Management of the self: An interdisciplinary approach to self-management in psychiatry and psychosomatic medicine

Geelen, Stefan van; Franssen, Gaston

doi:10.1353/ppp.2017.0016

Cited by 4 publications

(4 citation statements)

References 38 publications

(51 reference statements)

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“…That said, we found that the security prime served to increase positive attitudes to non‐relational therapies directly (or via an unmeasured mechanism) and distanced‐relational therapies indirectly, via the mechanism of cognitive openness. Given increasing use of the Internet (Andrews & Williams, ) and focus on self‐management (Geelen, Franssen, & Geelen, ) in health service delivery, it is of importance that a simple security priming manipulation can promote open‐mindedness and thus generate more positive appraisals of distanced‐relational therapies.…”

Section: Discussionmentioning

confidence: 99%

Priming attachment security improves attitudes towards a range of therapies

Millings

Carnelley

Cavanagh

et al. 2018

British J of Psychology

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We sought to understand how attachment orientation influenced attitudes towards different types of psychological therapies. In two studies, we (1) examined attachment orientation as a predictor of attitudes towards different therapies and (2) tested whether attachment security priming could improve attitudes. Study 1 (n = 339) found associations between attachment orientation and attitudes towards, and likelihood of using different therapies. Positive and negative attitudes about different therapies mediated the relationship between attachment avoidance and likelihood of use. Study 2 (n = 412) showed that primed security (vs. neutral prime) improved attitudes towards relational, non-relational and distanced-relational therapies for those with a fearful-avoidant attachment orientation. For relational and distanced-relational therapies, the mechanism of this effect was increased cognitive openness. Attachment orientation is a determinant of therapy attitudes and anticipated help-seeking behaviour. Priming security may promote open-minded decision-making about some therapies. Findings are discussed with relevance to attachment theory, research and clinical practice.

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Section: Discussionmentioning

confidence: 99%

Priming attachment security improves attitudes towards a range of therapies

Millings

Carnelley

Cavanagh

et al. 2018

British J of Psychology

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“…Leamy, Bird, Le Boutillier, Williams, & Slade, 2011), and urge to include dimensions of agency and self-experience in self-management programs (cf. Kemp, 2011;Van Geelen & Franssen, 2017). This culminates in a conception of self-management as management of the self (van Geelen, 2014) as opposed to management (of a given condition) by the self.…”

mentioning

confidence: 99%

What Kind of “Management” Is Self-Management? A Two-Dimensional Approach to Self-Management in Mental Health Care

Strijbos¹,

Slors²

2020

Philosophy, Psychiatry, & Psychology

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In this article, we propose a two-dimensional analysis of self-management in mental health care. The first dimension pertains to the object of self-management. Some conditions to be managed directly affect a person's agential capacities and sense of self. Such conditions are "proximal-to-self." Other conditions, by contrast, are more "distal-to-self" in that they do not directly affect a person's sense of self. The second dimension represents the process of self-management. Here we will distinguish between management as "control over" versus management as "facilitation of" health promoting conditions or behavior. We argue for a division of labor between management-as-control and management-as-facilitation in the self-management of (mental) illness. The two-dimensional analysis of selfmanagement that we will propose is intended as an antidote against the naïve common-sense view of selfmanagement as "taking conscious control over one's health conditions." This is a one-sided and unrealistic representation of what it means to cope with (mental) illness. The proposed analysis distinguishes four types of self-management intervention, which can be combined in diverse ways. Hence, we argue, it can serve as a tool for determining realistic, person-specific and contextsensitive self-management interventions. Thus, it may also help to reduce (self-) stigmatization and foster a realistic understanding of empowerment.

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“…T his special issue is a follow-up on a previous issue in this journal on self-management in psychiatry and psychosomatic medicine (Van Geelen & Franssen, 2017). It is the concluding chapter of a research project that sought to unpack and develop the implications of an understanding of self-management in psychiatry and psychosomatic medicine as "management of the self.…”

mentioning

confidence: 99%