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Journal article

Perceptions of professionals about the nature of rehabilitation relationships with persons with mental illness and the dilemmas and conflicts that characterize these relationships

Authors:
FINARET Anderea Eini, SHOR Ron
Journal article citation:
Qualitative Social Work, 5(2), June 2006, pp.151-166.
Publisher:
Sage

The development of rehabilitation relationships with persons with mental illness is a topic that has had limited attention in psychiatric rehabilitation literature. This research presents findings from in-depth interviews that were conducted with 10 psychiatric rehabilitation workers in Israel. Six of them were social workers, two were psychologists, and two were occupational therapists. Eight central components that characterize the development of rehabilitation relationships have been highlighted. These components indicate that the rehabilitation relationship is unconventional and differs in many ways from traditional therapeutic relationships. In addition, the challenge of coping with the conflicts and dilemmas which professionals encounter during the implementation of these components has been emphasized. The findings illuminate the need to develop a knowledge base that would prepare rehabilitation workers to cope with these difficulties and provide suitable professional training and supervision.

Journal article

Post-traumatic stress disorder and depression

Authors:
BLEICH Avi, et al
Journal article citation:
British Journal of Psychiatry, 170, May 1997, pp.479-482.
Publisher:
Royal College of Psychiatrists

Examines psychiatric morbidity following war-related psychic trauma, with a special focus on the depressive comorbidity of post-traumatic stress disorder (PTSD) and major depressive disorder (MDD). Subjects consisted of Israeli veterans who sought psychiatric treatment 4-6 years after having been exposed to war trauma. Concludes that within post-traumatic psychiatric morbidity of combat origin, PTSD and MDD are the most prevalent disorders. In addition it appears that PTSD, although related to post-traumatic MDD beyond a mere sharing of common symptoms, is at the same time differentiated from it as an independent diagnostic category.

Journal article

Stress and coping patterns of parents of the mentally ill in Israel

Author:
GIDRON B.
Journal article citation:
International Social Work, 34(2), April 1991, pp.159-170.
Publisher:
Sage

Stress and coping patterns were examined as distinctive factors in the first study of Israeli parents who care for their mentally ill sons or daughters. The authors surveyed fifty parents of the mentally ill in Israel, examining self-reported inventories of potential stresses and coping strategies. Parents reported their greatest concerns surrounded their child's future and their own difficulties in acceptance of their situation. They reported coping by relying on professionals and spouses, and did not report a significant reliance on natural support networks. These findings are examined in the context of studies conducted in other nations.

Journal article

New grandparents’ mental health: the protective role of optimism, self-mastery, and social support

Authors:
SHLOMO Shirley Ben, TAUBMAN-BEN-ARI Orit
Journal article citation:
Journal of Family Social Work, 15(4), July 2012, pp.254-271.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA

First-time grandparents report conflicting feelings in the wake of the transition to their new role.  The aim of this study was to examine the contribution of optimism, self-mastery, perceived social support, and background variables (age, physical health, economic status) to mental health following the transition to grandparenthood. The sample consisted of 257 first-time Israeli grandparents (156 grandmothers and 101 grandfathers), of whom 151 were maternal grandparents and 106 were paternal grandparents. The participants were asked to complete a series of self-report questionnaires. Analysis was conducted to examine: differences between grandparents by gender and lineage; associations between mental health and the independent variables; and the unique and combined contribution of the independent variables to the mental health of new grandparents. The results indicate the importance of internal and external resources, as well as of health and economic status, for the mental health of new grandparents. The value of designing relevant preventive interventions by family social workers to assist grandparents in coping with their new role is discussed.

Journal article

Guardianship of people with mental disorders

Authors:
MELAMED Yuval, DORON Israel, SHNITT Dan
Journal article citation:
Social Science and Medicine, 65(6), September 2007, pp.1118-1123.
Publisher:
Elsevier

The duty of a guardian is to protect a patient who is unable to care for himself or herself. Guardianship has been considered an abrogation of autonomy while conversely it often prevents irreversible harm to the patient. We examined the decision-making process for appointing a guardian in 60 cases from one mental health center in Israel, by examining the patients’ medical records and court appeals. The results of our study suggest that guardians are usually appointed only in extreme cases, though alternative solutions are rarely sought, and that clear criteria for physicians when recommending guardianship are lacking.

Journal article

Does activity level in online support groups for distressed adolescents determine emotional relief

Authors:
BARAK Azy, DOLEV-COHEN Michal
Journal article citation:
Counselling and Psychotherapy Research, 6(3), September 2006, pp.186-190.
Publisher:
Taylor and Francis

Online support groups are widely used for numerous types of distress areas, but relatively little has been empirically examined to date in regard to their effectiveness in providing emotional relief to participants as claimed. The current study aimed at testing a possible moderator affecting participants' emotional relief when using an online support group: the degree of active involvement. This subject was explored by investigating the number of main and response messages that 20 randomly selected participants posted, as well as the number of replies they received, over the course of three months of participation in an open, online support group intended for suicidal and severely distressed adolescents in Israel. Level of distress was measured by a thematic analysis of main messages posted by the participants that was conducted by three pre-trained, expert judges. Results revealed that although the level of participants’ distress did not change over time, on the average, it was significantly correlated with activity level: the higher the number of posts and replies, the lower the level of distress in following months. Implications of these findings for the application and facilitation of online support groups are discussed.

Journal article Full text available online for free

Trauma exposure in pre-school children in a war zone

Authors:
THABET Abel Aziz Mousa, KARIM Khalid, VOSTANIS Panos
Journal article citation:
British Journal of Psychiatry, 188(2), February 2006, pp.154-158.
Publisher:
Royal College of Psychiatrists

This study investigates the relationship between exposure to war trauma and behavioural and emotional problems among pre-school children. A total of 309 children aged 3–6 years were selected from kindergartens in the Gaza Strip, and were assessed by parental reports in regard to their exposure to war trauma, using the Gaza Traumatic Checklist, and their behavioural and emotional problems, using the Behaviour Checklist (BCL) and the Strengths and Difficulties Questionnaire (SDQ). The results found that pre-school children were exposed to a wide range of traumatic events. The total number of traumatic events independently predicted total BCL and SDQ scores. Exposure to day raids and shelling of the children’s houses by tanks were significantly associated with total behavioural and emotional problems scores. The authors conclude that direct and non-direct exposure to war trauma increases the risk of behavioural and emotional problems among pre-school children, which may present as non-specific psychopathology.

Journal article

Identity development of mothers with mental illness: contribution and challenge of motherhood

Authors:
SHOR Ron, MOREH-KREMER Maya
Journal article citation:
Social Work in Mental Health, 14(3), 2016, pp.215-226.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA

Limited knowledge exists about the experience of mothers with serious mental illness in developing their maternal identity and the challenges they face in this process. This subject was examined in Israel in a qualitative research with 12 mothers. The results indicated the contribution of the motherhood experience to the development of positive identity and to the management of mental illness. The mothers described tensions between their efforts to maintain their maternal identity during periods of deterioration in their mental health situation, as well as lack of sufficient attention by their formal and informal support systems to these tensions. Mental health professionals need to provide legitimacy to the positive contribution that the motherhood experience may have on the women’s identity, as well as to provide them support with the effects that changes in their mental health situation may have on their sense of maternal identity. (Publisher abstract)

Journal article

Parents’ experience of their child's first psychiatric breakdown: “welcome to hell”

Authors:
SHPIGNER Elena, POSSICK Chaya, BUCHBINDER Eli
Journal article citation:
Social Work in Health Care, 52(6), 2013, pp.538-557.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA

A retrospective study is used to examine the experiences, challenges, and difficulties faced by Israeli parents during the outbreak of psychiatric illness in their children. In-depth, semi-structured interviews were conducted with 10 parents who participated in a psycho-educational group in a family mental health center. Several themes regarding parents’ experience of the first outbreak of their children's psychiatric illness emerge from the content analysis of the interviews: the perception of sudden onset of the illness, feelings of being mired in distress, intense pain stemming from guilt and helplessness with concomitant anger, and isolation. The themes are then discussed in light of the concept of ambiguous loss and the existential approach. The findings indicate psycho-social services in the Israeli mental health system provide only a partial response to the needs of parents during this critical period. (Edited publisher abstract)

Journal article

Perception vs. circumstances of the child sexual abuse event in relation to depression and post-traumatic stress symptomatology

Authors:
LEV-WIESEL Rachel, MARKUS Liora
Journal article citation:
Journal of Child Sexual Abuse, 22(5), 2013, pp.519-533.
Publisher:
Taylor and Francis
Place of publication:
Philadelphia, USA

The study examined the impact of the circumstances of childhood sexual abuse on post-traumatic stress symptoms and depression among female adult survivors of childhood sexual abuse. The sample consisted of 225 Israeli women divided into two groups according to the identity of the perpetrator (nonfamily perpetrator versus a family member perpetrator). A self-report questionnaire was used consisting of the following scales: demographic variables, the Traumatic Events Questionnaire, Childhood Sexual Experiences Scale, Post-Traumatic Stress Disorder Symptom Scale, and Depression Scale. The findings indicated that the identity of the offender significantly differed between groups only if intercourse had occurred. Women who experienced coerced intercourse scored significantly higher on depression and post-traumatic stress compared to those who experienced other forms of childhood sexual abuse. (Publisher abstract)

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