Biomedical subjects
Publications and source records attributed to R D Fallot.
With the recognition that large numbers of men and women receiving services in the mental health and addictions systems are the survivors of sexual and physical abuse, practitioners need to become informed about the dynamics and the aftermath of trauma.
Universal trauma screening and specific trauma assessment methods are necessary to developing collaborative relationships with trauma survivors and offering appropriate services.
Inpatient hospitalizations can be difficult for the survivors of sexual and physical abuse unless practitioners take care to make the hospital stay trauma informed.
Because addictive disorders are so common among women who have experienced prolonged sexual and physical abuse, it is especially important to design addictions services that meet the needs of the trauma survivor.
Mental health professionals have raised concerns about the role of spirituality and religion in services for people with severe mental disorders, but this chapter offers compelling reasons for increased attention to spiritual issues in service delivery.
Participants were 54 clients with serious psychiatric disorders and 21 clinical case managers. Clients' serious psychiatric disorders included Axis I diagnoses, such as schizophrenia and bipolar disorder. This study examined how attachment states of mind of both clients and case managers influenced the effectiveness of therapeutic relationships and client functioning. Client and case manager attachment states of mind interacted in predicting the working alliance and client functioning. Specifically, clients who were more deactivating with respect to attachment had better alliances and functioned better with less deactivating case managers, whereas clients who were less deactivating worked better with more deactivating case managers. These findings highlight the importance of clinicians and clients being matched in ways that balance their interpersonal and emotional strategies.
Mental health professionals have raised concerns about the role of spirituality and religion in services for people with severe mental disorders, but this chapter offers compelling reasons for increased attention to spiritual issues in service delivery.
Assessing the role that religious or spiritual concerns play in the lives of people with severe mental disorders is crucial if clinicians are to determine whether those concerns can be successfully incorporated into service planning.
Key themes in narratives of recovery from mental illness illustrate some of the functions of religion and spirituality in consumers' self-understanding and coping.
On theoretical, clinical, and research levels, there are many ways to attend more fully to spirituality and religion in developing and implementing mental health programs.
Associations between childhood sexual and physical abuse and HIV-related risky behavior were examined among low-income, urban women with severe mental disorders. Early sexual abuse was found to be related to adult sexual and physical assault, alcohol and cocaine abuse, and prostitution; childhood physical abuse was related to adult physical assault and alcohol abuse. Findings highlight the importance of making HIV risk-reduction programs a part of integrated services that address a full range of psychosocial needs.
Older parents and their adult sons (fifteen father-mother-son triads) participated in this study which investigated whether imitative behavior is prominent in these families and whether interpersonal perceptions are related to the degree of imitation. Both perceptual and moral imitation tasks were used and personality descriptions were obtained on dimensions of activity, potency, and evaluation. Adult sons were found to imitate their parents on both tasks and particularly their fathers on moral issues. Older parents also were found to imitate their sons in a possible "reversal" of the direction of identification. Differential patterns of interpersonal perceptions were related to imitation for the three groups. Potential theoretical explanations are discussed.
The impact on mood of verbal reminiscing was compared with that of talking about the present or future in a group of thirty-six female participants between the ages of forty-six and eighty-five. Self reports of mood showed a relatively more positive effect of reminiscing and thus support the hypothesis that reminiscence may serve an adaptive function in later life. Participants over sixty-five years of age, however, did not report a different impact on mood than the younger participants, calling into question the age-specific nature of this phenomenon. Potential theoretical explanations and clinical implications of these findings are discussed.