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The Lancet. Planetary Health Oct 2020
Topics: Animals; Biodiversity; Communication; Denial, Psychological; Economic Development; Extinction, Biological; Humans; Politics; Science
PubMed: 33038313
DOI: 10.1016/S2542-5196(20)30229-1 -
Archives of Women's Mental Health Oct 2019Pregnancy and motherhood are often presented as natural and unproblematic for women. The fact that there are some women who engage in violent behaviour towards their... (Review)
Review
Pregnancy and motherhood are often presented as natural and unproblematic for women. The fact that there are some women who engage in violent behaviour towards their unborn child suggests that motherhood is not as unproblematic as we are led to believe. This paper presents six previously unpublished cases of foetal abuse that is physical assaults on the foetus by the mothers themselves, and examines how the prevailing myth of the good mother might be further endangering mothers and their unborn children. So far, the research suggests there are some common, possibly co-occurring, features that might be an antecedent to foetal abuse: unplanned pregnancies, prior mental health issues in the mother, trauma, pregnancy denial up to 20 weeks or until birth, and ideation of harm correlated to in utero movements.
Topics: Denial, Psychological; Female; Fetus; Humans; Infant, Newborn; Infanticide; Mental Disorders; Mothers; Pregnancy; Pregnancy, Unplanned; Pregnant Women
PubMed: 30357472
DOI: 10.1007/s00737-018-0922-2 -
Rivista Di Psichiatria 2022The paper is a reflection on the psychic phenomenon involving the denial of reality of covid-19 pandemic, the denial of data from scientific research about it and the...
The paper is a reflection on the psychic phenomenon involving the denial of reality of covid-19 pandemic, the denial of data from scientific research about it and the denial of therapeutic purposes of vaccine and national and international health policies, as it emerges in the frame of the so-called no-vax movements. The possible basic or associated psychopathological pictures are described, analogies and differences respect to classic psychiatric nosology are evaluated, psychological and psychiatric interpretative hypotheses are considered, in what they can to some extent characterize a wide and complex reality, in whose knowledge and management psychiatrists could play a much more relevant role than they actually do.
Topics: COVID-19; Health Policy; Humans; Pandemics; Psychiatry; SARS-CoV-2
PubMed: 35426429
DOI: 10.1708/3790.37742 -
Journal of Hospice and Palliative Care Sep 2021End-of-life patients experience physical, mental, social, and existential distress. While medical personnel provide medication and care to alleviate patients' distress,... (Review)
Review
End-of-life patients experience physical, mental, social, and existential distress. While medical personnel provide medication and care to alleviate patients' distress, listening to and interacting with patients remains essential for understanding their psychological condition. The most important tool, though difficult to implement in practice, is end-of-life discussion (EOLD). EOLD has been shown to have positive effects on end-of-life treatment choices, achievement of patients' life goals, improvements in the quality of life of patients and their families, and the prevention of depression and complicated grief among bereaved family members. EOLD is not often undertaken in clinical practice, however, due to hesitancy among medical personnel and patients for various reasons. In order to conduct an EOLD, the patient's judgment, psychiatric illnesses such as delirium and depression, and psychological issues such as the side effects of psychotropic drugs, denial, and collusion must be evaluated. Open and honest conversation, treatment goal setting, the doctor's familiarity with the patient's background, and attentiveness when providing information are important elements for any dialogue. Meaning-centered psychotherapy was developed to alleviate the existential distress of cancer patients, and its application may promote EOLD. The future development of meaning-centered psychotherapy in practice and in research is expected to further promote EOLD.
PubMed: 37674559
DOI: 10.14475/jhpc.2021.24.3.135 -
Current Psychiatry Reports Jul 2020We review the evidence base for men who categorically deny responsibility for their sexual crimes. Specifically, we consider the characteristics of these individuals and... (Review)
Review
PURPOSE OF REVIEW
We review the evidence base for men who categorically deny responsibility for their sexual crimes. Specifically, we consider the characteristics of these individuals and the purpose or function of the denial, whether denial leads to an increased risk of reoffending and the evidence for different treatment options available for deniers.
RECENT FINDINGS
Whilst there is some evidence that deniers differ from admitters, it appears that categorical denial is a strategy used to reduce negative consequences such as a sense of shame or the fear of losing family support. The common assumption that deniers are more likely to commit further sexual crimes is not supported by the evidence to date. There remains a lack of evidence as to the best treatment approach to use. We conclude that more research is necessary. We suggest that a lack of consideration of the function of denial or the adaptive benefits of denial could explain inconsistent findings in relation to the characteristics of deniers and why denial does not appear related to recidivism. Whilst the available evidence does not support most approaches aimed at overcoming denial, we suggest that some of the most promising approaches seem to be non-disclosure-based focusing on reducing stigma; however, it is conceded that the evidence for such approaches is still emerging.
Topics: Denial, Psychological; Humans; Male; Sex Offenses; Sexual Behavior; Social Stigma
PubMed: 32700036
DOI: 10.1007/s11920-020-01174-z -
Explore (New York, N.Y.) 2020The denial of the Holocaust before and during WWII by German citizens is compared to present-day denial of climate change. Psychological dynamics supporting such denial...
The denial of the Holocaust before and during WWII by German citizens is compared to present-day denial of climate change. Psychological dynamics supporting such denial are examined, along with ways in which such denial might be overcome.
Topics: Climate Change; Denial, Psychological; Holocaust; Humans; Spirituality; Stress, Psychological
PubMed: 31771823
DOI: 10.1016/j.explore.2019.11.004 -
Revue Des Maladies Respiratoires Sep 2021The experience of living with asthma varies between patients. In some cases, the psychological experience can take a central place and determine the course of asthma.... (Review)
Review
The experience of living with asthma varies between patients. In some cases, the psychological experience can take a central place and determine the course of asthma. Asthmatic disease can be complicated by adaption disorders that hamper the treatment, or genuine anxiety and depressive disorders that require the intervention of mental health specialists. Even more, the psychological experience can influence the intensity and frequency of the physical symptoms themselves, for example when asthma is associated with a hyperventilation syndrome worsening the functional impact and complicating the treatment. In this article, we underline the significance of the psychological experience through several clinical vignettes of patients suffering from asthma. In particular, we discuss the role of denial, or conversely identification with the status of being a patient, and the importance of the emotional experience associated with the symptoms of asthma. We highlight the relevance of therapeutic education programs as well as cognitive-behavioral therapies and psycho-corporal techniques, such as relaxation, for the psychological care of asthmatic disease. Finally, we detail how to better recognize a hyperventilation syndrome associated with asthma, how it can be approached with the patient and the treatment options. Through these examples, we illustrate the relevance of a comprehensive approach that integrates the psychological experience into the care of asthmatic disease.
Topics: Anxiety; Asthma; Cognitive Behavioral Therapy; Humans; Hyperventilation
PubMed: 33992494
DOI: 10.1016/j.rmr.2021.01.018 -
Nederlands Tijdschrift Voor Geneeskunde Feb 2020This case discussion on urethral coitus in Mayer-Rokitansky-Küster-Hauser syndrome shows that this rare syndrome can have major physical and psychological consequences....
This case discussion on urethral coitus in Mayer-Rokitansky-Küster-Hauser syndrome shows that this rare syndrome can have major physical and psychological consequences. Further consideration shows that a lack of common sense and a lack of action concerning sexual history-taking and careful vulvar examination is the reason that an iatrogenic sexual problem arose in this case. This was not the result of the initial denial of a rare diagnosis. Both attention to these aspects during training and supervision are necessary, since other disorders and medical treatments can also have a negative impact on sexuality.
Topics: 46, XX Disorders of Sex Development; Coitus; Congenital Abnormalities; Female; Humans; Iatrogenic Disease; Mullerian Ducts; Sexual Dysfunctions, Psychological; Urethral Diseases; Vulva
PubMed: 32392001
DOI: No ID Found -
Journal of Public Health (Oxford,... May 2024This analysis posits that COVID-19-related worker mental distress may be different for those continuously employed and for those who faced temporary job loss.
BACKGROUND
This analysis posits that COVID-19-related worker mental distress may be different for those continuously employed and for those who faced temporary job loss.
METHODS
Mental distress during COVID-19 is characterized using two nationally representative surveys, the American Trend Panel (ATP) and the Household Pulse Survey (HPS). Using a probit model, we examine workplace perceptions for the mentally distressed in the ATP sample. We use graphical analysis to identify barriers to seeking mental healthcare using the 2021-22 HPS sample.
RESULTS
In October 2020, the probability of mental distress increased between 7.1 and 9.1 percentage points in response to worsening work-life balance, lowered job security, lowered work productivity and lowered work satisfaction. Workers' perception of advancement denial and poor connectivity with coworkers increased the probability of mental distress by 3.0-5.8 percentage points. In October 2021, over 40% of workers who had experienced job loss reported mental distress as compared to 20% of those with jobs. Only 25% of those with mental distress sought counseling. These high levels of mental distress continued into October 2022.
CONCLUSIONS
Mitigation strategies for worker mental health should include prosocial nudges, attention to employment history, managerial sensitivity and worker resilience training.
Topics: Humans; COVID-19; Male; Adult; Female; Middle Aged; SARS-CoV-2; United States; Psychological Distress; Stress, Psychological; Workplace; Job Satisfaction; Surveys and Questionnaires; Work-Life Balance; Employment
PubMed: 38515314
DOI: 10.1093/pubmed/fdae032 -
Archives of Women's Mental Health Feb 2022Pervasive pregnancy denial is a misunderstood reproductive anomaly which compromises the health of both mother and the developing fetus. Because in extreme cases, the... (Review)
Review
Pervasive pregnancy denial is a misunderstood reproductive anomaly which compromises the health of both mother and the developing fetus. Because in extreme cases, the death of the neonate at the hands of his/her mother has criminal repercussions, research has attempted to explain the origins of this clinical phenomenon. The purpose of this review is to analyze the evolution of understanding the association between pregnancy denial and neonaticide. This paper identifies the consistent similarities in symptom presentation, particularly dissociation, when a denied pregnancy ends with the death of the newborn. The common thread across the progression of the literature over time serves as a foundation for considering the development of diagnostic criteria for future inclusion in the Diagnostic and Statistical Manual of Mental Disorders. This paper reviews the seminal research from 1969 to current research up to 2020 addressing pregnancy denial and its connection to neonaticide. Peer reviewed and published articles related to key terms around "pregnancy denial," "pregnancy concealment," "neonaticide," and "dissociation" were retrieved from major databases such as PubMed, PsychINFO, JSTOR, ProQEST, ScienceDirect, and Google Scholar. Reference lists of relevant articles were also scanned to search for further papers pertaining to similarities in symptom presentation across demographic profiles. Papers were excluded if they were not available in English, or if they did not contribute to identifying consistencies in clinical presentation when a pregnancy is denied. There are clear repetitive markers that occur across studies which pertain not only to the frequent absence of certain expected indicators of pregnancy, (i.e. no morning sickness, weight gain, or sensations of fetal movement), but also the misattribution of pregnancy-related symptoms, and the consistent experience of a dissociative episode while giving birth that can unintentionally result in neonaticide. This paper concludes that dissociation is a consistently seen symptom in pervasive pregnancy denial. Dissociation, in addition to other commonly seen symptoms across cases, suggests specific diagnostic criteria that lend themselves to inclusion in the Diagnostic and Statistical Manual of Mental Disorders.
Topics: Denial, Psychological; Dissociative Disorders; Female; Humans; Infant, Newborn; Infanticide; Male; Mothers; Parturition; Pregnancy
PubMed: 34392438
DOI: 10.1007/s00737-021-01176-7