| 1. |
- Denhov, Anne, 1954-, et al.
(författare)
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The components of helping relationships with professionals in psychiatry : User´s perspective
- 2012
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Ingår i: International Journal of Social Psychiatry. - : SAGE Publications. - 0020-7640 .- 1741-2854. ; 58:4, s. 417-424
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Tidskriftsartikel (refereegranskat)abstract
- Background: The quality of the relationship between professional and user is one of the important factors in the recovery process. However, more knowledge is needed concerning the components of helping relationships and characteristics of the helping professional. The aim of this study was to explore users’ experiences of helping relationships with professionals.Data and methods: This was a grounded theory analysis of 71 qualitative interviews to explore users’ experience of helping relationships and their components, in psychiatric care in Sweden.Discussion: Within the three main categories – interpersonal continuity, emotional climate and social interaction – two core themes were found that described vital components of helping relationships: a non-stigmatizing attitude on the part of the professionals and their willingness to do something beyond established routines.Conclusions: The focus in psychiatric treatment research needs to be broadened. In addition to research on the outcome of particular methods and interventions, the common factors also need to be investigated, above all, what is the effect of the quality of the relationship between user and professional. Greater attention needs to be paid, as well, to how helping respective obstructive relationships in psychiatric services arise, are maintained or are modified.
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| 2. |
- Hope, Øyvind, et al.
(författare)
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'Living needs a landscape' : A qualitative study about the role of enabling landscapes for people with mental health and substance abuse problems
- 2023
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Ingår i: Health and Place. - 1353-8292 .- 1873-2054. ; 84
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Tidskriftsartikel (refereegranskat)abstract
- The deinstitutionalization of mental health institutions has enabled service users to live in the community and search for what Duff coins ‘enabling places.’ These places were explored through walking interviews, in which service-users led the way. This analysis revealed features which made places promote liveable lives: places help people explore, places help people stand out, places give people responsibilities, and places dare people. An adverse feature was also identified: places define people by their problems. Overall, we suggest that ‘living needs a landscape’ to capture how a diversity of places form an ‘enabling landscape’. This suggests a shift of focus in research and treatment, from internal to external landscapes.
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| 3. |
- Ljungberg, Amanda, et al.
(författare)
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Non-helpful relationships with professionals : aliterature review of the perspective of persons with severe mental illness
- 2016
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Ingår i: Journal of Mental Health. - : Informa UK Limited. - 0963-8237 .- 1360-0567. ; 25:3, s. 267-277
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Forskningsöversikt (refereegranskat)abstract
- Background: The relationship with professionals has proved to be important with regard to outcome for persons with severe mental illness (SMI). The understanding of non-helpful relationships is important complementary knowledge to that regarding helpful relationships.Aim: To review the available qualitative research providing knowledge of non-helpful relationships from the perspective of persons with SMI.Method: A review of qualitative studies, based on an earlier systematic search, analyzed through thematic analysis.Results: The main themes were non-helpful professionals, organization versus relation and the consequences of non-helpful relationships with professionals. Examples of professionals described as non-helpful were pessimistic and uncaring professionals who were paternalistic and disrespectful. Discontinuity, insufficient time and coercion were some of the contextual factors described as non-helpful. These sorts of relationships were non-helpful because they hindered helpful relationships from developing and contributed to further suffering, instilling hopelessness and hindering personal growth.Conclusions: Non-helpful relationships with professionals can be understood as impersonal relationships that contain no space for negotiation of the relationship nor of the support and treatment provided through it. It is important that organizations provide professionals with favorable conditions to negotiate the organizational framework and to treat persons with SMI as whole human beings.
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| 4. |
- Ljungqvist, Ingemar, et al.
(författare)
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Money and Mental Illness : A Study of the Relationship Between Poverty and Serious Psychological Problems
- 2016
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Ingår i: Community mental health journal. - : Springer Science and Business Media LLC. - 0010-3853 .- 1573-2789. ; 52:7, s. 842-850
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Tidskriftsartikel (refereegranskat)abstract
- Several studies have indicated a co-occurrence between mental problems, a bad economy, and social isolation. Medical treatments focus on reducing the extent of psychiatric problems. Recent research, however, has highlighted the possible effects of social initiatives. The aim of this study was to examine the relation between severe mental illness, economic status, and social relations. Method: a financial contribution per month was granted to 100 individuals with severe mental illnesses for a 9-month period. Assessments of the subjects were made before the start of the intervention and after 7 months’ duration. A comparison group including treatment as usual only was followed using the same instruments. Significant improvements were found for depression and anxiety, social networks, and sense of self. No differences in functional level were found. Social initiatives may have treatment and other beneficial effects and should be integrated into working contextually with persons with severe mental illnesses.
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| 5. |
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| 6. |
- Topor, Alain, 1952-, et al.
(författare)
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After the Asylum? The New Institutional Landscape
- 2016
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Ingår i: Community mental health journal. - : Springer Science and Business Media LLC. - 0010-3853 .- 1573-2789. ; 52:6, s. 731-737
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Tidskriftsartikel (refereegranskat)abstract
- During the last decades services to people with severe mental health problems have gone through important changes. Terms as de-, trans-, reinstitutionalisation and dehospitalisation has been used. The objective of the study was to collected data about the changes in a welfare society about the new institutional landscape after the mental hospital area. Data about interventions from social welfare agencies, psychiatric care, and prisons were collected from local and national register as well as data about cause of death and socio-economic status for 1355 persons treated with a diagnosis of psychosis in a Stockholm area 2004–2008. Psychiatric in-patient care and prisons are marginalized. Different interventions in open care touched a very large number of persons. Social welfare agencies play an increasing role in this context. The total institutions have been replaced by a network of micro-institutions sometimes offering help but also control.
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| 7. |
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| 8. |
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| 9. |
- Topor, Alain, 1952-
(författare)
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Fra asosial til sosial psykiatri?
- 2015
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Ingår i: Psykisk helse. - Oslo : Universitetsforlaget. - 9788215024035 ; , s. 240-248
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Bokkapitel (refereegranskat)
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| 10. |
- Topor, Alain, 1952-, et al.
(författare)
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Going beyond : Users’ experiences of helping professionals
- 2015
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Ingår i: Psychosis. - : Informa UK Limited. - 1752-2439 .- 1752-2447. ; 7:3, s. 228-236
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Tidskriftsartikel (refereegranskat)abstract
- Background: Establishing a working alliance has been found to be of great importance for the outcome of professional interventions for people diagnosed with severe mental illnesses. Aim: The aim of the present study was to analyse the concrete actions of helpful professionals in establishing a working alliance. Method: Interviews with 58 persons diagnosed with severe mental illness who were in a recovery process or had recovered were analysed using Grounded Theory. Results: The core category that emerged from the analysis was termed ‘going beyond’. It was constituted on three subcategories: challenging the rationality of the institutions, restoring the professional as a person and restoring the user as a person. Conclusion: Users’ experience-based knowledge about helpful professionals calls into question the traditional view of professional roles.
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