Do Patients With Psychosis Experience Loss and Grief As a Result of Their Illness?

BACKGROUND: Depression and suicidality are frequently reported in patients with psychosis and schizophrenia, but the grief process that may be associated with this illness has not been systematically studied. In this study, we examined whether patients diagnosed with psychosis identify, grieve, and mourn losses engendered by the illness. METHOD: 24 patients diagnosed with psychosis in the past five years were surveyed to indicate whether their illness led to losses, and to describe their responses to the losses. Psychosis-related perceived losses were surveyed using three subscales of a loss and grief questionnaire (loss of self, self-care, and roles). Their relationship with beliefs about the illness, symptomatology, coping style, and self-efficacy and insight was studied. RESULTS: 23 (96%) patients named specific losses, and 16 patients (67%) reported feelings associated with grief and mourning. More than half reported loss of self-esteem at the onset of illness and only half saw themselves as having improved in the past month. Patients reported more loss within the past month than at the onset of illness. In the past month, patients with an intact sense of self experienced greater self-efficacy (r = .568, p < .004) while those with loss of self reported feelings of shame (r = ?.582, p < .003). Only patients with insight associated the onset of illness with loss. In the past month, most patients saw themselves as experiencing loss. DISCUSSION: The study results suggest that at some distance from diagnosis, patients still experience themselves as having much loss due to their illness. These unresolved feelings may indicate complicated mourning. Insight appears to be associated with the ability to look back at the onset of the illness and recognize that it engendered losses. Further study of the process of and barriers to grief and mourning is recommended. In clinical practice, the assessment of grief as a part of post-psychotic recovery could lead to providing more appropriate treatment and lead to a positive outcome.     

Ethical Value Positioning of Management Students of India and Germany

This study attempts to compare ‘the ethical value positioning’ of students of Business and Management studies from India and Germany. A complete enumerative survey was conducted for management students using the Ethical Positioning Questionnaire (EPQ) of Forsyth (1980). There were 134 respondents from India and 57 from Germany. The objective was to confer the differences in ethical positioning of students of two economically and culturally diverse nations. By the end of the research, it was constituted that both German and Indian students demonstrate a high degree of Idealism and Relativism and can be qualified as situationists. Exploratory analysis of the responses resulted in extraction of four factors (values): Non-Violence, Individualism, Non-Consequential, and Situational value. Within the analysis, Indian students displayed a higher preference for Individualism compared to their German counterparts. This study contributes to the literature in cross-cultural ethical value positioning of young managers. This study also opens a window for future research in the factors such as educational qualification, closed social groupings, and background of the students.     

Perspectives of Indian Traditional and Allopathic Professionals on Religion/Spirituality and its Role in Medicine: Basis for Developing an Integrative Medicine Program

Allopathic medical professionals in developed nations have started to collaborate with traditional, complementary, and alternative medicine (TCAM) to enquire on the role of religion/spirituality (r/s) in patient care. There is scant evidence of such movement in the Indian medical community. We aim to understand the perspectives of Indian TCAM and allopathic professionals on the influence of r/s in health. Using RSMPP (Religion, Spirituality and Medicine, Physician Perspectives) questionnaire, a cross-sectional survey was conducted at seven (five TCAM and two allopathic) pre-selected tertiary care medical institutes in India. Findings of TCAM and allopathic groups were compared. Majority in both groups (75 % of TCAM and 84.6 % of allopathic practitioners) believed that patients’ spiritual focus increases with illness. Up to 58 % of TCAM and allopathic respondents report patients receiving support from their religious communities; 87 % of TCAM and 73 % of allopaths believed spiritual healing to be beneficial and complementary to allopathic medical care. Only 11 % of allopaths, as against 40 % of TCAM, had reportedly received ‘formal’ training in r/s. Both TCAM (81.8 %) and allopathic (63.7 %) professionals agree that spirituality as an academic subject merits inclusion in health education programs (p = 0.0003). Inclusion of spirituality in the health care system is a need for Indian medical professionals as well as their patients, and it could form the basis for integrating TCAM and allopathic medical systems in India.     

Indian Health Care Professionals’ Attitude Towards Spiritual Healing and Its Role in Alleviating Stigma of Psychiatric Services

Persons with mental illnesses in India and rest of developing world continue to consult religious/spiritual (R/S) healers or traditional, complementary and alternative medicine (TCAM) professionals prior to seeking psychiatric services that are devoid of spiritual components of care. We aim to understand TCAM and allopathic professionals’ perspectives on patients’ R/S needs within mental health services, cross-sectional study was conducted at five TCAM and two allopathic tertiary care hospitals in three different Indian states; 393 participants completed RSMPP, a self-administered, semi-structured survey questionnaire. Perspectives of TCAM and allopathic health professionals on role of spirituality in mental health care were compared. Substantial percentage, 43.7 % TCAM and 41.3 % allopathic, of participants believe that their patients approach R/S or TCAM practitioners for severe mental illness; 91.2 % of TCAM and 69.7 % of allopaths were satisfied with R/S healers (p = 0.0019). Furthermore, 91.1 % TCAM and 73.1 % allopaths (p = 0.000) believe that mental health stigma can be minimized by integrating with spiritual care services. Overall, 87 % of TCAM and 73 % of allopaths agreed to primary criterion variable: ‘spiritual healing is beneficial and complementary to psychiatric care.’ A quarter of allopaths (24.4 %) and 38 % of TCAM physicians reportedly cross-refer their grieving patients to religious/TCAM healer and psychiatrist/psychologist, respectively; on logistic regression, significant (p < 0.05) predictors were clinical interactions/references to r/s healers. Providing spiritual care within the setup of psychiatric institution will not only complement psychiatric care but also alleviate stigma against mental health services. Implications on developing spiritual care services like clinical chaplaincy are discussed.     

Transformation of the decagonal quasicrystalline phase to a B2 crystalline phase in the Al-Cu-Co system by high-energy ball milling

Samples of a decagonal quasicrystalline phase, located in the Al-Cu-Co system and synthesized by a slow cooling technique, have been mechanically milled in a high-energy planetary ball mill for 10, 20 and 30h. The milled powders, as well as powders that had been annealed (after milling) for times ranging from 30 to 150min at 600C, were characterized by X-ray diffraction, scanning electron microscopy and transmission electron microscopy. A phase transformation from the decagonal phase to a B2 crystalline phase during highenergy ball milling is reported here for the first time. Powders milled for more than 10h contained predominantly the B2-type crystalline phase with a lattice parameter of 0.29nm. This crystalline phase was found to be quite stable after milling for 30h and also on subsequent annealing at 600C. These experimental results lend support to an earlier suggestion that the decagonal phase in Al-Cu-Co is actually less stable than the B2 phase at low temperatures.     

Compensation of neural delays in visual‐motor behaviour: No evidence for shorter afferent delays for visual motion

Abstract

Faces and other objects that share a configuration present a special problem to the visual system. Two components of the visual system's solution to this homogeneity problem have been identified. Inversion studies have identified the use of relational features (Diamond &; Carey, 1986; Rhodes, Brake, &; Atkinson, 1993), and caricature studies have identified norm-based coding (Carey, Rhodes, Diamond, &; Hamilton, in preparation; Rhodes, Brennan, &; Carey, 1987; Rhodes &; McLean, 1990). Here we explore a possible link between these two components, asking whether caricature effects depend selectively on exaggeration of relational features. If so, then inversion, which makes relational features particularly difficult to code (compared with isolated features), should reduce caricature effects. In three experiments we found a caricature equivalence effect (caricatures identified as accurately as undistorted images and both better than anticaricatures) that was unaffected by orientation, suggesting that relational feature coding is not necessary for caricatures to be effective. Therefore, caricature and inversion effects reflect distinct components of face recognition. Caricature level and orientation also interacted differently with other factors, as would be expected if their effects depend upon different underlying processes. For one set of faces there was a caricature advantage in accuracy (Experiments 1 and 3). This superportrait effect occurred even for subjects who were unfamiliar with the faces prior to the experiment (Experiment 3), a result with important forensic implications. Furthermore, the effect was restricted to upright faces. Therefm, although caricatures can be recognized as well as undistorted images whatever features are exaggerated, exaggeration of relational features may be needed for a superportrait effect.     

Temporal order of strokes primes letter recognition

Does the perception of objects that are the result of human actions reflect the underlying temporal structure of the actions that gave rise to them? We tested whether the temporal order of letter strokes influences letter recognition. In three experiments, participants were asked to identify letters that temporally unfolded as an additive sequence of letter strokes, either consistent or inconsistent with common writing action. Participants were significantly faster to identify letters from consistent temporal sequences, indicating that the initial part of the sequence contained sufficient information to prime letter recognition. We suggest that letter perception reflects the temporal structure of letter production; in other words, Simon sees as Simon does.     

Positive Youth Development Program for Mental Health Promotion in College Campuses: Stakeholder Perspectives

The present study aimed at exploring stakeholder perspectives on felt need, potential content, receptivity and feasibility of a positive youth development program for mental health promotion in college campuses. Study objectives were attained through semi-structured interviews with 20 college faculty/administrators and five focus group discussions with 64 students across 16 colleges in a metropolitan city in South India. The need and relevance of a program for mental health promotion were endorsed by all the participants, and it was considered feasible with prior planning. Suggestions for potential content of such a program included mental health awareness, dealing with depression and anxiety, managing negative emotions, managing pressures and temptations, improving self-confidence, reflection and clarity about life goals, cultivating sense of gratitude, broadening other orientation, and time management skills. The content of intervention perceived as important by the two groups of stakeholders highlighted the broad convergences between the potential themes being considered by the researchers and the stakeholder views. Potential receptivity to the program was considered to be good though it was perceived to be influenced by the awareness about the importance of such a program. Suboptimal interest of college authority and/or students and competing academics and other programs were identified as potential challenges to program implementation. The findings are discussed with respect to implications for program development as well as for further research.