Psychological Turmoil Research Articles

Second Victims in Maternity Care – The Hidden Fallout of Parental Birth Plans

In an era in which we strive for patient-centred care and shared-decision making, it is important to still consider provider perceptions and attitudes toward birth plans. In this case report, we describe maternity care providers as the Second Victim when non-standard birth plans are enacted and discuss the emotional and psychological turmoil of forced professional passivity. We present the fallout of contemporary, patient-empowered decision-making when a mother’s right to refuse care recommendations is inviolate. Care providers have become unable to do what they know they should; the things they are trained for and know are expected of them by peers and principles of best practice, and yet, by default, must still participate, and share responsibility for whatever outcome ensues.

Mekanisme Pertahanan Diri Chris Dalam Film Into The Wild

This research aims to describe the conflicts happened to the main character, Chris, in the movie Into the Wild. This conflict then results the self defense mechanism done by Chris to cope with the problem. The method used was qualitative with descriptive approach. To collect the data, firstly the researchers watched the movie several times and then read the transcript of the movie to get the comprehensive understanding. Meanwhile, in analyzing the data, some notes related to the research problem taken before were reduced and finally concluded. The research results are Chris faced both the internal conflict and external conflict in the movie. The internal conflict is related to the psychological turmoil while the external conflict tends to physical and social conflict. The entire conflict faced by Chris finally led him to do self-defense mechanism, namely repression and displacement. As the conclusion, all the conflicts encountered by Chris both internal and external, resulted the repression and displacement as his self-defense mechanism to deal with the conflicts.

Children’s Boarding School in Indonesia: Examining Psychological and Social Dynamics in the Perspective of Gender-Friendly Islamic Boarding Schools

The purpose of this research is to find out the psychological dynamics in children's boarding schools, which focus on the problems of the psychological well-being of young students who are felt to be in the boarding school environment as well as the challenges of boarding schools in fulfilling the psychological well-being of students in the perspective of gender-friendly boarding schools. This research is qualitative research with the type of Field Research and uses a phenomenological paradigm. The research subjects were students of school age, namely 6-12 years. Through interviews, observation, and documentation, data was collected for both the santri and the caretakers of the boarding schools (kiai or nyai). Data analysis uses the Miles and Huberman model, through four steps, namely data collection, data reduction, data display, and conclusion. The results showed that there were still some conditions for students who experienced psychological turmoil during the adjustment period, such as homesickness, self-acceptance, difficulties in establishing social relations with other friends problems of independence, especially for low-class students and at the beginning of the boarding year. A gender-biased perspective was found in fulfilling children's rights in Islamic boarding schools, such as the assumption that looking after women is more difficult than men, women have to take extra care of themselves and their morals while men are labeled as difficult to manage, and tend to be naughty. Besides that, the fulfillment of nutrition and balanced nutrition is not found in Islamic boarding schools with the reason for developing the principle of zuhud (simplicity). This is what makes it a particular challenge for Islamic boarding schools to help the growth and personal development of students so that they feel comfortable and happy in the boarding school with all the activities and activities that bind students, both male and female students. This challenge is very important to be captured by pesantren managers such as forming child-friendly pesantren.

EXPLORING THE SOLASTALGIA: PREDICTING THE COGNITIVE FAILURES AMONG DROUGHT PRONE FARMERS

The climatic changes mainly effect the farming profession as, India is regarded as an agricultural portion of the globe because many of its regions are perfect for agrarian production; Due to this shift in climate various types of natural disasters are taking place. One such calamity among several disasters is drought. The present paper focuses on the cognitive failures experienced by the farmers suffering with drought. This paper attempts to study the psychological turmoil experienced by the famers which is termed as, Solastalgia. It is a novel concept that has evolved to make environmental distress more meaningful and clearer. Unlike nostalgia — the morose or anxiousness encountered by individuals who get separated from their home — Solastalgia is the havoc caused by changes in the environment, as it affects people while they are attached to their home settings. The results manifested that the grief observed among the farmers due to the change in their environment hits the mental health and psychosocial status of the agriculturalists. The most important indicator for intellectual failures in the pandemic circumstances is constant substance abuse done by the farmers due to the crop failures they have experienced.

Dreams, Doors, and Death: Exploring Liminal Space and Mortality in Exit West and The Farming of Bones

Oftentimes, the most complicated narratives challenge the permanence of death by emphasizing the impermanence of the human experience. This is frequently accomplished through the creation of liminal spaces in text, which become almost purgatorial in their function. Here, characters choose to confront and embrace the inevitability of death or to reemerge into life. In Edwidge Danticat’s The Farming of Bones, the linear historical narrative her main character Amabelle creates is interspersed with bolded sequences that draw from both her memories and her dreams. In order to come to terms with the trauma of the Haitian Massacre, these chapters communicate Amabelle’s physical and psychological turmoil. Similarly, Moshin Hamid’s Exit West centers on refugees Nadia and Saeed's multiple passages through doors blackened by the sudden, spontaneous creation of international portals. As the couple moves through several doors and across several borders, their relationship to each other and themselves constantly evolves. Amabelle’s dreams are manifestations of her acceptance of death and embrace of her mortality, while the portal-doors function as avenues for rebirth. Thus, Hamid and Danticat explore the complicated relationship human beings have with death and mortality in the wake of trauma through their rich descriptions of liminal space.

Mental Health Helper: Intelligent Mobile Apps in the Pandemic Era

Every human being faces various episodes of events that can cause changes in mental health conditions, including this coronavirus pandemic disease. The ups and downs of the psychological turmoil dynamics resulted, and also traumatic feelings can occur continuously or for a certain period. It can cause an adverse response for those who experience it and even cause anxiety or mental disorders. The implementation of restrictions on community activities during these pandemic circumstances makes people who want to check their mental health condition difficult to meet the experts or professionals such as psychologists. Therefore, the application that can detect these anxiety disorders as early as possible to minimize unwanted effects was developed. In the making of the application, an expert system is used to determine the results of the diagnosis. The expert system requires knowledge that is produced from experts, especially in the psychology field. The data that has been obtained will be processed and then yield the results determined from the classification of anxiety types using several methods in Artificial Intelligence. Several tests were carried out 50 times using Certainty Factor methods to obtain an accuracy rate of 96%. It has similar accuracy compared to the Naïve Bayes method. This application called Mental Health Helper has a validity and reliability test to prove that this application is valid and reliable. It has better performance than previous researches, which still only has two classes of diseases.

Psychological experiences of caregivers of adolescents diagnosed with substance use disorder attending a youth centre in a low-resource setting.

Caregivers, whether a biological parent, adoptive parent, or a relative such as a grandparent, of adolescent with substance use disorder (SUD) undergo immense psychological and social strains, as they have to deal with substance habituated issues arising from their adolescent child. Caregivers often encounter many untold experiences while parenting adolescents on substance use. However, there is limited documentation of such experiences. A remarkable proportion of research has focused on adolescent substance use and the experiences of adolescents, whereas little attention has been paid to caregivers. This study explored the psychological experiences of caregivers of adolescents diagnosed with SUD. This was a qualitative study based on in-depth interviews with 18 caregivers of adolescents with SUD conducted at a Youth Centre located in a national referral hospital and focused on the caregivers' psychological experiences. Data collected through in-depth interviews were transcribed and thematically coded. Recurrent themes were analysed and reported. The study identified several themes in the experiences of caregivers of adolescents with SUDs. The main psychological experience was stress, whereas lasting psychological effects as well as difficult social outcomes as a result of substance use by the adolescent child were also identified. This study revealed the complex landscape of psychological turmoil that the caregivers have to navigate while caring for an adolescent diagnosed with SUD.

Motives of the Escape from the Reality in Andalusian Poetry in the Era of (Sects and Almoravids) as a Model

We often think that escaping is the way to alleviate political and social pressures and problems. The immigrant is forced to leave his homeland, desiring to be rid of tyranny, because a society based on political disintegration was naturally for its children to grow up in awe of anxiety and psychological turmoil. This difficult situation is in the psyche of the Andalusian society, where the difficult political conditions that afflicted the country and spread terror and destruction in the souls had its effect in forcing people to leave their countries and seek refuge in other countries where protection and safety are available, so many Andalusians suffered from a life of misery and homelessness, which was reflected these conditions affect social life in the era of the sects and the Almoravids, leaving negative effects such as poverty, deprivation, destitution and a feeling of psychological alienation. Which we will see in this study.

Causes and Consequences of Early marriage and the Occurrence of Child Marriage in Female Students in Yazd Province: Grounded Theory Study

Introduction: Among the threats that change the family structure are early marriage and the phenomenon of child marriage. The World Health Organization considers early marriage as the marriage under the age of eighteen. Due to the importance of this issue, this study aimed to examine the causes and consequences of early marriage and the occurrence of child marriage in female students of Yazd province.
 Method: This qualitative study was conducted based on the grounded theory. The research environment included all divorced female high school students in the academic year of 209-2010 in Yazd province. Of the participants and based on theoretical, targeted, and snowball sampling, in-depth semi-structural interviews were conducted on them and until the theoretical saturation was reached, 11 people were finally selected.
 Result: The data were analyzed using Strauss and Corbin method with three steps of open, axial, and selective coding. Finally, from open coding 550 initial concepts, from axial coding 27 categories, and finally 8 main categories were extracted. The main categories included lack of communication, irresponsibility, lack of marital intimacy, lack of socio-moral maturity, psychological turmoil, risks and consequences of divorce, academic challenges and interpersonal problems.
 Conclusion: The results showed that early marriage has many disadvantages, including divorce. Communication problems were at the top of students' problems at the time of marriage. This lack of communication leads to problems, such as marital intimacy, interference of others, educational problems, and sometimes infidelity.

The consequences of child’s congenital heart disease for parents: A qualitative study

Background: Affliction of a child by a chronic disease can significantly affect the whole family. Identifying the consequences of a child’s congenital heart disease (CHD) for parents can help health-care providers provide better care services to them. Objectives: This study aimed at exploring the consequences of a child’s CHD for parents. Methods: This study was conducted in 2020 using conventional content analysis. The 30 parents of 15 children afflicted with CHD were purposively recruited from a hospital and a physician’s private office in Sanandaj, Iran. Data were collected via semi-structured interviews and continued up to data saturation. Data analysis was performed via conventional content analysis suggested by Graneheim and Lundman. Results: The consequences of a child’s CHD for parents were grouped into three main categories, namely threatened family integrity (with three subcategories), psychological turmoil (with five subcategories)‌, and being in limbo (with three subcategories). The 11 subcategories of these three categories were the effects of CHD on parents, neglectful parenting for other family children, reluctance to have another child, anxiety, maternal depression and somatization, helplessness, fear over treatment failure, acceptance of an unchangeable reality, uncertain future, concern over hiding or not hiding a child’s CHD, and a heart full of pain, respectively. Conclusion: A child’s CHD can threaten family integrity, cause parents psychological turmoil, and put them in limbo. Health-care providers, particularly nurses, need to assess the needs of these parents and provide them with professional counseling and need-based emotional, informational, and financial support in order to reduce the negative effects of CHD on them.

The Pale Criminal, the Guilty Conscience, and the Constitution of Crime: Nietzsche Reading “Raskolnikov”

Friedrich Nietzsche’s classic Thus Spoke Zarathustra contains a short chapter entitled “On the Pale Criminal.” The chapter provides rich insights into the psychology of the criminal by examining what Nietzsche calls the image of the deed. This article argues that “On the Pale Criminal” is well situated to reveal insights about the meaning of crime. The article subjects Nietzsche’s “On the Pale Criminal” to a detailed exegetical reading to unearth the possibility of theorizing crime anew. To aid in this endeavor, the article reads “On the Pale Criminal” alongside and against Fyodor Dostoevsky’s influential Crime and Punishment, focusing, again exegetically, on the psychological turmoil of Rodion Raskolnikov, the protagonist of the novel, who gives vivid color to, and brings to life, Nietzsche’s pale criminal. After explicating the essence of the pale criminal, the article explores what this might reveal about the meaning of crime. The pale criminal, the article contends, reveals the way guilt (in the legal sense) and the guilty conscience (in the psychological sense) precede thought and deed, and shows that crime is constituted not by thought and deed, but by an already present, ex ante, guilt which feeds the requisite culpability of crime, including the very birth of crime itself. Guilt, this article contends, precedes crime, not the other way around.

Transformation through loss and grief: A study of personal transformation following bereavement.

The cases of 16 individuals (12 women and 4 men) who reported powerful transformational experiences following bereavement were examined, using a mixed methods approach, including a qualitative thematic analysis of interviews and 2 psychometric scales. Both approaches found significant evidence of positive personal change. Prevalent themes included a sense of permanent transformation, a less materialistic attitude, a different attitude to death, and a sense of inner well-being. The changes were reported as stable and permanent, over long periods of time (a mean of over 13 years since the original bereavement experiences). Two psychometric measures showed statistically significant results. The term “posttraumatic transformation” is used to describe the experience of most of the participants.Parallels are identified between the transformation experienced by the participants and Maslow’s descriptions of “self-actualizers” and the states of optimum human development (or “wakefulness”) described by spiritual traditions. I suggest reasons for the relationship between psychological turmoil and personal transformation.

An Evaluation of the PERMA Model as a Framework for Reducing Psychiatric Comorbidity in Individuals With Alopecia Areata

Abstract. Background: Alopecia areata (AA) is among the most common immunological conditions. Although AA is considered to be a medically benign condition, those living with AA often report comorbid psychiatric conditions, high levels of functional impairment, and diminished quality of life. These consequences are largely due to the unique psychological turmoil associated with the condition. Unfortunately, little research has considered how to improve quality of life outcomes for this group. Aims: The purpose of this study was to evaluate how the PERMA framework of well-being is associated with the individual subjective experience of AA. A greater understanding of how PERMA applies to this group holds promise for assisting clinicians with devising psychosocial coping strategies for this population. Method: 274 individuals were recruited for participation. Hierarchical regression analyses were used to evaluate associations between the PERMA variables and AA-related (a) subjective symptoms (e.g., self-consciousness, sadness) and (b) relationship impact (e.g., perceived attractiveness). Each analysis controlled for demographic and condition-specific variables. Results: Demographic and PERMA variables were found to be significantly associated with positive experiences of each quality of life outcome. Limitations: The male to female ratio of participants was biased toward females. Furthermore, the nature of cross-sectional survey research has inherent limitations. Conclusion: The findings provide support for a relationship between PERMA variables and quality of life outcomes among people with AA. Clinical implications and future research directions are discussed.

Woman Mental Health - Midlife

Woman’s mental health, is an important issue and easily one of the most neglected domains, especially so for a woman in her middle age full of physiological and psychological turmoil. Mental health problems occur in higher frequency in women in general. Depression is more common in women as compared to men, women are twice as likely to experience anxiety as men and about 60 % of persons suffering from an OCD or a phobia are women. The greater gender predisposition necessitates an in-depth analysis of the biological and environmental factors of women which cause them to be more predisposed to mental illnesses. A recent report on Women of Tomorrow, reported women in India to be the most stressed female population of the world. Overall, the women of the developing nations were found to be more stressed than their sisters in the developed world. This led us to think about the cultural and environmental influences on the disorders, along with attitudes and perceptions of the society in the mental make-up of a woman. The contributing factors discussed in this article need extensive research to help modulate the implicated factors and in turn amount to primordial prevention. This article emphasizes the priorities to be studied in the context of a woman’s mental health, explores deeper issues and interrelationship of multi factorial determinants.

Cancer is an emotional diagnosis too

Cancer is a big ordeal. In addition to its physical toll, cancer results in somewhat predictable psychological turmoil. Understanding the typical sequence of emotions and the reasons for that volatility makes it a little easier to support patients through the experience — as a friend, loving caregiver or health professional. Although DNA, life experiences, personalities, relationships and habits influence how individuals feel, internalize and express those emotions, recognizing the patterns and helping patients understand the physiological changes that drive them can go a long way toward validating the experience, and building the resiliency needed to cope.

The Potential Impact of COVID-19 on Depression and Suicide Risk in Older Adults

COVID-19 infections, hospitalizations, and deaths continue to skyrocket across the world, leaving a trail of enduring psychological turmoil. It wreaks havoc on the physical, emotional, and cognitive health of those directly infected, as well as caretakers, friends, and families. Though the pandemic has at least indirectly impacted most people, older adults appear to be the most vulnerable to COVID-19-related deaths and little is known about the psychological consequences. Unfortunately, many of the precautions taken to minimize infections may have inadvertent negative consequences among older adults. Most recently, researchers have highlighted the need to focus both on preventing the illness and preventing the potential deleterious psychological sequelae of trying to survive a pandemic. In the present paper, past pandemics are examined to hypothesize the likely long-term effects that COVID-19 may have on depression and suicide risk in older adults and to provide guidance on strategies to mitigate the potential negative outcomes.

A study of emotional states in candidates undergoing the diagnostic process for COVID-19.

Background:Waiting for results is often associated with a state of anxiety and restlessness. The current study is intended to study the emotional state of people waiting for their results after undergoing COVID-19 testing.Methods:A descriptive study was done among 140 participants enrolled by simple random technique over a period of 1 month in May 2020. The participants who gave sample for COVID-19 were assessed for their emotional state at two stages – after giving sample and during the waiting period before telling results to them. A self-designed questionnaire focusing on the demographics and emotional state was submitted by the participants distributed to them as Google Forms. Wilcoxon signed-rank test and McNemar test were used to compare the statistical change in emotions over a period of time.Results:Around 63.6% and 68.8% of the participants had neutral emotional state after giving sample and before announcement of results, respectively. The mean score of agreement with decision to test was 9 ± 1.6 and discomfort related to testing was 4.6 ± 2.6 on Likert scale of 1–10. A statistically significant difference (P = 0.01) was observed in mean response for “something can be done to help” after giving sample (1.6 ± 0.4) and before announcement of results (1.8 ± 0.3).Conclusions:Patients undergoing testing for COVID-19 undergo psychological turmoil and use various coping methods. Patients endorsed various suggestions including quicker generation of results, environmental changes and counselling services to help them cope better. Incorporating these suggestions may improve the diagnostic process in patients with COVID-19.

Co-Constructing Meaning in the Time of Coronavirus

In the midst of the physical, economic, racial, and psychological turmoil triggered by the coronavirus pandemic, people are also confronted with a crisis of meaning. Sharing one's crisis narrative offers someone the opportunity to make meaning by gathering information, assessing risks, and exploring possible coping strategies. Perhaps most importantly, the process enables one to begin making meaning of the chaos and confusion of the pandemic. The purpose of this article is to highlight how therapists can facilitate the dynamics of meaning making through therapeutic crisis intervention. Using such strategies as meaning making questions, reframing, de-stigmatizing, and broaching, therapists engage in a co-construction process with those who have been impacted by the ongoing COVID-19 crisis. As a result of collaborating in therapeutic co-construction of meaning, clients can transform their crisis narratives into survival stories, achieve a greater sense of resolve, and set the stage for thriving in their lives. Ultimately, the therapist invites a client to reflect on lessons learned from coping with the pandemic, to discover previously unacknowledged personal strengths, and to explore one’s eventual purpose in life.

298P Abandonment of treatment in teenagers and young adults with cancer: A multi institutional survey

Abandonment of treatment is a poorly recognized issue, common in the unique group of Teenage and Young Adults (TYAs) (15-29 y) with cancer. Cancer in this age group causes social and psychological turmoil altering their understanding and perception about the management of cancer. This study is the first-of-its kind in TYAs while there are several pediatric reports on the problem. A retrospective cross-sectional and analytical study was conducted over a period of 18 months from 01st January 2017 to 30thJune 2018 with a 12-month registration period and 6 months of follow up at four cancer centers in Rajasthan (3) and Madhya Pradesh (1). A total of 1310 TYA cancer patients’ charts were analyzed to study the influence of demographic and disease-related characteristics associated with the abandonment of treatment in TYAs with cancer. Complete data of 807 patients (55.8%) was collected. Factors leading to abandonment were analyzed, and the salient conclusions are that - Total of 650 patients (80.5%) were from the rural background and most of the patients (88%) were living more than 200 kilometers from oncology centers. A quarter (24.4%) of all TYAs with cancer abandoned their therapy: mostly students, unemployed and unmarried. Those with bone cancer (37%), brain tumor (31.6%) and leukemia (25.1%) had the highest abandonment rate. Reasons for abandonment identified were financial burden of therapy, followed by the refusal of standard therapy and preference for alternative medicine. Mortality rates were Forty six percent in our study group with similar outcome across all age groups. There were significantly more deaths in patients who abandoned treatment. (30.4% vs 18.6%). Our study has for the first-time quantified abandonment of treatment among TYA cancer patients: a quarter of all cancers. Completing treatment decreases the probability of death from cancer. Conducting a large, community level collaborative study will probably be more informative and could validate these and other characteristics of this unique demographic group of cancer patients, with clues to reduce or prevent abandonment.

High Stakes, Serious Noticing.

Behind the immediate pathophysiology of a medical condition often lies the emotional turmoil of an uncertain patient. As a result, many patients suffer from distressing thoughts and emotions, and their caregivers play an important role in comforting them. But to comfort a patient one must first have some framework to understand thoughts, emotions, and the relationship between the two. In this piece, the author draws from a collection of essays, Serious Noticing, written by the literary critic James Wood, to provide such a framework. In his work, Wood writes of 2 methods of reading literature, both embodied in the question: "What is at stake in this passage?" This framework is useful for both the analysis of literature and the understanding of psychological turmoil.