HUBUNGAN RIWAYAT TRAUMA PSIKOLOGIS DENGAN KEJADIAN ISOLASI SOSIAL PADA PASIEN SKIZOFRENIA DI RUMAH SAKIT KHUSUS JIWA SOEPRAPTO PROVINSI BENGKULU

Author(s):  
Ade Herman Surya Direja

Schizophrenia is disorders associated with psychosis consisting of a group of clinical syndromes that are expressed with abnormalities in the contents of thought organizations, interpretation of sensory input, affective / emotional tension, will identity, psychomotor behavior, and the ability to establish satisfying interpersonal relationships. The purpose of this study was to study the relationship between the history of psychological trauma and the incidence of social isolation in schizophrenic patients at Soeprapto Mental Hospital in Bengkulu Province. This type of research is observational analytic using correlational design and using total sampling techniques with inclusion and exclusion criteria for 40 respondents. The population of this study was in schizophrenia patients at Soeprapto Mental Hospital, Bengkulu Province. Date collection techniques with primary and Secondary. Results: From 40 people there were 9 people (22.5%) had a history of psychological trauma, 31 people (77.5%) had no history of psychological trauma, from 40 people there were 16 people (40.0%) social isolation and 24 people (60.0%) did not have social isolation, there was a history of psychological trauma and the incidence of social isolation in schizophrenic patients at the Soeprapto Mental Hospital in Bengkulu Province. It is hoped that the Soeprapto Mental Hospital of Bengkulu Province can provide appropriate treatment and education by using poster and leaflet media when the patient's family is undergoing treatment and increasing the coaching program for schizophrenia patients so social isolation does not occur.

2019 ◽  
Vol 1 (1) ◽  
pp. 5-14
Author(s):  
Carlos Alvaréz Teijeiro

Emmanuel Lévinas, the philosopher of ethics par excellence in the twentieth century, and by own merit one of the most important ethical philosophers in the history of western philosophy, is also the philosopher of the Other. Thereby, it can be said that no thought has deepened like his in the ups and downs of the ethical relationship between subject and otherness. The general objective of this work is to expose in a simple and understandable way some ideas that tend to be quite dark in the philosophical work of the author, since his profuse religious production will not be analyzed here. It is expected to show that his ideas about the being and the Other are relevant to better understand interpersonal relationships in times of 4.0 (re)evolution. As specific objectives, this work aims to expose in chronological order the main works of the thinker, with special emphasis on his ethical implications: Of the evasion (1935), The time and the Other (1947), From the existence to the existent (1947), Totality and infinity: An essay on exteriority (1961) and, last, Otherwise than being, or beyond essence (1974). In the judgment of Lévinas, history of western philosophy starting with Greece, has shown an unusual concern for the Being, this is, it has basically been an ontology and, accordingly, it has relegated ethics to a second or third plane. On the other hand and in a clear going against the tide movement, our author supports that ethics should be considered the first philosophy and more, even previous to the proper philosophize. This novel approach implies, as it is supposed, that the essential question of the philosophy slows down its origin around the Being in order to inquire about the Other: it is a philosophy in first person. Such a radical change of perspective generates an underlying change in how we conceive interpersonal relationships, the complex framework of meanings around the relationship Me and You, which also philosopher Martin Buber had already spoken of. As Lévinas postulates that ethics is the first philosophy, this involves that the Other claims all our attention, intellectual and emotional, to the point of considering that the relationship with the Other is one of the measures of our identity. Thus, “natural” attitude –husserlian word not used by Lévinas- would be to be in permanent disposition regarding to the meeting with the Other, to be in permanent opening state to let ourselves be questioned by him. Ontology, as the author says, being worried about the Being, has been likewise concerned about the Existence, when the matter is to concern about the particular Existent that every otherness supposes for us. In conclusion it can be affirmed that levinasian ethics of the meeting with the Other, particular Face, irreducible to the assumption, can contribute with an innovative looking to (re)evolving the interpersonal relationships in a 4.0 context.


2020 ◽  
pp. 1-5
Author(s):  
Raúl Pino Andrade

Modernity has brought with it a series of scientific advances that, in the medical field, have improved not only the diagnosis and treatment of diseases, but also the quality of life of patients. This is undeniable. It is enough to carry out an exercise of imagination and place our life in two different historical settings: first the Renaissance, and second the XXI century or contemporary era. Leaving cultural or historical affinities aside, to the question: In which of these historical periods would you like to live? The most prudent answer is very likely: now, in this century. The advances of medicine can be traced historically, we cannot think about it without thinking in Vesalius, or Paré, and many others; however, it is true that the history of medicine accelerated markedly in the 20th century. Although it is true that in just over a hundred years the greatest scientific discoveries have been made in all fields of knowledge, modernity has also meant a change in time itself. Everything unfolds at previously unimaginable speeds: material and knowledge production, teaching and learning, communication and interpersonal relationships. The latter point should be highlighted, and the changes due to the acceleration of the relationship between doctors and their patients should be pointed out on time. It is as if life should climb the assembly line and obey a Fordist logic. It must be recognized that the acceleration of certain aspects is significant, such as the expansion of diagnostic tests, creation of procedures and medications, immediate response to emergencies, among others. But all these advantages seem to carry with them, as a current, all areas of life including what must necessarily be paused.


1992 ◽  
Vol 160 (2) ◽  
pp. 230-241 ◽  
Author(s):  
David A. Curson ◽  
Christos Pantelis ◽  
Jan Ward ◽  
Thomas R. E. Barnes

In their comparison of chronic schizophrenic patients in three British mental hospitals in 1960, Wing and Brown found a strong association between the poverty of the social environment and the severity of ‘clinical poverty’ (blunted affect, poverty of speech, and social withdrawal). Between 1960 and 1968 the social environments of all three hospitals improved and a weak causal relationship between social poverty and clinical poverty was reported in a proportion of patients. Using the same assessment instruments as Wing and Brown, the present study re-examined the relationship between social and clinical poverty in the long-stay schizophrenic population of a fourth British mental hospital in 1990. The association found between social and clinical poverty was much weaker than in 1960. Reluctance on the part of patients to be discharged from the institution was unrelated to length of stay. There was no significant difference in severity of illness between the patients in the present study and those in the earlier study. However, patients in the former group spent more time doing nothing than those in the hospital with the most understimulating environment three decades before, with four-fifths doing nothing for over five hours a day, despite a greatly increased ratio of nurses to patients.


2001 ◽  
Vol 35 (2) ◽  
pp. 217-223 ◽  
Author(s):  
Ross M. G. Norman ◽  
Ashok K. Malla

Objective: It has been hypothesized that patients with a diagnosis of schizophrenia who have a positive family history for schizophrenia will show greater reactivity of their symptoms to increasing levels of stress or negative affect than will patients without such a family history. In the past this hypothesis has only been tested through manipulations of negative affect in laboratory settings. In this paper we test this hypothesis using longitudinal clinical data. Method: Data were derived from an earlier longitudinal study using monthly assessments of daily stressors (Hassles Scale) and symptom measures (the Scale for the Assessment of Positive Symptoms and the Scale for the Assessment of Negative Symptoms). We compared longitudinal stress to symptom relations in 12 patients with schizophrenia for whom a positive family history of schizophrenia could be identified with 12 matched schizophrenic patients without any known family history of psychiatric illness. Results: There was evidence that patients with a family history of schizophrenia demonstrated a stronger relation between stress and total score on the Scale for the Assessment of Positive Symptoms. This difference appears to have primarily reflected a greater reactivity to stress of reality distortion symptoms in the positive family history group. The two groups did not differ in apparent reactivity to stress of the disorganization and psychomotor poverty dimensions of symptomatology. Conclusions: The results of this study provide support from a naturalistic, longitudinal clinical study for the hypothesis that reactivity to stress of some symptoms of schizophrenia may vary as a function of family history of the disorder.


Author(s):  
Humaira Humaira ◽  
Irwan Saputra ◽  
Nurjannah Nurjannah ◽  
Said Usman

Schizophrenia is classified as serious mental illness (SMI) due to its chronicity. Rumah Sakit Jiwa (RSJ) Aceh is the only referral mental hospital in Aceh Province. The number of inpatient visits in 2018 with a diagnosis of schizophrenia is 2,083 (96.12%). The average length of stay is 59.76 days. The purpose of this study was to determine the relationship between history of restraint and the length of stay (LOS) of schizophrenic patients in the Aceh Mental Hospital in 2018. This study uses quantitative method. Secondary data is collected from the medical records of patients returning home in 2018. The study population was all schizophrenic patients who returned in 2018, thus using the total sampling method. The study reveals that history of restraint influences the length of stay (LOS) of schizophrenic patients in Aceh Mental Hospital in 2018. The patients with restraint history was treated longer that the patients without restraint. Restraint exacerbates the clinical symptoms of Schizophrenia and causes physical abnormalities such as wasting in the extremities so that more time is needed in treatment. To avoid the severity of clinical symptoms, extremities deformation and the length of stay, stakeholders need to take strategic steps to eradicate restraint as a method in the handling of people with mental disorders at the community level.


Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Yuka Kotozaki ◽  
Kozo Tanno ◽  
Kotaro Otsuka ◽  
Ryouhei Sasaki ◽  
Nobuyuki Takanashi ◽  
...  

Metabolic syndrome (MetS) and its components are well established as risk factors for cardiovascular disease (CVD). On the other hand, it has also been reported that social isolation is associated with an increased risk of CVD. However, the relationship between social isolation and MetS and its components is not clear. Thus, the purpose of this study is to investigate the association between social isolation and the number of MetS components in Japanese adults. Participants were 28,917 individuals (male/female = 10,226/18,691, age = 59.9±11.6 years) from the Iwate area of the Tohoku Medical Megabank Organization Community-based cohort study (TMM CommCohort study). They had no history of coronary heart disease or stroke. Social isolation was assessed using the Lubben Social Network Scale-6 (LSNS-6). The participants were classified into two groups, the social isolation group and the non-isolation group, based on a cutoff point of 11/12 on the LSNS-6. An assessment of MetS used the criteria defined by the Japanese societies’ committee. The multivariate-adjusted odds ratios (95% confidence intervals) [AORs (95% CIs)] of the social isolation group versus the non-isolation group were calculated using ordered logistic analyses and compared to the number of MetS components. We used gender, age, education, current smoker, current alcohol drinker, total physical activity, current job status, and depression as covariates. AORs (95% CIs) of social isolation against non-isolation were 1.02 (0.95-1.09) for one component of MetS, 1.09 (1.01-1.19) for two components of MetS, and 1.16 (1.06-1.28) for three or more components of MetS, when compared to 0 component of MetS. In conclusion, Japanese adults who experience social isolation might have a greater number of MetS components.


2020 ◽  
Vol 10 (2) ◽  
pp. 44 ◽  
Author(s):  
Tatyana A. Vorontsova ◽  
Vera A. Labunskaya

The study analyzed the relationship of attitudes toward one’s appearance and appearance of the partner with attitude toward the own personality and that of the other persons’ in married men and women. The empirical object of the study included 52 married couples in a registered (26 couples) and unregistered (26 couples) marriage with a duration from 5 months to 26 years (M = 7.31; SD = 6.78). The age of the respondents was 20–45 years old (M = 30.26; SD = 7.31; all are residents of the Russian Federation; Russians). Methods included the following questionnaires: (1) “History of the couples’ relationships”; (2) “Estimated and informative interpretation of one’s appearance and its compliance with gender–age constructs”; (3) “Color test of relationships”; (4) “Method of diagnosing interpersonal relationships”; (5) “Fundamental Interpersonal Relations Orientation-Behavior questionnaire”. Empirical data were analyzed with Spearman correlation analysis, Mann–Whitney U-test, Kruskal–Wallis H-test. The results were as follows: (1) in men and women the attitude to their appearance is related to the attitude to themselves; attitude to the spouse’s appearance is associated with the attitude to him or her; (2) in women, the assessment of their appearance is related to the attitude to their appearance; in men, the assessment of their appearance is related to the attitude to appearance of their spouses; (3) women’s attitude to their appearance is associated with the need for inclusion, while in the men’s case it is associated with the need for love; (4) men who emotionally reject their mothers are dissatisfied with the appearance of their wives.


2021 ◽  
Vol 10 (3) ◽  
pp. 159-171
Author(s):  
Gilang R. Al Farizi ◽  
Dyah A. Perwitasari ◽  
Haafizah Dania ◽  
Melisa I. Barliana ◽  
Santi Yuliani

The adverse drug effect of risperidone and clozapine combination therapy possibly increases the BMI, systolic and diastolic blood pressures of mental victims. This study aimed at determining the relationship between the duration of risperidone and clozapine combination therapy and increase in body mass index (BMI), systolic and diastolic blood pressures of schizophrenic patients. The correlation was obtained using the cohort retrospective method on 59 schizophrenic inpatients at Magelang Mental Hospital from February–May 2019. Participants were grouped into 2 categories, termed <8 and ≥8 weeks with 48 and 11 persons, respectively. Subsequently, patients’ BMI, systolic and diastolic blood pressures were measured during the first day of hospitalization and outpatient consultations, based on NCEP-ATP III cut off-point with the modification of Southeast Asian population’s BMI. Structured questionnaires were used to evaluate calory intake and physical activity as well as generate respondents’ medical records. The bivariate analysis results showed a significant relationship between BMI increase at initial hospitalization and during outpatient consultation on group ≥8 weeks therapy, 22.41±2.98 kg/m2 vs 25.2±6.80 kg/m2 (p=0.023, –2.75 (–5.12–(–0.39)). However, there is no major correlation occurred in systolic 117±11.73 mmHg vs 118±15.42 mmHg (p=0.797, 95%CI –1.07 (–9.41–7.26)) and diastolic blood pressures 76±7.86 mmHg vs 73±8.48 mmHg (p=0.192, 95% CI 3.52 (–1.81–8.86)) for both groups. Furthermore, age, gender, smoking status, dosage, co-medication, calory intake and physical activity indicated no substantial variations, in terms of the increase in BMI, systolic and diastolic blood pressures among two categories.


2021 ◽  
Vol 7 (1) ◽  
pp. 1
Author(s):  
Madepan Mulia ◽  
Lutfie Arief Afiyudin ◽  
Rusmala Dewi

Schizophrenia is brain damage that results in impaired cognitive function, activity, language, impaired vision of reality and interpersonal relationships and has behavioral changes such as agitated and aggressive behavior. In general, it is characterized by fundamental deviations, characteristics of thoughts and perceptions, as well as the presence of an unnatural or blunt effect. The purpose of this study was to determine the ability to socialize in schizophrenic patients with social isolation nursing problems before and after being given socialization training and low impact aerobic exercise at the Mitra Sakti Social Welfare Institution, Pesawaran Regency, Lampung Province. The method in this study used nursing actions in the form of socialization exercises and low impact aerobic exercise on 5 patients schizophrenic with social isolation nursing problems reported in the form of case studies. The results showed that after being given nursing actions in the form of socialization exercises and low impact aerobic exercise, the five participants increased their social skills. Nurses are expected to provide optimal application of socialization training and aerobic exercise to schizophrenic patients with social isolation nursing problems. Keywords         : Low impact aerobic exercise, schizophrenia, social isolation, socialization exercises


Author(s):  
Gabriel Kwun Wa Lee ◽  
Gloria Chan ◽  
T. Wing Lo ◽  
Jerf W. K. Yeung ◽  
Cherry H. L. Tam ◽  
...  

In view of the research gap whereby few studies have investigated the inner psychological situations underlying continuous drug use, this study used the Soulmate Scale to investigate the relationship between soulmate experience and drug-taking behaviour. Overall, 276 participants took part in this study. Results showed that soulmate experience was negatively related to drug-taking behaviour, which means that being psychologically attached to drugs and receiving comfort from them encourages dependency and a higher level of difficulty in quitting drugs. In addition, soulmate experience significantly mediated the effect of meaning of life and social isolation on drugs, suggesting that when such psychological bonding and sustenance can be developed in interpersonal relationships instead of drugs, drug users are likely to develop the meaning of life and a lower sense of social isolation, and are more likely to quit drugs. The corresponding implications were discussed.


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