Theoretical Perspectives On Understanding Mental Distress

3324 words - 14 pages

Throughout my study’s in psychiatric nursing and previous study in social care, I established many opinions of developmental theories presented in viewing mental distress, Freud’s psychosexual theory was somewhat ungraspable to me which possibly prevented me from developing my knowledge on his theories. Bandura’s social learning theory and Bowlby’s attachment theories resonated more with my thinking. In entering acute adult psychiatric services, I feel any possible lens of viewing mental distress, the how and why people may present with mental health difficulties and reasons for symptoms became less evident for me. The medical model of diagnosis, medication and management of mental distress ...view middle of the document...

Looking at the history of the Child and Adolescent mental health services in Ireland, where it started, where it is now, where it should be, I began to challenge and question my view of what level of distress warrants assessment and intervention from CAMHS. Looking at trauma and the effects on a child’s mental health, it is evident that exposure can lead to an increased susceptibility to developing a mental disorder. Murphey et al. (2013) identify the importance of early identification of mental distress and access to services. Clinicians are vital to identifying mental distress, so adopting mental health into primary care settings, schools and social services is of vital importance, especially for young people who have been subjected to trauma.
I question the ongoing dilemma in my practice, if primary care interventions were more readily available and early interventions/ education provided would the young person attending the CAMHS service with ongoing issues of self-harm and suicidal ideation precipitated by emotional regulation difficulties and incidents of bullying, be attending at all. Damodaran and Sherlock (2013) reflect the current two tier operating system in Irish CAMHS stating that some service users may not have any diagnosed mental health disorder but are attending due to ongoing emotional or psychological distress, highlighting the need for more in-depth primary care services which could cater for mild social, emotional, psychological difficulties.
Some positive development has occurred such as Jigsaw services in five areas throughout Ireland have been established which endeavour to provide support to young people whom experience psychological distress (Illback et al. 2010). The introduction of the new CAMHS standard operating procedure endeavour to promote consistency among all teams with regards to service provision, acceptance criteria and guidance on all other areas of service provision (HSE 2015). Looking at the evidence my outlook has changed, taking into account my first natural instinct to advocate for a referral to be accepted because they “won’t be seen by primary care psychology services for a year”, in that time their presentation/ distress could be more significant, I now take into account the bigger picture that primary care services will not be developed unless clear service need is identified and I focus on the importance of the need for CAMHS to be available to those whom present with moderate/ severe difficulties, and not being overwhelmed with inappropriate caseloads leading to excessive waiting lists, leading to the child with moderate/ severe difficulties being forced to wait for assessment and intervention. Coyne et al. (2015) identify in their study the frustration of parents in some cases waiting 18 months for the young person to be followed up by CAMHS.
Looking at my view of the mind, how I interpret children’s mental distress/ illness and the proposed means of treatment has somewhat evolved,...

Other Essays Like Theoretical Perspectives on Understanding Mental Distress

What Is Psychology Essay

1605 words - 7 pages WHAT IS PSYCHOLOGY? Beginning with the first psychological laboratory, founded in 1879 by German philosopher and physiologist Wilhelm Wundt, modern psychology’s can be traced in many disciplines and countries. Psychology’s historical perspectives and current activities lead us to define the field as the science of behavior and mental processes. Theoretical perspectives of psychology There are many disciplines that study human nature

Introduction to Psychology Essay

1185 words - 5 pages therapy. Self-help is a vital component of this theoretical perspective of psychology. Understanding the different theoretical perspectives of psychology takes us nearer to the understanding of the complex human nature. It takes us closer to the comprehension of the development of the different types of personalities around us. | |

Racial Identity & Mental Health

3621 words - 15 pages Running Head: RACIAL IDENTITY AND MENTAL HEALTH The Effect of Racial Identity on Mental Health for African-American College Students Abstract The purpose of this study is to determine the effect racial identity has on mental health. Racial identity will be measured by the Cross Racial Identity Scale (CRIS). This scale is based on Cross’s 1991 revised model of nigrescence. Previous studies have indicated that certain racial identity

Manage Health and Social Care Practice to Ensure Positive Outcomes for Individuals

1901 words - 8 pages gathered over the last 30 years understanding of this concept remains difficult and. As a result, a wide array of PWB conceptualizations, often with unexplained or unverified theoretical bases emerged concurrently. It is often on the sole basis of instrumentation that one can infer a study's underlying conceptual model, and many papers overtly merge psychological distress and well-being under the PWB label without any conceptual or theoretical

Health & Social Care

803 words - 4 pages of health issues Reference 2012BOOKS.LARDBUCKET.ORG Sociological Perspectives on Health and Health Care In-text: (, 2015) Bibliography:, (2015). Sociological Perspectives on Health and Health Care. [online] Available at: [Accessed 10 Feb. 2015]. CLIFFSNOTES.COM Three Major

Effects of Deployment on Military Families: a Literature Review

2493 words - 10 pages determine how the distress and preparedness prior to deployment would impact the spouses and service members. This was done by using the following measures: PTSD Checklist – Civilian Version (PCL), Patient Health Questionnaire-8 (PHQ-8), Alcohol Use Disorders Identification Test (AUDIT), Social Functioning Scale (SFS), and mental health service usage (Erbes at el., 2012). The researchers found, “Partners reported significantly more depression, PTSD

Dialectic Behavior Therapy

2829 words - 12 pages is led by a trained DBT therapist (Lynch, 2006). Group participants learn skills from four different modules: interpersonal effectiveness, distress tolerance/reality acceptance skills, emotion regulation, and mindfulness skills (McWilliams, 2012).Cognitive-Behavioral AssessmentThe most important shortcoming in classic cognitive and behavioral treatments is that clinicians focus almost exclusively on helping patients change their thoughts

Diagnostic Paper on Joan Crawford

2405 words - 10 pages Diagnostic Paper on Joan Crawford Abnormal Psychology Dr. Lewis Ethical Disclaimer In writing this, I am attempting to demonstrate an awareness of ethical practice. In preparation of writing this paper, I have researched information on the famous person indicated in an effort to make an attempt at providing a possible diagnosis of a psychological condition for which two theoretical orientations will be evaluated and used to support


4982 words - 20 pages INTRODUCTION:The aim of this paper is to examine contemporary mental health issues amongst HIV positive people, as well as show an understanding of the present and future role of mental health nurses involved in this area, by using evidence based practice to demonstrate an understanding of the policy and politics involved in current and future mental health practice in the United Kingdom.The document will also be looking at collaborative

Tort Essay

929 words - 4 pages chattel or trespass to land, but the tort against Bill resulted. Here Charlie intends to assault Art but Bill is with Art when the battery happened and could reasonably be placed in the same apprehension has Art. Defenses? None. Charlie create mental distress? Mental distress exists when the defendant act extreme and outrageous which intentionally causes the victim severe mental distress. Here, Charlie’s conduct would be

Abnormal Psychology and Therapy

1144 words - 5 pages treatments of the dysfunction of this disease. Primarily the research in the field has been done with Western perspectives and research method. Spiritually understanding of mental illness was recognized in ancient Western civilizations and in Eastern culture the scientific community has dismissed by the majority of the psychologist in modern times. The twentieth century there are two opposing perspectives on the etiology of mental

Related Papers

Environmental Psychology Essay

924 words - 4 pages Environmental Psychology The study of psychology is complex, unique, diverse, and ever-changing. Psychology is defined as “the scientific investigation of mental processes and behavior” (Kowalski & Weston, 2009, p. 4). One of the many disciplines in the dynamic field of psychology is environmental psychology. As with all disciplines of psychology, environmental psychology has a variety of theoretical perspectives. Two such perspectives are

Abnormal Psychology Essay

759 words - 4 pages certain situations had made scientist exam him or her closely. Abnormal psychology has been studied and examined finding something new on certain behaviors, disease, or the patient could be wrongfully diagnosed. People face distress often but the difference between abnormal and normal here would be if the stress affects his or her each day. Over hundreds of years of attempting to explain and control abnormal behavior there have been many

Foundations Of Psychology Essay

1239 words - 5 pages few.Paradigm is a system of theoretical assumptions employed by a scientific community to help us understand the domain of experience. The perspectives are a broad way of understanding psychological phenomena. The perspectives such as paradigm includes theoretical propositions, shared metaphors and accepted methods of observation.The psychodynamic perspective was originated with Sigmund Freud. This perspective emphasizes study of psychological

On Kohut And Bowbly Essay

1575 words - 7 pages attachment model. However one shortcoming of Bowlby’s theory, as mentioned earlier, is the lack of clarity or specificity on how to apply his concepts when working with patients therapeutically. This area of expertise is evolving (Shaver & Mikulincer, 2005). John Bowlby’s attachment perspective and Heniz Kohut self-psychology are intended two independent theoretical perspectives that add values to Freud’s drive theories. They also indicate that