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Crises: Blasted, Sarah Kane (1995)
Published in Ewan Jeffrey, David Jeffrey, Enhancing Compassion in End-of-Life Care Through Drama, 2021
Spiritual or existential crises relate to our universal search for a sense of meaning in our experiences. Patients may ask, ‘Why me?’ There may be anger directed at their God, at their doctors or even at themselves in an effort to find someone to blame for the crisis. In our secular society both the terms ‘spirituality’ and ‘existentialism’ share the human urge to imbue life with purpose, meaning and hope.13 When a patient is confronted by her own death her priorities change. There is a pause, an opportunity to reflect and to choose to do the things that add the most meaning in the time which is left.14
Challenges in the provision of mental health care for refugees in Germany
Published in Katja Kuehlmeyer, Corinna Klingler, Richard Huxtable, Ethical, Legal and Social Aspects of Health Care for, 2018
Kerstin Hein, Barbara Abdallah-Steinkopff
In addition, many persons seeking protection suffer from social loss and social isolation. On the one hand, they worry about family members and relatives who remain in the home country or from whom they were separated during escape. The loss of emotionally significant persons may trigger an existential crisis and a loss of meaning in life. On the other hand, asylum seekers in particular have difficulties maintaining contact with local people, not only due to language barriers but also because government authorities tend to keep asylum seekers separated from the majority of the German population, thus reducing the opportunities for intercultural contact (Ebert 2017; Täubig 2009).
Health, identity and relationships
Published in Paul Thomas, Collaborating for Health, 2017
The trouble is, entrenched ‘I–It’ thinking is difficult to break out of. It requires humility to acknowledge my mistakes and change my opinions. Such changes can challenge my sense of self, causing an existential crisis. Merely listening to different perspectives can be exhausting. It is much easier to remain locked in my own way of thinking, and from there try to control and blame others, than to engage positively with a range of people I little understand or care about. It is much easier to construct short-term stand-alone projects and falsely believe that they will transform a whole system, than to chart a course for genuine whole system transformation.
Mental Health Signs Relevant for an Assessment Tool Suitable for Student and Novice Nurses: A Document Analysis
Published in Issues in Mental Health Nursing, 2022
S. C. Marriott, E. K. Grov, M. T. Gonzalez
A variety of psychological signs were present in the document sources. These were considered important and were not explicitly mentioned in relation to diagnostic groups; thus, psychological issues emerged from the data as a main category. Psychological issues therefore represent a broad category that includes several sub-categories with a variety of psychological concerns that could be linked to behaviour, communication, cognition, perception, and anxiety. At times, these concerns and signs also characterised more subjectively expressed signs, and thus were considered important. Within the psychological issues category, subjectively expressed signs indicating emotional trauma, distress, struggle, grief, existential crisis, fear, and lack of well-being were included. These signs may also apply to relational issues of how a person is coping, with or without being linked to a psychiatric diagnosis.
“We all need Purpose and Reason to be here.”: A Qualitative Investigation of howmembers of Alcoholics Anonymous with Long-term Recovery Experience Aging
Published in Alcoholism Treatment Quarterly, 2022
Kevin McInerney, Gulcan Garip, Tony Benson
It has been suggested that people with AUD suffer from empty and meaningless lives (Chapman, 1996; Katsogianni & Kleftaras, 2015). The (seemingly obvious) solution to these existential crises, and key to recovery, is finding a meaning and purpose to life (Chen, 2006; Tonigan, Miller, & Connors, 2001). Meaning and spirituality are central features in recovery in AA. At the core of AA philosophy is the notion that AUD is a “spiritual disease” (Alcoholics Anonymous World Services, 2001, p. 64), requiring a spiritual solution. These ideas echo both, the concept of an existential vacuum, and the “spiritually oriented” psychotherapeutic approach of logotherapy used to address it (Wong, 2012, p. 619). The simple AA twelfth-step action of supporting a fellow sufferer, confirms that spirituality is experiential and existential: “The spiritual life is not a theory. We have to live it.” (Alcoholics Anonymous World Services, 2001, p. 83). AA members are also assured that “life will take on new meaning” (Alcoholics Anonymous World Services, 2001, p. 89). It is reasonable to assume that the spiritual values inherent in AA philosophy, are beneficial to individuals in LTR as they transition to later life. Thus, the current study seeks to explore how members of AA in the UK with LTR, experience and cope with the biopsychosocial and existential challenges that emerge later in life.
The efficiency of distress thermometer in the determination of supporting needs for cancer inpatients
Published in Libyan Journal of Medicine, 2021
Abdullah Al-Shaaobi, Murad Alahdal, Shiying Yu, Hongming Pan
Distress thermometer (DT) is a newly emerged scale for screening psychological distress in patients with cancer [1,2]. Recently, a comprehensive cancer network (NCCN) strongly recommended routine screening of psychological distress for all patients with cancer [3–5]. Psychological distress could range from common normal feelings (sadness and fear) to disabling problems, such as social isolation, depression, panic, anxiety, and spiritual and existential crisis [6]. Several previous reports concluded that cancer patients have displayed considerable distress due to cancer diagnosis and its therapy [7,8]. Furthermore, psychological distress can increase the unfavourable impact on cancer patients and their quality of life [9]. It impacts the positive response to treatment [10], performance status (PS) [11], medical care satisfaction and interactions [12], as well as survival [13]. Furthermore, unrecognized distress among cancer patients is expected to develop severe depression without appropriate therapeutic intervention, which may cause a relapse in the patient’s psychological status and a failure in the appropriate response to cancer therapy. Hence, early psychosocial check and simple screening procedures could efficiently contribute to improving therapy outcomes among cancer patients [14–16].