Differences in prevalence can be attributed in part to differences in definitions and methodologies, but also to true variations based on gender, ethnicity and environmental context. The findings support the current movement away from pathological models of unusual experiences and towards understanding voice-hearing as occurring on a continuum in the general population, and having meaning in relation to the voice-hearer's life experiences.
Long-term antidepressant treatment has increased and there is evidence of adverse effects; however, little is known about patients’ experiences and views of this form of treatment. This study used mixed methods to examine patients’ views and experiences of long-term antidepressant treatment, including benefits and concerns. Data from 180 patients, who were long-term users of antidepressants (3–15 years), were extracted from an anonymous online survey of patients’ experiences of antidepressants in New Zealand. Participants had completed rating scales about the effectiveness of antidepressants, levels of depression before and during antidepressant use, quality of life, and perceived adverse effects. Two open-ended questions allowed participants to comment on personal experiences. The majority (89.4%) reported that antidepressants had improved their depression although 30% reported moderate-to-severe depression on antidepressants. Common adverse effects included withdrawal effects (73.5%), sexual problems (71.8%), and weight gain (65.3%). Adverse emotional effects, such as feeling emotionally numb (64.5%) and addicted (43%), were also common. While the majority of patients were pleased with the benefits of antidepressant treatment, many were concerned about these adverse effects. Some expressed a need for more information about long-term risks and increased information and support to discontinue.
Young adults (N = 25) who grew up in stepfamilies in New Zealand took part in narrative interviews on relationships development with their stepfathers. Initially interview data were analyzed using thematic analysis that indicated the importance of perceptions of the stepfather’s personal qualities; warmth and support; discipline issues; and perceptions of his impact on the family. In addition, a narrative analysis examined five types of stories, which ranged from Continuous Positive Regard to Continuous Struggle. Positive stepfather—stepchild relationships were characterized by stepfather warmth and support, and stepchild acceptance. Boundary-related discipline issues underlay many stepfather—stepchild difficulties. Implications for stepfather roles, stepfamily parental alliance, and relationships with stepchildren are discussed.
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