RESUMO
Online help-seeking is an emerging trend within the 21st century. Yet, despite some movement toward developing online services, little is known about how young people locate, access, and receive support online. This study aims to conceptualize the process of online help-seeking among adolescent males. Modified photo-elicitation techniques were employed within eight semi-structured focus group sessions with adolescent males aged 14 to 15 years (n = 56) across seven schools in Northern Ireland. Thematic analyses were conducted within an ontological framework of critical realism and an epistemological framework of contextualism. Informal online help-seeking pathways increased opportunity for social support and reduced stigma but also included loss of control and reduced anonymity. Formal pathways offered increased anonymity but concerns were raised regarding participants' ability to locate and appraise the quality of information online. A conceptual model of online help-seeking has been developed to highlight the key help-seeking pathways taken by adolescent males.
Assuntos
Atitude Frente a Saúde , Aceitação pelo Paciente de Cuidados de Saúde , Adolescente , Grupos Focais , Humanos , Masculino , Irlanda do Norte , Estigma SocialRESUMO
BACKGROUND: Self-injury is an increasingly common phenomenon among clinical and non-clinical populations. Health care providers generally recommend behavioural interventions that address coping skills for people who self-injure despite a lack of a consistent evidence base about their effectiveness. There is limited understanding about experiences of counselling for self-injury from the perspectives of clients. AIM: To understand clients' experiences of counselling for self-injury. METHOD: Ten interviews were conducted, audio-recorded and transcribed. Data were analysed using Grounded Theory (GT). RESULTS: One central category, "Developing a healing reconnection with self and others" and four categories: (i) Building trust; (ii) seeing beyond the cutting; (iii) human contact and (iv) integrating experiences. CONCLUSIONS: Overcoming self-injury is possible within the context of a trusting and accepting therapeutic relationship. Participants perceived counselling to be helpful when counsellors were willing to work with underlying issues rather than focus primarily on the cessation of self-injury. Counsellors and mental health practitioners must look beyond the behaviour to meet with the person and facilitate the development of a therapeutic relationship, which promotes a healing reconnection with self and others.
Assuntos
Aconselhamento , Comportamento Autodestrutivo/terapia , Adaptação Psicológica , Atitude Frente a Saúde , Humanos , Entrevistas como Assunto , Pesquisa Qualitativa , ConfiançaRESUMO
Help seeking is known to be a complex and difficult journey for people who self-injure. In this article, we explore the process of help seeking from the perspective of a group of people living in Northern Ireland with a history of self-injury. We conducted 10 semistructured interviews and employed a grounded theory approach to data analysis. We created two major categories from the interview transcript data: (a) "involution of feeling," which depicts participants' perspectives on barriers to help seeking; and (b) "to be treated like a person," in which participants communicate their experiences of help seeking. The findings pose important implications for policy, practice, theory, and future research, including the need to increase the uptake of follow-up care among people who arrive at hospitals as a result of self-injury, self-harm, or suicidal behaviors.
Assuntos
Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Comportamento Autodestrutivo/psicologia , Adaptação Psicológica , Medo , Feminino , Teoria Fundamentada , Humanos , Entrevistas como Assunto , Masculino , Irlanda do Norte , Meio Social , Estigma Social , Ideação SuicidaRESUMO
OBJECTIVE: To investigate the effectiveness of recent social therapeutic interventions to reduce loneliness in older people. METHOD: To examine this matter, a literature review, using seven databases, was undertaken using search terms relating to the themes of ageing, loneliness and social support. A total of 17 relevant studies relating to loneliness interventions were analysed. RESULTS: Three studies reporting on new technologies and one on a group work intervention identified significant reductions in loneliness. CONCLUSION: Further research into interventions using new technologies to reduce loneliness in older people is recommended.