PURPOSE: The purpose of this study was to identify the patterns of physical restraint experience in mentally ill persons. METHODS: Q-methodology, an approach designed to discover patterns in various subjective experiences, was used. Twenty-two participants classified 36 selected Q-statements on a nine-point scale to create a normal distribution. The collected data were analyzed using the PC Quanl Program. RESULTS: Five types of physical restraint experience in mentally ill persons were identified by the participants. Type I Emotional reaction-explosive anger, Type II Emotional reaction-internalized anger, Type III Rational reaction-rejection, Type IV Rational reaction-acceptance, Type V Rational reaction-trust. CONCLUSION: The results of this study provide an understanding that different types of reactions to physical restraint experience exist and that each type has certain characteristics, which suggest a need to develop interventions specifically designed for each type of physical restraint experience.
Anger ; Humans ; Mentally Ill Persons ; Restraint, Physical

PURPOSE: This study is done to investigate the attitudes of teachers toward mental illness and to provide appropriate information about mental illness. METHODS: The participants were 228 teachers recruited from 15 elementary schools in the National Capital region and B metropolitan city. Data were collected from October to December, 2013 and analyzed using t-test, ANOVA and Scheffee test with SPSS 18.0. RESULTS: Neutral attitudes (77.4+/-7.79) toward mental illness were shown among the teachers. A negative attitude for stereotyping (23.2+/-6.08), a positive attitude for optimism (19.3+/-3.01) and neutral attitudes for coping (19.3+/-1.92) and understanding (15.6 +/-3.05) were revealed. CONCLUSION: The results indicate that elementary school teachers have neutral attitudes towards mental illness which is closely related to the experience of learning about mental illness. Thus, when teachers learn about mental illness they can understand and guide children who have unusual behaviors.
Child ; Humans ; Learning ; Mentally Ill Persons ; Stereotyping

No abstract available.
Humans ; Mentally Ill Persons* ; Public Health*

OBJECTIVES: This study was investigated to prove the effectiveness of Cognitive Behavior Treatment Program in mentally ill sex offenders and to be used as basic data for development of optimized treatment program for mentally ill sex offenders. METHODS: Cognitive Behavior Treatment Program was carried out over 10 weeks for 30 mentally ill sex offenders. With Interpersonal Responsiveness Index (IRI), UCLA Loneliness Scale (UCLALS), Coping Using Sex Inventory (CUSI) and Rape Myth Acceptance Scale (RMAS), the effectiveness of the treatment programme was evaluated. The data was analyzed with paired t-test. RESULTS: The results with 23 subjects showed no significant score changes after treatment program in IRI and UCLALS. However, there was a statistically significant improvement in the scores of CUSI and RMAS. CONCLUSION: Despite several limitations, this study showed significant effects of Cognitive Behavior Treatment Program on mentally-ill sex offenders. Therefore, treatment focused on the changes of cognitive and emotional characteristics of sex offenders along with the treatment for main psychiatric illness should be provided for mentally ill sex offenders to prevent recidivism. More studies to develope optimized treatment programme for mentally ill sex offenders are needed in the future.
Criminals* ; Humans ; Loneliness ; Mentally Ill Persons* ; Rape

This presentation focuses on certain forms of abuses in these settings that may cross the threshold of acceptable standards of ethical medical treatment and cross over to what is globally defined as torture or cruel, inhuman or degrading treatment and punishment (CIDT). It examines a number of abusive practices commonly reported to be happening in psychiatric care settings and describes how the human rights framework applies in this context. This presentation will also attempt to elucidate this concerns both in the specific context of vulnerable populations of the mentally disabled or ill. It will also raise policy implications and recommendations for reflection.

PURPOSE: This study was done to identify the effects of human rights sensitivity training on human rights consciousness and attitudes toward the mentally ill by psychiatric mental health nurse. METHODS: A non equivalent control group pre-posttest design was used for this study. The 54 participants were selected from the mental health institute in Y city. The experimental group (n=26) received the interventions 3 times a week for 2 weeks. The evaluation tools were Human Right Consciousness and Community Attitude toward the Mentally Ill (CAMI). Data were analyzed using chi2-test, Fisher's exact test, t-test, paired t-test, repeated measure ANCOVA with the SPSS/WIN 12 program. RESULTS: There was a significant mean change in human rights consciousness in the experimental group. But there was no significant difference in attitudes toward mentally illness. CONCLUSION: The results of the study indicate that the human rights sensitivity program is effective in increasing human rights consciousness of psychiatric mental health nurses. Therefore, this program can be utilized in the field of mental health care services to improve human rights of person with mental illness.
Human Rights* ; Humans ; Mental Health* ; Mentally Ill Persons

PURPOSE: The purpose of this study was to understand nursing students' experience process of reducing prejudices against people with mental illness. METHODS: Participants were 9 nursing students who showed positive changes in prejudices against people with mental illness. Data were collected from September 2014 to February 2015 through in-depth interviews. Data were analyzed following Colazzi (1978) phenomenological method. RESULTS: Analysis showed that for the students' lived experiences of reducing prejudice, there were 47 constructed meanings as 17 subjects in 6 groups: fear, terrifying, relaxation, pitifulness, realization, and sense of kinship. Fear included harm, unpredictability, and wackiness, while terrifying included handshakes without facial expression and unfocused eyes. For relaxation, the content included doing things together, receiving consideration, and being helpful, while for pitifulness it was feeling pathetic, sorry, and anger instead concern for patient. The content for surprise included tenderness, awareness of reality, self-assertiveness, and excellent ability, and for sense of kinship, the same as me and doing with me. CONCLUSION: Clinical practice instructors or field leaders should provide enough opportunities for students to understand and express their feelings about mental illness. Providing proactive education and programs to reduce prejudices about mental illness before the mental health nursing practicum are also suggested.
Anger ; Education ; Facial Expression ; Humans ; Mental Health ; Mentally Ill Persons ; Nursing* ; Prejudice* ; Relaxation ; Students, Nursing*

PURPOSE: This study was conducted to explore the mediating effect of self-efficacy in the relationship between internalized stigma and treatment adherence among community dwelling patient with mental illness. METHODS: A cross-sectional study design was employed. Participants were 145 people with mental illness who were enrolled at one of 11 community mental health institutions in Busan, South Korea. Internalized stigma of mental illness, self-efficacy, treatment adherence, and socio-demographic data were examined. Data were collected using self-report questionnaires and analyzed using Baron and Kenny method. RESULTS: Internalized stigma had a significant negative correlation with self-efficacy and treatment adherence. Self-efficacy had a significant positive correlation with treatment adherence. In addition, self-efficacy had a full mediating effect in the relationship between internalized stigma and treatment adherence. CONCLUSION: The results suggest that self-efficacy plays an important role in promoting treatment adherence among patients with mental illness who have high levels of internalized stigma. Therefore, mental health professionals should focus on reducing internalized stigma and also enhancing self-efficacy to increase treatment adherence for persons with mental illness living in the community.
Busan ; Cross-Sectional Studies ; Humans ; Korea ; Mental Health ; Mentally Ill Persons ; Negotiating* ; Patient Compliance

OBJECTIVES: The purpose of this study was to compare the effects of video-based contact with educational lectures on the stigma of mental illness and to follow-up to determine any changes in their effects on college students. METHODS: A total of 107 college students were randomly assigned to either an education group (n=50) or a video-based contact group (n=57). All were completed pre-tested, post-tested, and subjected to three month follow-up measures using the Community Attitudes to the Mentally Ill Inventory (CAMI). RESULTS: The video-based contact group showed significant positive improvement in the subtypes authoritarianism, social restrictiveness, and community mental health ideology of the CAMI at posttest and three month follow-up. The education group also showed significant positive improvement in subtypes social restrictiveness and community mental health ideology of the CAMI; however, its effects were limited only after education. There were no significant changes in the benevolence subtype of the CAMI in either group at post-test and three month follow-up. CONCLUSION: In comparison with education that utilizes lectures, the video-based contact showed more effectiveness in decreasing the stigma of mental illness and its effects were evident at posttest and three month follow-up.
Authoritarianism ; Beneficence ; Follow-Up Studies ; Humans ; Lectures ; Mental Health ; Mentally Ill Persons ; Schizophrenia

OBJECTIVES: In Korea, the term for schizophrenia has been changed from 'split-mind disorder' to 'attunement disorder'. This study compared the stigma of, and prejudice against, people with schizophrenia, according to use of the term 'split-mind disorder' or 'attunement disorder'. METHODS: We conducted a survey of 360 college students majoring in nursing science in order to assess their prejudice regarding the danger posed by schizophrenia and discrimination regarding relationships and privileges for patients with schizophrenia using the social stigma scale and the discrimination scale for patients with mental illness, respectively. Study subjects were randomly divided into two groups, and the same scales were assigned to each group using different instructions, beginning with either 'split-mind disorder' or 'attunement disorder'. RESULTS: In multivariate analysis, scores for prejudice with regard to the danger posed by, and discrimination against, patients with schizophrenia were significantly higher in the group assigned the term split-mind disorder, compared with the term attunement disorder. Scores for discrimination with regard to relationships and privileges were significantly lower for subjects with experience to contact the mentally ill, compared to those without such experience. CONCLUSION: Our findings suggest that renaming split-mind disorder as attunement disorder can result in reduced prejudice and discrimination against people with schizophrenia. In addition to renaming schizophrenia, implementation of anti-stigma campaigns, including contact with schizophrenia patients, may help to reduce discrimination against them.
Discrimination (Psychology) ; Humans ; Korea ; Mentally Ill Persons ; Multivariate Analysis ; Prejudice ; Schizophrenia ; Social Stigma ; Weights and Measures