A Theoretical and Clinical Perspective on Social Relatedness and the Patient With Serious Mental Illness

Pounds, Karen

doi:10.1177/1078390317690233

Cited by 3 publications

(3 citation statements)

References 41 publications

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“…As Moreno-Poyato et al (2017) suggest, theoretical knowledge in nursing education programmes alone is not adequate to enable nurses to develop skills to initiate and sustain effective therapeutic relationships in the inpatient setting. Educational interventions could include sources and activities that increase awareness of therapeutic relationship opportunities as well as the lived experience of the consumer as the foundation of any interventions that are considered recovery-based care (Goyette Pounds, 2017). This may be fruitful in nurse work groups in practice settings if the aim is to increase nurses' abilities to comprehend consumers' realities, values and needs in order to increase motivation to engage in relationship.…”

Section: Relevance To Practicementioning

confidence: 99%

Barriers to recovery‐focused care within therapeutic relationships in nursing: Attitudes and perceptions

Harris

Panozzo

2019

Int J Mental Health Nurs

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There are numerous barriers to the therapeutic relationship between nurses and persons with schizophrenia, such as time constraints, communication issues and the requirements of practice policies. The main point of this paper is that the nature of these barriers is such that the nurse may not conceptualize these as barriers or be aware of how his or her responses to these can further entrench existing barriers to relationship or create new ones. If the nurse is not aware of how he or she responds to time pressure, frustration or lack of clarity of practice policy and address this, there is a risk that the patient may perceive the nurse's actions as lacking in care, presence or involvement. As consumers increasingly embrace recovery approaches to mental health that prioritize therapeutic activities within the context of collaborative relationship, psychiatric nurses, with a long tradition of therapeutic relationship, can rise to meet them. It is suggested here that this can only occur if nurses are fully aware of barriers to relationship, their responses to these and the impact of these on relationship with patients. Suggestions for educational and empirical work to further raise awareness and promote understanding of this process are provided.

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Section: Relevance To Practicementioning

confidence: 99%

Barriers to recovery‐focused care within therapeutic relationships in nursing: Attitudes and perceptions

Harris

Panozzo

2019

Int J Mental Health Nurs

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“…It is thought that healthy aging requires the establishment of health promoting habits, one of which is socialization and community engagement. Engagement in social activities in people with SMI is a unique challenge for many reasons, including the shared symptom experience of anhedonia, avolition, decreased social cognition, delusions, and psychosis, possible neurocognitive impairment, and physical disability Cohen, Pathak, Ramirez, Vahia, 2008;Pounds, 2017).…”

Section: Background Healthy Aging Among People With Serious Mental Illnessmentioning

confidence: 99%

“…For example, loneliness has been found to be an independent indicator of multiple poor health outcomes including heart disease, hypertension, stroke, and lung disease (Petitte, Mallow, Barnes, Petrone, Barr, & Theeke, 2015). Although less-studied, it has also been found that social connectedness is an important part of wellbeing in those with SMI (Wang, et al 2017;Eklund & Hansson, 2007;Leutwyler, Chafetz, & Wallhagen, 2010), and that social isolation and loneliness disproportionately affect those who have SMI (Boardman, 2011;Pounds, 2017).…”

Section: Background Healthy Aging Among People With Serious Mental Illnessmentioning

confidence: 99%

Play provides social connection for older adults with serious mental illness: A grounded theory analysis of a 10-week exergame intervention

Dobbins

Hubbard

Flentje

et al. 2018

Aging & Mental Health

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Introduction:The number of older adults with serious mental illness (SMI) is predicted to reach 15 million by 2030. Social isolation is known to contribute to morbidity and mortality, and those with SMI experience more social isolation than older adults in the general population. Social isolation in these older adults is complex and involves factors including organic psychopathology, effects of medications and/or other substances, medical co-morbidity, disability, and social stigma. The burgeoning field of inquiry of exergames, which are video games with gestural interfaces, for older adults has found that they are safe, effective, enjoyable, and may decrease social isolation. This qualitative study was conducted to gain insight into the effects of group exergame play on the psychosocial wellbeing of older adults with SMI. Methods:We explored the psychosocial effects of a 10-week group exergame program for 16 older adults with SMI using grounded theory methodology within a symbolic interactionist framework.Results: Participants experienced positive social contact, engaged in social attunement, and expressed motivation to take risks and face problem-solving and physical challenges. Two interrelated concepts emerged from the integrated data: Social connectedness and competence. The theoretical construct that was abducted from these concepts was that play and playfulness were the vehicle for many interacting social processes to take place. Conclusion:Group play through exergames for older adults with SMI may promote recovery and healthy aging by increasing social integration, improving self-efficacy, and promoting physical health through exercise.

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Exploring the Relationship Needs of Service Users During Crisis Interventions: A Qualitative Study

Steimle,

von Peter,

Frank

2024

Community Ment Health J

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People in crisis sometimes seek professional support, and the relationship between service users and professionals is crucial in overcoming the crisis. To understand the relationship needs of people in crisis, 29 semi-structured interviews with service users were conducted and analyzed using a grounded-theory approach. The findings reveal that people in crisis seek a professional who is there for them, recognizes the crisis as an emergency and a solvable situation, treats them with respect, and offers individual support. Furthermore, there needs to be a general fit between professionals, the support services, and service users for a supportive relationship to be established. However, two main aspects were discovered where service users differ depending on the resources they can access during the crisis: While people with access to many resources seek a rather distant and egalitarian relationship, those with access to fewer resources prefer more intimate and hierarchical relationships with professionals.

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A Theoretical and Clinical Perspective on Social Relatedness and the Patient With Serious Mental Illness

Abstract: The science of social cognitive psychology offers nursing a new perspective on the evolving therapeutic nurse-patient relationship with patients with chronic and persistent mental illnesses. It has implications for clinicians, educators, and nurse scientists.

Cited by 3 publications

References 41 publications

Barriers to recovery‐focused care within therapeutic relationships in nursing: Attitudes and perceptions

Barriers to recovery‐focused care within therapeutic relationships in nursing: Attitudes and perceptions

Play provides social connection for older adults with serious mental illness: A grounded theory analysis of a 10-week exergame intervention

Exploring the Relationship Needs of Service Users During Crisis Interventions: A Qualitative Study

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