper” is a tale of mental breakdown, make Lacanian psychoanalytic a natural way to consider the work in order to help readers understand the author’s use of language as a manifestation not of herself but the “other” as a means to safely express herself. As an autobiographical story there exist very undeniable connections between Gilman’s personal life and that of the narrator. A study of “The Yellow Wallpaper” is quite remiss if not offering some of the parallels between the author and the narrator as note of interest. In his dissertation, Pompele approaches the work as an “asylum trauma narrative in which the author gives witness to the personal horror of her own captivity in psychiatric spaces and the forced treatment she had to endure there” (60). At 24, Gilman became terribly weak and depressed. She quickly turned...
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...work practice is emphasized in Standard 2. Self-Awareness of the NASW Standards for Cultural Competence in Social Work Practice “Social workers shall develop an understanding of their own personal and cultural values and beliefs as a first step in appreciating the importance of multicultural identities in the lives of people….Cultural competence includes knowing and acknowledging how fears, ignorance, and the “isms” (racism, sexism, ethnocentrism, heterosexism, ageism, classism) have influenced their attitudes, beliefs, and feelings.” The skill of self-awareness refers to the ability to recognize our own thoughts, beliefs, emotions, personality traits, personal values, habits, biases, strengths, weaknesses, and the psychological needs that drive our behaviors. It includes the ability to recognize how we react to cues in the environment and how our emotions affect our way of relating to others. Social work is a profession that is founded on the ability to cultivate positive relationships with people who may be very different from us. There may be differences in age, race, personality, gender, socioeconomic status, health, sexual orientation, rank, power, and privilege, as well as beliefs regarding religion and politics. The experience of these differences can cause a social worker to feel emotionally and cognitively disturbed. The ability to...
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...field of Physics to annotate the internal distribution of a force exerted on a material body which results in strain. In the 1920s and '30s, biological and psychological circles occasionally used the term to refer to a mental strain or to a harmful environmental agent that could cause illness used it in 1926 to refer to...
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...someone whose constructions and behaviors are significantly different from the client’s. Because the client is only playing a role, any threat that might occur as a result of violating one’s own personal identity are minimized. After all, the client is simply playing a part. However, in so doing the client experiments with alternative ways of construing and behaving that may produce personal growth. Personal construct psychology has become associated with theories of constructivism, which emphasize that people know the world indirectly through constructed understandings. Radical constructivism views the person as a closed system, one in which a person’s internal psychological structure determines experiential reality. One’s structure is only sensitive to specific kinds of stimulation from the external world. People do not experience the world as it is, but rather experience it only in the ways their internal structure allows. On the other hand, social constructionism deemphasizes individual knowledge construction and instead stresses that human understandings spring from ongoing relationships. Through discussion and interaction with each other, people negotiate and reach consensus about what is real and true. Discourses, defined as ways of talking about reality, shape human experience. As people use discourses in novel ways over time, shared constructions of reality evolve. Whether individually or socially focused, constructivist theories stress human involvement in knowledge...
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...Nowadays people around the world experience various mental health difficulties on a daily basis. From the mild symptoms that can be easily resolved by their General Practitioners to more severe problems significantly affecting their everyday functioning and participation in daily activities. These problems may need to be dealt with the referral to a specialist service. According to Mental Health Act (2001) each person in care of Mental Health Service must have an individual care plan (MHA 2001; art 15&16). Mental Health Commission in its document related to individual Care Planning in Mental Health Service outlined that recovery of a client needs to be at the centre of all that nurses do and care plans are here like a key tools, guiding nursing work in this process (MHC 2012, p.8). Presented essay attempts to explore how nursing care and interventions support the process of patient’s recovery. In further part of it focus will be on how individual care plans reflect process of recovery and how they guide nurses towards it. Concept of ‘recovery’ in Mental Health slightly differs from adopted definition. Usually a person with severe mental health problems such as Schizophrenia or Bi-polar cannot fully recover from the illness like it takes place in most of the patients with physical illnesses. The concept of recovery in Mental Health addresses issues related to building-up self-esteem, learning to control the illness; recognizing symptoms of relapse; returning to normal...
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...disabilities, disorders, syndromes, infections, isolated symptoms, deviant behaviors, and atypical variations of structure and function, while in other contexts and for other purposes these may be considered distinguishable categories. Diseases usually affect people not only physically, but also emotionally, as contracting and living with many diseases can alter one's perspective on life, and their personality. Death due to disease is called death by natural causes. There are four main types of disease: pathogenic disease, deficiency disease, hereditary disease, and physiological disease. Diseases can also be classified as communicable and non-communicable disease. Terminology In many cases, the terms disease, disorder, morbidity and illness are used interchangeably.[2] In some situations, specific terms are considered preferable. [edit]Disease The term disease broadly refers to any condition that impairs normal function. Commonly, this term is used to refer specifically to infectious diseases, which are clinically evident diseases that result from the presence of pathogenic microbial agents, including viruses, bacteria, fungi, protozoa, multicellular organisms, and aberrant proteins known as prions. An infection that does not and will not produce clinically evident impairment of...
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...Advanced Practice Psychiatric Mental Health Nursing, Finding Our Core: The Therapeutic Relationship in 21st Century Advanced ORIGINAL 4 42 June © Blackwell 0031-5990 Publishing Perspectives in Psychiatric PPC 2006 Practice PMH2006 Malden, USAARTICLE Care Blackwell Publishing Inc Nursing: Finding Our Core Suzanne Perraud, RN, PhD, Kathleen R. Delaney, RN, DNSc, Linnea Carlson-Sabelli, PhD, APRN, BC, Mary E. Johnson, RN, PhD, Rebekah Shephard, MS, APRN, and Olimpia Paun, APRN, BC, PhD TOPIC. Increasingly, students from various professional backgrounds are enrolling in Psychiatric Mental Health (PMH) Nursing graduate programs, especially at the post-master’s level. Faculty must educate these students to provide increasingly complex care while socializing them as PMH advanced practitioners. PURPOSE. To present how one online program is addressing these issues by reasserting the centrality of the relationship and by assuring it has at least equal footing with the application of a burgeoning knowledge base of neurobiology of mental illness. SOURCES. Published literature from nursing and psychology. CONCLUSIONS. The PMH graduate faculty believes that they have developed strategies to meet this challenge and to help build a PMH workforce that will maintain the centrality of the relationship in PMH practice. Search terms: Nurse–patient relations, psychiatric nursing, empathy, therapeutic relationship, education, nursing...
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...considered plagiarism. This will result in an unsatisfactory grade for the work submitted or for the entire course. It may also result in academic dismissal from the University. MFT5105 | Asha Sutton | | | Recovery-Oriented Care & Postmodern Family Therapy | Recovery Model in MFT | <Add student comments here> ------------------------------------------------- ------------------------------------------------- Faculty Use Only ------------------------------------------------- ------------------------------------------------- ------------------------------------------------- ------------------------------------------------- The definition of the recovery model is not clear in the mental health field. Professionals of the mental health field cannot agreed when it comes to the recovery method. Some...
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