This paper describes the journey and process of conducting Illness Management and Recovery (IMR) programs in Brunei Darussalam to the current date. In the last decade, Occupational Therapy has focused on activities of daily living as a non-standardised form of assessment and treatment approach for clients with mental illness in Brunei Darussalam. Most of the treatment models used are conservative and are effective in reducing the symptoms but they do not prevent relapses and assist in empowerment of clients. This awareness led to the search for evidence-based practices to improve outcomes. IMR program was initially implemented in RIPAS Hospital, Brunei by Occupational Therapist for clients from Psychiatric Day Hospital.
The original modules were translated into Malay Language and Islamic spiritual aspects were included to provide for congruence with local cultural beliefs. The modules contents were not standardised and not audited by any assessors. After the completion of IMR, no follow-up was done on clients’ chosen goals. Towards the end of 2014, we were involved with the Community Psychiatric Rehabilitation Centre who piloted this recovery program for a selected group of clients with Schizophrenia for 3 months. Two weeks training and practical exposure were delivered to the Rehabilitation Centre staffs. Conclusion Involvement of other staff from the Mental Health setting has facilitated the evaluation of the effectiveness of the program.
However, assessment of the pilot showed lack of communication, insufficient training, usage of “too technical” and non standardised modules, poor follow-up on consumers’ goals and lack of relapse prevention plans. Our program scored reasonably well in the IMR fidelity scale (41/65) although it scored poorly on the General Organisational Index (15/60). Implementation of Illness Management and Recovery in Brunei can be further improved through strong leadership, effective training and committed staff to ensure sustainability of an effective evidence-based recovery program.
The literature is rich with studies addressing stress effects on In Vitro Fertilisation (IVF) outcomes. Debate continues regarding whether there is a cause-and-effect relationship, or merely a correlation, between stress and IVF failure. While several studies have addressed coping mechanisms used by couples undergoing IVF, and some even investigated the effects of coping mechanisms used at three points within an IVF cycle, the author found no study that presented a programme for women to deal with stress before, during and after IVF cycles.
Psychoanalysis passed its heyday in the seventies and has been usurped by short term cognitive-behavioural therapies. Despite this trend, recently there has been a small growth of psychoanalytic psychotherapy in Aotearoa New Zealand. This presentation describes my experience of employing a psychoanalytic sensibility in teaching and supervising intern counselling psychologists in a cognitive-behaviourally dominated university system. Vignettes are used to illustrate where differences between the psychoanalytic and cognitive-behavioural worldviews arose in supervision and how I attempted to deal with them.
Most couple therapy models do not produce therapy that worked for couples. Their techniques, including visualisation, positive dialogues and homework as utilised for example by Emotion Focused Couple Therapy (EFCT) (Greenberg & Johnson 1988, Gottman based couple therapy (Declare & Gottman 2001), and Imago therapy by Hendrix and Hunt (Hendrix and Hunt, 2003; Hendrix and Hunt, 2005), have led to little successful outcome. These techniques are not able to address the multisensory amygdala based ruptures in relationships. The techniques employed by most couple therapy models are prefrontal lobe based i.e. they engage couples' prefrontal lobe only. The activations patterns of each other's amygdala by each party of the couple who seek therapy remain unchanged despite going through most of these therapies.
The study purpose was to evaluate the effectiveness of solution-focused brief group therapy based on the clients’ feedback about the process. The evaluation was to ensure that from the client’s perspective they were experiencing quality and effective service (Sharry, 2007). The research samples were from 30 undergraduate students of Universitas Pendidikan Indonesia of the 5th semester chosen by simple random sampling technique. They received 5 sessions of group therapy including termination and follow-up session. The data collection used the instrument adapted from Duncan and Miller’s (2000) (Sharry, 2007) supported by observation and interview.
Beginning in 1940, members of the US-American psychoanalytic community began to collaborate with the US-Intelligence Community (IC). Early activities (1940-1945) focused on the immediate threat of Nazi Germany, fascist Italy, and their imperial Japanese ally and included studies on a variety of anti-axis propaganda issues, e.g., home front radio broadcasts, analysis of enemy broadcasts, studies on domestic morale, analysis of enemy national character etc. Moreover, psychoanalysts used clinical data retained from ongoing analyses to be used by the IC in search of certain patterns of totalitarian attitudes in patients which might be counteracted by psychoanalysis or by psychoanalytically informed propaganda programs.
Relationship issues affect everyone. Much research has been carried out to resolve them through the engagements of various therapy and counselling techniques. Nonetheless, before the advent of counselling and psychotherapy protocols, those with relationship issues had sought the advice and guidance from some respected members of the families, village chiefs, temple and church elders or even those with shamanic practices. Today there are trends towards “spiritual” solutions to heal and repair those relationship issues. The presenter through his personal experience in this topic had found that one aspect of meditation - guided meditation could prove to be more useful than general or even mindfulness meditation modalities. The presenter, who is presently engaged in providing counselling for those incarcerated, had found that the practise of “guided meditation” not only relaxes the clients but could be used to transform their views (attitudes) and meaning of their own journey in life also. “Guided meditation” evokes the meditators’ visual, audio and kinetic faculties.
Informed by hermeneutic philosophical traditions, this will be a presentation of a brief art psychotherapy intervention from a phenomenological perspective. The idea of “meaning-making” is constructed from a phenomenological interpretation of art making, revealing psychological life as defined by Jung to be “the totality of all psychic processes, conscious as well as unconscious”.