Cultural aspects of bipolar disorder: Interpersonal meaning for clients & psychiatric nurses

Bipolar disorder is a complicated mental illness to diagnose and treat. The symptoms of the disorder cause a multitude of fluctuations in mood and behavior, affecting the way individuals function and interact with others on a daily basis. Individuals diagnosed with bipolar disorder experience symptoms within a framework that is grounded in their cultural beliefs, values, and norms. Culture is a complex and personal biopsychosocial phenomenon that provides meaning within life for an individual, a group, or a community. It is essential that psychiatric-mental health (PMH) nurses understand the role of culture and integrate this knowledge into the biopsychosocial care of clients. The development and maintenance of the interpersonal therapeutic relationship between PMH nurses and their clients requires the use of a cultural framework, which refers to the connection of culture and cultural competence. The purposes of this article are to define culture and the process of cultural competence, provide a brief overview of bipolar disorder, propose the use of a cultural framework for bipolar disorder, and discuss the implications for PMH nurses who care for culturally and ethnically diverse clients.     

Bullying victimization in non-heterosexual university students

In this study the prevalence, impact on mental health, and coping of bullying victimization in university students identifying as non-heterosexual was compared with their heterosexual peers. University students were surveyed on bullying experiences within the past 12 months, their mental health, and use of coping strategies. Demographic information identified gender, age, and sexual orientation. Results indicated that 14.3% of students reported victimization, and that students ages 24 to 35, and those who identified as non-heterosexual, reported higher rates of victimization. No gender differences were found. Bullied students scored significantly higher on depression, anxiety, and stress scores than non-bullied students. Comparisons of mental health scores and coping strategies of non-heterosexual and heterosexual bullied students found no significant differences, indicating both groups are equally impacted, and equally utilize adaptive and maladaptive strategies to manage the victimization. Implications for tertiary institutions include identification of effective coping resources for diverse university student populations. Limitations and recommendations for future research are considered.     

Accusation and confession discrepancies in bullying: Dual-perspective networks and individual-level attributes

Previous research on bullying implicitly assumes that individuals agree on who bullies whom and whom is bullied by who. We analyse dual-perspective networks from 96 school-classes in Germany, where adolescents were asked both whom they bully (confession network) and who bullies them (accusation network). Drawing from goal framing theory we explicitly examine discrepancies in the subjective perception of bullying, demonstrating that the majority of accusations have no corresponding confessions, and vice versa. There are more confessions than accusations overall. Furthermore, we investigate how individual-level attributes are associated with these discrepancies. Our study indicates that analyses of bullying relationships, as well as social networks in general, should account for relational discrepancies resulting from individuals’ subjective perceptions of social behaviour.     

学校欺负相关研究的回顾与社会学反思

对学校欺负相关研究的回顾发现,当前研究仍处于探索阶段,对于学校欺负核心概念仍然没有达成共识;理论研究处于"松散状态";现状研究对核心问题尚未探讨;研究方法与研究视角单一;干预策略本土化研究尚少。透过社会学视角,未来学校欺负研究应转向欺负行为背后,探讨谁在欺负与受欺负;明确学校欺负核心概念的内涵与外延;建立学术共同体提升理论研究与现状研究,尤其是对个案研究,在此基础上开展社会支持系统下的学校欺负干预实验,提升本土化研究水平。     

Integrative holism in psychiatric-mental health nursing

In this era of high-tech care, many Americans seek more holistic approaches and alternative and complementary treatments for health problems, including mental illness. Psychiatric-mental health (PMH) nurses need to be aware of these approaches as they assess clients, maintain a holistic approach, and in some cases, provide skilled, specific modalities. This article reviews holistic philosophy and integrative approaches relevant to PMH nurses. The emphasis is that whichever modality PMH nurses practice, a holistic framework is essential for providing optimal PMH care.     

Cyberbullying and subjective health: A large-scale study of students in Stockholm,Sweden

The increase in the use of mobile phones and the Internet has given rise to new opportunities for people to meet and communicate. However, there are also dark sides to these new forms of communication. One of these is cyberbullying, i.e. bullying via mobile phone and the Internet. Given that cyberbullying is a relatively new phenomenon, empirical knowledge is still limited and particularly so in Sweden, which in international comparison has reported low rates of bullying in general. The aim of the study is to investigate: 1) the prevalence of cyberbullying among students in Stockholm, Sweden; 2) the overlap between cyberbullying and traditional forms of school bullying, and 3) the association between the experience of cyberbullying and subjective health. The study uses the Stockholm School Survey of 2008 which is a total population survey of students in grade 9 of compulsory school (i.e. aged 15–16) and in the second year of upper secondary school (i.e. aged 17–18) in Stockholm and eighteen of its surrounding municipalities (N = 22,544). About 5 % of the students are victims of cyberbullying, 4% are perpetrators, and 2% are both victims and perpetrators. There is some overlap between cyberbullying and traditional bullying: those who are victims of traditional bullying are at increased risk of also being victims of cyberbullying; while being a traditional bully is strongly associated with the likelihood of also being a cyberbully. However, many students who are involved in cyberbullying are not involved in traditional bullying. OLS regression analyses show that being a victim of cyberbullying remains associated with worse subjective health when being the victim of traditional bullying and socioeconomic factors are taken into account. In addition, perpetrators of cyberbullying as well as students who are both victims and bullies, have worse subjective health than those who are not involved in cyberbullying.     

Bullying in a caring profession: reasons, results, and recommendations

The theories of Florence Nightingale and Jean Watson provide a framework for the caring work of nurses. Ironically, this caring profession struggles with bullying. Bullying has both physiological and psychological ramifications for the person being bullied and a negative impact on the organization and patient care. Strategies to address bullying include education, developing codes of acceptable conduct for the workplace, and a zero-tolerance policy. Mental health nurses have a vital role in helping nurses return to roles of caring.     

Teachers bullied by students: forms of bullying and perpetrator characteristics

The focus of this study is on the forms in which the bullying of school teachers by students manifests itself, the characteristics of the students who engage in the bullying, and the manner in which the students who engage in bullying behave in their own peer relationships. The data was gathered from primary and lower secondary school teachers by means of an Internet survey. The answers of 70 teachers who had experienced bullying by their students are examined. The teachers had been exposed to different forms of bullying by students. They had typically been bullied by male students. In most cases, the bullying had been perpetrated by an individual student or a small group of students. According to the teachers' assessment, the majority of the students who bullied them also bullied their fellow students.     

Understanding weaknesses in bullying research: How school personnel can help strengthen bullying research and practice

School personnel (teachers, administrators, counselors, staff, and social workers) would greatly benefit from a stronger understanding of bullying dynamics. In order to heighten their understanding, we must strengthen bullying research. Despite more than 40 years of bullying research, a number of methodological weaknesses continue to plague the field of bullying. First, there is a lack of a common definition of bullying, making it difficult to compare results across studies. Second, some researchers use one-item measures of bullying, a practice that lacks content validity and fails to assess the entire scope of the bullying dynamic. Third, many measures fail to assess all forms of bullying. Fourth, researchers often fail to provide a definition of bullying or to even include the word “bullying” in their measures, thus conflating the measurement of bullying and aggression. Finally, most scales measure the prevalence of bullying and fail to assess the motivations for bullying or reasons why youth are bullied or bully others. The current article provides an overview of these five weaknesses present in bullying research, presents possible solutions, and discusses implications for school personnel.     

Comparing children's experiences of schools-based bullying across countries

We make use of a newly-available international data set from a survey of children aged 8 to 12 years old across 16 diverse countries to explore variations in rates of schools-based bullying of children and the associations between experiences of being bullied and child subjective well-being, both within and between countries. The analysis is consistent with previous international studies in showing very substantial variation in rates of bullying at the country level. There are also between-country variations in the rates of different types of bullying. In terms of individual variations, we find significant variations in the likelihood of being bullied according to age, gender and deprivation, although the influence of these factors varies by country. There was no apparent link at a country-level between rates of bullying and mean life satisfaction scores. On the other hand, in almost all countries, children who had been bullied had significantly lower subjective well-being than children who had not. However there were substantial differences in the strength of association across countries. We find some tentative evidence to suggest that being bullied may make a greater contribution to explaining variations in child subjective well-being in rich countries than in poor countries. The implications of the findings and directions for future research are discussed.     

Giving Victims of Bullying a Voice: A Qualitative Study of Post Bullying Reactions and Coping Strategies

Current research on how adolescents cope with bullying is primarily quantitative, examines youth in Grades 1 through 6, and neglects to specifically assess how victims of bullying cope with being bullied. The current qualitative study explored the coping strategies of 22 rural middle- and high-school youth victimized by bullying. Results indicated that youth report using an array of emotion focused coping strategies (an internal coping strategy that focuses on emotion regulation) and problem focused coping strategies (active behaviors that are aimed to decrease or eradicate the stressor). These coping strategies included help seeking, physical and verbal aggression, standing up for themselves, and prosocial bystander behavior. While the majority of coping strategies were similar between middle- and high-school participants, these groups reported utilizing verbal and physical aggression in different ways. Further, certain coping strategies, such as help seeking and lashing out with physical and verbal aggression, were utilized as both emotion- and problem-focused coping strategies. Implications are discussed.     

Cultural and peer influences on homicidal violence: a Finnish perspective

Two case examples of school shootings in Finland illustrate the interplay between the distal, international influence of the Columbine shooting and the more immediate impact of local peer interactions involving both peer bullying at school and peer encouragement of violence through the Internet. Both cases involved emotionally troubled young men who identified with the Columbine attackers and aspired to attain notoriety through similar acts of violence. There was a sequence of missed opportunities for prevention in these shootings that occurred when the student was chronically bullied, developed serious emotional problems, became fascinated with Columbine-type events, and subsequently began to discuss interests and plans to commit a similar act.     

Spirituality and mental health clients

Spirituality is an important part of human existence but is often overlooked in the conceptualization of the person as a biopsychosocial entity. This article examines spirituality as a concept, relates it to the experience of mental health clients, proposes spiritual assessments and interventions within the role of advanced practice mental health nurses, and discusses the necessity of including spiritual interventions to support healing and wholeness for mental health clients.     

Coping with bullying in Australian schools: how children with disabilities experience support from friends,parents and teachers

Little research has been published investigating the experiences of physical and emotional support for children with disabilities in the Australian school context. The aim of this phenomenological study was to explore how children with disabilities experienced support when they were bullied at school. Qualitative interviews with 10 children, aged 8–10 years, were analysed. The children had a range of disabilities, including physical, visual and hearing impairments. The four themes that emerged were: (1) bullying experiences; (2) coping with bullying; (3) importance of friends; (4) adult responses to bullying. The implications of the contributions to this study for bullying research specific to the lives of children with disabilities are discussed, such as providing educational and health professionals with a knowledge of the support that children with disabilities draw on when they experience bullying.     

Responses to bullying among high-school students through the lens of general strain theory

Abstract

In General Strain Theory (GST), Agnew asserts that negative emotions in response to strains are associated with antisocial behavior. Researchers found GST to explain criminal and self-harm responses to bullying. However, not all youth respond antisocially, such as by harming the self or others. Thus, the question remains, when do youth respond to bullying antisocially versus asocially or prosocially? This study examined situation-based negative emotions, the availability of alternative relationships, and behavioral responses to physical, verbal, relational, and cyber bullying to answer this question. This study integrates research from sociology, criminology, health, and social psychology to address this question among a sample of high-school bully victims. This study found variation in the emotional and behavioral responses based on the type of bullying. However, across bullying types, the availability of alternative relationships was associated with increased prosocial responding.     

Distressed Bullies,Social Positioning and Odd Victims: Young People's Explanations of Bullying

The aim of the present study was to investigate to what degree teenagers agree with bullying explanation statements that could be categorised as the odd victim explanation, bully's social positioning explanation, or the distressed bully explanation. A second aim was to investigate how these types of bullying explanations might be associated with gender and self‐reported prior bullying roles. Three hundred and fifty teenagers, attending three upper secondary schools in a medium‐sized Swedish town, completed a questionnaire. Although the teenagers were prone to agree with all three types of bullying explanations, they were more inclined to think that bullying occurs because the bully wants power or status. Girls were more inclined than boys to think that bullying takes place because the bullies have their own problems. The more the teenagers thought that bullying occurs because the victims are odd, different or deviant, the more they have been involved in bullying situations as bullies or reinforcers. The more the teenagers thought that bullying occurs because the bully has psychosocial problems, the more they have been involved as defenders and the less as bullies or reinforcers in bullying situations.     

Recentering our tendencies: Immigrant youth development and the importance of context in social work research

According to Weiner’s model, help giving has various determinants such as social and individual causes, affective reactions, and responsibility. The aim of this study was (1) to examine the influence of bullying acts, the victim’s behavior at work, and revictimization on equity judgments and the perceived responsibility of perpetrators and victims; and (2) to test the determinants of help decisions. Twelve vignettes of bullying at work submitted to 133 participants varied according to the severity of bullying, the victim’s pro- or antisocial behaviors, and the victim’s antecedents. The results showed that the situation was judged less equitable, the victim less responsible, and the perpetrator more responsible, and the intention of help was increased, (1) when the perpetrator’s acts were serious, and (2) when the bullied person had shown prosocial behavior versus antisocial behavior. The help increased more (1) when the perpetrator’s acts were harmful and (2) when the victim had shown prosocial behaviors.     

Coping with victimization in heterosexual and sexual minority university students

This study examined perceived social support available to victims of traditional and cyber forms of bullying in a heterosexual and sexual minority emerging adult university student population. Questionnaires were completed by 521 students ages 18 to 25 years old. The questions related to their sexuality, experience of bullying, and perception of social support. Perceived social support was lower for sexual minority individuals than for heterosexual individuals only when no bullying behavior was present. No significant differences in perceived social support between sexual minority and heterosexual individuals were found when they were traditionally bullied, cyberbullied, or experienced both forms of bullying victimization. Implications for practice and future research are discussed.     

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.