Flourishing, languishing and moderate mental health: Prevalence and change in mental health during recovery from drug and alcohol problems

McGaffin, Breanna J; Deane, Frank P.; Kelly, Peter J.; Ciarrochi, Joseph

doi:10.3109/16066359.2015.1019346

Cited by 38 publications

(61 citation statements)

References 44 publications

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“…PSB and medical poles are interrelated because treatments are focused on the problems of one individual human being (McGaffin et al, 2015). However, the artificial division of professional work creates two poles, drawing attention to the contradictions between them (e.g.…”

Section: Research Setting and Methodsmentioning

confidence: 99%

“…To understand the paradox created, it is necessary to understand the contradictions and interconnectedness of these approaches (e.g. McGaffin et al, 2015;Roberts, 1989).…”

Section: Research Setting and Methodsmentioning

confidence: 99%

“…In the vignette we see that professionals proposed clearly contradictory approaches to dealing with a complex problem -the psychiatrist and nurses proposed treatment guided by a medical approach, social workers and counsellors proposed treatment guided by a psycho-social-behavioural (PSB) approach. And yet, these approaches are also interdependent because their simultaneous use for one client is expected to improve treatment effectiveness (McGaffin, Deane, Kelly, & Ciarrochi, 2015). The recognition that somehow these poles were interdependent is what motivated the professionals to collaborate.…”

mentioning

confidence: 99%

“…To understand the paradox created, it is necessary to understand the contradictions and interconnectedness of these approaches (e.g. McGaffin et al, 2015;Roberts, 1989).PSB and medical poles are interrelated because treatments are focused on the problems of one individual human being (McGaffin et al, 2015). However, the artificial division of professional work creates two poles, drawing attention to the contradictions between them (e.g.…”

mentioning

confidence: 99%

“…This IPC brought together professionals with medical expertise (psychiatrists and nurses) and professionals with psychosocial-behavioral (PSB) expertise (psychologists, social workers, counsellors) to collectively provide services for clients with complex health problems. Combining these interrelated approaches is expected to improve client outcomes (McGaffin et al, 2015), yet the two approaches are contradictory (Roberts, 1989). The medical approach is aggressive, short term, and heavily dependent on medications, while the PSB approach is conservative, long term, client oriented, and focused on incremental behavioral change.…”

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confidence: 99%

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Protecting the Paradox of Interprofessional Collaboration

Huq¹,

Reay

Chreim

2016

Organization Studies

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We studied an interprofessional collaboration (IPC) to understand how professionals engaged with paradox in collective decision-making. At the beginning of our study, we observed vicious cycles in which conflict led to negative tension, professionals were holding tightly to a particular pole of the paradox, and the higher status pole being consistently over-represented in collective decision-making. By the end of our study we observed the presence of virtuous cycles, where conflict led to more positive tension, and where professionals engaged in collective decision-making with more equal representation of conflicting approaches. We call this change process protecting the paradox and we identify three strategies that support this process: (1) promoting equality of both poles, (2) strengthening the weaker pole, and (3) looking beyond the paradox by focusing on desired outcomes. We contribute to the paradox literature by showing how vicious cycles can be shifted to virtuous cycles, how professionals and managers can work together to protect a paradox, and how status differences between poles can be redistributed. 3The team leader introduced the next client for discussion. She started off by commenting, "We all know Mary (pseudonym) well. She is 13 years old, came into the unit last week. We had trouble deciding whether to admit her or not. Her diagnosis is "bipolar," and the community counsellors said that they feared she was heading into a lifestyle of drugs. The social worker said she has pulled her out of crack shacks and whore houses a couple of times, and was worried about keeping her alive. I know that a number of people on the team didn't think we should admit her, but we ultimately agreed it was the right decision. And now we've got her, and we have to decide what to do."The psychiatrist spoke next: "I really want to get her on the right meds. I'm pretty sure it's medical, but I want to hear what others think."A nurse spoke up quickly, "She is tough to manage here. She pushes all the boundaries. It's been a whole week. I know we wanted to clear the street drugs from her system before making a decision, but I agree -she needs something (meds) to manage these symptoms."The social worker spoke next, "Well, I wonder if we are pushing this too fast. It's only been a week. I thought we were starting to see some progress with her. She's following some of the rules. We had a good session yesterday, and I'd like to wait until next week to decide." Suddenly everyone at the table seemed to have something to say. The team leader had to remind people to talk one at a time. Everyone who spoke (in turn) spoke with a lot of energy. The conversation went on for about 25 minutes -the counsellors and social workers wanted to work more with behavior modification programs. The nurses and psychiatrist were focused on quicker treatment (medications). The professionals talked together about the importance of both the behavior modification approach and medications, and several people spoke passionately about the value in ha...

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Section: Research Setting and Methodsmentioning

confidence: 99%

“…To understand the paradox created, it is necessary to understand the contradictions and interconnectedness of these approaches (e.g. McGaffin et al, 2015;Roberts, 1989).…”

Section: Research Setting and Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Protecting the Paradox of Interprofessional Collaboration

Huq¹,

Reay

Chreim

2016

Organization Studies

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Beyond Ryff's scale: Comprehensive measures of eudaimonic well‐being in clinical populations. A systematic review

Brandel

Vescovelli

Ruini

2017

Clin Psychology and Psychoth

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Eudaimonic well-being that protects mental and physical health has received increasing attention. This investigation aimed to review which comprehensive instruments for measuring eudaimonic well-being were applied with clinical populations (reporting mental or physical illnesses), beyond Ryff's Psychological Well-Being Scale. Articles citing at least 1 of the measures of eudaimonic well-being identified by previous theoretical work were extracted from medical and psychological electronic databases and screened. Only investigations involving clinical populations were included and reviewed. An initial screening identified 5,065 articles using eudaimonic well-being measures, out of which only 28 articles encompassed clinical populations and could be included. Sixteen involved patients with mental disorders and 12 populations with medical conditions. In these articles, only 4 measures of eudaimonic well-being were used (Mental Health Continuum, Flourishing Scale, General Causality Orientations Scale, and Orientations to Happiness Subscales), out of the 12 currently available in literature. The Mental Health Continuum was the most used instrument, particularly in adults with depression, whose levels of eudaimonic well-being are impaired, but may be improved by specific interventions. Autonomy appeared to influence patients' motivation to treatment, both in mental and physical disorders. The need for a larger consensus regarding specific measures of eudaimonic well-being for clinical populations emerged. The importance of including assessment of positive functioning as an indicator of recovery in clinical domains is discussed.

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Organisational Conditions for Flourishing in Virtual Teams

Bester¹

2019

Thriving in Digital Workspaces

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Flourishing, languishing and moderate mental health: Prevalence and change in mental health during recovery from drug and alcohol problems

Cited by 38 publications

References 44 publications

Protecting the Paradox of Interprofessional Collaboration

Protecting the Paradox of Interprofessional Collaboration

Beyond Ryff's scale: Comprehensive measures of eudaimonic well‐being in clinical populations. A systematic review

Organisational Conditions for Flourishing in Virtual Teams

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