Sabtu, 19 Desember 2009
V. PSYCHIATRIC DISABILITY AS A LOSS
1. Individual Loss
These losses are often in the following areas: activities of daily living, social interactions, school, employment, housing, and community participation. People with severe mental disorders also experience losses in their relationship with others. Often they have few relationship with people who are not connected to the mental health system. Their small networks may be restricted to family members and other mental health clients. Thus, many live very isolated lives.
2. Family Loss
Caregiver burden may lead to loss of independence and increased responsibility as families try to cope with day to day living. Deficit behaviors such as lack of motivation, difficulty in completing task, isolation from others, inability to manage money, poor grooming and personal care, and poor eating and sleeping behavior can be great concern to families. Intrusive or acting out behaviors such as lack of consideration for others, excessive arguing, conflict with neighbors and friends, damaging material possessions, inappropriate sexual behavior, suicide attempts, and substance abuse very disturbing to family members. Some families cope fairly well while others are easily exhausted and give up.
Badger (1996) describes the process of family transformation when living with a person experiencing a mental disorder. Three stages have been identified : acknowledging the strangers within, fighting the battle, and gaining a new perspective.
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