Dissertations / Theses: 'Mental Health And Hygiene'

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Taylor, Gemma Maria June. "The association between smoking, smoking cessation and mental health." Thesis, University of Birmingham, 2014. http://etheses.bham.ac.uk//id/eprint/5534/.

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Introduction: Smoking is a major risk factor for development of serious disease and smoking cessation greatly reduces this risk. The association between smoking, smoking cessation and mental health however, is less clear-cut, therefore this thesis aimed to further investigate this association. Methods: The first part of the thesis reports a systematic review and meta-analysis of longitudinal studies to determine the difference in change in mental health between quitters and continuing smokers. The second part of the thesis reports three prospective analyses of individual level-patient data from five trials for smoking reduction treatment. The first analysis examined the association between cessation and change in mental health using propensity score matching (PSM). The second analysis examined the association between cessation and risk of psychiatric disorder using PSM. The final analysis examined the association between change in mental health after quitting and odds of relapse. Results and interpretations: Cessation was associated with improvements in mental health compared with continuing smoking; there was no association between cessation and risk of psychiatric disorder, and no association between change in mental health after cessation and future relapse. Results support the misattribution hypothesis, and have implications for future research, smoking cessation treatment and public health policy.

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Richardson, Theresa Marianne Rupke. "The century of the child : the mental hygiene movement and social policy in the United States and Canada." Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/27518.

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The purpose of this study is to examine the dynamics between professional knowledge and the power to construct social realities. The focus is on the institutions which contributed to mental hygiene as a protocol for public policies directed toward children. The social history of the child in the twentieth century is juxtaposed with shifts in the configurations of private and public institutions in a sociology of mental illness. The mental hygiene movement created one of the twentieth century's major paradigms. Mental hygiene was conceptualized as the development of a science of promoting mental health and preventing mental illness. The' working premise of the movement was that early life experiences determined adult competence and constituted the root cause of major social problems from crime and dependency to labour unrest and war. The National Committee for Mental Hygiene was established in the United States in 1909 and a second National Committee was established in Canada in 1918. Mental hygienists developed an ideology of child oriented prevention in public health, welfare and educational policies which legitimated public intervention into the private spheres of family relations and child rearing. The idea of mental hygiene was based on a medical model and as such it was part of the new psychiatry and public health movements of the Progressive Era. As a paradigm mental hygiene fostered the identification of children according to scientific standards. Mental hygiene contributed to the transformation of juvenile delinquency into a psychiatry of maladjustment in childhood. As a positivistic approach to public health, mental hygiene research elaborated criteria to determine age related stages of normal psychological and biological progress. Mental hygiene was a product of professional researchers and policy makers. The knowledge base of mental hygiene grew with the expansion of higher education in the United States especially in regard to scientific medicine. The medical model was subsequently applied to research in the behavioural and social sciences. Scientific philanthropy provided funds for research, professional education, and the distribution of knowledge. The accumulation of monetary resources by nineteenth century entrepreneurial capitalists, who applied these funds to further the growth of scientific models, were a sustaining factor in twentieth century mental hygiene. The agents of power described as part of the mental hygiene movement include: 1) the National Committees for Mental Hygiene in the United States and Canada; and, 2) general purpose foundations in Rockefeller related philanthropy and the Commonwealth Fund. By mid-century, the federal, state/provincial and local governments of the United States and Canada had assumed major aspects of the former role of the National Committees and philanthropy in mental health advocacy. The theoretical foundation of mental hygiene evolved in conjunction with the development of the scientific method as applied to preventive medicine, especially in fields related to psychiatry. Mental hygiene was a primary carrier of the medical model into applied disciplines in the social and health sciences. The professionalization of education, social welfare and psychology, as imbued with mental hygiene, translated technological change into revised concepts of public and private spheres in relationship to family and child life. The medicalization of human differences limited the potential for radical revisions in social organization. It justified unequal access to political and economic power on the basis of psychological and biological characteristics. The mental hygiene paradigm served to maintain established social configurations in the face of social change. The function of justifying inequalities was especially important in the United States but less so in Canada for reasons of the timing of nation-building, national history, character, and culture.
Education, Faculty of
Educational Studies (EDST), Department of
Graduate

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Moore, D. "Online resources for perinatal mental illness and stigma." Thesis, City, University of London, 2017. http://openaccess.city.ac.uk/20395/.

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Perinatal mental illness is a global health issue with detrimental outcomes for women and their families if left untreated. Unfortunately, many women do not get the treatment they need for many reasons, one often acknowledged reason is that the stigma some women experience inhibits disclosure of their needs to healthcare providers. This thesis looked at Internet resources for women with perinatal mental illness, in particular online forums. It examined how forums might affect stigma and thus disclosure behaviour. This thesis is by prospective publication. Article 1 aimed to describe and interpret qualitative studies regarding forum use and perinatal mental illness stigma. A metasynthesis of five studies identified four key themes: a safe place to talk; virtual support; stigma and identity; and repair of the mother identity (Moore, Ayers & Drey, under review). Article 2 aimed to identify what websites about postnatal mental illness were available and assess them for content and quality. A systematic review of 114 websites evaluated accuracy of information, resources and website quality. Results showed information was largely incomplete and difficult to read; resources were limited and website quality was variable (Moore & Ayers, 2011). Article 3 aimed to determine how women with perinatal mental illness use web based resources. A qualitative interview study (n= 15) found that the anonymity and non-judgemental social support on forums may have made it an acceptable way to challenge internal stigma and that most women described forums as providing a space to discuss stigma and test out disclosing about their illness to others (Moore & Ayers, 2016). Article 4 therefore aimed to identify whether forums for perinatal mental illness reduce stigma and facilitate disclosure. Thematic analysis of 1546 posts over six months on a forum for postnatal mental illness suggested that forum discourse reconstructed ideology of motherhood as compatible with perinatal mental illness. Many women overcame stigma and posted that they had taken advice and disclosed to a healthcare provider (Moore, Ayers, & Drey, 2016). The final article developed and tested a hypothesised model of the relationship between stigma and disclosure about perinatal mental illness. Study 5 developed a questionnaire measure of stigma for perinatal mental illness in order to test the model. Questionnaire items were completed online by women with perinatal mental illness (n=279). Psychometric testing suggested it was a valid scale with three subscales: external, internal and disclosure stigma (Moore, Ayers, & Drey, 2017). Study 6 tested a hypothesised model that stigma would mediate the relationship between forum use and disclosure to healthcare providers. An online survey of women with perinatal mental illness (n=200) who had used forums provided partial support for this hypothesis, with internal stigma mediating the relationship between length of forum use and disclosure (Moore, Drey, & Ayers, 2017). This research highlights the importance of considering the stigma associated with perinatal mental illness and its role in online forum use and disclosure. Overall, findings suggest that forums may facilitate recognition of stigma, which may in turn lead to greater disclosure of symptoms to healthcare providers. However, the relationship between forum use, stigma and disclosure may be more complex than our initial model proposed. Similarly, most participants in these studies were white, well-educated and actively participated in the forums. Future studies would benefit from testing these relationships using longitudinal designs with more representative samples.

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Johnson, Rebecca E. "Practicalities of public health practice and evaluation : the case of mental wellbeing in Coventry." Thesis, University of Warwick, 2013. http://wrap.warwick.ac.uk/61708/.

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There are gaps in the UK knowledge base for understanding the implementation and evaluation of public health interventions which aim to improve the mental health and wellbeing of participants. In this thesis I examine the measurement of mental wellbeing and the implementation of health improvement interventions in a community setting and investigate the practicalities of their evaluation using a measure of mental wellbeing -- WEMWBS. Methods: Using a mixed methods approach I collected and analysed i) three cross sectional surveys of Coventry residents, ii) quasi-experimental before and after outcome evaluations of three CHIP projects, and iii) undertook semi-structured interviews with CHIP stakeholders. Data were integrated using a matrix technique. Results: A total of 8188 individuals (~40% response rate) completed valid survey questionnaires in 2010-2012, while 590 individuals (~88% response rate) completed valid before-after mental wellbeing outcome evaluations in 2011 and 2012 from three CHIP projects. Fifteen one-on-one interviews were completed. I found that health and lifestyle variables ‘sleep quality’ ‘physical activity’ and ‘fruit and vegetable consumption’ showed the strongest and most consistent patterns of association with levels of mental wellbeing measured using WEMWBS. CHIP projects demonstrated associations between the intervention and increases in mental wellbeing, some of which were both statistically significant and clinically meaningful. Some were sustained at three months. Interview findings showed that the difference between the plans and the observed implementation practices resulted in some of the projects struggling to cope with the evolving and changing needs of the programme, for example moving from outputs to outcomes, introducing mental wellbeing and changing concepts of health, and the work required to achieve partnership with the local authority). The effect on programme level outcomes and outcome measurement of these struggles was a reduction in the number and quality of valid evaluation returns from some of the projects in the programme and reduced staff capacity to deliver project objectives. The introduction of mental wellbeing as an outcome measure created a momentum of change for understanding complex health interventions and outcomes among stakeholders; it assisted those delivering the CHIP programme to understand the underlying health improvement rationale for their programme better. Through integrating quantitative datasets I provided a benchmark from which to make comparisons between population estimates of WEMWBS and observed evaluation findings. Integrating quantitative evaluation process challenges and qualitative insights from stakeholder interviews allowed for complex issues to be ‘untangled’. Interrelated mechanisms affected facilitators and barriers of programme planning, implementation, evaluation and sustainability. Integrating my quantitative and qualitative findings highlighted some clear health benefits from the projects but also highlighted a lack of congruence between the documented linear, unidirectional and unrealistic operational planning which I found in CHIP at a programme level, compared to practical implementation on the ground, which was nonlinear, complex and dynamic. Conclusion: Iterative, transitional stages of programme development could benefit implementation processes and potentially health outcomes, including mental wellbeing, in future public health practice. Further research in this area should explore the extent to which complex, collective, and adaptive operational planning can result in more successful public health improvement programmes.

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Ainsworth, Marie K. "Feminine Discourse and the "Frequently Neglected Area" of Mental Hygiene in 1950s Ontario Elementary Health Textbooks." Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/23515.

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This thesis examines how mental hygiene principles were adopted for a student audience through the elementary-level health textbooks series, Health and Personal Development, used in Ontario schools from 1952 until 1963. In particular, I explore the didactic messages pertaining to mental hygiene as they related to girls. The results of this analysis demonstrate that healthy mental hygiene and personal development for girls, according to the textbooks, meant becoming wives, mothers, and homemakers, as their own mothers model. While these roles required many skills and responsibilities, and provided women with a certain amount of agency in the female-dominated sphere, girls were represented in the textbooks as having a limited set of options in life: to emulate their mothers’ feminine domesticity, or to risk a life marred by poor mental hygiene.

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Saymah, Deya-Edeen. "A proposed approach for management of community mental health projects in areas of political conflict." Thesis, University of Birmingham, 2015. http://etheses.bham.ac.uk//id/eprint/5729/.

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Background: The burden of mental disorders in post-conflict areas is higher than in countries where there is no conflict. Post-conflict areas lack the resources to respond to such high burden, resulting in a treatment gap. This study explored the potential for mental health reform in Gaza. Design: Mixed methods study. Methods: The WHO-AIMS questionnaire was used to assess mental health services in Gaza and documentary analysis was conducted to evaluate the Mental Health Policy and Plan. Healthcare professionals‟ mental health training needs were identified and policy makers, healthcare professionals, service users and carers took part in focus groups to elicit their perspectives on mental health reform. Framework analysis was used to identify recurrent themes. Results: Psychotherapy, recovery, family intervention and crisis management were rated priority training areas. Poor coordination between governmental and non-governmental organisations and short-term funding were identified as main barriers to mental health reform. Service users and carers felt excluded from service delivery and development and suggested possible models of partnership working with service providers to address exclusion. Conclusion: Meaningful mental health reform in post-conflict areas requires inclusive policy development, targeted staff training, improved coordination between different service providers, and partnership working between service providers and service users and carers.

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Doku, Paul Narh. "The mental health of orphans and vulnerable children within the context of HIV/AIDS in Ghana." Thesis, University of Glasgow, 2012. http://theses.gla.ac.uk/3629/.

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Background: The HIV/AIDS epidemic has contributed to a drastic increase in the number of orphans and vulnerable children in sub-Saharan Africa. However, little is known about the mental health of these children in low prevalence areas such as Ghana. The thesis investigated the relationship between orphanhood, parental HIV/AIDS status and mental health. It further examined the mediating effects of identified risk and protective factors on the relationship between orphanhood/parental HIV/AIDS status and psychological difficulties. Finally, the thesis identified pathways through which HIV/AIDS impacts children by exploring the interactive and cumulative effects of the various risk and protective factors on psychological difficulties. Method: The thesis employed cross-sectional, quantitative interviews that involved 291 children aged 10-18 years and their caregivers that compared children who have lost their parents to AIDS, those who have lost their parents to other causes, those who are living with HIV/AIDS-infected caregivers and children from intact families in the Manya Krobo district in Ghana. ANOVAs, T-tests, General Linear Models, Log-linear Analyses, Chi-Squares and Bivariate Correlations were used to analyze the data that were obtained from both the children and their caregivers. Results After controlling for relevant socio-demographic factors, both children and informants’ reports showed that children orphaned by AIDS and those living with infected parents showed higher delinquency (p <.01), peer problems (p <.001), hyperactivity (p <.01) and lower self esteem (p <.001) than other orphans and children from intact families. AIDS orphans, other orphans and those living with HIV/AIDS-infected parents all reported significantly more depression (p <.001) and relationship problems (p <.001) than those for intact families. Conduct problems as indicated by informants’ reports were generally, significantly higher for orphans and vulnerable children compared to children from intact families. Over 70% of both AIDS orphans and children living with infected parents showed internalising symptoms that were above clinical cut-offs for abnormality. AIDS orphans and children living with infected parents reported more stigma, abuse, child labour and lower levels of SES and lower perceived social support. These factors independently, strongly mediated the relationship between orphanhood, parental HIV/AIDS status and mental health. The interactive and cumulative effect of engagement in child labour and being physically abused heightened the risks for depressive symptoms from 38% to 66%. Neglect and psychological abuse increased the risks for symptoms of Reactive Attachment Disorder from 26.6% to 67.3%. The cumulative effect of stigma and either child labour or physical abuse substantially increased the likelihood of delinquency symptoms to approximately 67%. Conclusion: The findings demonstrated that both AIDS orphans and children living with HIV/AIDS-infected parents showed heightened psychosocial symptoms. The present evidence also highlighted the interactive, cumulative, co-occurrence of contextual factors and HIV/AIDS unique exposures to create heightened vulnerabilities for psychological difficulties among children. The findings call for a comprehensive intervention programme that addresses factors specific to HIV/AIDS and contextual variables.

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Cook, Adam. "Cannabis use amongst individuals with severe mental health problems : reasons for use and motivational based interventions." Thesis, University of Birmingham, 2011. http://etheses.bham.ac.uk//id/eprint/1454/.

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Motivational based approaches have been shown to be effective in reducing problematic behaviours in the general population. The present study reviewed 31 studies that aimed to reduce a number of problematic behaviours amongst individuals with severe mental health problems. Evidence supporting the efficacy of motivational based approaches in increasing adherence to medication was inconsistent. In the minority of studies where an increase in medication adherence was reported, the duration of effect appeared to decline over time. The evidence from the studies that aimed to reduce substance use was more consistent. A number of other positive outcomes were reported reductions in: dependence, general functioning and mental health symptomatology. The empirical paper presents a quantitative study that aimed to look at the reasons for cannabis use amongst individuals with and without severe mental health problems. It was found that the motivations for using cannabis did not differ between the two groups; both using cannabis to cope with negative affect, for pleasure and for social reasons. However, individuals with severe mental health problems differed in that they expected cannabis to be more ‘socially and sexually facilitative’. Irrespective of mental health status, participants who used cannabis more problematically endorsed more coping and pleasure motives.

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Boyer, Duane, and mikewood@deakin edu au. "Defining moments in men's lives: A study of personal narratives." Deakin University, 2004. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20050727.123714.

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This study explores the defining moments in six mens lives. The empirical dimension of the research is built around the personal narratives these men tell of their lives across a series of four interviews. The central research theme is the notion of the defining moment as a key element in the processes of establishing how men understand and interpret the events and incidents that have shaped their lives. In the context of this study, the defining moment is seen as the moment or period in time when an individual gives definition to a specific event or experience, as a transition point with (potentially) life-altering consequences. Some of the thematic structures presented include relationships with significant adults (parents, teachers), masculinity, self-harm, schooling, mental illness, isolation, loneliness, stress and relationships with peers. In my pursuit of a methodology that could accommodate the aims of this study, I explored the process of meaning through the qualitative paradigm. Drawing on the principles of qualitative research, as applied through narrative inquiry, I deployed a semi-structured interview format to collect the lived experiences of participants. By privileging the stories that individuals tell of their experiences, the narrative method recognises that data are inexorably located in the contextual and contingent. The experiences and narratives that are presented in this thesis are built around the authentic voices of participants. The study presents a warrant for working with mens defining moments to disrupt, alter and redefine their attitudes and behaviours in order to improve their lives. Based on the insights gleaned through this study, I argue that there are defining times/points in peoples lives where their experiences can be life altering. When these experiences involve uncertainty, anxiety, stress and other pernicious effects, their longer-term consequences can be devastating. The study confirms existing research, that men are reluctant to seek help or reveal their insecurities during such times, therefore making them particularly vulnerable to defining moments. The conclusion of this thesis establishes some broad recommendations pertaining to working effectively with men and their defining moments. I focus particular attention on the place of schooling and education in helping individuals recognise and respond to the early symptoms of what is potentially a life-altering experience. Schools and, by association, teachers need to be actively and strategically involved in this process. To this end, I argue the need for targeted interventions that are both sensitive and timely. In their engagements with young males, parents, teachers, coaches and mentors need to be particularly attuned to their silent screams for help.

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Moth, Richard Robert. "'The Business End' : perspectives on mental distress in the context of neoliberal restructuring of community mental health services." Thesis, University of Birmingham, 2014. http://etheses.bham.ac.uk//id/eprint/5274/.

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Contemporary neoliberal reconfigurations of statutory mental health services involve significant organisational changes. Based on findings from twelve months fieldwork within a community mental health team, the thesis examines the effects of this new service landscape on the way conceptualisations of mental distress are utilised and articulated. The thesis combines critical realist epistemology and reflexive ethnographic method to produce a contextually situated understanding of the field capturing the dynamic relationships between concepts, agents and the context of action. This draws on and extends Rhodes’ ‘pentimento’ (1993) as a conceptual framework for understanding mental health practice. It argues the mental health team is a ‘differentially sedimented structural institution’ in which practitioners and service users navigate a field of contradictions defined by four strata: the custodial system of the asylum; the biomedical treatment system of the hospital; community care within the Keynesian welfare state; and neoliberal welfare reconfigurations. These are conceptualised as ideological positions that coexist within practitioners as alternative modes of thinking and operate in a relationship of mutual tension. Practice should be understood as a process shaped by mechanisms at different levels of scale from micro to macro, and involving movement between these overlapping and co-existing strata of historically sedimented meaning.

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Magadla, Mfanisi Welcome. "A study on the effects of mental illness on relationships amongst families with the mentally ill members." Thesis, University of Fort Hare, 2009. http://hdl.handle.net/10353/d1001101.

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The increased abscondment of Mental Health Care Users from institutions of care, treatment and rehabilitation has prompted the researcher to conduct the study because patients who are not visited do not stand a chance of getting a Leave Of Absence (LOA). Problem: The concern is the danger of assault, murder, rape and other high risk situations the mentally ill individuals and the community are exposed to, which is caused by frequent abscondment of mentally unstable individuals who roam around the community without proper treatment and care. This is caused by failure of the relatives in coming to request patients for leave of absence (LOA). Purpose: The study investigated the effects of mental illness on relationships amongst families with the mentally ill members. The number or frequency of visitations by relatives to the mental health institutions is used by the researcher, to measure the nature of relationships between families and the psychiatric patients related to them. Method: The population comprised families of the mentally ill persons admitted at Cecilia Makiwane mental health units. The sample was collected conveniently as relatives came to visit the mentally ill until the desired number was reached. The designed tool was a questionnaire which was self administered. Data were analysed manually. Tables and graphs are shown in the results. Conclusion and Recommendations: The study revealed that approximately 100% of respondents had a lack of knowledge about mental illness and the mentally ill, in terms of care, treatment and rehabilitation hence they all need assistance in dealing with the mentally ill in the community. Findings also revealed that mental illness causes breakdown in family relationships. Recommendations regarding the enhancement of relationships between families and their mentally ill members are formulated as coping skills in the dissertation. The burden of having to deal with mentally ill person whose illness is not understood can lead the family to a state of confusion and iv not knowing what to anticipate. Lack of resources compounds the problem as the family members are not able to visit the ill member due to lack of funds (Baumann, 2007:637). The families with a mentally ill member usually shoulder the greatest part of the burden of mental illness (Uys and Middleton, 2004:77); unfortunately, lack of resources pose a problem.

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Morris-Paxton, Angela Ann. "Impact of a holistic lifestyle management education programme on health and education outcomes of socioeconomically disadvantaged university students." Thesis, Nelson Mandela Metropolitan University, 2016. http://hdl.handle.net/10948/11909.

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Disorders of lifestyle are increasing globally; countries in transition are suffering the double burden of both contagious and chronic disorders. The utilization of health education to address these issues has had variable results, but the most successful have incorporated human contact. The aim of this study was to measure the quantitative and qualitative impact of a wellness promotion programme on university students. The objective was to provide a structured facilitated holistic wellness education programme to a sample of socioeconomically disadvantaged students in Higher Education in the Eastern Cape Province, South Africa. Using a pragmatic mixed methodological approach to this critical evaluation, the impact on both wellness and academic progress was measured. Initial demographic data was gathered via a biographical questionnaire, pre- and post-intervention measurement of wellness, using the Wellness Questionnaire for Higher Education, as well as a semi-structured qualitative questionnaire and transcripts of academic results. Quantitative data was analysed using SPSS analysis software and qualitative data using the NVivo analysis package. The findings were that all students improved throughout the year in their overall wellness scores, in particular in areas such as avoiding excessive sun exposure and increasing the amount of physical exercise. This corresponded with an increase in the value that the participants attached to information on these aspects of wellness, which was attributed to the programme. Results revealed that there was a weak correlation between student wellness measured at the year-end and academic success overall, but a strong correlation between student wellness and academic success for the students that gained the highest marks. Analysis of the dimensions of wellness that correlated best with student success revealed that there was a particularly strong correlation between year-end career wellness and year-end academic success. In conclusion it was found that a positive and holistic salutogenic wellness education programme increased levels of student wellness overall, which translated into student academic success. The link between wellness and success was particularly strong in students that gained higher marks. Recommendations include that first-year higher education students receive a positive wellness education programme built into the curriculum of their first year of study and that the overall impact be monitored across a broader spectrum of students over the duration of their diploma or degree programme.

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Joiner, Rachel Elizabeth. "Identity and social networking sites : the roles of alcohol use, mental health, and personality." Thesis, University of Birmingham, 2017. http://etheses.bham.ac.uk//id/eprint/7686/.

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This thesis is submitted as part of the Doctorate in Clinical Psychology at the University of Birmingham and consists of two volumes. Volume I contains the research component of this thesis and consists of a systematic literature review, empirical research paper, and public dissemination document. The systematic review found that content on social networking sites can provide researchers with tentative information about the psychopathology and personality traits of the user. However, research displaying greater internal and external validity is required before this information could reliably inform the development of targeted online public health information or interventions. The research paper presents a study exploring the relationships between drinking identity, alcohol use, mental health symptoms, and alcohol content in social networking site pictures, in a community sample of young females. Drinking identity may be an important factor to consider in alcohol reduction and prevention efforts. The public dissemination document provides an accessible overview of the review and research paper. Volume II consists of five Clinical Practice Reports (CPRs). CPR I presents a Cognitive-Behavioural and Systemic formulation for a 21-year-old female experiencing low mood. CPR II presents a service evaluation of non-attendance to psychological assessment appointments in an adult community mental health setting. CPR III presents a single-case research design to assess the effects of a Positive Behavioural Support intervention with a 40-year-old female displaying behaviour that challenges. CPR IV presents a case study of Acceptance and Commitment Therapy with a 69-year-old female experiencing chronic pain and depression. CPR V presents a presentation abstract for a case study of Cognitive Behavioural Therapy with a 31-year-old female experiencing Bulimia Nervosa.

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Piuva, Katarina. "Normalitetens gränser : En studie om 1900-talets mentalhygieniska diskurser." Doctoral thesis, Stockholm University, Department of Social Work, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-445.

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The comprehensive aim of the dissertation is to examine how ideas about mental hygiene have been elaborated and debated within the context of Swedish welfare. The dissertation is a compilation of four articles where issues of mental hygiene are examined in detail through an analysis of texts. In addition, a theoretical and methodological framework and a discussion of the concepts of mental health and normality are asserted to the dissertation. The subjects of research are (1) the launching of the movement in USA in the early twentieth, and the autobiographical narrative "A Mind That Found Itself" (Beers 1908), (2) the conception and the evolution of the movement in Sweden, (3) the psychosocial training within the education of social workers between the years 1939 –1989, and (4) the debate about the Mental health Campaign in 1969. The issues of mental hygiene and mental health discussed in the articles are elaborated in relation to the academic disciplines of Sociology of Health and Illness and the History of Public Health. The theoretical approach of these disciplines proceeds from a post-structural and social constructivist perspective of knowledge and language, a perspective also used in the interpretation of the textual materials. The section where the research methods are presented, consists of a description of how the textual materials have been selected and treated in relation to the theoretical and methodological standpoints.

The outcome of the investigation of the autobiographical book

"A Mind That Found Itself" (Beers 1908) in relation to the launching of the movement in the USA, is that the monomyth-character of the story supported an image of victory and hope, important for the movements aims to improve the reputation of psychiatry. Concerning the launching of the mental hygiene movement in Sweden two important conditions stands out as the course behind the rather hesitant start: the dominant position of custodial care and the antagonistic attitude towards psychoanalytical theories. The study of the psychosocial training of social workers showed how the skills of the clinical gaze were taught to the students by the technique of case-writing. The study of the Mental Health campaign in 1969 showed important divergences concerning the opinions of normality. Since the individual anatomy in the welfare system in Sweden is organised through the individuals position within the labour market, the issues of mental health and allied opinions of normality also contained the risks of exclusion. In conclusion, a comprehensive reflection concerning the results of the studies, is that the concept of mental hygiene, due to the mix of psychiatric and social knowledge, mediated shifting ideas about normality.

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Hugo, Charmaine June. "Mental health literacy and attitudes of human resource practitioners in South Africa." Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/53498.

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Thesis (MA)--University of Stellenbosch, 2003.
ENGLISH ABSTRACT: Background: South African companies need to contend with numerous transformation and development issues since the country's re-entry into the international marketplace. One component that is receiving increasing attention is the wellbeing of employees in the drive to remain competitive within the global economy. This study argues that mental illness is a component of employee wellbeing that has been ignored, even though these conditions are highly prevalent and costly to businesses. The lack of recognition, research and information about mental illness in the workplace raises questions about the knowledge and orientation of human resource (HR) practitioners. This study therefore aimed to investigate and describe the mental health literacy and attitudes ofHR practitioners in South Africa. Methodology: This study had a descriptive purpose and employed a sample survey research design to distribute a mail questionnaire to a randomly selected sample of human resource practitioners registered with the South African Board for Personnel Practice (SABPP). The measuring instrument comprised mental health literacy and attitudes scales that have been extensively researched and reported to have sound psychometric properties. Three vignettes portraying mental disorders selected for their relevance to the business world (i.e., depression, panic disorder and alcohol abuse) were used as aids to achieving the research aim. A standard statistical package (SPSS 10.0) was utilised to determine descriptive and inferential statistics with an accepted 5% level of significance. Results: A response rate of 31% was achieved yielding an equal distribution of responses across the study vignettes. HR practitioners who acted as respondents to this study were found to be illiterate regarding mental illness and to hold subtle negative attitudes towards the mentally ill. Less than 10% could recognise mental illness as opposed to the majority who regarded the behaviour in the vignettes as normal responses. Whereas just over a third could correctly name the diagnosis described in the vignettes, only 7% were able to identify panic disorder. Most respondents believed that psychosocial stress factors caused mental illness, while only 29% where of the opinion that biological factors had a role in the aetiology of mental illness. Respondents favoured psychological and lifestyle treatment strategies and opposed medical treatments, irrespective of the type of mental illness presented with. Although as a group respondents showed mainly positive attitudes towards the mentally ill, evidence was found that the commonly held myths of danger/violence and the irresponsible/ childlike nature of the mentally ill were adhered to. Conclusions: The HR field should take cognisance of the reality of mental illness. Urgent steps need to be taken to adequately equip HR practitioners and students with both evidencebased knowledge and a positive orientation to enable the effective management of these conditions in the workplace. Attention should be given to addressing common mistruths and misconceptions, and to creating an awareness of the significant role that the HR practitioner can play in timeously recognising and appropriately dealing with employee mental health problems so that companies can benefit by the optimal utilisation of human resources.
AFRIKAANSE OPSOMMING: Agtergrond: Suid-Afrikaanse maatskappye het te doen met verskeie transformasie- en ontwikkelings aangeleenthede sedert die land se terugkeer na die internasionale mark. Die welstand van werkers is 'n aspek wat toenemend aandag verkry met hierdie strewe om mededingend te bly in die globale ekonomie. Hierdie studie argumenteer dat geestessiekte as 'n komponent van werkerwelstand geïgnoreer word, alhoewel dit algemeen voorkom en besighede heelwat geld kos. Die beperkte herkenning, navorsing en inligting oor geestessiekte in die werkplek lei tot vrae omtrent die kennis en inslag van Menslike Hulpbron- (MR) praktisyns. Derhalwe, ondersoek en beskryf hierdie studie die kennis en houding jeens geestesgesondheid van MH-praktisyns in Suid-Afrika. Metodologie: Hierdie studie se doel is beskrywend van aard en maak gebruik van 'n steekproef opname navorsingsontwerp. 'n Vraelys is gepos aan 'n ewekansig gesellekteerde steekproef van MH-praktisyns wat geregistreer is by die Suid-Afrikaanse Raad vir Personeelpraktyk. Die meetinstrument bestaan uit geestesgesondheid kennis- en houdingskale wat ekstensief nagevors is en wat beskryf is om goeie psigometriese eienskappe te besit. Drie gevaUestudies van geestessteurings relevant tot die besigheidswêreld (depressie, panieksteuring en alkoholmisbruik) is gebruik as hulpmiddels om die navorsingsdoeiwit te bereik. Standaard statistiese sagteware (SPSS 10.0) is gebruik om beskrywende en afleidende statistiek te bepaal met 'n aangenome 5% vlak van betekenisvolheid. Bevindings: Altesaam 31% van vraelyste is beantwoord en dit was eweredig verdeel tussen die verskillende gevallestudies. MH-praktisyns wat deelgeneem het aan hierdie studie het swak kennis omtrent geestessiekte en subtiele negatiewe houdings ten opsigte van persone met geestesiekte getoon. Minder as 10% kon geestessiekte identifiseer teenoor die meerderheid wat die gedrag in die gevallestudies as normaal beskou het. Net oor 'n derde kon die diagnose korrek benoem en slegs 7% kon panieksteuring korrek identifiseer. Meeste van die respondente het geglo dat psigososiale stresfaktore geestessiekte veroorsaak, terwyl net 29% van mening was dat biologiese faktore 'n rol speel in die etiologie van geestessiekte. Respondente het psigologiese en lewensstyl behandelingsmodaliteite verkies bo mediese behandeling en dit was onafhanklik van die tipe geestessteuring wat voorgekom het. Alhoewel die respondente as 'n groep hoofsaaklik 'n positiewe houding getoon het ten opsigte van persone met geestessiekte, was daar bewyse dat algemene mites ondersteun is en dat persone met geestessiekte beskou is as gevaarlik/aggressief en as onverantwoordeliklkinderlik. Gevolgtrekkings: Die MH veld moet die realiteit van geestessiekte aanvaar. Dringende stappe moet geneem word om MH-praktisyns en studente te voorsien van uitkomsgebaseerde kennis en 'n positiewe houding sodat effektiewe hantering van hierdie toestande kan plaasvind in die werkplek. Algemene onwaarhede en miskonsepsies moet aangespreek word en die bewustheid van die betekenisvolle rol van die MH-praktisyn moet benadruk word. Geestesgesondheidsprobleme van die werker moet betyds herken word en toepaslik gehanteer word sodat maatskappye voordeel kan trek uit die optimale gebruik van menslike hulpbronne.

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Craig, Pauline M. "An exploration of primary care policy and practice for reducing inequalities in mental health." Thesis, Connect to e-thesis, 2008. http://theses.gla.ac.uk/287/.

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Thesis (Ph.D.) - University of Glasgow, 2007.
Ph.D. thesis submitted to the Faculty of Medicine, Public Health and Community-Based Sciences, 2007. Includes bibliographical references. Print version also available.

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Kimmel, Ainslee. "Mental health perceptions of rural community members and firefighting personnel after a wildfire." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Education, c2012, 2012. http://hdl.handle.net/10133/3285.

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Wildfires in Canada and around the world are increasing in frequency each year from factors such as accumulated fuel load, climate changes, and pine beetle infestation. Due to an increased proportion of individuals living in the wildland–urban interface areas within Canada and due to the increasing need for firefighters to fight the growing number of fires that burn each year, the potential threat for humans is also becoming greater. Conducted on the 2009 West Kelowna, British Columbia wildfires, this descriptive, exploratory, qualitative study incorporates quantitative validity measurements to investigate factors related to individual variations in psychological distress and posttraumatic growth (PTG). The findings revealed that perception of control, social support, compounding stressors (i.e., dual roles, ongoing responsibilities and personal issues), and coping methods (i.e., debriefing, humour, self-care behaviours, and reflection) were precursors to psychological health and resilience. Since wildfires are increasing in Canada as well as on a global scale, understanding how they affect residents and firefighting personnel from a mental health perspective is important to research, as it can lead to identifying more effective interventions, better provision of disaster relief services, and increase individual resilience.
xi, 193 leaves ; 29 cm

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Saidi, Marya. "No place like HOME : specialist Housing services for people with mental health problems, Outcomes, Movements and Experiences." Thesis, London School of Economics and Political Science (University of London), 2013. http://etheses.lse.ac.uk/914/.

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Background: No exact and reliable data exists on the characteristics and needs of people with mental health problems in England living in specialist housing services (SHSs). Aims: To describe the cohort of service users’ with mental illness aged 18 to 65 living in various types of SHSs (care homes, supported housing, and Shared Lives schemes) as well as their housing satisfaction, taking into account their social inclusion, and social networks. Pathways into SHSs were accounted for: delayed discharge, referrals and move-on accommodation where applicable. Method: Semi-structured interviews were conducted - using interview schedules designed for the purpose of this study - with 86 service users and 40 managers of SHSs within 7 areas of England. Analysis: Based on a mixed-methods approach: each interview was coded and string variables were turned into quantifiable ones; anonymised quotes from service users and managers were included in the body of the text. Main analysis is quantitative, with a secondary qualitative study, using framework analysis. Results: Differing support levels influenced service users’ experiences and pathways into SHSs, as well as the outlooks of managers. Analyses revealed several aspects mediating housing satisfaction. Many service users were not very well integrated in the community although managers held different views. Some service users were very much reliant on staff and had small social networks. Discrimination was still persistent and recent policy initiatives, in terms of funding, housing, benefits and employment held a negative impact. Preferences of service users were for the most part not taken into account. Conclusions: Further research is needed with regard to BME groups as well as other SHSs settings like Shared Lives schemes. Data should be more systematically collected and in more detail and barriers to employment should be tackled. Better advocacy and information for service users should be established.

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David, Emiliano de Camargo. "Saúde mental e racismo: a atuação de um Centro de Atenção Psicossocial II Infantojuvenil." Pontifícia Universidade Católica de São Paulo, 2018. https://tede2.pucsp.br/handle/handle/21029.

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Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq
This paper considers the assumption that racism, in relation to power and the attempt to keep privileges, produces subjectivities and might generate psychic suffering, affecting (also) black children and teenagers and their territories. The aim of this research was to discuss the relationship between psychosocial care and racism through the perspective of those who work at a juvenile Psychosocial Care Centre II (CAPSij). In order to do that, an institutional perspective of analysis was favoured, one that sees racism as an institution, as a logic of production and reproduction of social interactions. To achieve the objectives, a review of the literature about psychology and racial interactions was carried out, highlighting the relationship between insanity and the black population, as well as the relationship between racism and health care inequities and the empiric study in a CAPSij. The study used the following procedures: participant observation; reading of medical records; partaking in meetings and staff interviews, with the intention of: characterizing possible psychic sufferings related to racism; using colour/race as an item in the planning of Singular* Therapeutic Projects (STP) for users under care; psychosocial interventions to fight racism. The material collected was organized into two thematic axes: the first, based in two cases brought by professionals, discusses how the team think the relationship between psychic suffering and racism and how they develop their intervention; the second approaches the dimensions of the service organization and of the political-institutional sphere. The ongoing interventions and therapeutic projects at the CAPSij suggest that the ethical-political dimension of the anti-asylum fight already takes into consideration the effects of racism within their commitment with the freedom practices and refusal of exclusion and violence processes. However, they also suggest that seeing the effects of racism as an anti-asylum issue, which is being called a CAPS assembly, might augment the power of actions in health care that contributes to the promotion of racial equity and to the deinstitutionalisation of racism
Este trabalho parte do pressuposto que o racismo, enquanto relação de poder e sustentação de privilégios, produz subjetividades, podendo gerar sofrimento psíquico, afetando (inclusive) crianças e adolescentes negros e seus territórios. O objetivo desta pesquisa foi discutir as relações entre atenção psicossocial e racismo na perspectiva dos profissionais de um Centro de Atenção Psicossocial II Infantojuvenil (CAPSij). Para tanto, foi privilegiada uma perspectiva institucional de análise, a que pensa o racismo como instituição, como lógica de produção e reprodução das relações sociais. Para o alcance dos objetivos, foi realizada revisão de literatura sobre psicologia e relações raciais, com destaque para a relação entre loucura e população negra e a relação entre racismo e iniquidades em saúde, bem como um estudo empírico em um CAPSij. O estudo teve como procedimentos: observação participante; leitura dos prontuários; participação em reuniões e entrevistas com a equipe, com a intenção de: caracterização dos possíveis sofrimentos psíquicos relacionados ao racismo; utilização do quesito cor/raça no planejamento dos Projetos Terapêuticos Singulares (PTS) dos(as) usuários(as) atendidos(as); e identificação das intervenções psicossociais de enfrentamento do racismo. O material colhido foi organizado em dois eixos temáticos: o primeiro, com base na apresentação de dois casos trazidos pelos profissionais, aborda o modo como a equipe pensa as relações entre sofrimento psíquico e racismo, e como desenha sua intervenção; o segundo aborda dimensões da organização do serviço e da esfera político-institucional. As intervenções e os projetos terapêuticos em andamento no CAPSij sugerem que a dimensão ético-política da luta antimanicomial já acolhe os efeitos do racismo na medida dos seus compromissos com as práticas de liberdade e da recusa dos processos de exclusão e de violência. No entanto, sugerem também que a tomada dos efeitos do racismo como uma questão antimanicomial, o que se chamou de uma aquilombação dos CAPS, pode ampliar a potência de um agir em saúde que contribua para a promoção da equidade racial e para a desinstitucionalização do racismo

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Yaldiz, Lale Muazzez. "Age-based Differences in the Usefulness of Resources: a Multi-Study Investigation of Work and Well-being Outcomes." PDXScholar, 2018. https://pdxscholar.library.pdx.edu/open_access_etds/4650.

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The labor force is aging globally. It is projected that the number of older workers will increase in the workforce in the near future. At the same time, it is estimated that workplaces will grow more age-diverse, where younger and older workers will work side-by-side more often than they used to. These demographic shifts in the workforce necessitate a further understanding of the differences between the values, needs and motivation, and work outcomes of employees of different ages. To this end, few studies to date have investigated whether job-related resources are differentially useful for the work and non-work outcomes of younger and older workers. Guided by Conservation of Resources (COR) theory and two lifespan development theories (Selection-Optimization-Compensation, SOC; Socio-emotional Selectivity Theory, SST), this dissertation suggests that the utility of resources is age-dependent. Specifically, this dissertation includes three studies that expand our knowledge of age-based differences in the usefulness of job-specific, social, and personal resources, and how they relate to various job attitudes, different forms of job performance, and employee well-being. Study 1, which was published in the Journal of Vocational Behavior, examines the moderating role of age in the relationship between baseline resources (skill discretion, leader-member exchange, and procedural fairness) and perceived stress after one year in a sample of U.S. construction workers (N = 243). As hypothesized, the findings of this study showed that these autonomy and support resources were more important for older workers: When resources were high in the workplace, all employees reported lower levels of stress. However, when resources were low, older workers experienced greater stress compared to their younger colleagues. In Study 2, multi-source data from Turkish manufacturing employees (N = 156) are utilized to investigate the age-based differences in the link between social support resources (leader-member exchange, perceived organizational support) and supervisory ratings of in-role performance and organizational citizenship behaviors in a cultural context other than the U.S. It was hypothesized that these social support resources would be more important for older workers' performance. However, the findings showed that both leader-member exchange and perceived organizational support were considered as equally important by older and younger workers to perform well at work. Finally, Study 3 explores whether resource from job (decision-making autonomy) and personal resources (optimism, perceived work ability) differentially relate to work attitudes (job satisfaction, work engagement) and well-being (perceived stress, emotional exhaustion) of older and younger nurses (N = 111) working in the Pacific Northwest, U.S. The findings of this study supported that the usefulness of decision-making autonomy and optimism were more pronounced for older workers. Overall, the results suggested that, when these resources were low, all employees had lower job satisfaction and work engagement, and greater emotional exhaustion and perceived stress independent of their ages. However, under high resource conditions, older employees shined at work and in life: When resourceful, they enjoyed their job more and felt strong and vigorous at work, and they perceived an overall sense of control over life as well as had an ease of mind at and outside of their work environments. Taken together, the findings of these three studies suggest several implications for theory and practice, particularly those pertaining to the key role that age may play in understanding different workers' needs for job-related resources and how this may affect their work attitudes, behavior, and well-being. Theoretical implications suggest that COR theory can be integrated with lifespan development theories to address the age-related differences in the resource utility. In addition, the findings of this dissertation highlight the need to examine employee age as a main study variable to explore the boundary conditions of various resources -- work and non-work outcomes. Implications for practice include recommendations such as facilitating job crafting and job redesigns for older workers, developing managerial trainings on relationship building with subordinates, creating a fair work environment through transparent organizational policies and practices, and improving personal capacities through stress management interventions. Avenues for future research are discussed as well, including identifying additional resources (e.g., overqualification, support from coworkers and family), and work and well-being outcomes (e.g., objective health measures such as sleep, sick days, and injuries) that may show age-based differences based on lifespan development theories. Finally, this dissertation highlights the need to replicate these study findings across industries, job types, gender, and culture as the usefulness of resources may be context-specific.

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Gagné, Marie-Anik. "Worry and the traditional stress model." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape11/PQDD_0004/NQ44434.pdf.

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Wentworth, Leah Marie. "Suicide prevention and the workplace." Diss., University of Iowa, 2016. https://ir.uiowa.edu/etd/2292.

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The long-term goal of this research is to reduce the number of deaths by suicide. Suicide is the leading cause of violent death in the United States, and is currently the 10th most common cause of death across all age groups. Suicide prevention efforts have historically been focused on youth/young adults, and the elderly, with less attention on programming for individuals in the working years. Our intention is to generally broaden the understanding of suicide, depression and the workplace, with the hope of improving interventions for this underserved population. The research activities outlined below were conducted under the auspices of a larger quasi-experiment at the University of Iowa. We first sought to assess the experiences of professional, nonclinical staff identifying and responding to apparently mental health problems in the workplace. We looked at the impact of two exposures on engagement with individuals in crisis: self-reported contact (the number of students or coworkers a participant interacted with each week), and participation in any suicide prevention training/programming over the previous five years. High contact with students was generally associated with a greater capacity for recognizing and responding to depression and potential suicidality. In contrast, the association between high contact with employees and recognition and response was insignificant for four of the six recognition and response behaviors. Participation in any form of suicide prevention training or programming in the previous five years was highly associated with recognizing and responding to depressed or suicidal coworkers and students. Next, we considered the impact of a personal prior experience with suicide and prior suicide prevention training/programming on four constructs: preparedness to respond to someone in crisis, familiarity with appropriate resources, gatekeeper self-efficacy, and gatekeeper reluctance. Suicide prevention training/programming was significantly associated with higher perception of three constructs: preparedness, familiarity, and self-efficacy. There was no statistical difference in reluctance between previously training participants and participants who had not previously taken suicide prevention training or programming. Individuals who had a personal prior experience with suicide were less reluctant to engage, although the results were not significant. There was an association between individuals who had a personal prior experience with suicide and suicide prevention training/programming, suggesting that individuals with a personal connection to suicide might be more likely to enroll in suicide prevention programming. Finally, we examined how a suicide prevention training programming impacted the perception of safety culture in the workplace. On the 10 item safety scale, there was a significant difference between the means scores reported by the intervention and control group on 7 of the 10 questions. Individuals who participated in QPR gatekeeper training reported a higher sum safety culture score than individuals who did not participate in the training; the overall model was statistically significant. This project shows that suicide prevention training/programming of any kind in the workplace can have a persistent, positive training impact on employees by informing and empowering them to act. It suggests that individuals with a personal prior experience with suicide may be more likely to take suicide prevention training, and may be less reluctant to engage with someone in crisis. It also demonstrates that suicide prevention training may have a positive impact on other workplace psychosocial factors, and deserves prioritization in workplace wellness programming.

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Koonce, Glenn L. "The effects of a structured wellness program on physical and mental well-being of public school teachers and staff members." Diss., This resource online, 1986. http://scholar.lib.vt.edu/theses/available/etd-07282008-140001/.

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Graham, Andrew J. 1964. "Physical fitness of adults with an intellectual disability : a 13 year follow-up study." Thesis, McGill University, 1996. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=35318.

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The purpose of this study was to describe the physical fitness of middle-aged adults with an intellectual disability and how their state of fitness has changed over time. Thirty-two adults with an intellectual disability served as participants: 14 were female and 18 were male. Participants had an age range from 34 to 57 years. All worked at a readaptation center in Montreal and were participants in a study of physical fitness in 1983. Using the "Canadian Standardized Test of Fitness", the participants were evaluated on tests of Cardiovascular Endurance, Muscular Strength, Muscular Endurance, Flexibility, and Body Composition. All participants were deemed physically capable of performing all the tests after a screening procedure was used. A home visit, previous to the testing session, familiarized the participants with the procedures for each test. The battery of tests took one hour per participant. Three levels of analysis were used to describe the change in physical fitness with age: First, the conversion of raw scores into percentiles highlighted individual differences within the group. Second, to assess the change in fitness over time, a 2 x 2 (group x time) repeated measures design was used. Third, effect sizes were calculated to measure the magnitude of change in fitness over the 13 year period as compared to the general population. Results indicate that, when compared to the general population, the participants had lower levels of fitness and that their fitness had changed significantly over time. Most interesting were results showing that the participants had a significantly greater magnitude of change in VO2max and percent body fat than what is expected in the general population. The findings of this study raise concerns regarding the potential health risks associated with aging and poor fitness for adults with an intellectual disability.

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Chanias, Angelos. "The effects of exercise programming on health-related physical fitness of individuals with an intellectual disability : a meta-analysis of studies." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ29535.pdf.

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Hoar, Mariana. "Racial Microaggressions: Relationship to Cardiovascular Reactivity and Affect Among Hispanic/Latinos and Non-Hispanic Whites." Thesis, University of North Texas, 2015. https://digital.library.unt.edu/ark:/67531/metadc804968/.

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Racial microaggressions are a type of perceived discrimination entailing a brief pejorative message by a perpetrator, whether verbal or nonverbal, intentional or unintentional, about a target person that operates below the level of conscious awareness. Research supports a relationship between perceived discrimination and worse mental and physical health outcomes, with the literature centered mainly on non-Hispanic blacks. Less research exists on how perceived discrimination, specifically racial microaggressions, affects the mental and physical health of Hispanic/Latinos. This study examined how exposure to racial microaggressions, using an experimental design whereby a confederate delivers two types of racial microaggressions, influences affect and cardiovascular reactivity (CVR) among Hispanic/Latinos and non-Hispanic whites. Results revealed that the experience of racial microaggressions did not evoke larger and longer lasting emotional and physiological arousal among Hispanic/Latinos and non-Hispanic Whites. Future directions are discussed.

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Woods, Ginger Lee. "Post Traumatic Stress Symptoms and Critical Incident Stress Debriefing (CISD) in Emergency Medical Services (EMS) Personnel." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etd/2035.

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EMS personnel were examined for Post Traumatic Stress symptoms and the usefulness of Critical Incident Stress Debriefing (CISD) using the Los Angeles Symptom Checklist (LASC) and a demographics questionnaire. This study revealed that women in this group show higher PTSD symptoms than male coworkers. Level of Training (LOT) of the EMS provider did not demonstrate a significant difference in whether a provider developed PTSD. EMS personnel receiving debriefing actually suffered greater levels of PTSD than those that did not receive debriefing. And 16% of EMS providers in this study suffered from PTSD, while approximately 20% suffered from partial PTSD or PTSS. The results suggest that there are high levels of PTSD within the EMS community, especially in women. This study also suggests that CISD does not help with PTSD symptoms and may actually worsen them.

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Chow, Lok-yan, and 周樂欣. "The health-related benefits of dog-ownership in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48330152.

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Background: Numerous studies have found that there are many health-related benefits to owning a dog, however, this has not been investigated in a high dense Asian environment where the culture is very different to Western countries. Objectives: This study aimed at investigating 1) if dog-owners are more active than those who do not own a dog; 2) if dog-owners have higher perceived physical and mental health status compared to a sample of the population who do not own a dog; 3) are there social/environmental factors measured by the Dogs-and-Physical Activity (DAPA) tool that are associated with the perceived physical and mental health as well as physical activity (PA) habits of dog owners. Methods: A total of 102 Chinese dog-owners resident in Hong Kong were recruited to examine what factors might affect dog-owners to walk their dog regularly and hence likely to take part in more daily PA. All of these dog-owners were invited to complete a questionnaire that combined the DAPA-tool, Short-Form-12 health survey (SF-12), and the International-Physical-Activity-Questionnaire – short (IPAQ-short) and to wear an accelerometer for a week. Of the 102 recruited dog-owners, 52 had analysable SF-12 and accelerometry data that could be compared with similar data from 47 HK Chinese who did not own dogs. Linear regression was used to analyse differences between dog-owners and non-dog-owners and to examine social/environmental factors that contributed to physical component score (PCS) and mental component score (MCS) and accrued PA of the dog-owners; their living status, gender, age, Body Mass Index (BMI), income, education level and work status were adjusted during the analysis. Result: Compared to those without dogs, dog-owners were found to have higher PCS scores (P<0.001), involved in more moderate to vigorous PA (MVPA, P=0.02) and overall PA (OVPA, P<0.001) as measured by objective accelerometry; while no significant differences were seen in MCS, nor MVPA or OVPA as measured by the self-reported IPAQ. “Owning a dog adds to my happiness” was associated with having higher PCS (P=0.04); whilst “Trees and shrubs for dogs to sniff” (P=0.02), “Sitting areas with benches” (P=0.06) and “My enjoyment of being outdoors” (P=0.01) were positively related to MVPA as measured by IPAQ, whilst “My dog would be unfriendly or difficult to control” (P=0.02) was negatively related to IPAQ MVPA. Furthermore, “Signs to say if dogs are permitted” (P=0.03), “Trees and shrubs for dogs to sniff” (P=0.02), “The fact that I feel safe when walking with my dog” (P=0.02) and “It would keep my dog healthy” (P=0.04) were found to be positively related to OVPA as measure by IPAQ, whilst “My family commitments” (P=0.03) and “It would stop me feeling guilty” (P=0.03) were found to be negative related to IPAQ OVPA. No variables were significantly related to MCS among the dog-owners. Conclusion: Dog-ownership is associated with Hong Kong owners having a more active lifestyle and is related to higher perceived physical, but not mental health. A small number of social and physical factors appear important in providing a supportive environment that can help enhance the health benefits of dog-ownership.
published_or_final_version
Human Performance
Master
Master of Philosophy

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Omagari, Lynda Lee. "Depression among the elderly." CSUSB ScholarWorks, 2008. https://scholarworks.lib.csusb.edu/etd-project/3336.

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This study will examine depression among the elderly in an assisted living facility. The main problem in depression in the elderly is the lack of diagnosis and treatment. Left untreated it affects the elderly person's overall well-being and may eventually lead to their mortality.

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Hargett, Thompson Candace L. "Social Support, Depression, and Cardiovascular Disease in Married, Middle-Aged/Older Adults." Thesis, University of North Texas, 2004. https://digital.library.unt.edu/ark:/67531/metadc4611/.

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This study examined the relationship between physical health, social support, and depression in a married, middle-aged/older adult sample in which at least one partner has heart disease. The data was obtained from a national longitudinal study the Health and Retirement Survey (HRS) and is composed of selected respondents and their spouses. The HRS Wave 1 data that was used for these analyses was collected in 1992 and 1993. This study tested a stress buffer model predicting the relationship between physical health, social support, and depression. For study inclusion, participants must have been diagnosed with cardiovascular disease and received treatment in the last year. A heart disease construct was developed by calculating the level of disease by the number of conditions and medical treatments received within the last year. A second health category for other chronic health conditions included diabetes, arthritis, cancer, and chronic pain. These constructs were combined into a total disease construct, which provided a broad measure of health problems typical of an older adult population. Social support was determined by respondents' satisfaction with friends, neighbors, family, their marriage, and enjoyable time spent with their spouse. Social support was subdivided into two constructs separating spousal support from social support sources outside the marriage. The Center for Epidemiological Studies Depression short-form (CES-D) calculated depression scores. Findings support a stress-buffering model among older married adults with chronic diseases. Hierarchical multiple regressions found the following main effects predicted Depression: Total Disease (Beta=. 03, p<. 000), Exercise (Beta=-.11, p<. 000), Smoking (Beta=. 04, p<. 001), General Support (Beta=-.21, p<. 000), Spousal Support (Beta=-.19, p<. 000). The Total Diseases by Spousal Support interaction was a significant predictor of Depression for men and women (Beta= -.04, p<. 000) and Total Disease by Spousal Support was also a significant predictor for men and women (Beta=-.03, plt;. 000). For men with Heart Disease, Total Disease by Spousal Support was a stronger predictor (Beta=-.03) than it was for women with Heart Disease (Beta=-.10). These results may partially explain gender differences in heart disease patients and suggests several psychological interventions that could be beneficial.

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Green, Carla Ann. "Social Support in an Urban Moroccan Neighborhood: the Effects of Social Networks, Mediation and Patronage on the Physical Health and Psychological Adjustment of Women." PDXScholar, 1995. https://pdxscholar.library.pdx.edu/open_access_etds/1335.

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Although there has been a great deal of research in the areas of social networks, social support and well-being over the past two decades, little of that research has been cross-cultural, and virtually none has been carried out in countries outside the West. The present study attempted to describe the structure and functioning of the social networks of a group of relatively modern urban Moroccan women, and the associations among their social networks, social support, physical health and psychological well-being. Extensive interviews were conducted with 108 married or previously-married women who were living in a middle-class neighborhood in Rabat, Morocco. Subjects were asked to identify social network members, defined as friends, family or others who provided various types of support in typically encountered life situations, or with whom the subject had negative interactions. Standardized self-report instruments were used to assess physical and psychological well-being, and to assess the occurrence of stressful life events. Additional observational data were collected on respondents' neighborhoods and immediate physical surroundings. A model describing the interactions between well-being, network structure and network function was tested using factor-analytic and set-regression techniques. Stressful life events predicted reduced physical well-being. Enhanced psychological functioning was predicted by reciprocity in relationships, marital satisfaction, and to a lesser degree, practical and emotional support. Contrary to predictions, patronage support was associated with both enhanced physical and psychological well-being. Results were generally consistent with Conservation of Resources (COR) theory, which predicts that the uniformly large and well-functioning networks found in this study would produce effect sizes that were small, but consistent with Western research findings.

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Dudoit, Josette M. K. "Analysis of health promotion data obtained during the 2008 Indiana Special Olympics Games a comparison of Indiana and non-Indiana data /." Muncie, Ind. : Ball State University, 2009. http://cardinalscholar.bsu.edu/648.

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Singh, Shail. "The effects of perceived discrimination on Samoan health." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3260.

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The purpose of this study was to examine the effect of perceived discrimination on Samoan health. This study employed purposive data collection and was conducted quantitatively using a questionnaire format, which measured everyday perceived discrimination, depression, and physical health.

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McClatchey, Kirstie. "Developing guidance to inform a clinically meaningful and feasible suicide risk assessment measure for use in emergency departments." Thesis, Edinburgh Napier University, 2018. http://researchrepository.napier.ac.uk/Output/1256366.

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Introduction: Over 800,000 people die by suicide each year, and despite being a global public health issue, limited research exists exploring suicide risk assessment practices in emergency departments. The current thesis investigated emergency department suicide risk assessment practices and clinician experiences in Scotland, to develop guidance to inform the development of a clinically meaningful and feasible suicide risk assessment for these settings which is theoretically underpinned. Methods: A mixed-method triangulation approach was utilised. Two systematic reviews were conducted to update the risk and protective factor literature. This was followed by a national survey of suicide risk assessment practices in emergency departments. Fifty-one clinicians across 17 emergency departments participated, and six clinicians participated in follow-up semi-structured interviews to investigate their experiences, which were analysed using thematic analysis. Findings of the thesis were triangulated using the ‘following-a-thread' method, to develop guidance for informing the development of future risk assessment for use in emergency departments. Results: The systematic reviews identified emerging risk and protective factors including, sexual orientation and internet usage. The survey identified substantial variation in practice between emergency department clinicians. Only 35 (68.6%) participants reported using a suicide risk assessment tool. Importantly, variation was found not only across clinicians and departments, but also within departments, with clinicians based within the same department reporting differing risk assessment practices, indicating both inter- and intra-department suicide risk assessment practice differences. The qualitative analysis of clinician experience established four major themes (current experiences; components of suicide risk assessment; clinical decision-making; suicide risk assessment needs). Triangulation of findings developed recommendations for suicide risk assessment tools and training for emergency departments. Discussion: The risk and protective factor literature has evolved due to societal changes, and there is substantial variation in suicide risk assessment practices, both across and within emergency departments. Clinicians also find suicide risk assessment challenging. There is a need for consistent training, appropriate and helpful guidelines, and the improvement of risk assessment tools to improve practice. It is recommended that suicide risk assessment tools are developed to align to clinicians' needs, while taking into account research from the health domain and from related psychological research domains.

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Mosher, David Keith. "Cultural Humility, Religion, and Health in Lesbian, Gay, and Bisexual (LGB) Populations." Thesis, University of North Texas, 2017. https://digital.library.unt.edu/ark:/67531/metadc1011765/.

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The purpose of this study was to explore the religion – health link in a sample of adults and undergraduate students (N = 555) that identified as lesbian, gay, or bisexual (LGB), and to explore how perceptions of cultural humility of religious individuals and groups toward LGB individuals affect the relationship between religion and health. First, I found religious commitment among LGB individuals was positively correlated with satisfaction in life, but it was negatively correlated with physical health. Second, I found that cultural humility moderated the relationship between religious commitment and satisfaction in life for LGB individuals involved in a religious community. The lowest levels of satisfaction with life were found for individuals with low religious commitment and perceived the cultural humility of their religious community to be low. However, cultural humility did not moderate the relationship between religious commitment and mental and physical health outcomes. Third, I found cultural humility did not moderate the relationship between religious commitment and minority stress (i.e., internalized homophobia). Fourth, I found that cultural humility was a significant positive predictor of motivations to forgive a hurt caused by a religious individual. I conclude by discussing limitations, areas for future research, and implications for counseling.

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Bernardo, Fátima Sofia Rosário Batista. "Os idosos e a prática desportiva no Concelho de Lamego." Master's thesis, Instituições portuguesas -- UP-Universidade do Porto -- -Faculdade de Ciências do Desporto e de Educação Física, 2000. http://dited.bn.pt:80/29145.

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Phillips, Amanda S. "The Influence of Perceived Stress on Insulin Resistance in Adults with Type 2 Diabetes." Thesis, University of North Texas, 2014. https://digital.library.unt.edu/ark:/67531/metadc699935/.

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Objective: To identify whether perceived stress is a risk-factor for higher cortisol levels and greater insulin resistance in Type 2 diabetic patients, using data from participants with and without diabetes in the National Survey of Midlife Development in the United States (MIDUS), specifically MIDUS II, Project 4. The following hypotheses were tested: (H1a) greater perceived stress would be associated with higher cortisol for Type 2 diabetic participants, (H1b) the perceived stress/cortisol relationship would be stronger for people with Type 2 diabetes than for those without it, (H2) greater perceived stress would be associated with higher Homeostatic Model Assessment-Insulin Resistance (HOMA-IR, insulin-resistance) for Type 2 diabetic participants, (H3a) subjective well-being would moderate the perceived stress/insulin resistance relationship for Type 2 diabetic participants, and (H3b) depression would moderate the perceived stress/insulin resistance relationship for Type 2 diabetic participants. Method: MIDUS, a longitudinal study of over 7,000 American adults, explores biopsychosocial factors that could contribute to variance in mental/physical health. Only complete data were utilized. Type 2 participants (n=115) consisted of 54 males and 62 females ranging in age from 36 to 81 years. Non-diabetic participants (n=1097) consisted of 470 males and 627 females ranging in age from 34 to 84 years. Results: None of the predicted relationships were statistically significant. Waist to hip ratio was significantly related to insulin resistance (r = .31, p = .001). Conclusions: Future studies should collect information about the type and duration of stressors in addition to perceptions about stress for those with Type 2 diabetes.

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Pethebridge, Andrew Psychiatry Faculty of Medicine UNSW. "Rehabilitation of the impaired doctor by the New South Wales Medical Board." Awarded by:University of New South Wales. School of Psychiatry, 2005. http://handle.unsw.edu.au/1959.4/22038.

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The New South Wales Medical Board established a Health Programme for the assessment and rehabilitation of doctors whose clinical performance was impaired by alcohol or psychoactive substance use, mental or physical illness. This programme was developed to be individualized to the needs of each registrant. The present study has three aims: 1. To describe those doctors who participated in the Board???s Health Programme. 2. To chart the duration of involvement of these doctors through the programme. 3. To examine the outcomes associated with this programme. The study is based on the prospective cohort of all 181 impaired doctors who participated in the Health Programme between July 1st 1993 and April 30th 2001. Information on each registrant was collected at the time of the initial assessment and at each review conducted as part of the programme. Additional qualitative data was also collected and supplemented by a file audit conducted in August and September 2001. One hundred and eighty-one doctors were prospectively monitored as part of this study. The largest source of impairment was psychiatric illness (45.3%), 77% of the doctors were male. The average age of the cohort was 41.6 (sd 11.1) years. Impaired doctors were more likely to be working in emergency medicine or psychiatry and be based in a rural area. Of those who had finished their involvement in the programme, successful graduates participated for a mean of 38.2 (sd 22.3) months. In general outcomes of involvement were positive, 64 of 113 (56.6%) of doctors successfully graduated from the programme. One hundred and ten of 168 (65.5%) improved during the period of their involvement and 111 of 126 (88.1%) were working in medicine. Five, 2.8% of the participants died during the period of this study. Measures of registrant insight and support tended to increase during the period of involvement with the Health Programme. Future studies will need to establish evidence for the most appropriate interventions with impaired doctors. This process would be strengthened by the collection of standardized data across intervention programmes, supplemented with functional assessments and the collection of qualitative data.

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Hawkins, Misty Anne. "Affective traits and adiposity : a prospective, bidirectional analysis of the African American Health study data." Thesis, Proquest, 2013. http://hdl.handle.net/1805/4840.

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Indiana University-Purdue University Indianapolis (IUPUI)
Research indicates that negative affective traits (e.g., depression) are predictors and consequences of excess adiposity. Given that racial minorities and positive affective traits have been underrepresented in past investigations, more prospective studies are needed which examine multiple affective traits in relation to obesity in these populations. The objective of the current study was to investigate the prospective, bidirectional associations between multiple affective traits and multiple adiposity indicators in African Americans using data from the African American Health (AAH) study. The AAH study is a prospective cohort study of African Americans aged 49-65 years at baseline (N = 998). The longest follow-up period in the current study was 9 years (N = 579). Self-reported and measured body mass index (BMI; kg/m2) and body fat percent (BF%) were used as adiposity indicators. Depressive symptoms were assessed with the 11-item Center for Epidemiologic Studies-Depression Scale (CES-D), and anxiety was assessed using the Generalized Anxiety Disorder-2 (GAD-2) scale. Positive affective traits were assessed with the Vitality subscale of the Short Form-36 and Positive Affect subscale from the CES-D. Latent variable path analysis, a structural equation modeling technique, was conducted. Although fit statistics indicated that the models fit the data (RMSEA < .06), examination of the structural paths revealed that the CES-D and GAD-2 were not predictors or consequences of self-reported BMI, measured BMI, or BF% (ps > .05). Likewise, Vitality and CES-D Positive Affect were not related to any adiposity indicator (ps > .05). The results of this prospective cohort study suggest that affective traits are not predictors or consequences of adiposity in middle-aged African Americans and that this group may require obesity prevention or intervention programs with little to no emphasis on affective traits. Possible explanations for the current results include ethnic differences in the mechanistic pathways between affective traits and adiposity.

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Klein, Robert S. "Neuropsychological Functioning in Active Duty Soldiers with Physical and/or Psychological Trauma." Thesis, University of North Texas, 2010. https://digital.library.unt.edu/ark:/67531/metadc33180/.

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This quasi-experimental study investigates neuropsychological functioning differences between 63 active duty soldiers who were placed into three groups (MTBI, PTSD, control) to provide better information for differentiating PTSD and MTBI. The ANAM and MicroCog were utilized to measure psychomotor speed, memory, and attention. Participants with PTSD performed worse on most measures of psychomotor speed and attention, and endorsed more symptoms of depression and anxiety when compared to MTBI and control participants. Further, attention appears to be the best cognitive domain for differentiating PTSD from MTBI, whereas memory variables did not differentiate these groups. Clinical and research implications of these findings are discussed.

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Shaboodien, Shabier Ibrahim. "Oral health knowledge of caregivers and parents of mentally impaired and physically disabled pre-school children in Hong Kong." Thesis, View the Table of Contents & Abstract, 1998. http://sunzi.lib.hku.hk/hkuto/record.jsp?B21129484.

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VALENTE, MARIA LUIZA CAMPOS DA SILVA. "PSYCHIACTRIC SOCIAL WORK: FROM MENTAL HYGIENE TO PSYCHOANALYSIS." PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 1993. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=8575@1.

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CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO
Este estudo é uma pesquisa histórica, que tenta reconstruir o nascimento do serviço social psiquiátrico nos Estados Unidos, a fim de identificar os antecedentes do Freudian deluge, ocorrido nos anos vinte, quando a psiquiatria psicanalítica torna-se o principal referencial dos assistentes sociais americanos. Neste contexto, identifica o movimento de higiene mental e os postulados higienistas de Adolf Meyer, como o principal antecedente histórico da influência da psicanálise no serviço social americano.
This study is a historical research that attempts to reconstruct the birth of a psychiatric social work in the United States in order to identify the historical background of the Freudian deluge in the twenties, a time in which psychoanalytical psychiatry becomes the main approach of the hygiene movement and the mental hygiene principles established by Adolf Meyer as the landmark of the influence of psychoanalysis in American social work.
El presente estudio es una investigación histórica que reconstruye el origen del servicio social psiquiátrico en los Estados Unidos, con el objetivo de identificar los antecedentes del Freudian deluge en los años veinte, cuando la psiquiatría psicoanalítica transformase en el principal referencial de los asistentes sociales americanos. En ese contexto, el trabajo identifica el movimiento de higiene mental y los postulados higienistas de Adolf Meyer, como los principales antecedentes históricos de la influencia del psicoanálisis en el servicio social americano.

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Hembroff, Nicole, and University of Lethbridge Faculty of Arts and Science. "Orthodox Hindu attitudes to menstruation / Nicole Hembroff." Thesis, Lethbridge, Alta. : University of Lethbridge, Dept. of Religious Studies, c2010, 2010. http://hdl.handle.net/10133/2600.

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Although menstruation is a biological process that occurs for women of a sexually mature age, many cultures associate it with symbols that shape and affect women's lives within these societies. This thesis examines orthodox Hindu beliefs about the origin and meaning of menstruation, which is fundamentally viewed negatively (i.e., adharmically). Drawing upon sources from the earliest to more recent Dharmasastra literature, the thesis demonstrates that orthodox Hindu menstrual taboos derive from menstruation's adharmic associations, which in turn affect attitudes towards women. The Dharmasastras also attempt to realign women with dharma by prescribing appropriate roles for them and act in tandem with the Hindu goddess tradition. Orthodox interpretations of Hindu goddesses configure these deities to serve as dharmic models "for" and " o f women, thereby transmitting dharma to women in ways that are perhaps more meaningful, accessible, and effective than the sastric literature alone. iv
viii, 102 leaves , 3 leaves of plates : ill. ; 29 cm

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Oates, Jennifer. "Mental health and subjective wellbeing in UK mental health nurses." Thesis, City, University of London, 2016. http://openaccess.city.ac.uk/15973/.

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This study explores the subjective wellbeing and subjective experience of mental health problems in UK mental health nurses using a mixed methods approach. It aimed to understand the relationships between mental health nurses' own mental health and their subjective wellbeing, and to explore the ways in which mental health nurses managed their own mental health and wellbeing and how they negotiated for and use their experiences both within and outside of their work. The mixed methods design had two phases. In phase one an online survey was sent to mental health nurses via their national professional bodies, the Royal College of Nursing and the Mental Health Nurses Association. The survey comprised three measures of subjective wellbeing, questions about personal and familial mental health history and questions about the impact of these experiences on mental health nursing work. 237 survey responses were included in the final statistical analysis. In the second phase 27 semi structured interviews were undertaken with a purposive sample of survey respondents who had both subjective experience of mental health problems and high subjective wellbeing. A major finding of the study was that mental health nurses critically appraised their experience of delivering and receiving mental health care from the expert perspectives of both being a nurse and having their own experience of mental ill health. Personal experience of mental illness was found to influence nursing practice in a number of ways: first, through overt disclosure and negotiation of professional boundaries; second, through the ‘use of the self as a tool’, the emotional labour of nursing; third, through the formation and development of professional nursing identity. This was in the context of a broader canvas of life experiences which participants considered to influence the development of their nursing identity, the use of self and self disclosure in their work. Mental health nurses in this study had a relatively low subjective wellbeing. Low subjective wellbeing was associated with having current mental health problems, and with having past experience of mental health problem. Personal experience of living with someone with mental health problems was associated with relatively higher subjective wellbeing. This study has implications for occupational health and human resources policy within healthcare organisations. The findings suggest that mental health nurses who present to primary care or occupational health services should be offered care and treatment commensurate with their expertise and experience. Employers’ ‘staff happiness strategies’ and occupational health promotion activities should address work life balance and what nurses could do outside of their work to be well, as well as addressing the effects that team and management changes have on staff wellbeing.

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Wood, Susan. "Mental health literacy and mental health in at-risk populations." Thesis, University of Warwick, 2016. http://wrap.warwick.ac.uk/88088/.

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This thesis explores mental health literacy (MHL) and mental health difficulties in at-risk populations. Young people, particularly males, are vulnerable to the onset of mental health difficulties, failing to access support and increased risk of suicide. Supporting people with mental health difficulties and improving prognosis is an important area of public health concern. Chapter one is a systematic review of gender differences in MHL of young people (ages 12-25 years). 14 studies were identified and critically assessed. The nature of gender differences in MHL of young people is complex but most consistently reported in depression. Females tended to have higher levels of MHL than males. The implications for public health interventions and future research are discussed. Methodological components of MHL research, such as the use of case vignettes are also considered. Chapter two is a qualitative research study of male professional footballers’ lived experiences of mental health difficulties and help-seeking using interpretative phenomenological analysis. One superordinate theme emerged from the data; Survival. This is discussed through six subordinate themes and alongside existing literature pertaining to identity, transition, personality and emotional development. The clinical implications of the findings are discussed, as well as suggestions for future research. Chapter three is a reflective paper considering the use of Cognitive Analytic Therapy as a tool for reflexivity in qualitative research. The opportunities and limitations of this approach are considered, alongside reflections on the research process.

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Jaishankar, Gayatri, Matthew Tolliver, and Kristina Dulaney. "Perinatal Mental Health." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/8874.

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Rice, Judy A. "Mental Health Clinicians." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7616.

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Rice, Judy A. "Mental Health Clinicians." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7617.

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Morelen, Diana. "Perinatal Mental Health." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7711.

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Morelen, Diana M. "Infant Mental Health." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/2728.

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Dissertations / Theses on the topic 'Mental Health And Hygiene'

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