scholarly journals The arrogance of insight?

1993 ◽  
Vol 17 (4) ◽  
pp. 233-234 ◽  
Author(s):  
Rachel Perkins ◽  
Parimala Moodley
Keyword(s):  
Health Services ◽  
Help Seeking ◽  
Mental Distress ◽  
Emotional Responses ◽  
Explanatory Models ◽  
Physical Illness ◽  
Psychological Models ◽  
Help Seeking Behaviour ◽  
The Impact ◽  
Use Of Health Services

People's beliefs about illness, distress and disability profoundly influence their experience of, and responses to, such problems. Medical anthropologists have long recognised the importance of explanatory models of physical illness and the impact of these on the provision and use of health services. Similarly, psychological models of physical illness and related behaviour stress the importance of the ways in which people conceptualise or understand their difficulties. These are central in determining emotional responses to illness, help-seeking and illness-related behaviours, attitudes towards and compliance with treatment. Eisenbruch (1990) argues that, “the culturally constructed ideas held by the patient about the cause and nature of disease” are as important in relation to mental distress and disturbance. Help-seeking behaviour, attitudes towards and compliance with treatment are of central concern in psychiatry and all of these are influenced by people's understandings of their difficulties. Yet relatively little attention has been paid to the ways in which people conceptualise their mental distress.

scholarly journals Examining mental health literacy, help-seeking behaviours, distress, and wellbeing in UK coaches

2020 ◽  
Vol 26 (3) ◽  
pp. 713-726 ◽  
Author(s):  
Paul Gorczynski ◽  
Kass Gibson ◽  
Nathan Clarke ◽  
Tyrone Mensah ◽  
Rory Summers
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Health Literacy ◽  
Health Services ◽  
Mental Disorder ◽  
Help Seeking ◽  
Mental Health Literacy ◽  
The United Kingdom ◽  
Previous Diagnosis ◽  
Help Seeking Behaviour

Although research has explored stress in coaches, little is known about their mental health literacy and how this is associated with their mental health. Their mental health literacy may have an impact on the wellbeing of their young players. This study examined levels of mental health literacy, help-seeking behaviours, distress, and wellbeing, as well as relationships amongst these variables, in coaches in the United Kingdom. Coaches were recruited through social media and asked to fill out questionnaires. A total of 103 coaches ( n = 65 men, n = 37 women, n = 1 other gender) participated in the study. Coaches had an average age of 27.9 (SD = 10.6) years. Most self-identified as heterosexual ( n = 85, 82.5%), had four or more years of experience ( n = 46, 44.7%), coached children ( n = 77, 74.8%), and coached at either the beginner ( n = 30, 29.1%) or amateur levels ( n = 66, 64.1%). In total, 20 (19.4%) coaches indicated a previous diagnosis of a mental disorder. A total of 51 (49.5%) coaches indicated that, at the time of the completion of the survey, they exhibited symptoms of a mental disorder. Overall, the average mental health literacy score was 123.10 and lower than in previous studies. Mental health literacy was not significantly associated with help-seeking behaviour, distress, or wellbeing. General help-seeking behaviour was positively correlated with wellbeing. The results suggest that coach certification programmes could adopt strategies to help coaches improve their knowledge of mental health services and how such services may be accessed. These changes may improve the wellbeing of coaches and may benefit their athletes.

Cognitive-Behavioural Assessment and Treatment of Maladaptive Help-Seeking Behaviour in a Patient with Schizophrenia

2000 ◽  
Vol 34 (4) ◽  
pp. 688-691 ◽  
Author(s):  
Gus Norris ◽  
Roy Laube
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Help Seeking ◽  
Service Providers ◽  
Public Mental Health ◽  
Chronic Schizophrenia ◽  
Cognitive Behavioural ◽  
Public Mental Health Services ◽  
Help Seeking Behaviour

Objective: Maladaptive help-seeking behaviour in psychiatric patients is a significant problem for public mental health services, yet it is not addressed in the mainstream literature. We present a report on the successful treatment of a person with schizophrenia who displayed this common dilemma for patients and clinicians. Clinical picture: A 31-year-old man with borderline intellectual functioning had a 10-year history of schizophrenia marked by negative features. He frequently presented in crisis to public mental health services, the local hospital, and his general practitioner; this resulted in excessive use of services, including admissions. Treatment: The patient was reassessed from a cognitive-behavioural perspective rather than a syndromal perspective. Specific behaviours were modified, cognitions were identified, challenged and restructured, and other service providers were provided with an alternative to admission or acute community care. Outcome: At 24 months the maladaptive behaviour remains in remission. Conclusions: Behavioural problems in persons with chronic schizophrenia may be effectively treated by reconceptualising the behaviour as distinct from the major diagnosis.

scholarly journals Explanatory models of suicidality among women of Turkish descent in Germany: A focus group study

2018 ◽  
Vol 56 (1) ◽  
pp. 48-75 ◽  
Author(s):  
Amanda Heredia Montesinos ◽  
Marion C. Aichberger ◽  
Selver Temur-Erman ◽  
Zohra Bromand ◽  
Andreas Heinz ◽  
...  
Keyword(s):  
Focus Groups ◽  
Help Seeking ◽  
Social Inclusion ◽  
Explanatory Models ◽  
Help Seeking Behavior ◽  
Focus Group Study ◽  
Awareness Campaigns ◽  
Seeking Behavior ◽  
Suicidal Crisis ◽  
The Impact

Women of Turkish descent in Germany show higher rates of suicidal behavior compared to their host populations and men of Turkish descent. This indicates a demand for a better understanding of suicidality in this group. Nine focus groups ( N = 61) were conducted to assess explanatory models including patterns of distress, perceived causes, course/consequences of and reactions towards a suicidal crisis, help-seeking behavior, and potential intervention and prevention strategies. All participants were of Turkish descent living in Berlin, Germany. The focus groups included two with professionals such as psychiatrists or psychotherapists, two with Community Mothers, three with women from the community (ages: 18 -34, 35 -49, 50+), and of three suicide attempters (ages: 18 -33, 38 -66). Data were analyzed using the methodology of thematic analysis. Results show that suicide-related behaviors, attitudes, and help-seeking behavior have gender and culture-specific characteristics. Two central themes were identified: the impact of family and community and the impact of German society. Participants stated that they believe that family and community pressures as well as discrimination and lack of acceptance cause social isolation. Fear of stigmatization and dishonoring themselves or their family, as well as shame and self-stigma decrease the likelihood of reaching out for help. Recommended strategies are community and family interventions, promotion of integration and social inclusion, awareness campaigns to destigmatize suicidality and the use of mental health services, empowerment of women, as well as the improvement of cultural sensitivity and competency of services.

scholarly journals Savings ownership and the use of maternal health services in Indonesia

2019 ◽  
Vol 34 (10) ◽  
pp. 752-761
Author(s):  
Soyoon Weon ◽  
David W Rothwell ◽  
Shailen Nandy ◽  
Arijit Nandi
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Health Facility ◽  
Care Delivery ◽  
Maternal Health Services ◽  
Reproductive Age ◽  
Percentage Points ◽  
The Impact ◽  
Use Of Health Services

Abstract In low- and middle-income countries (LMICs), many women of reproductive age experience morbidity and mortality attributable to inadequate access to and use of health services. Access to personal savings has been identified as a potential instrument for empowering women and improving access to and use of health services. Few studies, however, have examined the relation between savings ownership and use of maternal health services. In this study, we used data from the Indonesian Family Life Survey to examine the relation between women’s savings ownership and use of maternal health services. To estimate the effect of obtaining savings ownership on our primary outcomes, specifically receipt of antenatal care, delivery in a health facility and delivery assisted by a skilled attendant, we used a propensity score weighted difference-in-differences approach. Our findings showed that acquiring savings ownership increased the proportion of women who reported delivering in a health facility by 22 percentage points [risk difference (RD) = 0.22, 95%CI = 0.08–0.37)] and skilled birth attendance by 14 percentage points (RD = 0.14, 95%CI = 0.03–0.25). Conclusions were qualitatively similar across a range of model specifications used to assess the robustness of our main findings. Results, however, did not suggest that savings ownership increased the receipt of antenatal care, which was nearly universal in the sample. Our findings suggest that under certain conditions, savings ownership may facilitate the use of maternal health services, although further quasi-experimental and experimental research is needed to address threats to internal validity and strengthen causal inference, and to examine the impact of savings ownership across different contexts.

Suck It Up: Opinions and Attitudes about Mental Illness Stigma and Help-Seeking Behaviour of Male Varsity Football Players

2014 ◽  
Vol 33 (3) ◽  
pp. 43-56 ◽  
Author(s):  
Samantha Delenardo ◽  
Jenepher Lennox Terrion
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Help Seeking ◽  
Mental Illness Stigma ◽  
Football Players ◽  
Football Team ◽  
Health Initiatives ◽  
Help Seeking Behaviour ◽  
Elite Level ◽  
The Impact

The purpose of this qualitative study was to understand the attitudes and opinions of varsity football players toward mental health and help-seeking. The insights gained from this study may contribute to a greater understanding of how stigma functions in a competitive, elite-level football team. The authors concluded that the competitive edge required for success in elite athletics conflicts with mental health issues and illnesses. Components of the stigma process (labelling, stereotyping, separation, status loss, and discrimination), along with the impact of gender on stigma toward mental illness and help-seeking behaviours, are explored. Recommendations are made to broaden the scope of mental health initiatives for student athletes.

scholarly journals Economic Evaluation of Emotional and Personal Support in the Health Care of Women with Disabilities

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 438
Author(s):  
Manuel Vargas-Vargas ◽  
María-Leticia Meseguer-Santamaría ◽  
Francisco Sánchez-Alberola
Keyword(s):  
Health Care ◽  
Health Services ◽  
Economic Cost ◽  
National Health Survey ◽  
Women With Disabilities ◽  
Personal Support ◽  
Unit Costs ◽  
Spanish Women ◽  
The Impact ◽  
Use Of Health Services

It is generally accepted that people with disabilities make greater use of health services. Moreover, certain social circumstances alter the intensity of such use. This manuscript seeks to analyze the existing differences in the use of healthcare among women with and without disabilities, to study the impact of emotional and personal support (EPS) on such use and to assess the reduction of the economic cost that this factor entails. Data from the Spanish National Health Survey (SNHS-2017) and updated unit costs of health services have been used to estimate the differences in use attributable to disability and the economic impact of emotional and personal support. The empirical results show an association between disability and perceived EPS, the latter being less common among Spanish women with disabilities. In addition, within this group, EPS significantly influences the levels of use of health services. Finally, the net effect of a perceived EPS increase would translate into a reduction in the economic costs of health care for women with disabilities.

scholarly journals Explanatory models and help-seeking behaviour of leprosy patients in Adamawa State, Nigeria

1998 ◽  
Vol 69 (4) ◽  
Author(s):  
N. VAN DE WEG ◽  
E. B. POST ◽  
R. LUCASSEN ◽  
J. T. V. M. DE JONG ◽  
J. VAN DEN BROEK
Keyword(s):  
Help Seeking ◽  
Explanatory Models ◽  
Leprosy Patients ◽  
Help Seeking Behaviour
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