Making connections: Severe mental illness and closeness with other people

Prince, Jonathan D.; Ansbrow, Jacqueline; Bennedict, Anne; DiCostanzo, Joanna; Mora, Olivia; Schonebaum, Andrew

doi:10.1080/15332985.2016.1148095

Cited by 9 publications

(8 citation statements)

References 21 publications

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“…Empowerment practices such as this one can lead to a wide variety of well-established positive outcomes (e.g., community participation; mental health; quality of life: Christens et al, 2011;Corrigan et al, 1999;Garcia-Ramirez et al, 2005;Hall & Nelson, 1996;Kloos et al, 2005;Levine et al, 2005;Nelson et al, 2001;Schulz et al,1995;Speer, 2000;Ungar & Teram, 2000;Zimmerman, et al, 1992). Moreover, if members can learn to get close to providers instead of learning to maintain distance, then perhaps members could also learn how to get close to people more generally (Prince et al, 2017) and avoid loneliness and associated adverse outcomes such as relapse or suicidal behavior (e.g., Chrostek et al, 2016;Prince et al, 2018). Finally, the social interaction policy builds rapport with providers, and strong rapport leads to service approval, care adherence, and many other positive consequences (e.g., Duncan et al, 2003;Leach, 2005).…”

Section: Discussionmentioning

confidence: 99%

Wanna grab some dinner? Social relations between helping professionals and members of community mental health or other human service organizations.

Prince¹,

Mora-Lett²,

Lalayants³

et al. 2021

American Journal of Orthopsychiatry

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Purpose: Could practitioners and members (consumers) of mental health or other organizations interact socially by regularly going out for drinks or dinner together, for example? The American Psychological Association explicitly states for example, "your psychologist shouldn't also be your friend." However such social interactions have occurred for decades in certain clubhouse-modeled community mental healthcare, and maybe research and a more balanced perspective is warranted. Design/Method: We interviewed six clubhouse staff that interact socially with members and held three focus groups with 20 members. Results/ Conclusions: In relation to what we call a social interaction policy, we herein highlight: (a) four policy dimensions (e.g. activity types; relationship closeness); (b) a spectrum of policy challenges (e.g., dealing with romantic overture; feelings of exclusion or hurt and effects on mental health; symptom flare-up while out socializing; financial constraints of members such as dinner costs on limited incomes); and (c) a wide variety of policy benefits such as: (a) learning opportunities for members who can process with staff the ups and downs of social relationships; (b) social skill and network development; (c) enhanced assessment across different times/ settings; (d) addressing stigma among staff who must grapple with internal resistance to spend free time with members; (e) enrichment of staff social life; (f) reducing internalized stigma among members when staff value them more holistically; and (g) empowerment of members when staff freely (and optionally) offer a valuable resource (spare time). We offer suggestions for certain types of agencies that may wish to implement social interaction policies. Public Policy Relevance StatementAlthough dual (or multiple) associations between providers and members (consumers) of mental health service organizations have been explored extensively over decades, this exploration has covered random encounters (e.g., running into members in grocery stores, on one extreme) to close friendships on the other extreme. In a more focused way, however, researchers have yet to study regular social interactions (e.g., optional dinners or drinks) between providers and members. We therefore studied these interactions qualitatively (interviews with providers and focus groups with members), for both parties have actively pursued such get-togethers for over 70 years in certain clubhouses. In relation to this social interaction policy, we highlight policy dimensions, challenges, and benefits, and offer suggestions for non-clubhouse agencies that can weigh policy implementation against maintenance of the status quo (e.g., in order to preserve integrity of clinical relationships).

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Section: Discussionmentioning

confidence: 99%

Wanna grab some dinner? Social relations between helping professionals and members of community mental health or other human service organizations.

Prince¹,

Mora-Lett²,

Lalayants³

et al. 2021

American Journal of Orthopsychiatry

Self Cite

View full text Add to dashboard Cite

show abstract

“…, 2006), affects self-esteem. Low self-esteem or self-devaluation may also alienate coworkers, which eventually affects work performance (Prince et al. , 2017).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Self-stigma, when people internalize negative attitudes of public and start endorsing stereotypes about themselves (Corrigan et al, 2006), affects self-esteem. Low self-esteem or self-devaluation may also alienate coworkers, which eventually affects work performance (Prince et al, 2017). Social identity theory suggests that people's sense of self is based on their group membership and their psychological connection with that group.…”

Section: A Relational Perspective Of Schizophreniamentioning

confidence: 99%

A relational perspective of schizophrenia at work

Khalid

Syed²

2022

EDI

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PurposeDespite a plethora of research on diversity and inclusion, workplace-related issues pertaining to individuals with schizophrenia (SCZ) remain grossly underexplored. This paper seeks to develop a relational, multilevel perspective of issues and challenges faced by individuals with SCZ in the work and career.Design/methodology/approachThe research draws on the findings from in-depth, qualitative interviews with schizophrenic individuals, individuals’ family members, healthcare professionals and nongovernmental organization (NGO) representatives.FindingsThe findings highlight the interconnected nature of multilevel issues faced by schizophrenic individuals and indicate that at the societal level, social stigma, economic conditions and inadequate government policies are the key challenges faced by them. At the organizational level workplace support and job suitability and design affect individuals’ employment. At the individual level, self-stigma affects the employability in a negative way whereas personal motivation and resilience, family and social support and realization of illness are the facilitating factors.Originality/valueThe study adds to disability and diversity literature by developing a relational perspective that holistically captures the issues faced by schizophrenic individuals and suggests that the work and employment-related issues may be simultaneously addressed at multiple levels.

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“…Often, individuals diagnosed with schizophrenia who reach older adulthood develop many ailments and comorbid disorders (Laursen et al, 2014; Olfson et al, 2015), substance use disorder (Brink et al, 2017; Ogden, 2014b), isolation (Penkunas et al, 2015), persistent depressive feelings, and suicidal ideations (Kasckow, Golshan, & Zisook, 2011; Siddi et al, 2019). It is also highly likely that the ubiquitous experiences of societal judgment (Leutwyler, Hubbard, Slater, & Jeste, 2014) and difficulties in making and keeping friends (Prince et al, 2017; Robustelli, Newberry, Whisman, & Mittal, 2017) persist as persons diagnosed with schizophrenia age.…”

Section: Developmental Issues Of Oadwsmentioning

confidence: 99%

The Life Course Paradigm as a Lens for Holistic Nursing Research in Older Adults Diagnosed With Schizophrenia

Walker

2019

J Holist Nurs

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Older adults diagnosed with schizophrenia (OADWS) have unique needs for care and live longer today than their forebears who were diagnosed with schizophrenia. As a result, nurses need to be prepared for the specific care of individuals who live with schizophrenia as they age. Together, Life Course Theory and holistic nursing suggest a good fit in the quest for successful solutions and/or outcomes for the unique problems that OADWS face. Holistic nursing views the patient as a whole person, considering all aspects of the patient’s experiences within life’s broader environment. The life course paradigm offers an effective way for nurses to understand issues that patients face throughout their lives, thus enhancing holistic nursing with a historical perspective. This is especially important for the care of OADWS, who face unique disparities as well as physical and psychological comorbidities over their life course. This article is intended to initiate a discussion of OADWS, focused with Life Course Theory as a holistic lens. Literature pertinent to the life course of OADWS is reviewed, followed by an analysis of the life course paradigm in relation to OADWS’ unique experiences. Conclusions support the holistic use of Life Course Theory in research and interventions for OADWS.

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Making connections: Severe mental illness and closeness with other people

Cited by 9 publications

References 21 publications

Wanna grab some dinner? Social relations between helping professionals and members of community mental health or other human service organizations.

Wanna grab some dinner? Social relations between helping professionals and members of community mental health or other human service organizations.

A relational perspective of schizophrenia at work

The Life Course Paradigm as a Lens for Holistic Nursing Research in Older Adults Diagnosed With Schizophrenia

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