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Dissertations / Theses on the topic 'Mental disorder and mental illness'
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Chu, Siu-man. "The role of religion in coping with mental disorder." Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B43895256.
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Peterson, Kristina Conkright. "The Effect of the Type of Mental Disorder on Mental Health Stigma." TopSCHOLAR®, 2018. https://digitalcommons.wku.edu/theses/2342.
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Mental health stigma is an important topic as it has an influence on the care clients receive, as well as resources allocated by society. Previous research has primarily investigated the topic of stigma associated with schizophrenia and various factors that may influence the endorsement of stigmatizing beliefs. Few studies have investigated whether the type of mental disorder has an influence on the level of stigma. The current study evaluated the difference in the level of stereotypes endorsed across three conditions: schizophrenia, major depressive disorder, and a typical person. Additionally, this study evaluated the reliability of using a global stereotype score obtained from summing the responses of the Attribution Questionnaire (AQ-27). The results of this study showed that there is a significant difference in the level of global stereotype scores across the three conditions and that a global stereotype score from the AQ-27 is reliable.
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Cooper, Rachel Valerie. "Classifying madness a philosophical examination of the diagnostic and statistical manual of mental disorders /." Dordrecht : Springer, 2005. http://www.netlibrary.com/urlapi.asp?action=summary&v=1&bookid=145324.
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Gleason, Jennifer Renee. "Mental Disorder: Ameliorating Stigmatization and Reconceptualizing Treatment." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1555566426100197.
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Strohl, DeLeana D. "Differences in characteristics of success for persons with a primary diagnosis of a mental health disorder in urban and rural areas." Connect to this title online, 2005. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1110388262.
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Thesis (Ph. D.)--Ohio State University, 2005.Title from first page of PDF file. Document formatted into pages; contains xii, 168 p.; also includes graphics (some col.) Includes bibliographical references (p. 152-168). Available online via OhioLINK's ETD Center
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Freeman, Kathleen A. "Language and the making of meaning for individuals diagnosed with bipolar disorder a project based upon an independent investigation /." Click here for text online. Smith College School for Social Work website, 2007. http://hdl.handle.net/10090/1035.
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Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2007Thesis submitted in partial fulfillment for the degree of Master of Social Work. Includes bibliographical references (leaves 65-67).
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Chu, Siu-man, and 朱小敏. "The role of religion in coping with mental disorder." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B43895256.
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Jonker, Liezl. "Resilience factors in families living with a member with a mental disorder." Thesis, Link to online version, 2006. http://hdl.handle.net/10019/556.
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Roker, Rosalyn. "Perspectives of older Blacks and Whites living with serious mental illness about outpatient mental health services." Scholar Commons, 2018. https://scholarcommons.usf.edu/etd/7708.
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In the United States, over three million adults, age 50 and older, reported a diagnosis of serious mental illness (SMI) in the past year. Most of them live in community-settings and are less likely than younger adults to utilize mental health treatment. Lack of and insufficient treatment for SMI places them at increased risk of morbidity, earlier mortality, cognitive decline, and diminished quality of life. The current study aimed to: (1) examine the factors that influence Black and White older adults, who live with SMI, to seek and engage in outpatient mental health treatment; (2) identify the perspectives of Black and White older adults, who live with SMI, on the issues of accessibility, affordability, appropriateness, and availability of outpatient mental health services; and (3) determine whether the perspectives of Blacks and Whites are different on the issues of accessibility, affordability, appropriateness, and availability of outpatient mental health services.
I developed a qualitative, interview-based study using the health belief model (HBM) as the theoretical framework. Individual semi-structured interviews were conducted with 19 participants, between the ages of 50-70 years (mean age 58.9), who had a clinical diagnosis of bipolar disorder, schizoaffective disorder, and schizophrenia. The interviews were audiotaped, transcribed verbatim, coded and analyzed using thematic analysis.
Data themes related to factors that influenced outpatient mental health treatment and services were identified and organized based on the six HBM constructs. Perceived barriers to mental health treatment engagement included lack of knowledge about available treatment and services in the community, poor mental health literacy, and stigma. Improved sense of well-being and increased socialization were perceived benefits of mental health treatment engagement. Risk of homelessness emerged from the data as the main influence for Black and White older adults, who live with SMI, to seek and engage in outpatient mental health treatment. For all participants, access to and availability of mental health services were not current issues. All except one participant had some type of medical coverage for their treatment and most of them felt that their current treatment was appropriate. There were no differences between Black and White older adults on the issues of accessibility, affordability, appropriateness, and availability of outpatient mental health services. In addition, Black participants did not feel a need for mental health services to be specifically tailored to Black older adults, and instead indicated they saw no differences in Blacks and Whites related to mental health services. These findings are contrary to existing research and may be indicative of the gravity of mental illness-related stigma, compared to racial stigma.
Better promotion of available mental health services in the community, mental health outreach, and community education about mental illness may be helpful for earlier identification of symptoms related to mental illness, earlier treatment and intervention, stigma reduction, and improved health and quality of life for community-residing older adults who live with SMI.
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Coetzee, J. C. "The psychosocial themes in adolescents diagnosed with a co-morbid disruptive behavioral mood disorder." Pretoria : [s.n.], 2003. http://upetd.up.ac.za/thesis/available/etd-01302004-141632.
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Mayoh, Lyndel. "Synchronous internet therapy for panic disorder how does it compare to face-to-face therapy? /." Connect to full text, 2006. http://hdl.handle.net/2123/1603.
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Thesis (D.C.P. / M. Sc.)--Faculty of Science, University of Sydney, 2006.Submitted in fulfilment of the requirements for the degree of Doctor of Clinical Psychology/Master of Science to the Faculty of Science. Title from title screen (viewed 2 August 2007). Bibliography: leaves 95-107.
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Stols, Gabriël Jacobus. "Paediatric bipolar disorder and the lived experience of parents: a systematic review." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/6040.
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Many international studies have been conducted on paediatric bipolar disorder, but few research studies have been conducted on parenting a child diagnosed with bipolar disorder, both on an international and national level. The researcher utilised Bronfenbrenner’s Ecological Systems Theory as the theoretical framework in exploring and describing this research field. The study has been conducted by means of a systematic review and all of the articles included in the review examined some aspect of parenting and paediatric bipolar disorder. The articles were systematically assessed, and six themes emerged which include: paediatric bipolar on the rise; the effects of paediatric bipolar disorder, post-paediatric bipolar disorder; managing paediatric bipolar disorder is a family responsibility; foundations for effective parenting; and supporting parents of a paediatric bipolar patient.
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Börjesson, Karin. "Mental illness : relation to childbirth and experience of motherhood /." Stockholm, 2005. http://diss.kib.ki.se/2005/91-7140-521-6/.
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Purewal, Ranju. "Mental ill health in adult refugees : A literature study." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-348464.
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Background: Today, there are over 65 million refugees exist worldwide and arrival of the refugees has increased rapidly in Sweden as well. Refugees and asylum seekers may be more susceptible to mental disorders because of the traumatic events they encounter prior to immigration and adverse circumstances in the new country. Aim: A literature study was aimed at exploring different kind of mental ill health among immigrant refugees and the factors that affect their psychological ill health. Further aim of this study was also to find association between mental disorders observed in refugees and the factors responsible for them. Method: Systematic literature study has chosen to provide an overall summary of the existing researches within the subject. A systematic search for relevant literature in PubMed and CINAHL was performed and it was limited to original research articles published between 1st January 2008 and 31st December 2017. Data was extracted from 11 scientific quantitative articles. All the articles were reviewed for quality according to Forsberg & Wengström’s review template. Results: Depression, post-traumatic stress disorder (PTSD), anxiety and somatization are common diagnoses among refugees. Many refugees experienced traumatic events in their home country and during escape. Unfavorable conditions like violence, murder, lack of food, shelter and money affect their mental health negatively. Landing in new country can be expressed in joy, but it did not stay for a long time with upcoming resettlement difficulties such as communication problems, discrimination, unemployment, separation from family and culture. Conclusion: Depression and PTSD were most common among refugees. Unemployment and language difficulties were the main reasons for their miserable mental health. There was an association between mental disorders and the factors like trauma in the home country and on the way to new destination as well as adoption difficulties in a new country.
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Deitz, Mandi F. "Explaining Combat Related Posttraumatic Stress Disorder: An Integrated Mental Illness and Military Process Model." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etd/2318.
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The purpose of the current study was to examine a process model of combat-related and mental-illness related processes that explain increased likelihood of Posttraumatic Stress Disorder (PTSD). This dissertation proposed the development of PTSD may occur due to cultural, social, and self-related pathways associated with veterans’ dual encounters with combat (i.e., severity) and mental illness symptoms. Participants were 195 military veterans recruited from multiple sites and strategies to maximize sample size and representation. Participants were asked to complete several self-administered assessment inventories, including: the Posttraumatic Stress Disorder Checklist-Military, the Trauma Symptom Checklist, the Combat Experiences scale, the Self-Stigma of Mental Illness Scale, an adapted version of the Iraq War Attitude Scale, a perceptions scale, an adapted version of the Likelihood of Disclosure Scale, the Unit Support Scale, the Post-Deployment Support Scale, the UCLA Loneliness Scale (Version 3), as well as covariates that included demographics and details of military service (e.g., deployment information). Overall, results revealed that the impaired social support indicator of social isolation was linked to PTSD, whereas impaired unit support and impaired postdeployment support were not predictive of PTSD. Results also revealed that it is the cultural stereotypes and stigma associated with military and war but not of mental illness that plays a role in social isolation and subsequently PTSD. Overall, evidence supports the combined explanations of combat-related processes and mental illness processes in understanding likelihood of PTSD.
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Murphy, Rebecca. "A qualitative investigation into the experience of parenting with a severe mental illness." Thesis, University of Manchester, 2011. https://www.research.manchester.ac.uk/portal/en/theses/a-qualitative-investigation-into-the-experience-of-parenting-with-a-severe-mental-illness(4ad0c192-a4e2-4574-bc84-9d6cae8636d9).html.
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This thesis explores the experience of parenting with severe mental illness, using qualitative methodologies. It is presented in three parts: a literature review, a report of the empirical research, and a critical reflection of the process undertaken. The literature review provides both a systematic review of qualitative studies exploring the experience of parenting with a severe mental illness (SMI), and a meta-synthesis of the findings from the included studies. The findings demonstrated six overarching themes that were central to the parents' experience. The themes were interlinked and often conflictual in nature and a model of the relationship between the themes is provided. The synthesis revealed how the additional and conflicting pressures faced by parents with SMI can interact with their symptoms to affect parenting behaviours and decisions about engagement with services. The model of themes elicited by the synthesis provides a broad conceptual framework in which parenting with SMI can be considered across the age range of children, parental symptoms and parenting roles. The empirical research provides a specific focus on the views and experiences of parents with Bipolar Disorder (BD). Interpretative Phenomenological Analysis was used to explore the lived experience of parenting with BD, to provide insight into the parents' perspective and the influence that this may have on outcomes for parents as well as their children. The analysis resulted in six overarching themes, each of which consisted of a number of sub-themes. There were important interactions between the themes and these are illustrated for the reader. It was found that the parents identified a number of challenges in being a parent with BD and experienced feelings of inadequacy, guilt and worry relating to the impact that their illness had on their children and family. Strategies for managing these feelings and limiting the impact of BD could have an inadvertent negative effect on their own well-being, and that of their child. Learning to accept their diagnosis and developing strategies for managing their symptoms were crucial for positive parenting, although the changing needs of their children often presented new challenges. Contextual factors, including the stigma associated with mental illness, could also either mediate or exacerbate the challenge of parenting with BD. The clinical implications of these findings are discussed. The critical reflection provides a consideration of qualitative methodologies and a personal reflection on the qualitative process in relation to the empirical research. It details the critical debates around qualitative methodology, the application of qualitative methodologies, and the challenges this presented for the researcher. The report was written on completion of the investigation and reflects the process by which, as a novice, the author was able to develop an understanding of qualitative methodology and carry out an insightful piece of research.
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Fox, Elena M. "Mental Illness Identity: A Look at the Self, Self-Concept, and Stigma Resistance Among Those Suffering from Obsessive Compulsive Disorder." Kent State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=kent1550592968807663.
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Scicchitano, Janice Patricia. "Identification and management of somatization in the primary care setting, in terms of illness behaviour and risk of psychiatric illness." Title page, contents and abstract only, 2000. http://web4.library.adelaide.edu.au/theses/09PH/09phs416.pdf.
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Bibliography: leaves 233-306. A study of the phenomenon of somatization as it occurs in the primary care setting. The phenomenon was studied in terms of aspects of illness behaviour and risk of psychiatric morbidity. It is suggested that abnormal illness behaviour in the form of somatization may be an important factor in the non-recognition of mild non-psychotic psychiatric illness in the primary care setting. The results of the study indicate that an assessment of the patients' attitudes and beliefs about symptoms, and an exploration of psychosocial issues, may lead to a better understanding of why the patients have sought help, and may lead to early identification and appropriate treatment of somatizing behaviour and the psychiatric morbidity underlying such behaviour.
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Cloyes, Kristin G. "The politics of mental illness in a prison control unit : a discourse analysis /." Thesis, Connect to this title online; UW restricted, 2004. http://hdl.handle.net/1773/7188.
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Scott, C. R. "An exploration of refugees, post traumatic stress disorder and quality of life." Thesis, Canterbury Christ Church University, 2012. http://create.canterbury.ac.uk/11320/.
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Section A presents a literature review which aims to consolidate the theoretical and empirical psychological research regarding refugees’ post-migration, to clarify and further understand their psychological experiences and needs. The literature search yielded papers which are divided into four sections: refugees and post traumatic stress disorder (PTSD); refugees, complicated grief and cultural bereavement; refugees, resettlement and acculturation; and refugees and Quality of Life (QoL). The review highlights key findings and areas requiring further exploration. Section B reports an exploratory narrative study which aims to explore the role of QoL in the narratives of refugees with a diagnosis of PTSD. Episodic semi-structured interviews were conducted with seven refugees (5 males, 2 females), and analysed using narrative thematic, structural and performance analysis. The results illustrated containing and consistent support was important in progressing the transition from suffering during asylum-seeking to a refugee with hope, and improved QoL and psychological health. The results are applied to theory and research, and limitations of the study are discussed.
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Buckmon, Linda. "Predictors of Recidivism for Offenders With Mental Illness and Substance Use Disorders." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/744.
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Mental illness and substance use disorders have been determined to be leading predictors for recidivism among criminal offenders in the United States who are released to community supervision. Women make up an increasing in percentage of this criminal justice population; however, few studies have explored the role that gender plays in determining men and women's recidivism. Offender's education, employment, and peer association have also been reported to be predictors increasing the likelihood of recidivism among criminal offenders. This study was designed to determine if gender, mental illness, substance use disorder, employment, education, and peer association predicted recidivism. Differential association theory and gender pathways theory provided the theoretical framework for this study for examining archival data obtained from the Court Services and Offender Supervision Agency AUTO Screener and Supervision Management Automated Record Tracking System. Multiple logistic regression analysis showed that substance use disorder significantly predicted recidivism, while employment decreased the likelihood of recidivism. This study did not find a significant interaction between mental illness and substance use disorder or mental illness only. Additionally, neither gender, education, nor peer association were found to be associated with recidivism. This study promotes social change by highlighting the increasing need for services for offenders and identifying the complex factors that impact recidivism. The findings from this study will be helpful to criminal justice agencies for developing programs that address the need of SUD and employment for offenders to reduce the likelihood of recidivism and increase public safety.
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Winn, S. "The geography of old age mental disorders in Nottingham." Thesis, University of Nottingham, 1985. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.370533.
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Coppock, Mary Jane. "Polarizing Narratives: Harmful Representations of Mental Illness and Bipolar in Popular Media." Scholarship @ Claremont, 2017. http://scholarship.claremont.edu/scripps_theses/953.
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Representations of mental illness in mainstream media have historically been infantilizing and dangerous. In the last century, dominant media has perpetuated inaccurate and damaging tropes about bipolar disorder in particular, perpetuating misunderstanding and stigma. Despite this fact, art can provide an outlet through which healthy images that promote understanding and sympathy can be dispersed. My project, Polarized, presents a more accurate representation of the disorder and its effects on individuals who struggle with it, as well as their loved ones. Bipolar disorders are a group of mental illnesses that cause dramatic shifts in an individual’s mood, energy, thinking ability, and sexual drive. In popular media, bipolar is represented in a number of different problematic ways ranging from childishness to irrational violence, which provide damaging stereotypes of the bipolar community and ultimately serve to further ostracize the bipolar community. Polarized’s critique of representations of disability in hegemonic discourse is informed by true stories and histories of mental illness. The short’s narrative is fictional, inspired by my own experience as a young woman with Bipolar II and augmented with the research and memoirs of manic-depressive diagnosed clinician Kay Jamison as written in An Unquiet Mind: A Memoir of Moods and Madness.
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Fatula, Karen K. "The Perception of Mental Illness: A Video Approach to Reducing Stigma." Ohio University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou153468307629101.
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Flynn, Sandra. "A mixed methods study of homicide followed by suicide." Thesis, University of Manchester, 2013. https://www.research.manchester.ac.uk/portal/en/theses/a-mixed-methods-study-of-homicide-followed-by-suicide(7e0cd421-62f3-4bda-9387-aadf9f84d2c5).html.
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Background: Homicide-suicides are rare events in which an individual commits a homicide and then takes his or her own life. Despite extensive media coverage and a recent increase in research in this field, our understanding of these events is limited as most studies are descriptive. There is little reliable evidence regarding mental illness in individuals who commit homicide-suicide. Aims: The central aim of this study was to examine the role of mental illness in cases of homicide-suicide. The objectives were to: (1) determine the prevalence of mental illness; (2) describe the characteristics of perpetrators and victims, and the circumstances of the offence; (3) examine the psychopathology of perpetrators prior to the offence. Method: The research design was a mixed methods study of homicide-suicide. Quantitative and qualitative techniques were used to examine a national consecutive case series, in England and Wales, between 1st January 2006 and 31st December 2008. The sample contained 60 cases. Descriptive statistical analysis and a thematic framework analysis were undertaken on documents obtained from coroners, the police, GP medical records, records of mental health services contact and newspaper articles. The social, behavioural, offence and clinical characteristics of these incidents were reported. Results: Most of these offences were committed by men (53, 88%). The average age of perpetrators was 44 years (range 18-85). The overwhelming majority of these incidents involved close family members, mainly current or former intimate partners and/or the children of the perpetrator. Over half of the perpetrators had previously been diagnosed with mental health problems by a GP, most commonly depression. The incident was, in most cases, preceded by an actual separation from an intimate partner, or the perpetrator perceived separation to be imminent. The emotional responses to the loss of the relationship included: anger; frustration; humiliation; jealousy; desire for revenge; hopelessness, guilt and remorse. Poor coping strategies were observed, with many having a history of previous self-harm or suicide attempts, and difficulty controlling their aggression. Despite the high proportion of lifetime mental illness, few had been in recent contact with their GP for psychological problems prior to the incident. In the majority of cases, incidents involving mentally ill perpetrators were reported responsibly in newspapers. However, there were instances in which journalists sensationalised the incidents and provided stereotypical portrayals of the perpetrator. Conclusion: The findings from this study add valuable empirical qualitative data to the literature. These incidents occur in the context of existing and challenging common social issues, such as intimate partner violence, child custody disputes, an ageing population, and mental disorder. The evidence from this study shows that these perpetrators had an extreme reaction to an interpersonal crisis resulting in severe emotional distress. Perpetrators from vulnerable groups had complex needs and exhibited previous poor coping strategies that may put them at increased risk. However, prevention is difficult as these are rare events and though under distress, these individuals were less likely to seek help from services. More research is required to identify risk factors in targeted sub-groups of homicide-suicide, such as intimate partner, filicide-suicide and elderly homicide-suicide, in the context of social, economic and clinical problems.
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Burrelsman, Katherine Marie. "A Search for Meaning: The Family’s Response to Serious Mental Illness." Antioch University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1273765830.
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Gregory, Rachel. "Borderline personality disorder and helpful service relationships : a grounded theory study." Thesis, Canterbury Christ Church University, 2010. http://create.canterbury.ac.uk/10351/.
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Section A: Critically reviews the literature pertinent to how services are helpful for people diagnosed with borderline personality disorder (BPD). This includes service-user research and evidence based on clinicians' experiences. Relevant theories are discussed and the gap in the current evidence base is provided. Section B: Most research evidence relating to BPD focuses on how specialist psychological models are helpful rather than how mental healthcare services relate helpfully to people with this diagnosis. This study explored this further using grounded theory methodology. Semi-structured interviews were conducted with eight mental healthcare clinicians and eight service-user participants diagnosed with BPD. The results suggested that the most helpful services are those that can form a secure, safe and consistent attachment to individuals with BPD. These services should be accepting and validating where responsibility is shared. Least helpful are those with disorganised attachment styles where themes around dependency, invalidation, and rejection are suggested. Further research would be beneficial to ascertain if these findings are supported by other specialist mental healthcare teams with a more diverse population. Section C: Critically appraises the research project and provides reflections about the research process and how the researcher felt when conducting this research project.
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Midkiff, Donna Marie. "The biological etiology of mental health disorders social influences and change potential of practitioners' beliefs /." Huntington, WV : [Marshall University Libraries], 2006. http://www.marshall.edu/etd/descript.asp?ref=624.
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Mojapelo, Lebohang. "Learning to Exhale." University of the Western Cape, 2019. http://hdl.handle.net/11394/7422.
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Magister Artium - MAMy MA mini-thesis in Creative Writing is a collection of 33 poems titled Learning to Exhale. The poems are centred around a character – a black African woman who is sharing her experiences of mental illness. The poems revolve around memory, forgetting and remembering; going back to the moment when the woman realises that she is ill, understanding it from the present while working to find ways to express what bipolar disorder is and how she experiences it. The collection also highlights her search for words and meaning to describe these experiences that are highly traumatic. This is to create a language of expressing the indescribable. This means that the form and structure is experimental, combining differing styles and form to show different voices, different states of mind that swing from depression, mania to suicidal thoughts.
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Chikomo, John Geofrey. "Knowledge and attitudes of the Kinondoni community towards mental illness." Thesis, Stellenbosch : University of Stellenbosch, 2011. http://hdl.handle.net/10019.1/6562.
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Thesis (MCur)--University of Stellenbosch, 2011.ENGLISH ABSTRACT: Mental health knowledge is defined as “the knowledge and beliefs about mental disorders which aid their recognition, management or prevention”. Although mental illness is a common condition in the community, only a few people with these disorders generally undergo treatment with about only 70% of individuals seeking help. Contributing to the community’s lack of knowledge, it has also been found that the public cannot recognise different types of psychological distress and mental illness, resulting in people not seeking mental health care. From the evidence perused in the literature, the researcher observed that communities with sound mental health knowledge and a positive attitude towards mental illness are motivated to seek professional help, whilst communities with a lack of mental health knowledge and a negative attitude towards mental illness are less motivated to seek professional help. The researcher therefore aimed at determining the knowledge and attitudes of the Kinondoni community members towards mental illness. In determining the knowledge and attitudes of the Kinondoni community members towards mental illness, the research design was a descriptive, crosssectional survey, with a quantitative approach. An adjusted, existing questionnaire, with, self-compiled, closed ended questions, was used to collect data. Reliability was supported by a pilot study to test the questionnaire beforehand. Face and content validity focused on readability, clarity and development of the questionnaire. The ethical principles were used to make sure the rights of participants were protected. The ethical approval was obtained from Stellenbosch University institutional review board number IRB0005239 to conduct research. Furthermore the study permit was given by the Kinondoni Municipal Medical Officer of health with reference number TD/K/3/VOL/207. The collected data was analysed by using the Statistical Package for Social Sciences (SPSS). The results were presented in tables of means, in which each variable had its own table of analysis of variance. The results were as follows; knowledge about mental illness was very poor as most of the respondents in Kinondoni community n=182 (61%) responded that mentally ill people cannot perform regular jobs, had no friends, and were dangerous. Respondents n= 239 (79.6%) had negative attitudes towards people with mental illness as they stated that they have no right to find a job, have friends and be integrated into society. The results conclude that the Kinondoni community members have less knowledge and negative attitude towards mental illness. The researcher summarises the completed process of this research study and recommend policy makers to formulate guidelines to strengthen nursing practice and education, to create awareness to the community on mental illness and also recommend for further study.
AFRIKAANSE OPSOMMING: Geestesgesondheidskennis word gedefinieer as die kennis van geestesongesteldhede wat bydra tot die herkenning, hantering en voorkoming van geestesongesteldhede. Alhoewel geestesongesteldhede ‘n algemene toestand is in die gemeenskap, is daar slegs ‘n klein aantal geestesongestelde individue wat behandeling ondergaan, met omtrent 70% van die genoemde individue wat hulp soek. Bydraend tot die gebrek van die gemeenskap se kennis het dit ook aan die lig gekom dat die publiek ook nie die verskeie sielkundige stressors en geestesongesteldhede erken nie, wat veroorsaak dat mense nie geestesgesondheidsorg benader nie. Uit die literatuurstudie het die navorser geobserveer dat die gemeenskappe met geestesgesondheidskennis en ‘n positiewe houding gemotiveerd is om hulp te soek en gemeenskappe met ‘n gebrek aan geestesgesondheidskennis minder gemotiveerd is om professionele hulp te soek. Die navorsing het hierbenewens ten doel gehad om die kennis en houding van die Kinondoni gemeenskapslede aangaande geestesongesteldhede te bepaal. Om die kennis en houding van die Kinondoni gemeenskap te bepaal is ‘n kwantitatiewe deursnitopname gedoen. ‘n Bestaande vraelys met geslote vrae is aangepas om data in te samel. Betroubaarheid is deur die loodstudie ondersteun, terwyl sig- en inhoudsgeldigheid op die leesbaarheid, uitklaring en ontwikkeling van die vraelys gefokus het. Die etiese standaarde is gebruik om die regte van deelnemers te beskerm. Vervolgens is die gekollekteerde data met SPSS ontleed. Die bevindinge is deur middel van tabelle van gemiddeldes, waar elke verandelike sy eie variansie vertoon het, voorgestel. Ten slotte is riglyne beskryf. Die resultate is as volg; kennis betrefffende geestesongesteldhede was baie swak onder die meerderheid repondente van Kinondoni se gemeenskap n=182 (61%) het vertoon dat geestesongestelde persone nie gereelde werk kan verig nie, geen vriende kringe het nie en baie gevaarlik is. Respondente n=239 (79.6%) het n negatiewe houdng teenoor persone met n geestesgebrek en maak melding dat geestesgestremde persone geen reg op om te werk besit, vriende te het en om te integreer in die gemeenskap. Die gevolgtrekking van die resultate toon dat die Kinondoni gemeenskaps lede baie min kennis en n negatiewe houding teenoor geestesgebreke het. Die navorser maak n volledige opsomming van die navorsings’ studie en maak n aanbeveling aan beleid opstellers om riglyne te formuleer deur versterking van die verpleeg praktyk en onderwys, om bewustheid van gesondheidsgebreke aan die gemeenskap daar te stel en beveel ook verdere studies aan.
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Smith, Laura. "African Caribbean men with conduct disorder and severe mental illness : reducing violence and improving therapeutic engagement." Thesis, Canterbury Christ Church University, 2011. http://create.canterbury.ac.uk/10338/.
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Section A: A review of literature focused on African Caribbean men with diagnoses of both conduct disorder (as an indicator of antisocial behaviour) and severe mental illness. The review concludes that disorganised infant attachments appear to be predictive of conduct disorder, psychosis and poor engagement with services in a reciprocal 'vicious circle'. Section B: Empirical Paper: This study examined the relationships of African Caribbean men with severe mental illness and a history of conduct disorder, linking this to engagement with services. This was explored qualitatively using attachment theory and Lacanian discourse analysis within a psychosocial methodology. Four interviews were conducted and the texts were analysed. The findings echo the evidence base in showing that, according to this interpretation, all participants showed signs of disorganised attachment. All had had adverse encounters within mental health services although all could also cite discrete experiences which had been helpful and supportive. Each participant held different views about the interaction of ethnicity with care. Section C: A critical reflection on the research process, including: thoughts on learning experiences; retrospective changes to the study; clinical implications; and ideas for future research.
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Holt, Clare L. "The rehabilitation of offenders diagnosed with severe mental illness." Thesis, Canterbury Christ Church University, 2011. http://create.canterbury.ac.uk/10333/.
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Section A: This paper reviews the existing theoretical and empirical literature of relevance to offenders with severe mental illness (SMI) in the UK. Due to the lack of theory accounting for progress through forensic mental health services (FMHS) as currently constituted, the adjacent areas of mental health recovery and forensic rehabilitation are the major focus. Relevant empirical literature is synthesised and critically evaluated and this paper concludes by (a) summarising research challenges that remain pertinent to this area of enquiry and (b) outlining recommendations as to how research can usefully proceed. Section B: The UK’s increasing recognition of offenders with SMI and the lack of a theoretical account specific to this group provided the rationale for this study. The aim was to develop a preliminary model of the ways offenders with SMI progress through FMHS towards reintegration with the community. Semi-structured interviews were conducted with seven FMHS-users and three FMHS staff members. Grounded theory was used to build a preliminary model, which contained six main categories: learning about and managing mental health, establishing facilitative relationships with staff, moving on from prison and early experiences of FMHS, developing self-direction, doing work in therapy, and managing wider support networks. Findings extend existing literature by providing a preliminary theoretical account of the multiple domains that influence progression of offenders with SMI towards reintegration with the community. Results are discussed with regard to the existing literature and clinical implications are outlined. Recommendations for future research are made. Section C: In order to reflect upon the process of conducting this project, the author considers four questions: (1) what research skills have been developed and what skills continue to require development?, (2) what would be done differently were this project to be repeated?, (3) what changes in clinical practice will occur as a consequence of this research?, and (4) what areas would future research focus on and how would this be approached?
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Anthony, Kathleen Hope. "Exploring Helper and Consumer Partnerships That Facilitate Recovery From Severe Mental Illness." Bowling Green State University / OhioLINK, 2005. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1131125531.
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Seroalo, Kenetsoe Belina. "A critical synthesis of interventions to reduce stigma attached to mental illness / K.B. Seroalo." Thesis, North-West University, 2012. http://hdl.handle.net/10394/9834.
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Several interventions have been developed and implemented to reduce the stigma attached to mental illness. However people who experience mental illness are still stigmatised in the communities in which they live, as well as in the healthcare centres where they receive treatment. The objective of this study was to critically synthesize the best available evidence regarding interventions to reduce stigma attached to mental illness. This study aimed to provide clinical practitioners with accessible information on interventions to reduce stigma attached to mental illness. Systematic review was chosen as a design method to identify primary studies that answer the following research question: What best evidence is available regarding interventions to reduce the stigma attached to mental illness?
A thorough search was done on selected electronic databases: EBSCOhost; Science Direct; Web of knowledge; Scopus; Sabinet; ProQuest; SA Nexus; Cochrane; Google Advance Scholar were searched for primary studies that were published from 2001-2011, including the available 2012 literature and reference lists.
The following key words were used in the search: Intervention, stigma, program, mental illness, mental disorder, psychiatric patients. During the selection of studies pre-determined inclusion and exclusion criteria were applied. Seventeen studies (n=17) were included for critical appraisal of methodology and quality using standard instruments from the Critical Appraisal Skills Program (CASP) the John Hopkins Nursing Evidence-Based Practice (JHNEBP) Research Evidence Appraisal Tool and Evidence Analysis Manual; Academy of Nutrition and Dietetics. All seventeen studies (n=17) were identified as evidence that answers the research question.
Extraction of evidence, analysis and synthesis were conducted by means of the evidence class rating and grading of strength prescribed in the Evidence Analysis Manual (EAM, 2012:70). Findings indicated some interventions that reduce the stigma attached to mental illness. Using Web-based approaches and reading printed educational materials, documentary films and anti-stigma films, live and video performances, and humanising and traditional, naturalistic educational methods are effective in reducing stigma attached to mental illness for health professionals because there were no stigmatising attitude and social distance towards individuals with mental disorders. The German WPA (World Psychiatric Association) “Program against stigma and discrimination because of Schizo-phrenia – Open the doors” is effective in reducing stigma attached to mental illness for the general population. Combining education and video-based contact, in vivo contact and videotaped education, Active Minds and documentary films are effective in reducing stigma of mental illness for students. The use of puppets, psycho-education and contact (via DVD) and public education programs are effective in reducing stigma attached to mental illness for adolescents.
The research was evaluated, a conclusion was given, limitations were identified and recommendations were formulated for nursing practice, nursing education and nursing research.Thesis (MCur)--North-West University, Potchefstroom Campus, 2013.
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Sambrook, Suzanne. "A cognitive investigation of bipolar affective disorder." Thesis, University of Southampton, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.242667.
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Mueri, Christine Andrea. "'Defined not by time, but by mood': First-person narratives of bipolar disorder." Case Western Reserve University School of Graduate Studies / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=case1307662397.
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King, Richard S. "Forensic care needs of women diagnosed with a personality disorder." Thesis, Canterbury Christ Church University, 2015. http://create.canterbury.ac.uk/13272/.
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Forensic services have been described as largely based around the needs of men who form the vast majority of in patients. However women’s offending behaviour is quite distinct from men's: they are more likely to have a personality disorder, most commonly borderline personality disorder (BPD) and to have been victims of abuse both as children and adults. Abuse and borderline personality disorder are characterised by problematic relational styles which cause the person great distress. In the forensic services admission is not based upon treatment readiness and it may be difficult for women to form healthy relationships with care staff or their peers. The recovery model has been recently applied to the forensic service and emphasises that improving relationships is a fundamental target. Women in forensic services have said that their peers can help them to feel connected and less stigmatised but also they can find each other's behaviour very disruptive and disturbing. This research set out to develop a theoretical model of the peer relationships of women with BPD in forensic care using grounded theory methodology. 12 women with a diagnosis of BPD were interviewed about their experiences in forensic care. A model was developed that characterises how women's experiences of relating with each other will depend upon ward characteristics and personal readiness for forming relationships. This will determine whether the person is interacting in a survival mode where relationships are superficial or able to attempt to engage at a deeper relational level with their peers. Such engagement may perpetuate relational difficulties, or have the potential to develop recovery through fostering hope, providing encouragement, developing insight and learning new ways to connect with others and manage problems.
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Backer, Clare. "A qualitative investigation into the experiences of children who have a parent with a mental illness." Thesis, University of Manchester, 2011. https://www.research.manchester.ac.uk/portal/en/theses/a-qualitative-investigation-into-the-experiences-of-children-who-have-a-parent-with-a-mental-illness(26a1f1b9-0e57-4cb2-919f-ae10daa6427d).html.
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This thesis investigated the experiences of children who have a parent with a mental illness, using qualitative methods. It is divided into three separate sections, the first two written as standalone journal papers. Paper 1 is a systematic review and synthesis of qualitative studies exploring children's experiences of having a parent with a mental illness. The review used specific databases, a search of qualitative journals and a general internet search to identify relevant studies, and the subsequent application of inclusion/exclusion criteria and a quality appraisal assessment. 14 studies meeting inclusion and quality criteria were identified exploring the experiences of 163 children and young people aged between 5 and 22 years, from a range of countries, with a variety of parental mental health diagnoses. The review then involved synthesising the findings of these studies to generate five overarching themes which were found to influence children's experiences. Children who had some knowledge and understanding of their parent's mental illness were more likely to use effective coping strategies, have a more positive relationship with their parent, and experience fewer negative effects on them as a child. Paper 2 is an original research study which explored the experiences of children who have a parent with bipolar disorder, to see how this might impact on the child's emotional wellbeing. This qualitative study used 'In My Shoes', a computer assisted interview tool, to explore the experiences of ten children from England aged between 4 and 10 years. Subsequent comparison with their parent's accounts enabled greater insight into family life. Child and parent interview data was analysed using thematic and content analyses. The four main themes that emerged from the child interviews were: knowledge and awareness of bipolar disorder; perception of parents; managing family life with a 'bipolar' parent; and living in a family with bipolar disorder. The study concluded that further research was needed to understand children's perspectives, which should be taken into account when developing appropriate services and interventions to support children and parents with mental illness, including bipolar disorder. Finally the third section of the thesis was a critical appraisal of the literature review, research study and research process as a whole, including methodological reflections, implications for future research and clinical practice, and the researcher's personal reflections in undertaking the research. The findings were deemed vitally important for the future of families in which a parent has bipolar disorder.
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Strömberg, Gunvor. "Serious mental illness : early detection and intervention by the primary health service. /." Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-312.
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Brans, Suzanne. "Applying the social cognitive and sociological models of stigma to student attitudes towards major depression and bipolar disorder." University of Western Australia. School of Psychology, 2009. http://theses.library.uwa.edu.au/adt-WU2009.0041.
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The aims of the current research program were to examine the social-cognitive and sociological models of stigma in relation to student attitudes towards an individual experiencing a mood disorder. Two experiments (Studies 1 and 2) sought to empirically distinguish between controllability and responsibility, both constructs of the attribution model which is subsidiary to the social-cognitive model of stigma. Despite manipulating controllability, participants were reluctant to attribute controllability of cause to individuals experiencing depression or bipolar disorder. The stability of beliefs about the controllability of cause for condition onset was consistent with research suggesting that the Australian public increasingly conceptualise mental disorders in terms of biochemical and genetic causal factors. These findings, in combination with past research linking biogenetic beliefs to negative attitudes, resulted in a change in focus of investigation in Studies 3, 4, 5 and 6 to explain why, contrary to the prediction of the attribution model, biogenetic explanations of mental disorders are associated with the proliferation of stigma. To measure causal beliefs, the Causal Belief Inventory (CBI) was developed in Study 3 and refined in Study 4. The correlational results examined in Studies 4, 5 and 6 found that genetic and biochemical causal beliefs were associated with a number of positive attitudes towards individuals experiencing a mood disorder and that genetic cause was associated with a reduced implicit bias against major depression. Furthermore, each study pointed to the centrality of judgments of differentness in determining affective responses and direct and proxy measures of behaviour. In contrast, manipulation of genetic and psychosocial cause in Study 5 found that causal condition largely failed to impact upon student attitudes. Mediator analysis did, however, find that beliefs about the stability of the vignette actor's condition fully mediated the relationship between the negative influence of genetic cause on proxy helping behaviour. Manipulation of psychosocial, genetic and biochemical cause with the inclusion of a non-depressed control in Study 6 resulted in more ambiguous findings. The combination of findings from Studies 1 to 6 suggest that focusing on the impact of the controllability of cause of depression onset on student attitudes is unwarranted. Instead researchers and public health educators should be examining models which facilitate the examination of the cognitive factors that mediate these relationships. Two such models, namely the social-cognitive and sociological models of stigma, were found to adequately fit the data. Recommendations for integrating these two models of stigma are discussed.
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Nuttall, L. D. "Personality disorder : no longer a diagnosis of exclusion? : law, policy and practice in Scotland." Thesis, University of Stirling, 2013. http://hdl.handle.net/1893/17417.
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Personality disorder has been and continues to be a contested diagnosis. Those who attract this form of diagnosis have been particularly vulnerable to the effects of stigma and have tended to be excluded from service provision. This thesis provides an examination of how recent developments in law, policy and practice have impacted upon the status of personality disorder as a diagnosis of exclusion in Scotland. The theoretical framework that provides this thesis with its structure is derived from the post-empiricist approach proposed by Derek Layder. This approach seeks to contextualise emergent inductive findings within a broader historical and contemporary analysis. In the case of this research the broader context consists of the interplay between mental health law, policy and practice in the field of mental health and the diagnosis of personality disorder more specifically. The empirical enquiry at the core of this thesis is based upon an analysis of the views, beliefs and expectations of front-line staff (psychiatrists and social workers qualified as mental health officers) involved in the process of assessment and service provision. In addition to front-line staff (n = 27) a range of key informants who were in a position to shed light on the strategic imperatives underpinning recent developments in law and policy were also interviewed. This analysis is contextualised within a review of key developments in law and policy that have particular significance for anyone who may attract a diagnosis of personality disorder. Despite the ostensibly inclusive approach towards those who may attract a diagnosis of personality disorder evident within the Mental Health (Care and Treatment) (Scotland) Act 2003, the reality is a highly selective and very limited inclusion of those who attract this form of diagnosis. The effective inclusion of those who may attract a diagnosis of personality disorder has been obstructed by several key impediments: 1: an insufficiently robust policy framework to drive forward the process of inclusion; 2: residual ambivalence towards the legitimacy of the diagnosis of personality disorder itself and the legitimacy of the claims made upon services by those who may attract a diagnosis of personality disorder; 3: insufficient and inadequately focused resources; 4: service structures that have not been redesigned sufficiently to engage successfully with service users who may attract a diagnosis of personality disorder. As a consequence of these impediments to inclusion, the majority of those who may attract a diagnosis of personality disorder in Scotland are likely to continue to face high levels of marginalisation and exclusion.
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Jenkinson, Julia. "Exploring recovery in women diagnosed with personality disorder in a secure setting." Thesis, Canterbury Christ Church University, 2011. http://create.canterbury.ac.uk/10341/.
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Section A consists of a literature review which explores the concept of recovery and its relevance for women who have been detained in a secure setting and diagnosed with a personality disorder. Section B presents the findings of a study to explore the concept of recovery in women diagnosed with personality disorder in a secure unit. Six semi- structured interviews, conducted with women diagnosed with personality disorder and experience of being detained in secure accommodation, were analysed using Interpretative Phenomenological Analysis. Analysis of the transcripts revealed five master themes: recovering; centrality of relationships; assuming responsibility for own care; evolving an identity; understanding of the mental health experience. The study concludes that, as far as is consistent with a secure setting, women should be given maximum opportunity to participate in decisions about their own care. Staff should be creative in providing opportunities for the women to engage in meaningful activities that promote a positive identity. Education with respect to personal recovery and the presentation and aetiology of personality disorder may support more caring and hopeful relationships between staff and service users, within which recovery can be facilitated. Section C involves a critical appraisal of the study.
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Winter, Zuzana. "Impact of the diagnosis of borderline personality disorder and its diagnostic process." Thesis, Canterbury Christ Church University, 2015. http://create.canterbury.ac.uk/14396/.
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Contrary to the long-held assumptions, borderline personality disorder (BPD) is now considered a treatable disorder. Timely assessment has been recognised as one of the key treatment enablers and basic assessment standards have been stipulated by the UK’s National Institute for Health and Clinical Excellence (NICE). The current study was the first to have specifically investigated the quality of the diagnostic process in light of the government recommendations. Interpretative phenomenological analysis was used to analyse semi-structured interviews with eight adult female service users about their lived experiences with the original diagnostic disclosure of BPD. Five master themes and several subthemes featured in the majority of the participants’ experience: a) answer with a question mark; b) if only…; c) BPD like a star sign; d) star signs are not enough; it’s what happens afterwards!; e) being at the mercy of the system. Most participants’ experiences suggested that the original diagnostic process was largely negative and did not follow the national guidelines. Nevertheless, a minority of positive views also emerged. The findings are discussed with reference to the existing literature, whilst also detailing the study’s limitations, clinical and research implications.
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Kent, Thomas. ""Dangerous and disordered" : the discursive construction of "mental illness" in public texts." Thesis, Canterbury Christ Church University, 2014. http://create.canterbury.ac.uk/12808/.
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The Mental Health Act 1983, amended in 2007, appears based on the assumption that an undisputed entity of “mental disorder” exists, that people who are designated mentally disordered should be treated, and if necessary, detained by doctors. This study aimed to examine how mental disorder was discursively constructed and how different institutional interventions and practices were justified and legitimised in the House of Commons’ debates regarding the Mental Health Act 2007. Verbatim transcripts from House of Commons debates on the Mental Health Act (conducted between 24th April and 15th May 2007) were studied through a discourse analysis. Seven primary discursive constructions were identified: “The Trusted and Medically Objective Expert,” “The Emergency,” “A Fair Process,” “Supporting Subjects,” “The Decision-Making Impaired and Vulnerably Ill Patient,” “The Lawyer’s Field Day,” and “Societal (Dis)Order.” The study concludes that mental disorder was represented in selective and systemic ways that can help justify and legitimise different interventions and practices, for example, enforced medication, making government legislation and psychiatric practices seem necessary. Consideration was given to how psychiatric practices could be problematic for some service users and how legislation could be based on political and public concerns about social disorder.
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Nyalugwe, Gina Nyampachila. "A Human Rights based approach to the psychiatric treatment of mental illness among prisoners in Uganda." Diss., University of Pretoria, 2011. http://hdl.handle.net/2263/18630.
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Reports of people with mental disorders without access to treatment are a major occurrence in prisons outside and within Africa. An estimated 450 000 000 people worldwide suffer from mental or behavioural disorders. The disproportionately high rate of mental disorders in prisons is due to several factors. The factors include the widespread misconception that all persons with mental disorders are a danger to the public; the general intolerance of many societies to difficult or disturbing behaviour, the failure to promote treatment, care and rehabilitation, and above all the lack of or poor access to mental health services in many countries.
Many of these disorders may be present before admission to prison and may be further exacerbated by the stress of imprisonment. However mental disorders may develop during imprisonment itself as a consequence of prevailing conditions.Thesis (LLM (Human Rights and Democratisation in Africa)) -- University of Pretoria, 2011.
http://www.chr.up.ac.za/
nf2012
Centre for Human Rights
LLM
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Degenhardt, Louisa Psychology Faculty of Science UNSW. "Comorbidity between substance use and mental health in Australia: Relationships of alcohol, tobacco and cannabis use with other substance use and mental disorders." Awarded by:University of New South Wales. School of Psychology, 2001. http://handle.unsw.edu.au/1959.4/18247.
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Research into the comorbidity (or co-occurrence) of mental disorders is a relatively recent phenomenon. Much of this research has been conducted in clinical samples, which are prone to a range of biases that mean that the patterns observed are not representative of the general population. Although population-level research has previously been carried out, this thesis provides the first examination of comorbidity in the Australian population. This thesis examined the comorbidity of substance use and mental disorders among Australian adults. The major empirical work involved an examination of the patterns of homotypic comorbidity (other substance use disorders) and heterotypic comorbidity (mood disorders, anxiety disorders, and psychosis) of alcohol, tobacco and cannabis in the 1997 Australian National Survey of Mental Health and Well-Being (NSMHWB). These drugs were chosen as they are the most commonly used psychoactive substances in the Australian population. The NSMHWB involved a structured diagnostic interview of mental disorders with a representative sample of Australian adults. Three questions were addressed using this data: (1) What patterns of comorbidity exist between tobacco, alcohol and cannabis use, and other substance use and mental disorders?; (2) Are these patterns of comorbidity explained by common factors?; and (3) Does comorbidity affect the likelihood that mental health treatment has been sought? Similar patterns of homotypic comorbidity were observed for all three substances, and they were not explained by the other factors examined (gender, age, education, relationship status, employment and neuroticism). Cannabis dependence was the most strongly associated with other substance use disorders. Heterotypic comorbidity differed between alcohol, tobacco and cannabis use. Tobacco use predicted increased rates of all three groups of mental disorders (mood, anxiety and psychotic disorders). In the case of alcohol, only alcohol dependence was related to increased rates of all groups of mental disorders; alcohol use and abuse were not associated with heterotypic comorbidity. Any level of cannabis involvement was related to a similarly increased risk of mood and anxiety disorders. Cannabis use was linearly related to the risk of screening positively for psychosis. Common factors did not change the patterns of heterotypic comorbidity of tobacco and alcohol use. However, alcohol, tobacco and other drug use appeared to explain the higher rates of mood and anxiety disorders among cannabis users. Treatment seeking was much more likely among alcohol, tobacco and cannabis users when they had comorbid mental disorders. It was moderately increased when they had comorbid substance use disorders. The second piece of empirical work provided a more detailed examination of comorbid substance use problems among persons with psychosis. This topic was selected due to the limited epidemiological research on this issue, and the relatively large burden of disability that psychosis places upon the individual and the community. NSMHWB data were used to examine the prevalence of comorbid substance use disorders among persons who were likely to have met criteria for psychosis (as assessed by a screener used in the NSMHWB). Multiple regression analyses were used to test possible explanations for the higher rates of substance use disorders observed among persons reporting higher numbers of psychotic symptoms. The odds of alcohol dependence and regular tobacco use increased 1.5 times, and the odds of cannabis dependence increased twice, with each additional psychotic symptom reported, after adjusting for other substance use disorders, other mental disorders and demographic characteristics. Given the debate about the reasons for the association between cannabis use and psychosis, the final study used mathematical modelling to test four hypotheses about relationships between cannabis use and psychosis. Specifically, it examined trends in psychosis that would be predicted given the marked increases in the prevalence of cannabis use that have occurred in Australia over the past thirty years. The results suggested that a causal relationship - in which cannabis use caused psychosis among persons who would not otherwise have developed the disorder - is unlikely to explain the association. There was a better fit to the data provided by the other hypotheses examined, namely, that (a) cannabis use precipitates psychosis among vulnerable individuals; (b) cannabis use increases the risk of relapse among persons with psychosis; and (c) persons with psychosis are more likely to become regular cannabis users (without any effect upon the disorder). This thesis has demonstrated that in Australian adults there is significant comorbidity between alcohol, tobacco and cannabis use and other substance use and mental disorders. These patterns differ across the three substances. Some types of heterotypic comorbidity (e.g. between cannabis use and mood/anxiety disorders) are explained by common factors. The limited range of common factors tested here did not explain homotypic comorbidity. This thesis also suggested that mathematical modelling is a useful approach to consider when examining the plausibility of different relationships between risk factors and mental disorders. A number of hypotheses regarding comorbidity could not be tested using NSMHWB data, such as common genetic and other environmental factors. These can best be tested in research with samples of twins, and using longitudinal designs that assess a wide range of social and environmental factors. The findings of this thesis also have implications for treatment, because persons with comorbid disorders are more likely to seek treatment. There is an absence of validated treatments for persons with comorbid substance use and mental disorders, and more research is needed on this issue.
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Smyth, Kristin M. "Understanding the Experience of Early-Onset Bipolar Disorder: A Phenomenological Study of Emerging Adults." Scholar Commons, 2017. http://scholarcommons.usf.edu/etd/6953.
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While early-onset bipolar disorder (EOBD) has increased in prevalence, much remains to be understood about its phenomenology. Research and treatment models remain rooted in neurobiological conceptualizations of the illness that borrow heavily from models for the traditional adult-onset form of bipolar disorder. This study utilized a transcendental phenomenological design as a first step in obtaining an understanding of the lived experience of EOBD. A purposive sample of eight participants ages 18-25 participated in semi-structured interviews that elicited information on experiences of EOBD symptomatology and course of illness, stigma, experience with healthcare and treatment, and impact on identity, interpersonal relationships, and coping responses. Transcendental phenomenological analysis was used to construct individual and composite descriptions of participants’ experience of EOBD between ages 13 and 17. Implications of findings are presented for research and treatment of EOBD, as well as social work education and policy reform.
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Coke, Beth. "Reunification Rates of Mothers With Mental Illness, Substance Abuse, and Co-Occurring Disorders." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5313.
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Mental illness is a problem that affects many people; however, little to almost no research relates to mental illness and reunification rates for mothers who have had their children removed from them by the child welfare system. The purpose in this study was to assess and compare reunification rates between mothers with mental illness, those with substance abuse, and those with co-occurring substance abuse and mental illness. The conceptual framework for this study was the use of the structured decision making (SDM) assessment tool in child welfare. The research questions addressed the differences in reunification rates among mothers with mental illness, substance use, and co-occurring mental illness and substance use in cases where children are removed due to neglect or abuse. This study also addressed the difference in timelines for reunification for mothers with mental illness in comparison with mothers with substance use and mothers with co-occurring substance use and mental illness in cases where children are removed due to neglect or abuse. In addition, this study addressed the dynamic assessment factors from the family assessment of needs and strengths (FANS) that predict reunification. This study used archival data related to the reunification status, reunification timelines, and the strengths and needs of the mother. A ï?£2 analysis was used to determine whether a difference exists in reunification rates between the groups. In this study, no statistical significance was found; however, the study brought to light areas for further research. This includes using larger sample sizes that cover an entire state to compare reunification rates. This can assist in program development for reunification and decrease the number of children in care.
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Eisenbrandt, Lydia. "Serious Mental Illness and Rural Primary Care: Provider Training, Attitudes, and Opinions." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/etd/3801.
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Healthcare resources are especially limited in rural regions of the US. The lack of Primary Care Providers (PCPs) and mental/behavioral health services is problematic, as there are high rates of behavioral and medical concerns within rural populations. Special populations, such as rural persons with Serious Mental Illness (SMI), are medically complex and represent a vulnerable and underserved population. Healthcare outcomes for persons with SMI are poor compared to the general population and commonly lead to premature death. Various barriers prevent this population from accessing optimal healthcare, especially in rural areas, due to negative perceptions/stigma, a lack of understanding from PCPs, and a shortage of resources in general. The current study aimed to determine the extent of mental health training that rural PCPs receive regarding patients with SMI, as well as to evaluate their perceptions, knowledge, and experiences with these patients and understand providers’ perceptions regarding rates of patients with SMI who present to primary care clinics in rural settings. The current study used a sample of rural primary care providers (N = 90) , surveyed via USPS mail. Results indicated significant differences in reported mental health training among providers from different disciplines. Greater reported mental health training significantly predicted lower levels of stigma, more correctly identified medical conditions comorbid with SMI, and greater reported comfort and confidence in treating patients with SMI. Providers reported differences in the number of patients with and without SMI seen in rural clinics. Implications for these findings are discussed.
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Bonugli, Rebecca. "Perceptions of sexuality among Mexican American women with serious mental illness : a dissertation /." San Antonio : UTHSC, 2007. http://proquest.umi.com/pqdweb?did=1354136291&sid=1&Fmt=2&clientId=70986&RQT=309&VName=PQD.
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