Resolving incest experiences through inpatient group therapy

1. Yalom's "curative factors" provide a helpful "here and now" model for inpatient group therapy with incest survivors. 2. Psychiatric nurses are in an excellent position to identify female patients who have been sexually abused and to establish and conduct therapy groups for these women. 3. Preparation of women for the group by the therapist is an essential prerequisite for successful integration into the group. 4. During hospitalization, some of the women may experience brief psychotic episodes, suicidal ideation, self-mutilation, and increased depression, which may preclude group attendance for brief periods. However, these experiences will provide ongoing opportunities for exploration of group feelings of anger, helplessness, despair, and alienation.     

Methods Used with a High Ability Group

Teaching for social justice in a standards-driven social studies classroom can be challenging. However, the authors believe that there does not have to be a choice between meeting standards versus meeting the needs of students. Through semistructured interviews with four current social studies practitioners, the authors found similarities in the language the teachers used to describe the role of standards in their classrooms, teachers' perceptions of context as being important to the tension between teaching for social justice and teaching to standards, and the ways that perception impacted how they negotiated that tension. The authors offer social studies teachers an alternate conceptual frame for viewing social justice instruction in terms of methods rather than content.     

Towards an Inclusive Social Policy for the UK: The Need for Democratic Deliberation in Voluntary and Community Associations

In western capitalist societies the state has become increasingly criticized for its inadequacy as a mechanism for distributing welfare inclusively. In particular, it has been criticized for its lack of flexibility in meeting the needs of increasingly plural populations, and for being too distant to enable service users to participate in the meeting of their welfare needs. Consequently, in many countries, including the United Kingdom, voluntary and community associations have been used to distribute welfare with the belief that it can remedy the defects of universal state provision. This paper suggests the voluntary and community sector can only achieve this if the organizations are democratically organized, ensuring participation from staff and users. Moreover, participation should be based around the norms of deliberative democracy. The paper argues that this form of participation will best ensure that the needs, preferences, and interests of subordinate groups are included in social policy delivery, due to the fostering of public reason.

Women's experience of rage: a critical feminist analysis

We conducted in-depth interviews with 37 incarcerated women on their experience of rage towards their intimate partner. Participants used specific criteria to distinguish their experience of rage from anger. Rage is described as an overwhelming experience with particular physiological and cognitive changes that takes control of a woman's emotions and actions. In contrast, anger is described as a controllable emotion with a specific termination point. Motivations for acting violently in rage with an intimate partner are described and discussed. Findings suggest a primary trigger for experiencing rage is feeling threatened and feeling emotionally overwhelmed.     

Non-Abstinence-Based Supportive Housing for Persons with Co-Occurring Disorders: A Human Rights Perspective

Surveys of providers of social services in Portland, Oregon, in 2003 and 2007 revealed a significant policy shift in meeting the housing needs of chronically mentally ill, homeless persons with ongoing substance-abuse problems. The shift in policy, taking place in Portland, Seattle, Washington, Minneapolis, and other U.S. cities, from a sobriety-first requirement to a housing-first philosophy has occurred largely because of cost-effectiveness. Only when such housing is provided as a human right can we say that a true paradigm shift has occurred.     

Providing nursing leadership in a community residential mental health setting

The worldwide burden of mental illness is increasing. Strong leadership is increasingly emerging as a core component of good mental health nursing. The aim of this article is to demonstrate the ways in which nurses can provide strong and consistent leadership in a values-based practice environment that embodies respect for individuals' dignity and self-determination within a community residential mental health service, which provides a structural foundation for effective action. This is accomplished through the presentation of two vignettes, which highlight how the seemingly impossible becomes possible when an economic paradigm such as agency theory is exchanged for a sociological and psychological paradigm found in leadership as stewardship at the point of service. It is through stronger nursing leadership in mental health that stigma and discrimination can be reduced and better access to treatments and services can be gained by those with mental illness. Nurse leadership in mental health services is not new, but it is still relatively uncommon to see residential services for "high needs" individuals being led by nurses. How nurses meet the challenges faced by mental health services are often at the heart of effective leadership skills and strategies.     

Resolving alcohol problems using an online self-help approach: moderation management

As illustrated by the emergent MM approach discussed in this article, a paradigm shift is occurring in relation to how alcohol problems are defined and managed. Moreover, one of the most interesting aspects of this transformation is the way in which similar belief systems are simultaneously emerging from divergent lay and professional groups. In spite of this flurry of activity and optimism, however, nurses should not embrace new frameworks and treatment strategies. Rather, the charge to our discipline and others is to think critically, research the effectiveness of newly proposed treatment approaches, and recommend and implement promising strategies with discernment.     

Controlling Anger and Happiness at Work: An Examination of Gender Differences

This article examines gender differences in the emotion management of men and women in the workplace. The belief in American culture that women are more emotional than men has limited women's opportunities in many types of work. Because emotional expression is often tightly controlled in the workplace, examining emotion management performed at work presents an opportunity to evaluate gender differences in response to similar working conditions. Previous research suggests that men and women do not differ in their experiences of emotion and the expression of emotion is linked to status positions. An analysis of survey data collected from workers in a diverse group of occupations illustrates that women express anger less and happiness more than men in the workplace. Job and status characteristics explain the association between gender and anger management at work but were unrelated to the management of happiness expressions in the workplace.     

Anger—Has It a Positive as Well as Negative Value? (Recent Research into Causes,Associated Features,Diagnosis and Treatment, 1998–2003)

Abstract

Contrary to popular belief, anger has both positive and negative aspects, and hence, there is a value to anger. Properly directed anger can lead to positive action and produce feelings of being in control of situations perceived to be threatening. On the other hand, there are a large number of negative repercussions with the feeling and expression of anger, i.e., negative physiological reactions such as increased blood pressure and heart rate. Anger appears to be age and gender related and is likely precipitated by a particular situation. There are a number of diagnostic out treatment approaches to anger management that are discussed here with reference to their usefulness with adult and child and adolescent populations. Programs that are used early and long enough appear to promise good results in preventing further expressions of anger or internalised anger.     

Integrating gender needs into drinking-water projects in Nepal

It is argued that projects and programs designed to meet the practical needs of men, women, and children in communities should also focus on meeting the strategic gender needs of women. This paper shows what project planners can do to ensure women?s participation in the design and maintenance of development projects without increasing their workloads, and with the goal of raising their status in the family and society, as well as challenging men's prejudice. It utilizes the framework of strategic and practical gender needs in the context of the drinking-water sector, to argue that understanding how these needs are linked is important to the sustainability of drinking-water projects. Overall, this paper pointed out the great need to involve women in the management of water projects in order for it to be effective in reducing the burdens of the people. Moreover, all development initiatives, including improvements in water supply, should have explicit focus on improving women status and increasing their confidence. Meeting such gender needs requires real commitment from concerned individuals on all levels as well as budgetary provision to enhance the capacity of the involved sector, and heighten their awareness. Fulfillment of their strategic gender needs, will in turn, contribute to the sustainability of water projects.     

Widows and widowers in today's society

With the increasing life span in our society, the number of widowed individuals has increased dramatically. The loss of a spouse is one of the most stressful life events for both women and men, yet there is little nursing research on the physical and psychosocial needs of older adults who are experiencing this loss. Some studies suggest that widowed women and men develop significant physical and mental health problems and complicated grief. Thus, it is important for nurses to recognize the diversity of grieving experiences and the increased vulnerability of widowed individuals to psychiatric illnesses that may result in suffering and impairment of daily functioning. With a better understanding of these needs, nurses can provide interventions that help these individuals maintain their health and independence.     

Editorial

A gender perspective requires examining how gender roles affect the ways in which various family members can participate in the wider community, economy, and state. It is important to recognize the disparity between perceptions about the family as a benign institution and the reality that many families consist of a paradoxical blend of love, support, friction, domination, and even cruelty. Definitions of family reveal the social implications of the belief that families are centered on children and the need of patriarchs to control female sexuality. Notions about households are generally more concrete, and many households include people who are not family members and are not nuclear in nature. Many development initiatives have floundered because of the assumption that households distribute resources according to individual needs. Instead, household members use bargaining power to get their way, and women are generally in weaker bargaining positions than men. Linking men solely with production and women solely with reproduction ignores the realities of most women's lives, although the unpaid reproductive work women do influences their access to paid employment. In order to assure family stability and to find ways to provide social welfare, women's workload in the family must be reduced. Family life must not be hidden in a "private" sphere where injustices and violence are ignored. Unconscious biases against families of various types must be rooted out and overcome, and policy-makers must recognize that families evolve to meet changing needs. Finally, the notion of the nuclear family as the ideal family type must be challenged.     

Women who use violence in intimate relationships: the role of anger, victimization, and symptoms of posttraumatic stress and depression

The present study examines the role of anger and victimization in women's use of aggression in heterosexual intimate relationships. The sample was composed of 108 women, primarily African American, urban, and poor, who had used violence against a partner in the previous 6 months. Path modeling was used to examine the interrelationships among anger, women's aggressive behavior, victimization, childhood abuse experiences, and symptoms of posttraumatic stress and depression. Results revealed that almost all of the women experienced violence from their partners. Greater frequency of victimization from partners and experiences of childhood abuse increased the likelihood that women would use aggression against their partners. Victimization from partners and childhood abuse also increased the likelihood that women would experience symptoms of posttraumatic stress and depression. Women with more symptoms of posttraumatic stress were also more likely to express anger outwardly towards others. Expressing anger outwardly toward others, in turn, predicted an increased likelihood of using aggression against partners.     

Depression in school-aged children: assessment & early intervention

A careful assessment of all of these factors will help nurse therapists who are also primary care providers develop a more holistic approach to treatment and, thus, increase treatment effectiveness. The three-pronged assessment approach discussed above is cost effective, safe, and indicated as a frontline measure to assess the risk for depression in children and their parents (particularly mothers), which can begin the process of "true" early intervention. I say "true" early intervention because in my role as an early intervention specialist, my first meeting with families usually occurs after a crucial incident requiring hospitalization of the child or the parent, or school failure, or both. My programs of intervention are hardly "early," although treatment is started relatively early in the life of the child. In the past few years, I have noticed that psychiatric-mental health advanced practice nurses, including myself, are increasingly working in some capacity in primary health centers, such as school-based clinics, churches, collaborative practices, and community health centers. It would be wonderful if we used these settings to identify risk for depression in children and begin preventive treatment (starting with teaching good sleep hygiene, a treatment in itself) to truly make early intervention a reality.     

Shift work--problems and its impact on female nurses in Udaipur, Rajasthan India

Abstract : There is good evidence that shift work has negative effects on workers health, safety and performance. It is quite appropriate that attention is paid to this very important feature of socio-technical systems, which may adversely affect mental and physical health, social life and safety of shift workers. Research into the impact of shift work on professionals has consistently identified a range of negative outcomes in physical, psychological, and social domains (Akerstedt, 1988; Costa, Lievore, Casaletti, Gaffuri, & Folkard, 1989; Kogi, 2005; Paley & Tepas, 1994). Hospitals, the biggest employer in the health care field, employ more night shift workers than any other industry. It can therefore be inferred that in medical domain high percentage of workforce may be affected by problems related to shift work. Thus the present study will provide knowledge base for the problems faced by the female nurses. The present study was undertaken with an objective of getting an insight into the problems faced by female nurses in shift work. . It was found that the female nurses in India worked on roaster pattern of change in shift every seven days. They did not have a say in the change of duties, it could only be done on mutual grounds. Partners of younger group did not much adjust to their shift pattern this created stress among the nurses.The results showed that the female nurses in both the age groups i.e. 30-45 years and 45-60 years faced many problems related to health and well being, fatigue, social and domestic situations. They could not give much time to their children in particular. Travelling in nights was risky for them. Common problem was the insufficient sleep during night shifts. The nurses had to cater to the needs of the family, children in particular along with the adjustments to be made due to shift work. They had to sometimes do the night duties and attend social functions as a part of their duty. Children and husband in some cases did not cooperate this lead to frustration. When asked as to whether they would could shift job if they get regular one more than 50 % said yes this means that there need to be come training and intervention for the shift workers and their family so that the problems faced and their impact on personal health of the female nurses could be reduced.     

The Emotional Experience and Expression of Anger: Children’s Perspectives

The purpose of this study was to explore and identify key themes related to a child’s experience of anger. The existing literature on children’s emotional experiences stems from adult perceptions and interpretations; this study was envisioned to investigate the experience of anger among children using their own words. Furthermore, this study was designed to illustrate a contextual perspective of children’s emotional knowledge, so that teachers, social workers, counsellors and other child mental health professionals may be able to relate and interpret children’s emotional experiences. Participants were male and female students, aged 8–9 years and in a regular grade three classroom within a community school. Through the use of semi-structured interview focus groups conducted over a span of 10 weeks, participants were invited to disclose their understandings of anger and how they experienced it. Results were analyzed via a content analysis that resulted in five themes. These themes consisted of understanding anger, origins of anger, consequences of anger, regulation and resolution of anger, and finally relations with others. Results and implications of the findings were discussed.     

Top 10 reasons to take your graduate program in psychiatric nursing online

1. Removing barriers to graduate psychiatric nursing education is possible by delivering courses via the Internet. 2. The Internet is full of valuable resources for graduate psychiatric nursing education. 3. Successful online learning environments involve a paradigm shift on the part of faculty from traditional teaching to facilitating the learning of adult students. 4. Increasing the number of advanced practice psychiatric nurses through Web-based education will transform the delivery of mental health care.     

Masculinity and Non‐Traditional Occupations: Men's Talk in Women's Work

Occupation segregation is a persistent aspect of the labour market, and scholars have often researched what happens when women and men enter into what are seen to be ‘non‐traditional’ work roles for their sex. Research on men within women's roles has concentrated mainly on the challenges to a masculine identity, while research on workplace language has focused on women's linguistic behaviour in masculine occupations. To date, there has been relatively little research into the linguistic behaviour of men working in occupations seen as women's work (e.g., nursing, primary school teaching). To address this gap, this article focuses on men's discursive behaviour and identity construction within the feminized occupation of nursing. Empirical data collected by three male nurses in a hospital in Northern Ireland is explored using discourse analysis and the Community of Practice paradigm. This paper discusses how the participants linguistically present themselves as nurses by performing relational work and creating an in‐group with their nurse colleagues by actively using an inherently ‘feminine’ discourse style.     

Emotional Aspects of Large Group Teaching

With the growth of mass education in the U.K.has come the seemingly inevitable growth of large groupteaching. Many technical solutions to theproblems of large group teaching have been proposed (e.g., use of microphones, structured handouts,buzz groups, etc.) but we contend that emotional aspectshave been largely neglected and ignored. We argue thatit is legitimate to consider the role of emotion in higher education, and its particular effectsin large teaching groups. While it is, perhaps, easierand safer to pretend that all is well, there are clearemotional consequences to working in these large groups for both students and lecturers. Forinstance, students may experience powerful feelings ofalienation, anger, and envy in large groups andcompensate in various ways, some of which will beantithetical to achieving effective learning and astimulating educational experience. Similarly, lecturerscan also seek to cope with their own feelings of fearand uncertainty by behaving equally maladaptively. We examine the contribution psychodynamic thinkingcan make to our understanding of large teaching groupsand contrast this with the consequences of adhering tosimplistic technical models. We argue for the legitimacy of the role of emotion in highereducation and seek to encourage a debate on this issuewhich will include appropriate research into the effectsof trying to teach and learn in large groups. This paper thus seeks to raise issues andencourage debate in this relatively unresearched area.Further, we contend that it is important and necessaryto conduct appropriate research into the emotional effects of such groups on both teaching andlearning.     

The subpoena and a day in court: guidelines for nurses

Psychiatric nurses or therapists may be subpoenaed to appear as direct or expert witnesses. The response must be carefully prepared, and nurses must be aware that testifying in court can be an anxiety-provoking experience. Testifying often involves being an advocate for a client. Clients who have a mental illness, are developmentally disabled, or have a history of abuse or recent violence deserve a conscientious response. The legal process is the avenue for providing safety or empowerment, for assuring that needs are met, and rights are obtained, and being part of that process is an important role. Being prepared for the role is essential.