Engage Aotearoa

Research Articles available from Taylor and Francis Online

Here are some notable Research Articles available from Taylor and Francis Online:

“Schizophrenia” in the Australian print and online news media
Belinda Cain, Roseanne Currie, Eleanor Danks, Fiona Du, Erica Hodgson, Jennifer May, Kirsty O’Loghlen, Yen Phan, Jennifer Powter, Nayab Rizwan, Shazmi Shahim, Dominique Simsion, Steve Loughnan & Nick Haslam
Pages: 97-106

Delusional disorders: Prevalence in two socially differentiated neighborhoods of Barcelona
Jorge L. Tizón, Noemí Morales, Jordi Artigue, Yanet Quijada, Conxita Pérez, Francesc Pareja & Manel Salamero
Pages: 107-116

Psychosis and poverty: Coping with poverty and severe mental illness in everyday life
Alain Topor, Gunnel Andersson, Anne Denhov, Miss Sara Holmqvist, Maria Mattsson, Claes-Göran Stefansson & Per Bülow
Pages: 117-127

Family intervention for psychosis: Impact of training on clinicians’ attitudes, knowledge and behaviour
Jacqueline Sin, Steven Livingstone, Maria Griffiths & Catherine Gamble
Pages: 128-142

Developmental pathway to paranoia is mediated by negative self-concept and experiential avoidance
Alisa Udachina & Richard P. Bentall
Pages: 143-154

Metacognitive Narrative Psychotherapy for people diagnosed with schizophrenia: An outline of a principle-based treatment manual
Rebecca Bargenquast & Robert Schweitzer
Pages: 155-165

Avatar therapy for persecutory auditory hallucinations: What is it and how does it work?
Julian Leff, Geoffrey Williams, Mark Huckvale, Maurice Arbuthnot & Alex P. Leff
Pages: 166-176

No. 156: Make Space

This week, to attain, maintain or regain your sense of wellbeing...

...practice making space for whatever you are feeling, rather than trying to push them away. When you experience distressing thoughts or feelings, acknowledge that it is there, then turn your attention to where you feel it in your body, observe the feeling with curiosity, take three deep breaths and imagine each breath flowing in around this feeling, opening up more space around it. Breath into it and imagine expanding around it, whatever that means to you. Notice also the way your chest and stomach literally expand with each breath, opening up a little more room inside you. Notice that no matter how big the feeling gets, it never gets bigger than you. See if you can just allow it to be there without trying to change it. If it changes of its own accord that's okay, but your aim is to simply allow it to be there. Practice saying to yourself "It's okay to feel this, I am a human being with a human heart," "I have room for this", "I can allow this feeling to be here", "I can make space for this." Take another few deep breaths, and whenever you feel ready, turn your attention towards the present moment and whatever it is you need to do right now.

Making space for our emotions, or in other words allowing them, or accepting them, is so much easier than fighting against them, arguing with them, or judging ourselves for them. Making space can help us respond to distressing experiences with more compassion and reduce how much suffering we have to go through.

Once you are comfortable with this practice, add Make Space to your Personal Coping Kete for times of stress and distress.

Highlights from Engage Aotearoa’s Facebook Page

Here are some recent highlights from Engage Aotearoa’s Facebook page

ManKind is the UK’s leading charity for supporting male victims of abuse. There are some great info resources and stories up here.
They had a secret so hard to cope with that suicide seemed like the only way out.
Lots of good stuff on this Grief Toolbox website.
Bullied teen Jimin Hwang ran away from home, dropped out of school, was assaulted and attempted suicide twice.
This group has been established to help people on benefits gain all of their rightful entitlements from Work and Income NZ.

The Press: Mental Health Wards Clogged with the Homeless

Olivia Carville of The Press writes on Stuff.co.nz:

“The CDHB is trying to deal with the “urgent dilemma” created by the city’s social housing shortage. At a CDHB meeting yesterday, specialist mental health services manager Toni Gutschlag said the housing shortage was causing “significant problems”. On any given night, up to 25 patients were staying in Hillmorton Hospital – when they did not need to be there – because of a lack of affordable housing options.”

Read the rest of the article here.

Engage Aotearoa is aware that acute wards of hospitals in every city are often used by those with no better place to go. We feel it highlights the need for better and more viable accommodation options for those coming out of acute care.

IIDL Features: The Power of Visual Stories

Carmen Norris, MA of the Department of Anthropology, University of Alberta, writes:

“What power do stories hold and what can they do for society? What value do images bring to stories and what can visual storytelling do for a project interested in improving community engagement for people with developmental disabilities and challenging social perception of disability in our community?”

View this article here.

Project Citizenship is a pioneering initiative that aims at helping people with disabilities be seen and included in our communities as full contributing citizens.

New Like Minds, Like Mine National Plan 2014-2019

The Ministry of Health has just released the new Like Minds, Like Mine National Plan 2014-2019.

The plan sets the guiding principles for service delivery of the Like Minds, Like Mine programme for the next five years. It provides direction for the continuation of the journey towards greater social inclusion for people with mental illness in New Zealand. Download it here: (PDF)

It begins: “This Like Minds, Like Mine National Plan 2014–2019 will take the programme into and past its 20th year. It is timely then to look back on its considerable success in reducing stigma and discrimination and to consider how the programme needs to evolve in order to build on that success in the future.”

Tackling Mental Health Problems among People with an Intellectual Disability

The website MedicalExpress.com has released news from the University of New South Wales that a new resource is being launched to tackle mental health problems among people with an intellectual disability and to improve the system that is currently failing them.

The Accessible Mental Health Services for People with an Intellectual Disability: A Guide for Providers (otherwise known as The Guide) has been developed by UNSW researchers and will provide a national framework for action for all frontline mental health service professionals. It is being launched at the Royal Australian and New Zealand College of Psychiatrists 2014 Congress in Perth.

More information here.

 

New Pathway for ACC Sensitive Claims

ACC are the government organisation that can help people with a physical and/or mental injury suffered as a result of sexual abuse or sexual assault.

A new pathway for ACC Sensitive Claims was released in March this year. 

This page provides an overview of the new ACC sensitive claims service, including its key features.

You’ll need to talk to a GP or a counselor to lodge a sensitive claim with ACC.

For more information about how to lodge a sensitive claim, click here.

No. 155: Extend the Image

This week, to attain, maintain or regain your sense of wellbeing...

...practice extending the image when you notice yourself having distressing or worrying thoughts about the future. There are two ways to do this - experiment with both and see which one you prefer.

1. Pay attention to the image or story you see unfolding, and then extend that image or story in your mind until you come to its conclusion. Most often we stop right in the middle of the worst bit and worry about that. With this strategy we extend the story far past the thing we are worrying about, we tell ourselves about the next chapter too, the part where we cope with it, we can even fast-forward ten years into the future and it might look quite different from there. In this way, you will be able to introduce the possibility that things could turn out okay in the end, that you will eventually find a way to handle it and move on. Be mindful of how caught up you are in catastrophising though - sometimes it has such a strong grip on us we simply tell a very long, even more upsetting story, and that's probably not hugely helpful. If that's something you struggle with then practice this strategy on milder concerns first.

2. Bring to mind an image of what you are worrying about or think of an image that symbolises it, then imagine zooming out and notice what you'd see around it, then zoom out again, and again. In this way, you will be able to create distance from distressing thoughts and feelings and reduce their power over you.

For example, if I have a distressing thought, I might imagine it as a dark cloud and then extend the image to see the sky around it, making the cloud appear smaller and less threatening.

Once you are comfortable with this practice, add Extend the Image to your Personal Coping Kete for times of stress and distress.

No. 154: Supportive Self-Talk

This week, to attain, maintain or regain your sense of wellbeing…
…practice catching your inner critic when it’ s up to its tricks and responding to your self-talk with kindness. This is about learning to label your unhelpful self-talk for what it is and deliberately talk to yourself in a way that builds you up instead of cutting yourself down. Self-talk is automatic but we can bring it into our awareness and use it to support ourselves through moments of stress and distress. That last bit is key here. It is important to choose self-talk that feels supportive to you and that you can believe to be true. Sometimes we take ‘ supportive’ to mean that we are supposed to try to cheer ourselves up with lots of positive phrases that oppose what we have been thinking and that can often make people feel worse, especially if they really do not believe the positive statement at all. It doesn’ t usually work when we try to do this with others, and it doesn’ t usually work when we try to do this to ourselves either.
Supportive means to hold up, so try to experiment with finding a way of talking back to harsh self-talk that can hold you up in the struggles you find yourself in. This can be really hard to do, so practice in the ordinary moments first, maybe with your morning cuppa or something like that. Just sit and observe what you notice in your mind as it arises for a few minutes a day. If it’ s empty, observe and describe that. If it’ s focused on the cuppa, observe and describe that. Practice noticing the detail. Eventually your mind will start to wander and chatter like minds are designed to do. When you notice, observe and describe that too. Keep a look out for how your mind talks to you. When you notice critical, judgemental or harsh self-talk, describe what you observe, put words to it, name it for what it is.
Then take a deep breath and deliberately respond with self-talk that is supportive towards yourself, in a way that has your back, as if to hold yourself up in this moment, not to deny your reality, but to hold you steady there. Our minds are kind of messy in real life and so observing them can be too. It might go something a bit like this inside in your mind as you do this: “I am sitting here with my cup of coffee I notice my mind is blank. [cue distracting chatter] I can never do these things. How does this even work as a thing. I’ m not even thinking anything important. I want to have chicken for dinner. Dammit I’ m not paying attention… [good noticing, and you’ re back. Describe where you went just then and try your supportive self-talk again]….I notice I am judging the way I am confused about doing this. I notice I am kind of hungry… [take a deep breath and meet this with some supportive self-talk]… This is a kind of hard thing to learn really. At least I am trying. Did I have breakfast? Dammit again! [Good noticing again, and you’ re back. Describe where you went just then and try your supportive self-talk again]...I notice hunger distracting me. I notice harsh words about that. No one can focus properly when they are hungry…” Stay with it for a couple of minutes if you can, and then continue on with your day.
As you move through each day, pause when you notice your mood change and take a moment to observe what you are telling yourself about the situation and your experience of it, and see what happens if you meet it with some of the supportive self-talk you’ ve been practicing each morning.
When you are comfortable noticing, labeling and responding to your self-talk with support, add ‘ Supportive Self-Talk’ to your Personal Coping Kete for moments of stress and distress. When times are tough, you’ ll be able to catch your harsh inner critic and feed yourself supportive self-talk that helps hold you up. Self-judgement adds another layer of distress to already difficult situations. Giving ‘ voice’ to your inner supporter can make distress less intense and easier to cope with.