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Recovery Programming
Published in Tricia L. Chandler, Fredrick Dombrowski, Tara G. Matthews, Co-occurring Mental Illness and Substance Use Disorders, 2022
Fredrick Dombrowski, Tom Alexander, Tricia L. Chandler
The contemplation stage of change is highlighted by the awareness that something is in need of change, coupled with a lack of readiness to make any changes in the moment (Prochaska et al., 1992). Persons in contemplation could potentially remain in this stage for a significant duration of time. Ultimately, contemplation is defined by an understanding that a problem is present but a lack of clear conceptualization of what it may take to make significant changes (Prochaska et al., 1992). Many clients may stay in this stage as they may have worries as to how change would impact their lives. For many individuals engaging in substance use, their use (although detrimental) can be their main coping strategy. Considering options for change can make the individual feel overwhelmed and unprepared for change. As the individual contemplates options for change, the counselor enhances their motivation through ongoing questioning and support (Doweiko, 2009).
Addictions
Published in Cathy Laver-Bradbury, Margaret J.J. Thompson, Christopher Gale, Christine M. Hooper, Child and Adolescent Mental Health, 2021
These must include exclusion criteria however, and according to Kardefelt-Whinther et al. would not be considered behavioural addiction if: Behaviour is better explained by an underlying disorder.Impairment results from an activity that is a wilful choice, e.g. high-level sports.Can be characterised as a period of prolonged involvement that detracts from other aspects of life but does not lead to significant functional impairment. Behaviour is a result of a coping strategy.
Stress, Health, and Coping
Published in Mohamed Ahmed Abd El-Hay, Understanding Psychology for Medicine and Nursing, 2019
The selection and efficacy of a particular coping strategy are shaped partly by one’s coping resources as well as one’s preferred coping style. Coping style refers to one’s general orientation and preferences for addressing problems, such as confronting versus denying (Menaghan, 1983). However, coping styles and strategies alone do not fully determine the health consequences of stress, where structural, demographic, and psychosocial factors, such as education, social, and economic resources, and cognitive flexibility also may moderate whether and how stress affects health (Thoits, 1995, 2010).
Appraisals of cancer, religious/spiritual coping, and hope in patients with colorectal cancer
Published in Journal of Psychosocial Oncology, 2023
In addition to appraisals, coping through religion and spirituality may instill hope in patients, and the usefulness of this coping strategy may be enhanced in times of intense stress, such as during chronic illness (Pargament & Raiya, 200722; Thune-Boyle et al., 200623). It has been consistently shown that religiosity and spirituality are associated with greater hope among people with cancer who are in active treatment (for review see Nierop-van Baalen et al.13). Yet, contradicting these cross-sectional findings, Balsanelli and Grossi24 found that religiosity did not predict changes in hope from the first to last cycle of chemotherapy among patients with breast cancer; suggesting the role of religious/spiritual coping in predicting hope may vary over time.
Quality of Life in Psychogenic Nonepileptic Seizures: An Evolutionary Concept Analysis
Published in Issues in Mental Health Nursing, 2022
Sandra J. Cobb, Lora Humphrey Beebe
The second attribute of QOL in PNES is that it is multidimensional. Dimensions include role function and psychological functioning. Role function is a significant element of QOL in patients with PNES. Role function is a dynamic process that can change the patient’s perception of QOL quickly depending on their functional status. Recurrent themes related to role function in the literature include problems with employment, disability, and family and social functioning. Regarding psychological function, recurrent themes included emotional processing and coping strategies. Appropriate emotional processing is vital to QOL in the presence of PNES. Abnormal emotional processing may lead to behavior disturbances, avoidance, and continued psychological disorders (Novakova et al., 2015). Of particular importance is coping strategy. According to Lazarus and Folkman (1984), a person can either take part in problem-focused coping or emotion-focused coping. Patients with PNES tend to partake in escape-avoidance (emotion-focused) coping that is associated with poor QOL, but confrontive (problem-focused) coping is a positive predictor of QOL in PNES (Cronje & Pretorius, 2013).
Communicating the experience of chronic pain through social media: patients’ narrative practices on Instagram
Published in Journal of Communication in Healthcare, 2020
Concerning the characteristics presented by these stories, the analysis focused on examining the coping strategy used in the publications (category 10) as well as the degree of uncertainty of the narrative (category 11), the use of metaphors (category 12), the number of references to health professionals (category 13) and the level of private information disclosed (category 14). In terms of the coping strategy used in the narratives (category 10), Kohn (cited by Wright et al. [39]) suggests that they can be classified into three types: problem-focused (aimed at finding solutions), emotional-focused (the illness overcomes the patient) and avoidance-focused (keeping away from danger). The results of the analysis show that most patients make clear use of the emotional-focused coping strategy (69.5%, n = 243) in their stories (Table 3). This means that these individuals use the narratives to express frustration or communicate feelings [39]. Considering that having a chronic illness is a recurring experience with clearly emotional components [4], the use of this coping strategy fits the reality of chronic pain patients.