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Engagement in help-seeking of dual diagnosed mothers at a low-threshold service: grasping life through co-created opportunities
- Authors:
- SORSA Minna A., KIIKKALA Irma, ASTEDT-KURKI Paivi
- Journal article citation:
- Advances in Dual Diagnosis, 11(2), 2018, pp.88-100.
- Publisher:
- Emerald
Purpose: Mothers with a dual diagnosis (mental ill health and substance use) have delays in accessing services, or their care may be interrupted prior to therapeutic relationships being formed. The purpose of this paper is to explore and describe how engagement merges in the context of mothers with a dual diagnosis. Design/methodology/approach: This is a qualitative, focused ethnographic study at a low-threshold service for substance abusing families. The data contain interviews, observations, field notes, and reflections. The analysis followed several systematic steps. Findings: Engagement is the co-creation of possibilities between workplace staff and the client in different interfaces. It is not a single act, emotion, or verbal communication, but a complex intertwined system of events that can awaken or enable the client to get a grasp on life. The sensitivity of the worker is one tool for engaging the client in manifold ways in different interfaces: even the smallest events with connection are viewed as valuable. Engagement involves the intentional client in the process of interaction: the client needs to participate and become an acting and sensing part of the change, which occurs on an experiential level. The process is described with the metaphor of a seed. Originality/value: Engagement as inner involvement challenges the current working methods, and requires sensitivity, because the mothers with a dual diagnosis may not have verbalisable goals when arriving to the services. (Edited publisher abstract)
Child murder and gender differences – a nationwide register-based study of filicide offenders in two European countries
- Authors:
- PUTKONEN Hanna, et al
- Journal article citation:
- Journal of Forensic Psychiatry and Psychology (The), 21(5), October 2010, pp.637-648.
- Publisher:
- Taylor and Francis
The killing of one’s child is an engendered crime, and offending mothers and fathers have been found to differ in both situational characteristics and in mental health issues. This study aimed to investigate gender differences in filicide offenders' psychiatric diagnoses, history, and other mental health-related variables. The study covered all 124 filicide offenders in Austria and Finland in 1995-2005. All registered-based data was gathered for these cases. There were 79 female and 45 male offenders. The findings showed that both genders had an equally challenged childhood. The filicidal fathers were older than the mothers, with mean ages 37.5 and 31.6 years, respectively. Filicidal fathers committed suicide at the crime scene more often than the mothers (38% vs. 15%). Of the examined parents, fathers were diagnosed more often with substance abuse/dependence (39% vs. 2%) and mothers with a psychotic disorder (35% vs. 13%). During the year preceding the crime, 25 (32%) of the mothers and 13 (29%) of the fathers had sought help for mental health-related problems. The article concludes that service providers need specific strategies to support parents in distress, especially when depressive symptoms are present.
Cumulative incidence of mental disorders among offspring of mothers with psychotic disorder; results from the Helsinki High-Risk Study
- Authors:
- NIEMI Laura T., et al
- Journal article citation:
- British Journal of Psychiatry, 185(1), July 2004, pp.11-17.
- Publisher:
- Cambridge University Press
The Helsinki High-Risk Study follows up all women born between 1916 and 1948 and treated for schizophrenia-spectrum disorders in psychiatric hospitals in Helsinki, their offspring born between 1960 and 1964, and controls. The aim was to determine the cumulative incidence of adulthood Axis I disorders among offspring. Using all hospital and out-patient treatment records we rediagnosed parents and offspring according to DSM–IV–TR criteria. Offspring were grouped by mother’s diagnosis (schizophrenia n=104, schizoaffective disorder n=20, other schizophrenia-spectrum disorder n=30, and affective disorder n=25) and compared with a control group (n=176). The cumulative incidences of Axis I disorders among offspring were calculated. The cumulative incidences of any psychotic disorder were 13.5%, 10.0%, 10.0%, 4.0% and 1.1% among offspring of mothers with schizophrenia, schizo-affective disorder, other schizophrenia-spectrum disorders, affective disorders and controls, respectively. The corresponding figures for schizophrenia were 6.7%, 5.0%, 6.7%, 0% and 0.6%, and for any mental disorder 23.1%, 20.0%, 20.0%, 12.0% and 6.9%. Offspring of mothers with a psychotic disorder have heightened risk of developing a wide range of severe mental disorders.