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Communication in genetic counselling
Published in Angus Clarke, Alex Murray, Julian Sampson, Harper's Practical Genetic Counselling, 2019
These interventions are generally simpler and involve us behaving in a way that is both natural and professional at the same time. Furthermore, as is also true with the authoritative interventions, these three types of intervention are not necessarily distinct but can often overlap. Simple, non-specific ways of being supportive – such as listening, encouraging, reassuring – will often facilitate (catalyse) insight and the making of constructive decisions. The habit of being supportive may also trigger tears and sobs in someone who until then has maintained his/her composure in the face of great unhappiness and perhaps concern about others in the family. Such catharsis can be very helpful, although I would not usually set out to ‘achieve’ it as a deliberate goal.
Psychology and Human Development EMIs
Published in Michael Reilly, Bangaru Raju, Extended Matching Items for the MRCPsych Part 1, 2018
Appeasement rituals.Catharsis.Empathy.Incomplete response technique.Masochism.Modelling.Sadism.Substitution.Sympathy.Time-out technique.
The Tao of Pain
Published in Peter Wemyss-Gorman, John D Loeser, Pain, Suffering and Healing, 2018
Most of us who are involved in pain management will have experienced the situation of merely sitting and listening (‘observing’) to someone pouring out their heart about their pain and associated problems. Without any other significant therapeutic intervention or instruction we can find that the patient has actually benefited from this catharsis. The observer (‘listener’) has thus influenced the observed. Traditionally, doctors and other health workers have been taught ‘never to get involved’, ‘never to show emotion’, ‘to remain detached and disinterested’, etc. Clearly this teaching is nonsense, as all contact with a patient will have some effect, for good or for ill, or for both. It has been a long-held belief that the patients of the kind, gentle, listening doctor with a good bedside manner seem to do better. Some will even describe this as a ‘gift of healing’. The corollary is that the ‘bad’ doctor, who is rude, rough, arrogant and fails to listen probably has an adverse effect on the patient. These positive and negative influences are seen as contextual effects and commonly described as the ‘placebo’ and ‘nocebo’ effects of the therapist on the patient and the outcome of therapy (see Implications for research on page 25).7,8 Most pain specialists regularly see the casualties of previous medical practice, some cause casualties themselves.
Narrative medicine and humanities for health professions education: an experimental study
Published in Medical Education Online, 2023
Emotional catharsis is the process of strongly expressing repressed or immediate negative emotions, such as pity, fear, stress, and anxiety, in order to release hostility or trauma in the mind, and thus generate a certain positive emotion or change in one’s life [33,34]. In this study, a short form emotional catharsis (ECS-IN) scale [35] was used to measure the emotional catharsis level of students, with 9 indicating ‘strongly agree’ and 1 indicating ‘strongly disagree.’ Students receiving higher scores on the ECS-IN were interpreted as having stronger emotional catharsis. The 18-item ECS-IN, with overall Cronbach’s α 0.946, included three factors: ‘emotional identification as self-healing’ (7 items; factor loadings: 0.747–0.886; Cronbach’s α: 0.930), ‘emotional release for compensation’ (7 items; factor loadings: 0.724–0.814; Cronbach’s α: 0.907), and ‘emotional adjustment for intellectual growth’ (4 items; factor loadings: 0.688–0.899; Cronbach’s α: 0.888). The phrase ‘emotional identification as self-healing’ scale refers to emotional identification with the person in illness narratives to achieve emotional release and self-recovery. The phrase ‘emotional release for compensation’ refers to dealing with inner anxiety, fear, or negative emotions to unleash negative feelings and thus find relief via illness narratives. The “emotional adjustment for intellectual growth’ refers to the use of illness narratives to deal with ambivalences in clinical or healthcare settings so as to regulate emotions and thus reach intellectual growth [35,36].
Presenting your lived experience of mental health issues to health professional students: Findings from rural and regional Australia
Published in Contemporary Nurse, 2022
Denise McGarry, Judith Anderson, Kathryn Sweeger
This study explored the perceptions of mental health consumers and their carers in a rural and regional area of Australia about sharing their personal lived experiences with students. Some presenters found personal benefit in talking to students about prior traumatic experiences. This aligns with studies describing the experience of presenting to students as enhancing personal development, giving meaning to experiences and improving confidence, and self-esteem (Haq et al., 2006; Kelly & Wykurz, 1998; Masters et al., 2002; O'Reilly, 2012). Two other studies reported catharsis as a component of these presentations (Costello & Horne, 2001; Frisby, 2001) and another reported presenters enjoying the experience of having an audience (Jackson et al., 2003). The current study also described catharsis which allowed further clarification and valuing of experiences. Those participants who had presented had an opportunity to reflect on their experience and identified this therapeutic cathartic effect whereas the non-presenters were unable to do this. Interestingly, the non-presenters’ interviews featured a desire to orientate the interviewer to their personal journey enacting a cathartic approach in the interview. This opportunity for the presenter to benefit can be motivational, increasing their desire to be involved in presenting to students. In this study, the development of the relationship between the mental health support group and the university was useful in expanding the opportunities for consumers of mental health services to benefit in this manner.
Transformation from Marginalization to Society’s Agent: A Narrative Inquiry on Experiences of Art Activity among People with Mental Illness
Published in Issues in Mental Health Nursing, 2022
Jaewon Joung, Byunghee Kim, Dug Ja Choi, Eunha Kim, Jandi Kim, Youjin Shin, Sungjae Kim
Through their various art activities, participants had the courage to publicly reveal and acknowledge their mental illness, which can be uncomfortable. In addition, they had the opportunity to be honest about their own stories. Art activities provided a safe environment to express negative emotions (e.g., pain, anger, sadness, fear, loneliness). The experience of exposing their stories on a stage in front of a large audience, or in live radio broadcasts, relieved the burdens of life that they had carried in their hearts. By openly discussing their life narratives, they were able to stand as the subject of their story, which empowered them to feel free from bondage. As a result, some experienced catharsis (i.e., stabilizing the mind by expressing emotional burden through language or action). For example, one participant said: