Boredom in Recovery for Adult Substance Users With HIV/AIDS Attending an Urban Day Treatment Program

This qualitative dissertation study used grounded theory methods to explore the experience of boredom in recovery from substance use disorder with eight adults who also have HIV/AIDS. Boredom is the pervasive perception of nothingness that gives time to reflect. Boredom was revealed to be more than a seemingly harmless phenomenon that persists decades into recovery, even when meaningful occupation outside of substance use is achieved. Boredom becomes less harmful with the achievement of meaningful occupation, but it is still tenacious and deleterious. Boredom can be useful to an adult with HIV/AIDS, however. Implications for the profession's core value of meaningfulness are discussed.     

Exploring Women's Perspectives of Overcoming Intimate Partner Violence: A Phenomenological Study

Research in occupational therapy with women overcoming Intimate Partner Violence (IPV) focuses primarily on role acquisition; however, a broader lens in which to understand recovery may support more client-centered practice. The purpose of this study was to explore and understand the perspectives of women overcoming Intimate Partner Violence. Six women, residents at a domestic violence shelter, volunteered to participate in this phenomenological study. Relationships, Starting Over, Spirituality, and Expansion of Self emerged as major themes with an overarching theme of Forward Movement as the women continued on their journey in recovery.     

Where the Rainbow Speaks and Catches the Sun

Abstract

Living with a neurobiological brain disorder, commonly known as a mental illness, requires a lifetime of diligent work toward recovery and wellness. This paper outlines the story of one occupational therapist's journey with her own mental illness. She prefers to call her own road of “recovery” one of “discovery,” as it has led her to discover true talents and gifts (strengths) even amongst encounters with old models that emphasize weaknesses and disability over abilities and capabilities. The following journey unfolds as advances in research, changes in services, increased focus on consumer as leader and increased tools and resources available lead the way toward a more positive ability to live a purposeful life, engaging in meaningful activities in spite of an illness. This paper gives a personal account as a tool to be used by other therapists as they travel along their own treatment journeyswhether with, or as consumers, of mental health services.     

Identifying long-term patterns of work-related rumination: associations with job demands and well-being outcomes

The aim of this 2-year longitudinal study was to identify long-term patterns of work-related rumination in terms of affective rumination, problem-solving pondering, and lack of psychological detachment from work during off-job time. We also examined how the patterns differed in job demands and well-being outcomes. The data were collected via questionnaires in three waves among employees (N = 664). Through latent profile analysis (LPA), five stable long-term patterns of rumination were identified: (1) no rumination (n = 81), (2) moderate detachment from work (n = 228), (3) moderate rumination combined with low detachment (n = 216), (4) affective rumination (n = 54), and (5) problem-solving pondering (n = 85), both combined with low detachment. The patterns differed in the job demands and well-being outcomes examined. Job demands (time pressure, cognitive and emotional demands) were at the highest level across time in patterns 3–5 and lowest in pattern 1. Patterns 3 and 4 were associated with poorer well-being outcomes (higher job exhaustion and more sleeping problems, and lower work engagement) across time. By contrast, pattern 5 showed positive outcomes, especially high level of work engagement. Thus, the different patterns of work-related ruminative thoughts suggest diverse relationships with job demands and well-being.     

Recovery opportunities,work–home conflict,and emotional exhaustion among hematologists and oncologists in private practice

Hematologists and oncologists in private practice play a central role in the care provided for cancer patients. The present study analyzes stress and relaxation aspects in the work of hematologists and oncologists in private practice in Germany in relation to emotional exhaustion, as a core dimension of burnout syndrome. The study focuses on the opportunities for internal recovery using breaks and time out during the working day, the frequency of working on weekends and on vacation, and the physician’s work–home and home–work conflict. Postulated associations between the constructs were analyzed using a structural equation model. If work leads to conflicts in private life (work–home conflict), it is associated with greater emotional exhaustion. Working frequently at the weekend is associated with greater work–home conflict and indirectly with greater emotional exhaustion. By contrast, the availability of opportunities to relax and recover during the working day is associated with less work–home conflict and indirectly with less emotional exhaustion. These results underline the importance of internal recovery opportunities during the working day and a successful interplay between working and private life for the health of outpatient hematologists and oncologists.     

Teachers’ professional development as a pathway for educational reform in Egypt

This study explores teachers’ reflections on the professional development (PD) provided by the Egyptian Ministry of Education as part of a national reform plan implemented right before the political changes in Egypt. The study took place in three national language schools and focused on English as Foreign Language teachers’ perspectives on the PD and the successes and challenges they faced implementing it. Results highlight teachers’ critical reflections on the quality and duration of the PD. Despite the effort, they expressed dissatisfaction with the lack of support and follow up from the administration, in addition to the lack of practical examples that characterized the PD.     

Effects of optimism on recovery and mental health after a tornado outbreak

Objective: Dispositional optimism, a stable expectation that good things will happen, has been shown to improve health outcomes in a wide range of contexts, but very little research has explored the impact of optimism on post-disaster health and well-being.

Design: Data for this study come from the Centers for Disease Control and Prevention’s Public health systems and mental health community recovery (PHSMHCR) Survey. Participants included 3216 individuals living in counties affected by the April 2011 tornado outbreak in Mississippi and Alabama.

Main outcome measures: This study assesses the effect of dispositional optimism on post-disaster recovery and mental health.

Results: Dispositional optimism was found to have a positive effect on personal recovery and mental health after the disaster. Furthermore, it moderated the relationship between level of home damage and personal recovery as well as the relationship between home damage and post-traumatic stress disorder (PTSD), with stronger effects for those with increased levels of home damage.

Conclusions: The utility of screening for optimism is discussed, along with the potential for interventions to increase optimism as a means of mitigating adverse mental health effects and improving the recovery of individuals affected by disasters and other traumatic events.     

Trauma Competency: An Active Ingredients Approach to Treating Posttraumatic Stress Disorder

Meta‐analytic studies have extracted 4 common elements among effective posttraumatic stress disorder treatments: cognitive restructuring and psychoeducation, a deliberate and continually improving therapeutic relationship, relaxation and self‐regulation, and exposure via narrative of traumatic experiences. The authors present a clinical treatment structure catalyzing these active ingredients into discrete therapeutic tasks that counselors can focus on to maximize treatment effectiveness. The 4 tasks represent an attempt to identify critical competencies and baseline standards for the field of trauma counseling.     

Obama's Interfaith Service Challenge: A Call for a New Theology of Service in American Higher Education

Abstract : President Obama's recent Interfaith Service Challenge issued to colleges and universities in the United States encourages schools to commit to year‐long interfaith service projects that engage constituencies across campus, across faith traditions, and across the wider local community. While they were included in pre‐challenge planning, university chaplains and religious life staff were omitted from the list of partners. This omission challenges college chaplains and campus ministers to articulate a theology of interfaith service that represents their enduring priorities to engagement across faith lines and in service to others. For Christians, such a theology could be based on the three key principles of imago dei, theologia crucis, and faith active in love.