Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 4th International Conference on Mental Health & Human Resilience Rome, Italy.

Day 1 :

Keynote Forum

Javier Fiz Perez

European University of Rome, Italy

Keynote: Stress perception and stress causes; Coping support technics with the Positive Psychology approach

Time : 09:30-10:15

Conference Series Mental Health 2018 International Conference Keynote Speaker Javier Fiz Perez photo
Biography:

Javier Fiz Perez has completed his PhD. He is currently working as a Psychotherapist and Professor of Psychology at European University of Rome, where he cooperates also as delegate for the international research development. He completed his Graduation in Philosophy, Psychology and Social Bioethics; specialization in Executive Business Administration (EMBA) after PhD. He is a member of Advisory Board of the Academic Senate of the Accademia Tiberina. He is Coordinator of Scientific Committee of International School of Economics and Ethics (Italy) and collaborates with International Academy for Economic and Social Development (AISES) of which he has been Vice President for Spain and Latin America. He is also the Scientific Research Director of European Institute of Positive Psychology at Madrid (IEPP) being also a member of Scientific Committee of International Institute Jacques Maritain. He is also a member of several committees of scientific journals and Director of International Network for Social and Integrated Development (INSID). He has more than 150 national and international publications. 

Abstract:

Stress is no longer a phenomenon that concerns adults exclusively. For this reason, we have decided to include teenage stress in our research. We have been submitting a survey on stress to a group of 671 teenagers with an average age of 16 years and seven months. The survey was focused on two different aspects: stress perception and stress causes. Family support coping questionnaire was also submitted. The main finding of this study is that 38% of the sample defines them as stressed, with no gender related differences. Subjects that consider themselves stressed indicate as cause lack of time (31%) and excessive commitments (23%). Almost all the subjects say school (48%), family (21%) and sentimental relationships (8%) are the main sources of stress. From the analysis of the open answers, it is clear that family and school expectations are the greatest sources of stress – even if significantly more so for females than for males. Subjects were asked to assess the level of stressed originated by finishing school and the need of choosing and planning their future. This finding is meaningful when measured up to the percentage of subjects that has stated to have already made the decision of what to do when they finish studying. As it is seen in the graphic (we asked the subjects to state if they had already decided what to do after school) the greatest levels of uncertainty are found in year IV. The intersection of these data does not seem, however, enough to explain levels of stress, as the high percentage of students who have decided should cause a significant reduction of stress in year V. Most likely, stress concerning the post high school choice is the non linear combination of two factors: on one hand, uncertainty regarding the choice, on the other hand, the immediacy of the event. Comparing stress levels among subjects that count on strong family support and subjects that count on scant family support there are significant differences. The subjects that count on strong family support seem to register lower average stress levels, regarding their post high school choices. Furthermore, this kind of support seems to reduce stress as the event comes nearer, facilitating the decision-making.

 

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Recent Publications

 

1.                  G Giorgi, Fiz Perez J and M Morone (2016) Series: psychology of emotions, motivations and actions. Vol: neuroticism: characteristics, impact on job performance and health outcomes. Chapter 5: The influence of neuroticism, personality traits and motivation on organizational emotional intelligence and work-related stress tolerance. ISBN: 978-1-63485-323-1.

 

2.                  Fiz Perez J, G Gabriele, G Arcangeli and M Belloto (2016) Leaders consider subordinates' stress similar to their own stress: OR1267. International Journal of Psychology. 51(1):751-752.

 

3.                  G Giorgi, Fiz Perez J and M Morone (2016) The influence of neuroticism, personality traits and motivation on organizational emotional intelligence and work-related stress tolerance. Psychology of Emotions, Motivations and Actions (5):75-88.

 

 

Conference Series Mental Health 2018 International Conference Keynote Speaker Yael Mazor & Noga Shteiman photo
Biography:

Yael Mazor and Noga Shteiman are working at Amitim program, The Israel Association of Community Centers (IACC), Haifa University, Israel.

 

Abstract:

The promotion of recovery is a central goal of public mental health systems (Power, 2009). Recovery includes the pursuit of active living (i.e., enjoyable, expressive, and meaningful leisure experiences) (Iwasaky et al., 2010; 2014), and meaningful inter-personal relationships (Iwasaky et al., 2015). While most social recreation programs for people with serious mental illness (SMI) are segregated (Adler- Ben Dor & Savaya, 2007), the Amitim program (by the Israeli Ministry of Health and the Israeli Association of Community Center) offers an innovative model of social and recreation oriented rehabilitation for people with SMI within the general community (Halperin & Boz-Mizrahi, 2009). Over the last decade Amitim program has reached 75 cities nationwide and gives service to 3000 people with SMI.

Amitim aims to achieve two main goals; (1) the promotion of personal recovery via meaningful leisure activities in the community; through (a) monthly meetings with a mental health professional within the community center (non-stigmatic facility) and creating with the person with SMI a "tailor made suit" to comply with his personal social recovery objectives. In addition, the person with SMI takes part in (b) leisure and volunteering activities within the community, whereby he practices his social skills and participates in meaningful activities. Lastly, the person is entitled for (c) a leisure-oriented scholarship that enables him to reach his social -oriented aspirations. The second main goal of Amitim is the (2) promotion of social change and community resilience with and by people with SMI, through lectures and workshops to the general community concerning mental disability and stigma, thus increasing partnership and resilience in the community.

To the best of our knowledge, Amitim represents a "one of a kind" model that enables both social-oriented recovery for people with SMI in their community, alongside the promotion of community resilience and social change.

 

References

Dor, I. A. B., & Savaya, R. (2007). Community rehabilitation for persons with psychiatric disabilities: Comparison of the effectiveness of segregated and integrated programs in Israel. Psychiatric rehabilitation journal, 31(2), 139. doi: 10.2975/31.2.2007.139.148

 

Halperin, G., & Boz-Mizrahi, T. (2008). The Amitim program: an innovative program for the social rehabilitation of people with mental illness in the community. The Israel journal of psychiatry and related sciences, 46(2), 149-156.

 

Iwasaki , Y. , Coyle , C. , & Shank , J. ( 2010). Leisure as a context for active living, recovery, health, and life quality for persons with mental illness in a global context . Health Promotion International , 25 , 483 – 494 . doi:10.1093/heapro/daq037

 

Iwasaki, Y., Coyle, C., Shank, J., Messina, E., Porter, H., Salzer, M., ... & Ryan, A. (2014). Role of leisure in recovery from mental illness. American Journal of Psychiatric Rehabilitation, 17(2), 147-165. doi: 10.1080/15487768.2014.909683

 

Iwasaki, Y., Messina, E., Shank, J., & Coyle, C. (2015). Role of leisure in meaning-making for community-dwelling adults with mental illness: Inspiration for engaged life. Journal of Leisure Research, 47(5), 538.

 

 

 

 

 

  • Workshop
Location: Rome, Italy
Speaker
Biography:

Yael Mazor working at Amitim program, The Israel Association of Community Centers (IACC), Haifa University, Israel.

 

Abstract:

The promotion of recovery is a central goal of public mental health systems (Power, 2009). Recovery includes the pursuit of active living (i.e., enjoyable, expressive, and meaningful leisure experiences) (Iwasaky et al., 2010; 2014), and meaningful inter-personal relationships (Iwasaky et al., 2015). While most social recreation programs for people with serious mental illness (SMI) are segregated (Adler- Ben Dor & Savaya, 2007), the Amitim program (by the Israeli Ministry of Health and the Israeli Association of Community Center) offers an innovative model of social and recreation oriented rehabilitation for people with SMI within the general community (Halperin & Boz-Mizrahi, 2009). Over the last decade Amitim program has reached 75 cities nationwide and gives service to 3000 people with SMI.

Amitim aims to achieve two main goals; (1) the promotion of personal recovery via meaningful leisure activities in the community; through (a) monthly meetings with a mental health professional within the community center (non-stigmatic facility) and creating with the person with SMI a "tailor made suit" to comply with his personal social recovery objectives. In addition, the person with SMI takes part in (b) leisure and volunteering activities within the community, whereby he practices his social skills and participates in meaningful activities. Lastly, the person is entitled for (c) a leisure-oriented scholarship that enables him to reach his social -oriented aspirations. The second main goal of Amitim is the (2) promotion of social change and community resilience with and by people with SMI, through lectures and workshops to the general community concerning mental disability and stigma, thus increasing partnership and resilience in the community.

To the best of our knowledge, Amitim represents a "one of a kind" model that enables both social-oriented recovery for people with SMI in their community, alongside the promotion of community resilience and social change.

 

References

Dor, I. A. B., & Savaya, R. (2007). Community rehabilitation for persons with psychiatric disabilities: Comparison of the effectiveness of segregated and integrated programs in Israel. Psychiatric rehabilitation journal, 31(2), 139. doi: 10.2975/31.2.2007.139.148

 

Halperin, G., & Boz-Mizrahi, T. (2008). The Amitim program: an innovative program for the social rehabilitation of people with mental illness in the community. The Israel journal of psychiatry and related sciences, 46(2), 149-156.

 

Iwasaki , Y. , Coyle , C. , & Shank , J. ( 2010). Leisure as a context for active living, recovery, health, and life quality for persons with mental illness in a global context . Health Promotion International , 25 , 483 – 494 . doi:10.1093/heapro/daq037

 

Iwasaki, Y., Coyle, C., Shank, J., Messina, E., Porter, H., Salzer, M., ... & Ryan, A. (2014). Role of leisure in recovery from mental illness. American Journal of Psychiatric Rehabilitation, 17(2), 147-165. doi: 10.1080/15487768.2014.909683

 

Iwasaki, Y., Messina, E., Shank, J., & Coyle, C. (2015). Role of leisure in meaning-making for community-dwelling adults with mental illness: Inspiration for engaged life. Journal of Leisure Research, 47(5), 538.

 

 

 

 

 

  • Psychiatry & Mental Health Nursing | Mental Health | Stress the Root of Resilience Women Mental Health | Psychosis |Human Resilience | Mental Health
Location: Rome, Italy

Session Introduction

Tahmineh Mousavi

Tehran University of Medical Sciences, Iran

Title: Capabilities-based interventions for autism spectrum disorders
Biography:

Tahmineh Mousavi has joined Tehran University of Medical Sciences (TUMS) as an Assistant Professor in the Department of Occupational Therapy in the School of Rehabilitation Sciences in February, 2017. Before joining to TUMS, she was a Postdoctoral Fellow at Cognitive Science and Technology Council of Iran and a Visiting Scholar at Centre for Relationship Based Care in the Department of Family Practice at University of British Columbia. She completed her PhD at University of British Columbia in Rehabilitation Sciences. Her research interests include Disability Studies, Health Care Ethics, Health Policy, Global Health, Social Justice, Occupational Therapy, Community Based Rehabilitation, Client Centered Practice, Mental Health, Autism Spectrum Disorders and Qualitative Research.

 

 

Abstract:

Autism Spectrum Disorders (ASD) is one of the most common disabilities that increased over the last two decades. The prevalence of ASD is between 1% and 2% for all racial groups. Different types of interventions for individuals with ASD were recommended from medical interventions to applied behavioral analysis, developmental and family-based interventions. The interventions have different goals, including improving communication and social skills to training to support family members. Individuals with ASD are more likely to experience failure in their basic capabilities, as described by Nussbaum (2006), including living a normal life expectancy, being healthy, being able to move freely from place to place, being able to experience self-expressive and creative activities, having attachments to people and things, being able to plan for one’s life, being able to show concern for other human beings and engage in various forms of social life, being able to live with concern for and in relation to the world of nature, being able to laugh, play, to enjoy recreational activities, being to participate effectively in political choices that govern their lives; having the right to political participation and having the right to seek employment on an equal basis with others. Individuals with ASD have needs in the areas covered by all the central human functional capabilities. The purpose of this study is to develop a conceptual model of capabilities-based interventions for individuals with ASD.

 

 

Recent Publications

 

  1. Mousavi T (2017) Central human functional capabilities of children with autism spectrum disorders: a qualitative research. Mental Health in Family Medicine 13:495-501.

 

  1. Nussbaum M (2000) Women and human development: the capabilities approach. Cambridge: Cambridge University Press. ISBN-13 978-0-511-33743-7.

 

  1. Martha C Nussbaum (2003) Capabilities as fundamental entitlements: Sen and Social Justice. Feminist Economics 9(2-3):33-59.

 

  1. Martha C Nussbaum (2006) Frontiers of justice: disability, nationality, species membership. Cambridge. MA: Harvard University Press. ISBN 9780674024106.

 

Speaker
Biography:

Karin Österman has completed her PhD in Developmental Psychology. She is an Associate Professor of Developmental Psychology at Åbo Akademi University and Adjunct Professor (Docent) of Social Psychology at Helsinki University and a Licensed Psychologist. She is also the Director of Master’s Degree Programme on Peace, Mediation and Conflict Research at Åbo Akademi University, Vasa, Finland. Her research includes studies on physical punishment of children, domestic aggression, child abuse, conflict resolutions and temper tantrums.

 

 

Abstract:

The aim of this study was to investigate sex differences in perpetration of low intensity intimate partner aggression in South Sudan, to compare levels of perpetration, victimization and further to test whether the revised gender symmetry theory (Archer, 2018) could be applicable in an African country. A questionnaire was filled in by 302 females and 118 males in South Sudan, the mean age was 22.5 years (SD 8.4) for women, and 25.6 years (SD 7.8) for men. Intimate partner aggression was measured with self-reports using both the perpetrator and the victim versions of the Direct Indirect Aggression Scales for Adults (DIAS-Adult; Österman & Björkqvist, 2009), which measures seven types of aggressive behaviours. The results showed no significant difference between females and males on perpetration of five out of seven types of aggression; physical, verbal and nonverbal aggression, as well as direct and indirect aggressive social manipulation. For females, levels of victimization and perpetration of aggression were equally high; this was the case for all seven types of aggression while, for males, victimization was significantly higher than perpetration on three types of aggression. The results provide support for the revised gender symmetry theory in an African developing country.

 

 

Recent Publications:

 

  1. Ndoromo O, Österman K and Björkqvist K (2017) Sex differences in victimization from low intensity intimate partner aggression in South Sudan. European Journal of Social Sciences Education and Research.

 

  1. Nazar N, Österman K and Björkqvist K (2017) Religious tolerance, views on gender equality and bellicose attitudes: A study among Pakistani students from three types of schools. European Journal of Social Sciences Education and Research.

 

  1. Khademi J, Björkqvist K and Österman K (2017) A study of mental wellbeing of imprisoned women in Iran. European Journal of Social Sciences Education and Research.

 

  1. Banyanga J D, Björkqvist K and Österman K (2017) Trauma inflicted by genocide: Experiences of the Rwandan Diaspora in Finland. Cogent Psychology.

 

  1. Ndoromo O, Österman K and Björkqvist K (2017) Domestic violence as a risk factor for children ending up sleeping in the streets of post-war South Sudan. Journal of Child and Adolescent Behaviour.

 

Hope Virgo

Shaw Mind Foundation, UK

Title: Mental health problems
Speaker
Biography:

Hope Virgo is recently working at Shaw Mind Foundation UK

Abstract:

For four years, author managed to keep it hidden, keeping dark secrets from friends and family. But then, on 17th November 2007, her world changed forever. She was admitted to a mental health hospital. Her skin was yellowing; her heart was failing. She was barely recognizable. Forced to leave her family and friends, the hospital became her home. Over the next year, at her lowest ebb, she faced the biggest challenge of her life. She had to find the courage to beat her anorexia. She will share her harrowing but inspiring story giving you an understanding of how she went from being in the grips of anorexia to gaining back control. She will tell us how she fought from rock bottom to beat the friend that had controlled and nearly destroyed her life. The story of her recovery will not only inspire countless others and give everyone hope that recovery is possible but it will help break mental health stigma further. She will offer insight into how we can improve the lives for people with eating disorders and other mental health problems. She will share her thoughts on the journey to diagnosis and what we can do practically as individuals and organizationally to support those suffering with eating disorders. 

 

Sarah L Parry

Manchester Metropolitan University, UK

Title: Nurturing resilience: sharing stories from the inside
Speaker
Biography:

Abstract:

Omics Group Mental Health 2018 International Conference Speaker Sarah L Parry photo

Speaker
Biography:

Dorit Segal-Engelchin is an Associate Professor. She is the Head of the Spitzer Department of Social Work and Co-director of the Center for Women’s Health Studies and Promotion, Ben- Gurion University of the Negev. Her research interests include diverse aspects of women's health and well-being, stress and coping, and evaluation of art-based interventions designed to reduce stress among people exposed to disasters.

 

Abstract:

Statement of the Problem: Mental health professionals (MHPs) are among the first responders to address the needs of traumatized people following exposure to terrorist attacks and war-related stressors.  In Southern Israel, MHPs encounter a double exposure to war-related trauma as community members and professionals providing service to terror victims. Research on MHPs exposed to a shared war reality show that they are subject to increased emotional pressure, family conflict and an increased risk for PTSD and vicarious symptoms.   The aim of this study was to examine the effectiveness of an art-based intervention in reducing stress among Israeli MHPs who shared war-related stress with their clients during Operation “Protective Edge” (2014).

Methodology: The art-based intervention included drawing pictures that were later shared in small groups related to three topics: (1) emotions and thoughts related to the war situation; (2) resources that may help them cope with the war-related stressors; and, (3) integration of the stressful image and the resource picture.  To examine the intervention effect, the Subjective Units of Distress (SUDs) values of 47 MHPs were measured using a pre-post design.

Findings: The study results indicate that MPHs' initial stress levels significantly decreased on completion of the intervention.  

Conclusion & Significance: The study results show the efficacy of an easily implemented art-based tool for stress reduction among MHPs operating in shared war conditions.  Implications for future research and for interventions designed for MHPs operating in additional shared disasters will be discussed.

 

Recent Publications

  1. Baum N. Professionals’ double exposure in the shared traumatic reality of wartime: Contributions to professional growth and stress. Brit J Soc Work. 2014; 44(8): 2113–34.
  2. Boscherino AJ, Figley RC, Adams ER. Compassion fatigue following the September 11 terrorist attack: a study of secondary trauma among New York city social workers. Int J Emerg Ment Health. 2004; 6(2): 57–66.
  3. Craig CD, Sprang G. Compassion satisfaction, compassion fatigue, and burnout in a national sample of trauma treatment therapists. Anxiety Stress Coping. 2010; 23(3): 319-39.
  4. Finklestein M, Stein E, Greene T, Bronstein I, Solomon Z. Posttraumatic stress disorder and vicarious trauma in mental health professionals. Health Soc Work. 2015; 40(2): e25-e31. doi: 10.1093/hsw/hlv026
  5. Huss, E., Sarid, O., & Cwikel, J. (2010). Using art as a self regulating tool in a war situation: A model for social workers. Health Soc Wor. 2010; 35(3); 201-209.
  6. Shamai M, Ron P. Helping direct and indirect victims of national terror: Experiences of Israeli social workers. Qual Health Res. 2009; 19: 42–54.

 

 

Speaker
Biography:

Suman Tyagi is a PhD qualified psychiatric social work clinician with over two decades of recognized, rich and diverse specialist experience within acute hospital and community setting. She is a proven coach, supervisor and a passionate educator who is regularly invited to deliver training programs, lectures and awareness-raising seminars by organizations in the mental health fields. She is a member of Clinical Advisory Committee, Older Person Mental Health (OPMH) Policy Unit-Ministry of Health and a Chair Person of External Advisory 

Abstract:

Background: The wellness group program assists with early discharges from acute setting, early intervention preventing relapse for mental health consumers who are at moderate to high risk. Based on relapse data for participants as opposed to non-participants and average length of stay the Wellness Program annually saves more than 300 acute bed days and save the service more than half a million dollars in bed costs. The mental health (MH) wellbeing program is an existing holistic therapeutic program to assist older consumers in their recovery journey and assist them to keep well in the community. It acts as a bridge on discharge from hospital setting and assist with community reintegration. The wellness group also works as a preventative vehicle and to minimize relapse in their recovery journey.

 

Aim: To provide support, psycho-education, MH promotion, in order to assist with older person's overall wellbeing, relapse prevention and quality of life in the community. The wellness group encourages the mental health and a sense of wellness amongst recently discharged consumers. The group provides specialist services to consumers with MH problems due to complex psychosocial circumstances and social isolation.

 

Rationale: One of the key strategies to address ongoing bed shortage and readmission is effectively to support consumers’ recovery outside the hospital setting through the provision of the community based wellness group program so that the consumers are assisted during their recovery process.

 

Membership of Wellness Group: The wellness group is open to all who are present with mental health issues and suitable for recovery and psychiatric rehabilitation.

 

Outcomes and Evaluation: The program has managed over 120 consumers since it was started 15 years ago. Despite complex and high risk profile of participants, the readmission rate of this patent has been consistently below 20% against standard rate of 50%.

 

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Recent Publications

 

  1. 1.     Simpson, S.L., Langdon, R., Batchelor, J., Falcon, A.J. & Tyagi, S. 2013, A comprehensive study of individuals with Very-Late-Onset Schizophrenia-Like Psychosis.  4th European Conference for Schizophrenia Research, Berlin, Germany, September 2013.
  2. 2.     Simpson, S.L., Langdon, R., Batchelor, J., Falcon, A.J. & Tyagi, S.  2013 Cognitive functioning in individuals >65 years with VLOSLP, Chronic Schizophrenia and Late Onset Psychotic Depression. 4th European Conference for Schizophrenia Research, Berlin, Germany, September 2013.
  3. 3.  Suman Tyagi  September 2003  Assessment and Referral Issues- A Psychogeriatric Perspective, Australian Association of Gerontology Autumn September 2003 Page 4-5.
  4. 4.  Suman Tyagi  Mental Health, 1997 ISBN-81-85070-45-8 pp. 1-188 (Authored a book based on doctoral research).
  5. 5.  Suman Tyagi   1983  Intangibles in Marketing’, Indian Institute of Management  Journal Vikalpa Vol 8, January No 1. P. 20
  6. 6.  Suman Tyagi   1997 People’s Perception about Mental illness-Implications for Psycho-social Rehabilitation Current Trends in Psychosocial Rehabilitation and Family Intervention Abstract of Papers March 1997 p. 27.
  7. 7.     J E Cooper et.al Effects of Female Sterilization: One Year follow up in a prospective controlled study of psychological and psychiatric Outcome (S.Tyagi  as one of the WHO collaborative project investigators)  1985  Journal of Psychodynamic Research, Vol 29 No 1 pp 13-22.

 

 

 

 

 

 

 

 

Biography:

Nadira Khamker is a Psychiatrist in Adult Mental Health at the University of Pretoria, South Africa. She has a special interest in prevention, treatment and education of women’s mental health. Currently, she is pursuing her PhD which included a mixed method study entitled: “Psychiatric sequelae and mental health aftercare experiences of women who had a life threatening event during pregnancy and those with uncomplicated pregnancies: an explorative-descriptive study.”

 

Abstract:

Statement of the Problem: Maternal mortality is a major public health problem with 86% of deaths occurring in developing countries. Recognition of severe complications is important as these can have adverse consequences for women’s health physically and mentally. Mental health is a neglected topic and that of women’s mental health even more so. Limited attention is paid to these women in the South African public health sector. The purpose of the study was to describe experiences of women with a life-threatening event in pregnancy compared to women with uncomplicated pregnancies, to determine the risk of developing psychiatric complications and the impact of severe obstetric complications on the postpartum mental health.

 

Methodology: A mixed method study is conducted in a parallel convergent manner. Women were interviewed at four time intervals; after delivery, six weeks, three months and six months postpartum. The study consisted of a quantitative arm which entailed completion of self-rating questionnaires, relevant psychiatric scales and the WHO disability assessment schedule. The qualitative arm consisted of case studies of 16 purposefully sampled participants from both groups.

 

Results: 89 participants were enrolled. Psychiatric complications were self-limiting; those with life-threatening complications did not experience post-traumatic stress disorder and women presented with atypical symptoms including somatic, sleep and memory disturbances. Live experiences included, fear of impending death, guilt feelings, loss, fear of rejection and abandonment. A gradual acceptance of their situations, the will to survive and ability to cope in-spite of adversity, a strong belief in god and an unwavering faith was prominent. Women displayed the ability to cope and adapt despite experiencing adversity, with religious practice and belief expressed by the participants contributing to resilience.

 

Conclusion: Maternal mental health is multifaceted and the presence of psychiatric pathology can not only be viewed from a biological perspective as psychosocial elements form an integral part of presentation. Women display various coping mechanisms to deal with adversity.

 

 

Recent Publications

 

  1. Ribeiro P S, Jacobson K H, Mathers C D and Garcia-Moreno C (2008) Priorities for women’s health from the global burden of disease study. International Journal of Gynecology and Obstetrics 102:82-90.

 

  1. Shen C and Williamson J B (1999) Maternal mortality, women’s status and economic dependency in less developed countries: a cross-national analysis. Social Science and Medicine 49(2):197-214.

 

  1. Miranda J J and Patel V (2005) Achieving the millennium development goals: Does mental health play a role? PLOS.

 

  1. Filippi V, Goufodji S, Sismandis C, Kanhonou L, Fottrell E et al. (2010) Effects of severe obstetric complications on women’s health and infant mortality in Benin. Tropical Medicine and International Health 15(6):733-42.

 

Speaker
Biography:

Bello Utoblo has studied mental healthcare and completed PhD in Mental Health from School of Health and Community Studies-Leeds Beckett University, UK. He is keen on developing the understanding of the cause of schizophrenia and approaches to its recovery. He has built this current approach through exploration of the experiences of male service users and their mental healthcare professionals within a community in Northern Nigeria. This approach highlights the occurrence of a transformation in men and women roles in contemporary Nigeria and provides insights into the link between gender as a social factor and men’s management of their recovery in modern African context.

 

Abstract:

Statement of the Problem: Schizophrenia is a chronic and severe mental illness that affects over 12 million males worldwide. In Nigeria, estimates indicate that there are more males than females living with schizophrenia. Although, there have been studies on men and health in Nigeria, these studies have focused on sexual health. In contrast, men’s experience of schizophrenia and the role of gender in influencing their beliefs about recovery have not been studied. The purpose of this study is to explore the factors influencing men’s recovery from schizophrenia in Northern Nigeria.

 

Methodology: Qualitative data obtained through in-depth interviews with, 30 male outpatients and 10 mental health professionals recruited through Nigerian psychiatric hospital outpatient clinics. Data were analyzed for themes.

 

Findings: The presence of gender flexibility within household members, where their contributions changed over time, was associated with household poverty reduction, which was seen as influencing the men’s ability to become involved in recovery from the mental distress. In particular, providing for the family needs becomes a shared responsibility, where the departure from traditional gender expectations imposes fewer family hardships. This was reported as having a bearing on the men’s willingness to access mental healthcare.

 

Conclusions & Significance: The influence of gender flexibility demonstrated in this study has implications for understanding men’s management of recovery from schizophrenia. Recommendations are made for gender transformative programs for the men and mental health professional that would help engage participants in discussions relevant to facilitate change in gender expectations. Future research is needed to further explore what aspects of gender can impact on men’s mental health within the Nigerian and wider African context.

 


Recent Publications

 

  1. Afolayan J A, Peter I O and Amasueba A N (2010) Prevalence of schizophrenia among patients admitted into neuro-psychiatric hospital Nigeria. Continental Journal of Nursing Science.

 

  1. Esan O and Fawole O (2013) Comparison of the profile of patients with acute and transient psychotic disorder and schizophrenia in a Nigerian Teaching Hospital. The Journal of Neuropsychiatry and Clinical Neurosciences.

 

  1. Odimegwu C and Okemgbo C (2008) Men's perception of masculinities and sexual health risks in Igboland Nigeria. International Journal of Men's Health 7(1):21-39.

 

  1. Braun V and Clarke V (2006) Using thematic analysis in psychology. Qualitative Research in Psychology.

 

 

 

Speaker
Biography:

Janell Kwok has research experience in the fields of psychology, neurosurgery and communication. She works closely with both medical and allied health professionals to improve patient care management and has international research collaborations. Her interests include clinical neuropsychology, neuroimaging, and cognitive rehabilitation after trauma or injury.

 

Abstract:

Introduction

Acute brain injury (ABI) patients have to learn new adaptation skills during recovery. Literature on stroke survivors differ in effectiveness of interventions as they are not comprehensive enough to address this complex neurological condition (Cheng, Chair, Chau, 2014). However, recovery can potentially promote development of insight skills to effectively cope with post-injury deficits. We developed a learned insight questionnaire (LIQ) to understand post-ABI patients through characterisation of attitudinal and adaptation trends in recovery.

Methodology

We administered the LIQ, Hospital Anxiety and Depression Scale (HADS), and the Post-Traumatic Growth Inventory (PTGI) to 15 post-ABI patients in a pilot study. Patients were high-functioning, attending an enhanced clinic, and were previously diagnosed with spontaneous brain haemorrhage between 2014-2017. The average age was 53.8 years old (10 females and 5 males). Reliability analysis showed α=.814 for 44 items on the LIQ. We ran a principal component analysis and coefficient values of 0.6 were suppressed. 11 components were extracted, accounting for 95.54% of the dataset.

Findings

Extracted LIQ components illustrated several latent variables in this cohort: new possibilities, internal locus of control, anxiety regulation, social emphasis, positive outlook towards faith, increased optimism, flexibility in changing perspective, ambiguity tolerance and willingness for disclosure. Specific items also significantly correlated with HADS and PTGI factors.

Results and Conclusion

Results show three specific characteristics of this patient cohort: proactive self-management (new possibilities and perspective change); dependence on social community, and faith. Increased quality of life studies show presence of similar factors which support these results, such as development of coping strategies (Mierlo et al.,2017; Tielemans et al., 2015; Visser, Aben, Heijenbrok-Kal, Busschbach, Ribbers, 2014), increased social engagement and decreased depressive symptoms (Tse et al., 2017; Visser et al., 2015). Further research is required to test different ABI cohorts and validate the learned insight questionnaire.

References

1. Cheng, H. Y., Chair, S. Y., & Chau, J. P.-C. (2014). The effectiveness of psychosocial interventions for stroke family caregivers and stroke survivors: a systematic review and meta-analysis. Patient Education and Counseling, 95(1), 30–44. https://doi.org/10.1016/j.pec.2014.01.005

2. Mierlo, M., van Heugten, C., Post, M. W. M., Hoekstra, T., & Visser-Meily, A. (2017). Trajectories of health-related quality of life after stroke: results from a one-year prospective cohort study. Disability and Rehabilitation, 1–10. https://doi.org/10.1080/09638288.2017.1292320

3. Tielemans, N. S., Schepers, V. P., Visser-Meily, J. M., Post, M. W., & Van Heugten, C. M. (2015). Associations of proactive coping and self-efficacy with psychosocial outcomes in individuals after stroke. Archives of Physical Medicine and Rehabilitation, 96(8), 1484–1491. https://doi.org/10.1016/j.apmr.2015.04.009

4. Tse, T., Yusoff, S. Z. B., Churilov, L., Ma, H., Davis, S., Donnan, G. A., & Carey, L. M. (2017). Increased work and social engagement is associated with increased stroke specific quality of life in stroke survivors at 3 months and 12 months post-stroke: A longitudinal study of an Australian stroke cohort. Topics in Stroke Rehabilitation, 24(6), 405–414. https://doi.org/10.1080/10749357.2017.1318339

5. Visser, M. M., Heijenbrok-Kal, M. H., Spijker, A. V., Oostra, K. M., Busschbach, J. J., & Ribbers, G. M. (2015). Coping, problem solving, depression, and health-related quality of life in patients receiving outpatient stroke rehabilitation. Archives of Physical Medicine and Rehabilitation, 96(8), 1492–8. https://doi.org/10.1016/j.apmr.2015.04.007

 

 

Speaker
Biography:

Psychologist and Master in Psychopathology and Health. He completed doctoral studies in the Department of Personality, Evaluation and Psychological Treatment of the UNED, related to Stress and the Immune System, Posttraumatic Stress Disorder and Moobing. Chief of Brigade in the Forest Fire Service of the Generalitat Valenciana, with more than 20 years of experience. With multidisciplinary training at the Master's level in areas such as: Occupational Health and Safety, Emergency Management, Sport Psychology, Human Resources Management, Mediation, Conflict Resolution and Coaching. Postgraduate in Environmental Consulting and Criminology. As a psychologist, he collaborates with several private clinical centers. Also, with several companies and institutions in the area of training in Psychology in Emergencies and Human Resources management. He is Professor at the University of Valencia in the Master in "Intervention and operational coordination in emergencies and catastrophes" and other postgraduate courses on emergencies. Director and President of the International Scientific-Professional Committee of

the National Symposium on Forest Fires (SINIF). He is part of the Editorial Board of several international scientific journals and published numerous articles on forest fires, stress, psychosocial risks and emotional trauma, mainly in relation to emergency services and natural disasters. Member of the Spanish Society for the Study of Anxiety and Stress (SEAS), and the Spanish Association of Clinical Psychology and Psychopathology (AEPCP).

 

Abstract:

Some authors have pointed out that the individuals with resistant

personality deal with stressful situations in an active and committed way,

perceiving them as less threatening (Moreno, B. et al., 2006). Also, we

know that stress acts as a mediator in the predisposition, precipitation or

exacerbation of the disease (Godoy-Izquierdo and Godoy, J.F., 2002).

Emergency services professionals are often confronted with numerous

critical incidents that are likely to break into their lives and cause them

to suffer, often because of their surprising nature. The traumatic

experience is pointed out as one of the most revealing sources of deep

discomfort (Senabre, J. 2017).

The aim of this study is to determine if the resistant personality or

hardiness plays a role as a modulator of the stress experience and, more

specifically, the development of posttraumatic stress. To this end, we

evaluated a sample of firefighters, who were surprised by the fire in an

entrapment situation during the extinction of a forest fire in the province

of Alicante (Spain) and that had a fatal outcome for some of the

emergency device personnel.

The results indicate that 37.5% of the sample developed posttraumatic

stress disorder (PTSD) at the clinical level after the month of the incident

and 25% some type of posttraumatic symptomatology (PTSD

subsyndrome); the remaining 37.5% were not emotionally affected by

that stress experience. On the other hand, the dispersion analysis shows

a tendency to the appearance of PTSD as the hardiness decreases

(figure 1). These results support the idea that resistant personality can

play a modulating role in the development of emotional trauma. The

dimensions of the construct, "implication" and "challenge", seem to have

a greater role in this stress modulating process, being the influence of

"control" more contained.

In the discussion, emphasis is placed on the need for specialized

evaluation and follow up after the experience of a critical incident of

these characteristics, as well as the design of training actions aimed at

the development of knowledge, skills, abilities and psychological skills in

professionals belonging to the different emergency services, and more

specifically, firefighters.

 

 

Key notes: emotional trauma, resistant personality, forest fire,

firefighter, critical incident.

Image

Figure1. Posttraumatic Symptomatology vs Hardiness. (Senabre, J.)

 

 

Recent Publications

1. Senabre, J. (2018). Forest fires from the perspective of

environmental psychology. In Climate Change, 2018, 4(13), 58-68.

ISSN: 2394–8558. EISSN: 2394–8566

2. Senabre, J. (2017). Efecto modulador de la personalidad resistente

en el desarrollo del trauma emocional en bomberos atrapados en

un incendio forestal. En Actas del I Congreso Prevencionar. Edición:

Fourmarketing 360. ISBN: 978-84-697-6373-5.

3. Senabre, J. (2017). El proceso de segunda victimización en

profesionales afectados por incendio forestal. En Actas del 7º

Congreso Forestal Español. Edita: Sociedad Española de Ciencias

Forestales. ISBN: 978-84-941695-2-6

4. Senabre, J. (2017). Wildland fires, climate change and society. In J

Earth Sci Clim Change, 2017, Volume 8, Issue 10 (Suppl). DOI:

10.4172/2157-7617-C1-036. ISSN: 2157-7617

5. Senabre, J. (2016). Incendios forestales en la sociedad del riesgo. Ed.

PREVINFO Soluciones. S.L.U. Alicante. ISNB: 978-84-617-5671-1.

6. Senabre, J. (2016). Wildland fires and climate change. In J Earth Sci

Clim Change, 2016 Volume 7, Issue 5 (Suppl). ISSN: 2157-7617 JESCC.

http://dx.doi.org/10.4172/2157-7617.C1.025

 

 

Sarah L Parry

Manchester Metropolitan University, UK

Title: Nurturing resilience: sharing stories from the inside
Speaker
Biography:

Sarah L Parry is a Clinical Psychologist registered in the United Kingdom and Senior Lecturer at Manchester Metropolitan University. Her research focusses on “Service developments for young people and adults who have experienced interpersonal trauma”. Her research has been published in a number of international journals, including the Journal of Child Sexual Abuse and Journal of Trauma & Dissociation. She is also the Principle Investigator for International Young Voices Study, which is currently exploring new perspectives on voice hearing for young people and their parents/carers. She has a keen interest in Compassion Focused Therapy which facilitated the creation of a book with Jessica Kingsley Publishers in June 2017, entitled: “Effective Self-Care and Resilience in Clinical Practice”.

 

Abstract:

Developing a personal compassionate framework for self-care has been an on-going endeavor of mine for some years. When the author started working in healthcare settings that could, at times, present multiple challenges to her own wellbeing, she became increasingly curious as to how to overcome these emotional hurdles. Talking with colleagues over the years and combining their experiences and coping strategies has been an important part of the journey. Equally, throughout her research with people who have experienced trauma, she saw how people developed new means to nurture their own resilience, even in the most challenging of circumstances. Together, listening to these stories provided her with ideas that she wanted to explore further, both in terms of how practitioners and researchers could nurture their own resilience and the potential for their work to be restorative; personally and professionally. She is a great believer in the power of stories, both in terms of helping us to see through the eyes of another, as well as giving us a mirror to hold up to our own experiences, helping us develop a deeper knowledge of ourselves. People in caring roles, in both personal and professional capacities, are often really good at caring for others and prioritizing other people’s needs over their own. However, this is not sustainable over long periods and we all need to know how we can restore ourselves, take some down time and be kind and nurturing towards ourselves. Through her research into the restorative nature of compassionate practices for the development of resilient practitioners, the following four steps seems to be a key: A sense of purpose and of belonging; a safe and supportive space with colleagues or a supervisor for reflectively processing distressing events and information; feeling valued and wanted; self-kindness and acceptance. These can be helpful checkpoints for us in all aspects of our lives and will be the focus of our discussions.

 

Image

 

 

The development of compassionate growth for the professional self, adapted from Gilbert’s emotional regulation systems model.

 

Recent Publications

  1. S Parry, M Lloyd and J Simpson (2017) It's not like you have PSTD with a touch of dissociation: Understanding dissociative identity disorder through first person accounts. European Journal of Trauma and Dissociation.
  1. S L Parry and Z Malpus (2017) Reconnecting the mind and body: a pilot study of developing compassion for persistent pain. Patient Experience Journal 4(1):145-153.
  1. S L Parry and M Lloyd (2017) Towards reconnecting: Creative formulation and understanding dissociation. Mental Health Review Journal. 22 (1): 28-39.
  1. S Parry and J Simpson (2016) How do adult survivors of childhood sexual abuse experience formally delivered talking therapy? a systematic review. Journal of Child Sexual Abuse.

 

  • Human Resilience | Mental health | Mental Health Rehabilation | Psychiatry & Mental health Nursing
Location: Rome, Italy

Session Introduction

Christine Lock

National Neuroscience Institute, Singapore

Title: Post-traumatic growth after ABI: a pilot study in a Singaporean cohort
Speaker
Biography:

Christine Lock has research experience in behavioural science analysis and neurosurgical research. She has worked with governmental organisations concentrating on individual motivation and crisis response, and is currently doing clinical research specifically in patients with brain injury. Her interests include improving general mental health through systematic reviews of cognitive assessments and intervention efficacy.

 

 

Abstract:

 

 

Introduction. Acute brain injury (ABI) is often perceived as both a physically and psychologically traumatic event. The multiple deficits as a result of brain injury can change perceptions of self, relationships and general life outlook. Positively overcoming this adversity whilst assigning meaning to this struggle leads to the potential for post-traumatic growth. Cultural differences may influence coping processes, and post-traumatic growth after ABI has not been widely studied in Southeast Asian populations. We used two validated questionnaires on high-functioning stroke patients.

 

Methodology. We administered the Hospital Anxiety and Depression Scale (HADS) and Post-Traumatic Growth Inventory (PTGI) to 9 Singaporean ABI patients diagnosed with spontaneous brain haemorrhage between 2014-2017. Participants consisted of 8 females and 1 male, with an average age of 54.2 years. The PTGI consisted of five factors: 1) Relating to Others, 2) New Possibilities, 3) Personal Strength, 4) Spiritual Change, 5) Appreciation of Life.

 

Findings. Appreciation of Life and Relating to Others were the highest rated factors on the PTGI. Depression on the HADS displayed significant negative correlations with New Possibilities (r = -.814, p < .01) and Personal Strength (r = -.748, p = .02) on the PTGI. Within the PTGI, New Possibilities was positively correlated to Personal Strength (r = .895, p < .01) and Relating to Others (r = .736, p = .024). Relating to Others significantly correlated to Personal Strength (r = .723, p = .028).

 

Conclusion & Significance. In this pilot study of high-functioning stroke patients, we found that a renewed appreciation for life and social support were important factors contributing to post-stroke recovery and growth. Results also suggest that the development of new possibilities and perceived self-efficacy are related to fewer depressive symptoms. Further research can look into increasing sample size, and cross-correlations of multiple quality of life questionnaires for patients post-ABI.

References

 

1.  Calhoun, L. G., & Tedeschi, R. G. (2009). Handbook of posttraumatic growth: research and practice (Vol. 1). Mahwah, NJ: Lawrence Erlbaum Associates.

2.  Kuenemund, A., Zwick, S., Rief, W., & Exner, C. (2016). (Re-)defining the self – enhanced posttraumatic growth and event centrality in stroke survivors: A mixed-method approach and control comparison study. Journal of Health Psychology, 21(5), 679-689. doi:10.1177/1359105314535457

3.  Mack, J., Herrberg, M., Hetzel, A., Wallesch, C. W., Bengel, J., Schulz, M., … Schönberger, M. (2015). The factorial and discriminant validity of the German version of the Post-traumatic Growth Inventory in stroke patients. Neuropsychological Rehabilitation, 25(2), 216-232. http://dx.doi.org/10.1080/09602011.2014.918885

4.  Rana, M., Bullinger, M., & Rana, M. (2015). Coping with stroke: A prospective comparative cross-cultural research. Journal of Religion & Health, 54, 173-186. doi:10.1007/s10943-013-9797-8

5.  Splevins, K., Cohen, K., Bowley, J., & Joseph, S. (2010). Theories of posttraumatic growth: Cross-cultural perspectives. Journal of Loss and Trauma, 15(3), 259-277. doi:10.1080/15325020903382111

 

Speaker
Biography:

Yasuhiro Kotera has his expertise in mental health and positive psychology. As an accredited counsellor/psychotherapist, and having worked with various populations internationally, his research areas include occupational mental health, positive psychology for mental health, organisational applications of coaching/neuro-linguistic programming, and cross-cultural comparison. His Japanese blog, Kokoro no Rikutsu (Logic of Psyche), that introduces new psychological findings have 2,000 accesses every day. His recent project aims to develop a short psycholinguistic intervention to augment resilience, which would be suited for various workplaces.

 

Abstract:

Statement of the Problem: As awareness of mental health has been increasing internationally, a need for psychological care for mental health professionals and trainees has been highlighted. UK social work students suffer from high rates of mental health symptoms, and emotional resilience has become a required capacity in recent social work policies. Despite their high shame about mental health symptoms, research on positive psychological approaches to their mental health has been limited. Accordingly, this study aimed to (i) investigate the relationships between mental health symptoms, resilience, self-compassion, motivation, and engagement (ii) identify independent predictors for mental health symptoms, and (iii) examine positive psychological independent predictors as indirect pathways linking mental health symptoms and resilience. Methodology & Theoretical Orientation: One hundred and sixteen UK social work students completed five measures about those constructs. Correlation analysis, multiple regression analysis, and path analyses were conducted in order to address research aims of this study. Findings: Mental health symptoms were associated with resilience, self-compassion, and engagement (i). Self-compassion was a negative independent predictor, and intrinsic motivation was a positive independent predictor of mental health symptoms (ii). Path analyses revealed that while the direct effect of resilience on mental health symptoms was not significant, the indirect and total effects were significant; self-compassion was an independent predictor. Additional analyses confirmed that self-compassion directly predicted both mental health symptoms and resilience (iii). Conclusion & Significance: This is the first ever investigation into the mechanism of how resilience reduces mental health symptoms from positive psychological perspectives in this population. The findings can inform social work educators, practitioners, and researchers of the importance of self-compassion, and can help develop better approaches to the challenging mental health of UK social work students. The research paper is currently under review.

 

Image

Figure. Parallel mediation model: Resilience as a predictor of mental health symptoms, mediated by self-compassion and intrinsic motivation. The confidence interval for the indirect effect is a BCa bootstrapped CI based on 5000 samples.

 

Speaker
Biography:

Irad Eichler founded Shekulo Tov Group in 2005 and is the Group Chairman ever since. Shekulo Tov Group is a leading Israel organization for vocational recovery. He and his mental health professional at Shekulo Tov Group, such as CRO Hagar Aloush, developed integrative model in cooperation with Israeli Ministry of Health. His integrative model was awarded “Project Zero” prize for impactful social enterprises in early 2017, categorized under innovative practice 2017 on employment, work and vocational education and training. In addition, he is the founder of seven chairs, a platform for text support groups and the founder of Israeli social business school, an Israeli third age festival and a podcaster. He is a serial social entrepreneur and was announced by world economic forum as a social entrepreneur of the year 2008.

 

Abstract:

Statement of the Problem: Literature indicates that the extent of employment mobility among people with psychiatric disabilities is low, even though most of them want and can work. Furthermore, while supported employment has significantly improve competitive work outcomes throughout the world, it leads to sustained work in only 25-35% of persons with psychiatric disabilities, while most persons loss jobs within a few weeks/months after beginning them or never obtain competitive work.

 

Methodology & Theoretical Orientation: Shekulo Tov is a non-profit organization and a service supplier for the Israeli Ministry of Health for more than 3,000 service users. Shekulo Tov’s integrative model represents an essential change of perception vis-à-vis vocational rehabilitation. It is a formative shift from the two sequential approaches of “train, then place” or “place then train” to a simultaneous approach of “train and place”. The model’s continued development led to the formation of the Shekulo Tov Group which operates in large number of businesses and organizations as integrative units based in the community, who all embedded the model among Shekulo Tov Group businesses: Rebooks (second hand bookshops), Good Coffee (social cafes), and God Dog (dog walkers).

 

Findings: The integrative model has successfully transitioned more than 25% of service users from vocational rehabilitation to open labour market placements. Furthermore, the model has reduced service users’ preparative vocational training for open labour market placement from 4 years to 20 months.

 

Conclusion & Significance: Along on-going support, job applicants are offered vocational rehabilitation, skills and career development, training programs and are provided with necessary preparation and support to measure their vocational progress. This gives them a security net, especially in cases; they did not hold their job in the free market. In these cases, service users can temporally return to vocational rehabilitation while looking for a new job in the free market.

 

 

Recent Publications:

 

  1. Becker D, Whitley R, Bailey E L, Drake and RE (2007) Long-term employment trajectories among participants with severe mental illness in supported employment. Psychiatric Services (58):922-928.

 

  1. Hartnett HP, Stuart H, Thurman H, Loy B and Batiste LC (2011) Employers’ perceptions of the benefits of workplace accommodations: reasons to hire retain and promote people with disabilities. J Vocat Rehabil. (34):17–23.

 

  1. Kaye H S, Jans L H and Jones E C (2011) Why don’t employers hire and retain workers with disabilities? Journal of occupational rehabilitation (21):526-536.‏

 

  1. Mattila-Holappa P, Joensuu M, Ahola K, Vahtera J and Virtanen M (2016) Attachment to employment and education before work disability pension due to a mental disorder among young adults. BMC Psychiatry (16):143-155.

 

  1. Kuznetsova Y, Yalcin B and Priestley M (2017) Labour market integration and equality for disables people: A comparative analysis of Nordic and Baltic Countries. Social Policy Administration. (51):577-597.

 

 

 

Speaker
Biography:

Anders Sørensen is a Clinical Psychologist and Researcher at Cochrane Collaboration, has recently (article underway) scrutinized the research literature on psychiatric drug withdrawal. He is working in close collaboration with the psychiatrists, doctors and pharmacists considered experts in the field, providing him with medical knowledge which, in combination with his background in clinical psychology, enables him to help long-term psychiatric patients withdraw and reach a medicine-free life. By his experience, this transition is without exception always beneficial when done in the right way, at the right pace and with the appropriate psychotherapeutic help, which primarily centers on teaching emotion regulation skills, the lack of which makes the sedated, drug-induced state emotionally attractive. He never uses the diagnostic system, but consistently evaluates his patients’ wellbeing (or the lack thereof) by in-depth interviews on the goals and values that matter to the patient, formally measured as quality of life; which improves after withdrawal.

 

Abstract:

Because of withdrawal symptoms, there is reason to believe that many patients continue psychiatric drugs long-term not because they are effective in treating their disorder, but because they cannot get off them. Numerous medicated patients report harms so debilitating that their quality of life is substantially impaired. Combined with the compelling research showing that psychiatric drugs can indeed cause iatrogenic “mental illness” (drug-induced conditions that mimic the symptoms of genuine mental illness), we hypothesized that the route to wellbeing for long-term patients may go through discontinuation of the drugs, thus qualifying withdrawal as a clinical intervention. We investigate this in a cohort of patients allegedly labeled “chronic patients in need of life-long drug treatment” by their doctor – primarily because withdrawal symptoms were misinterpreted as relapse. We prove them wrong by providing individualized psychotherapy-assisted gradual tapering for as long as needed, explaining the nature of withdrawal symptoms and helping to get through the emotional pain by teaching emotion regulation skills. In the process we measure quality of life, withdrawal symptoms and the patients’ experiences of going through withdrawal. With this procedure, we (preliminarily) find that: reaching complete cessation is indeed possible, even for long-term and poly-pharmacy patients that this transition to a medicine-free life is accompanied by a substantial improvement in quality of life, and; that withdrawal can get so long-lasting and emotionally difficult that it qualifies as a genuine psychotherapeutic affair, thus making withdrawal of psychiatric drugs an intervention in itself. Therefore, patients cannot be expected to go through it alone, and we should make it a priority in mental health to comply with rather than oppose these patients’ legitimate wishes for coming off psychiatric drugs, as this – when done in the right way – can improve quality of life.

 

 

Recent Publications:

 

  1. Moncrieff J (2006) Why is it so difficult to stop psychiatric drug treatment? It may be nothing to do with the original problem. Medical Hypothesis 67(3):517-23.

 

  1. Jakobsen J C, Katakam K K, Schou A, Hellmuth S G, Stallknecht S R and Leth-Møller K, et al (2017) Selective serotonin reuptake inhibitors versus placebo in patients with major depressive disorder. A systematic review with meta-analysis and trial sequential analysis. BMC Psychiatry 17(1):58.

 

  1. Nielsen M, Hansen E H and Gøtzsche P C (2012) What is the difference between dependence and withdrawal reactions? A comparison of benzodiazepines and selective serotonin re-uptake inhibitors. Addiction 107(5):900–8.

 

  1. Rosenbaum J F, Fava M, Hoog S L, Ascroft R C and Krebs W B (1998) Selective serotonin reuptake inhibitor discontinuation syndrome: a randomized clinical trial. Society of Biological Psychiatry 44(2):77-87.

 

  1. Leo J R and Lacasse J (2005) Serotonin and depression: A disconnect between the advertisements and the scientific literature. PLoS Medicine 2(12):1211-16.

 

 

Speaker
Biography:

she has received certificate in Counseling, Psychology and Psychotherapy. she became an accredited Marte Meo Therapist (improving communication and relationships between caregiver’s and young people). she completed MA in Therapeutic Child Care. she is currently pursuing her PhD study at Trinity College Dublin. she is the Founder and Director of ASCEND which is a recent development in LIT research group.

 

 

Abstract:

Aim: The purpose of this qualitative study was to explore the value of Marte Meo therapy in establishing, re-establishing and supporting attachment and resilient relationships between caregivers and their children.  These researches examined previous works on attachment theory and suggest ways in which the Marte Meo method may provide a practical application of this theory. 

 

Methods: There was a brief history of attachment theory and a review of relevant literature which includes such theorists as Bowlby, Ainsworth, Main, Stern, Schore and Aarts and makes reference to others in the area of attachment. A qualitative approach was decided upon whereby the methods chosen were as follows; two focus groups and three interviews were convened. Applying an interpretive approach, thematic analysis led to a number of themes to emerge. Direct quotes authenticated the research and gave it an experiential aspect.

 

Results: The findings suggest that Marte Meo therapy clearly supports caregivers to form attachments with their children throughout the developing therapeutic relationship between caregiver and therapist, through the information given to caregivers from the analysis of their film and through the selection of pictures which allow caregivers to see their child, often for the first time. 

 

Conclusions: In light of this research, it would seem Marte Meo Therapy should not be assimilated into attachment theory or any other theories, its effectiveness may lie in its practical nature and concreteness. Research participants suggested Marte Meo therapy as an intervention is sometimes overlooked because it has not been researched or written about in a significant way.

 

 

Recent Publications

 

1.      Howe D (2005) Child Abuse and Neglect: Attachment, Development and Intervention. Basingstoke: Palgrave Macmillan. doi: org/10.1007/978-0-230-80239-1

 

 

 

 

Speaker
Biography:

Vaidehi Chilwarwar is a Research Scholar; pursuing PhD at School of Social Sciences-Tata Institute of Social Sciences. She is currently involved with studies related to resilience among adolescents. She is a Clinical Psychologist and completed Master of Philosophy from TISS in the year 2017.

Abstract:

This paper explores the life journey of adolescents to comprehend the construct of resilience. The phenomenon of resilience was explored from three adolescents residing at a socially and economically deprived neighborhood of Janta Nagar, in Mumbai, India. A phenomenological approach was adopted to understand resilience as a subjective experience shaped by a shared identity of deprived adolescents. Purposive and snowball sampling was used to select participants. Focused group discussions were held to investigate the risk conditions among adolescents of the community. In-depth interviews were conducted to collect data that elicited information on the subjective positive outcomes. The narratives of one female and two males aged 12, 13 and 14 years were analyzed thematically. Mother’s illness, physical injury and life-threat (kidnap) were the crucial risk conditions in the lives of these adolescents, respectively. Being responsible, courageous and having aspirations were found as predominant resilient processes among the three adolescents, respectively. Individual traits of optimism, assertiveness, self-confidence, empathy and gratitude, community elements like family, bystander, and neighbors were found as crucial elements for promoting resilience factors. As a phenomenon, resilience was argued to be culturally and contextually embedded.

 

Recent Publications:

 

  1. Masten A S (2001) Ordinary magic: Resilience processes in development, American Psychologist 56(3):227–238.

 

  1. Reis S M, Colbert R D and Hébert T P (2004) Understanding resilience in diverse, talented students in an urban high school. Roeper Review 27(2):110-120.

 

  1. Ungar M (2008) Resilience across Cultures. The British Journal of Social Work, Oxford University Press. 38(2):218-235.

 

  1. Ungar M (2011) The social ecology of resilience: addressing contextual and cultural ambiguity of a nascent construct. American Journal of Orthopsychiatry 81(1):1–17.

 

  1. Ungar M and Liebenberg L (2011) Assessing resilience across cultures using mixed methods: construction of the child and youth resilience measure. Journal of Mixed Methods 5(2):126-149.

 

 

 
 

 

 

 

Speaker
Biography:

Inbar adler -ben dor and Noa Gal-Or Teperberg  are working at Amitim program, The Israel Association of Community Centers (IACC), Haifa University, Israel.

 

 

 

Abstract:

The approach of therapeutic narrative suggests that people will retell their story to themselves and then retell it to others in their environment (Zilber, Tuval-Mashiach & Lieblich, 2008). In contrast to this approach, we aim to present a model of narrative reconstruction for social change in people with serious mental illness (SMI), aiming to combine a reduction in self-stigma (Roe & Davidson., 2005) and in social stigma. The model we shall present is part of the Amitim program (by the Israeli Ministry of Health and the Israeli Association of Community Center), which offers social rehabilitation services in the community for people with SMI, and the promotion of personal recovery and social change (Halperin & Boz-Mizrahi, 2009). Over the last decade Amitim program has reached 75 cities nationwide and gives service to 3000 people with SMI.

Amitim's story reconstruction model includes several dimensions: first, the narrative is approached through several baseline questions: who is the audience, what is the purpose, and what is the message we want to convey by telling the recovery story (Green & Brock, 2000; 2002). The story is then externalized to a text, and the narrators (i.e., people with SMI) learn to tell it in a way that enables listeners to accept it (Carlson & Erickson, 2001), and to promote social change. This, in turn, causes the narrators to build a new identity and learn to mediate their story to both themselves and their environment (Roe et al., 2014), i.e., the manner in which they re-build their story for the audience, enables them to reconstruct it within themselves. In the proposed workshop, we aim to delineate different formats for using this model with people with SMI, while discussing the dilemmas that arise and providing examples based on video interviews with participants.

References

Carlson, T. D., & Erickson, M. J. (2001). Honoring and privileging personal experience and knowledge: Ideas for a narrative therapy approach to the training and supervision of new therapists. Contemporary Family Therapy, 23(2), 199-220.

Green, M. C., & Brock, T. C. (2000). The role of transportation in the persuasiveness of public narratives. Journal of personality and social psychology, 79(5), 701.

Green, M. C., & Brock, T. C. (2002). In the mind's eye: Transportation-imagery model of narrative persuasion.

Halperin, G., & Boz-Mizrahi, T. (2008). The Amitim program: an innovative program for the social rehabilitation of people with mental illness in the community. The Israel journal of psychiatry and related sciences, 46(2), 149-156.

Roe, D., & Davidson, L. (2005). Self and narrative in schizophrenia: time to author a new story. Medical Humanities, 31(2), 89-94.

Roe, D., Hasson‐Ohayon, I., Mashiach‐Eizenberg, M., Derhy, O., Lysaker, P. H., & Yanos, P. T. (2014). Narrative enhancement and cognitive therapy (NECT) effectiveness: A quasi‐experimental study. Journal of clinical psychology, 70(4), 303-312.

Mashiach, R., & Lieblich, A. (2008). The embedded narrative: Navigating -Zilber, T. B., Tuval1069.-(6), 104714 ,Qualitative inquiry through multiple contexts.

 

 

  • Poster Presentations
Location: Rome, Italy

Session Introduction

Jan Edmund Celie

Ghent University, Belgium

Title: The depression conundrum and the advantages of uncertainty
Biography:

Jan E. Celie is a clinical psychologist/psychoanalyst with a private practice. His main perspective on treatment is a Freudian-Lacanian perspective. He has been puzzled and fascinated at the same time, by the rising prevalence figures for depression worldwide. Five years ago, at the age of 50, he went back to research and study at the Faculty of Psychology of the University of Ghent (Belgium). In 2018, following upon this research, he will defend a doctoral dissertation in which he develops mainly three arguments: the diagnostic construct of depression lacks scientific foundation; and neither the psychotherapeutic nor pharmacological EBTs for depression are as firmly ‘evidence-based’ as their proponents claim. He suggests that, rethinking depression globally, we might need to abandon our faith in treatment, and focus on societal origins and preventive measures; – which is largely a matter of politics.

 

Abstract:

According to the WHO (2012), the prevalence of unipolar depressive disorders is rising, even in those places where mental health treatments are widely available. The WHO predicts that these disorders will be the leading contributor to the global burden of disease by 2030. This sobering projection fits poorly with how psychological treatments for depression are presented in the mainstream scientific literature: as highly effective therapies, based upon a sound understanding of the causes of distress. There is a clear discrepancy between the rising prevalence figures on the one hand, and the confident claims of this effectiveness research on the other. This discrepancy prompts a set of complex interlinked questions, which we have called ‘The Depression Conundrum’. In search of a partial answer, the aim of our study was to critically analyse five meta-analytic studies investigating the effectiveness of psychological EBTs for depression, all of which had been published in high impact factor journals. Our examination established a number of methodological and statistical shortcomings in every study. Furthermore, we argue that the meta-analytic technique is founded upon problematic assumptions. The implications of our analysis are clear: decades of quantitative research might not allow us to conclude that psychological EBTs for depression are effective. The uncertainty and questions raised by our findings might act as a catalyst to broaden the way in which depression and associated therapies are researched. In addition, it might contribute toward a more vigorous and interdisciplinary debate about how to tackle this soon-to-be global public health priority number one.

 

 

 

Speaker
Biography:

Paulette Sides – Sasser has completed her Doctorate in Nursing Practice with a focus on the integration of mental health into primary care systems.  This Project Level Program Evaluation includes three components: Context Evaluation; Implementation Evaluation and Outcome Evaluation.  Post doctorate work includes the implementation of the recommended quality assurance program and associated pilot studies, development of new staff education instruments and recommendations for innovative staff roles to address the most the most commonly cited barrier to full integration identified by extensive literature search of international publications.   This will be the first implementation of a complete integration program in New Mexico, USA.  Additional expertise relevant to this submission include management of community mental health clinics and psychiatric emergency services, and provision of clinical specialist services at the University of New Mexico Hospitals. Acted as a clinical expert for the National Medicare Reimbursement Pilot to establish regulations for primary care.

 

Abstract:

Fragmentation of physical, mental, and chemical dependency care delivery systems has led to significant gaps in care for individuals with severe mental illness and substance use disorders.  A shifting international focus to chronic illness and the default provision of mental health care demands new approaches. In the US, the rise in numbers of those identified with mental health conditions has risen, while the resources to care for those patient have declined, creating a gap in service to a vulnerable population. This DNP project is a program evaluation of an integrated behavioral health and mental health program provided by a Patient Cantered Medical Home Primary Care Clinic. This DNP Project’s purpose was to evaluate the impact of the implementation of integrated behavioral and mental health services within a primary care clinic on patient’s adherence to the treatment plan, staff and patient experiences and cost of care for patients with severe mental illness. Qualitative and quantitative data was collected 12 months prior to and after the program change which included the addition of a licensed mental health expert and workflow adjustments. Upon completion of data collection and analysis, results showed that the integration of mental health into primary care has had a positive impact on patient adherence to treatment, patient satisfaction and staff satisfaction. 

 

Speaker
Biography:

Rima Kavalniene is pursuing her PhD at Vilnius University Medical Faculty in Lithuania. She works as Family Doctor in Primary Health Care Clinic. She is interested in current issues of Mental Health in Primary Health Care. Her PhD is about finding connection between some sociodemographic factors as well as most common mental diseases and patient satisfaction with primary health care services.

 

Abstract:

Background & Aim: Anxiety and depression are among the most common psychiatric disorders in primary health care (PHC). These diseases are associated with disability and poor quality of life. There is high comorbidity between anxiety, depression and other chronic somatic diseases. Anxiety and depression are also associated with worse treatment outcomes and higher amount of complications in chronic somatic diseases. However, connection between this diseases and patient`s satisfaction with PHC services has not been previously well studied. The main aim of this study is to determine the connections between depression, anxiety and patient`s satisfaction with PHC services.

 

Methodology: 889 patients in PHC centers were randomly selected and asked to fill out the questionnaire. Patients came to their PHC centers for variouse reasons. Patient satisfaction questionnaire, short version (PSQ-18, Marshall and Hays), was used to determine patient satisfaction. The Hospital Anxiety and Depression scale (HAD, Zigmond and Snaith) was also used. Data analysis was performed using the SPSS 24.0. A ρ-value<0.05 was considered as indicative of statistical significance.

 

Findings: 887 questionnaires were used in data analysis. Both anxiety and depression subscales strongly correlated with each other (Spearman`s correlation coefficient 0.742) (ρ<0.001). Also, the worse estimates of both anxiety and depression subscales correlated with the worse overall score and all subscales of PSQ-18 (Spearman`s correlation coefficient -0.462 and -0.536 respectively) (ρ<0,001). The linear regression analysis of all data (the dependent variable was total PSQ-18 score) showed that the major factor leading to poorer satisfaction with PHC services was a higher depression subscale score (ρ <0.001) (Table 1). The correlation between anxiety and PSQ-18 score has gone.

 

Conclusion: The presence of depression leads to poorer satisfaction with PHC services. Depression is a strong factor influencing patients' perception of PSP services, which sometimes can be masked and stay unnoticed among the other factors.

 

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a.         Dependent Variable: Total PSQ-18 score

Table 1: Regression Analysis Coefficientsa.

 

Recent Publications:

 

1.        Sundquist J, Ohlsson H, Sundquist K and Kendler KS (2017) Common adult psychiatric disorders in Swedish primary care where most mental health patients are treated. BMC Psychiatry. (17): 235. doi: 10.1186/s12888-017-1381-4.

 

2.        Buszewicz M J (2011) Improving the detection and management of anxiety disorders in primary care. Br J Gen Pract. 61 (589): 489-490.

 

3.        Sadeniemi M, Pikola S, Pankakoski M, Joffe G and all (2014) Does primary care mental health resourcing affect the use and cost of secondary psychiatric services? Int J Environ Res Public Health. 11 (9): 8743-8754.

 

4.        Wandell P, Carlsson AC, Gasevic D, Wahlstram L and all (2016) Depression or anxiety and all-cause mortality in adults with atrial fibrilation – A cohort study in Swedish primary care. Ann Med. 48 (1-2): 59-66. doi: 10.3109/07853890.2015.1132842. 

 

5.        Treating depression and anxiety in primary care (2008) Prim Care Companion J Clin Psychiatry. 10 (2): 145-152.

 

 

  • E- Poster
Location: Rome, Italy
Biography:

Supaporn Sritanyarat  recently working at Mental Health Center, Thailand.

Her research mainly based upon Mental Health & Human Resilience.

 

 

Abstract:

Improving mental health and preventing mental illness such as depression are complementary strategies which, along with the treatment and rehabilitation of people with mental disorders, can significantly improve health and well-being. This is a combined study between the Mental health Center 10 and Fort Sunpasitthiprasong Hospital. It aims to describe the situation of mental health problem in Thai troops who are in deployment at the Thai-Cambodia border and to develop a program for mental health promotion. Severe depression, stress, and suicidal attempts are major mental health problems in Thai troops who are currently deployed in the field. Moreover, successful suicides have a great demoralizing effect on the rest of the troops. Therefore, stakeholders such as military doctors, nurses, medical corps, and troops have gathered to discuss and analyze the root cause of these problems. The resultant finding shows that there is a lack of sufficient psychological preparation for the troops before deployment. Currently, there are only screening tests for stress, depression, and suicidal tendency. Thus, the stakeholders have set up a program for building psychological resilience in pre-deployed Thai troops, namely, LIFE. (L=living with purpose, I=in positive ways, F=friendly connections E=Empowerment for all). Preliminary implementation of this program has shown to be effective in providing troops with the appropriate psychological support during deployments. Further adjustment would be needed in order for us to come up with a comprehensive and complete manual for this program.