Psychiatric Mental Health Nursing by Videbeck

(Nancy Kaufman) #1

Points to Consider when Working on
Self-Awareness



  • Keep a diary or journal that focuses on ex-
    periences and related feelings. Work on
    identifying feelings and the circumstances
    from which they arose. Review the diary or
    journal periodically to look for patterns or
    changes.

  • Talk with someone you trust about your expe-
    riences and feelings. This might be a family
    member, friend, coworker, or nursing instruc-
    tor. Discuss how he or she might feel in a
    similar situation, or ask how he or she deals
    with uncomfortable situations or feelings.

  • Engage in formal clinical supervision. Even
    experienced clinicians have a supervisor
    with whom they discuss personal feelings
    and challenging client situations to gain in-
    sight and new approaches.

  • Seek alternative points of view. Put yourself
    in the client’s situation, and think about his
    or her feelings, thoughts, and actions.

  • Do not be critical of yourself (or others) for
    having certain values or beliefs. Accept them
    as a part of yourself, or work to change those
    you wish to be different.


➤ KEY POINTS



  • Mental health and mental illness are diffi-
    cult to define and are influenced by one’s cul-
    ture and society.

  • The World Health Organization defines
    health as a state of complete physical, men-
    tal, and social wellness not merely the ab-
    sence of disease or infirmity.


14 Unit 1 CURRENTTHEORIES ANDPRACTICE


I NTERNET R ESOURCES


Resource Internet Address
◗Department of Health and Human Services http://www.dhhs.gov/
◗World Health Organization http://www.who.ch
◗Nursing Net http://www.nursingnet.org/
◗National Alliance for the Mentally Ill http://www.nami.org
◗Center for the Study of the History of Nursing http://www.upenn.edu/nursing/facres_history.html
◗Men in American Nursing History http://www.geocities.com/Athens/Forum/6011/index.html

Critical Thinking Questions


1.In your own words, describe mental health.
Describe the characteristics, behavior, and
abilities of someone who is mentally healthy.
2.When you think of mental illness, what im-
ages or ideas come to mind? Where do these
ideas come from—movies, television, personal
experience?
3.What personal characteristics do you have
that indicate good mental health?


  • Components of mental health include auton-
    omy and independence, maximizing one’s po-
    tential, tolerance of uncertainty, self-esteem,
    mastery of the environment, reality orienta-
    tion, and stress management.

  • There are many individual factors that influ-
    ence mental health: biologic factors (sense of
    harmony in life, vitality, ability to find mean-
    ing in life, hardiness, spirituality, and posi-
    tive attitude); interpersonal factors (effective
    communication, helping others, intimacy,
    and maintaining a balance of separateness
    and connectedness); and social/cultural
    factors (sense of community, access to re-
    sources, intolerance of violence, and support
    of diversity among people).

  • Historically mental illness was viewed as
    demonic possession, sin, or weakness, and
    people were punished accordingly.

  • Today mental illness is seen as a medical
    problem with symptoms causing dissatisfac-
    tion with one’s characteristics, abilities, and

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