Red Flower's Journal of Psychiatric Nursing

The term logotherapy is derived from the Greek word ‘logos’ denoting meaning. Viktor Emil Frankl[l] is popularly known as the father of logotherapy. Logotherapy attempts to empower clients to find meaning in work, love, suffering, and creation. It focuses on the future, on the meanings to be fulfilled in the future. It is a psychotherapeutic approach which is based on the belief that emotional equilibrium can be achieved through seeking meaning or purpose in life. The meaning in life is not invented but has to be discovered. One can give meaning to one’s life by realising creative, experiential or attitudinal values. Basis of logotherapy is based on three paradigms namely freedom of will, will to meaning and meaning in life. The basic techniques used by the logotherapist are paradoxical intention, dereflection and socratic dialogue. This therapy is found useful in treating clients suffering from psychosomatic illness, anxiety, depression, neurosis, childhood disorders, post traumatic stress disorder and suicidal ideations. Nurses role here is to educate the clients in achieving an optimistic attitude towards life and also enabling the client to understand life’s transitions as well as overcoming crisis situations at the earliest thereby promoting mental health.
Keywords: Logotherapy; Paradoxical intention; Dereflection; Transitoriness; Experiential values.
 

Introduction: Management of violence and aggressive remains a challenge to mental health care providers. Thousands of people whose aggression is due to serious mental illness are secluded or restrained every day. Agitation among psychiatric inpatients (particularly those diagnosed with schizophrenia or bipolar disorder) is common, and unless recognized early and managed effectively, can rapidly escalate to potentially dangerous behaviors, including physical violence. Aims & objective: The objective of this study was to find whether an aggression management training programme for mental health care providers would be effective in improving their knowledge and practice regarding aggression management of patient with psychiatric disorder. Methods  &  Materials: A convenient sample of 30 mental health care providers including 12 staff nurses and 18 ward attendants involved in direct patient care were included in the study. One group pre-test post-test study design was adopted to find the effectiveness of the training programme. One day training programme was organized which included lecture, discussion and demonstration regarding aggression management of mentally ill patients who were hospitalized. Knowledge questionnaire was developed by the investigators which was used to assess the knowledge of participants regarding aggression management before and after the training programme. The questionnaire includes 20 items, and the maximum and minimum possible scores was 20 and 0 respectively. Results: Majority (67%) of the participants were male (n=20). The mean pretest knowledge score regarding aggression management was 7.97 ± 2.8 and the post-test score was 11.63±1.9. There was significant improvement in the knowledge score regarding aggression management from before and after the training programme (<0.001; paired sample ‘t’ test). The result suggests the need for aggression management training programmes for mental health care providers that can lead effective management of aggression in psychiatric hospitals.
Keywords: Aggression management; Aggression management training

Introduction: Mental disorders are considered as a major contributor to the global burden of disease worldwide. Despite much advancement in health care technology , people are still having many misconceptions about occurrence and treatment of mental disorders. Materials and Methods: A community based cross sectional survey was conducted in a rural and urban community of district Amritsar, Punjab to assess attitude of rural and urban community people towards mental illness. Total of 200 (100 each) participants were enrolled by using convenient sampling method. A self developed attitude scale was used to assess attitude of community people towards mental illness. Result: Study findings showed that majority of urban and  rural (90%, 86%) community people have fair attitude and only 7% urban people showed positive attitude towards mental illness. There was no significant association found between socio-demographic variables of rural and urban community people with attitude. Conclusion: Rural and urban community people showed varied attitude towards mental illness. Study findings recommended that strong emphasis should be given to information, education and communication (IEC) to improve knowledge of community people to change their attitude towards mental illness. Positive attitude will also enforce the better utilization of health care services at community level.  

Keywords: Attitude; Mental illness; Rural and urban community   

 Background:Therapeutic touch (TT), healing touch (HT) and Reiki therapy (RT) are commonly used complementary therapies used in routine practice of healthcare and its delivery. Objective: To perform an integrative review of evidence and provide a literature update on the role of touch and Reiki therapy in relieving pain. Methods: A systematic review was done using search terms ‘TT, HT and RT’ and ‘pain’ was done in PubMed, CINAHL and Google scholar to identify English studies, which were scrutinized through their title, abstract and full text, and then included for data extraction and descriptive synthesis into specialty-based, disease-based and populationbased studies of TT, HT and RT. Independent search was performed by two testers and disagreements were solved by consensus in presence of third tester. Results: Of the total list of 23 included studies, there were two specialty-specific studies (oncology=1, critical care=1), 13 disease-specific studies (cancer=4, fibromyalgia=1, degenerative arthritis=1, chronic pain=1, burns=1, headache=1, phantom limb=1, pain=1, spinal cord injury=2), three populationspecific studies (elderly people=3) and five procedurespecific studies (colonoscopy=1, post-surgical=2, Csection= 1, hysterectomy=1). Conclusion: There was limited evidence yet sufficient information that supported use of therapeutic touch and Reiki as an adjunctive treatment for pain relief. There is need for qualitative studies in evaluation and pragmatic studies of intervention using TT, HT or RT.

Keywords: Pain management; Complementary

therapies; Therapeutic touch; Touch therapy; Healing

touch; Reiki therapy.