Showing papers by "Beverley Raphael published in 1987"
TL;DR: Research and review were particularly crucial in uncovering the presence of significant morbidity, including posttraumatic stress disorder, among relief workers and children and in highlighting the need for coordination of mental health services with other relief efforts.
Abstract: Between 1974 and 1983, Australia experienced the Darwin cyclone, the Granville rail disaster, and the Ash Wednesday bush-fires, each of which killed more than 60 people and caused significant emotional distress. Mental health response systems developed in the wake of the disasters varied in their level of sophistication and degree of acceptance, but they generally became better orchestrated and appreciated with each disaster. Lessons learned from research and review following one disaster were often applied in responding to the next. Research and review were particularly crucial in uncovering the presence of significant morbidity, including posttraumatic stress disorder, among relief workers and children and in highlighting the need for coordination of mental health services with other relief efforts. Many jurisdictions in Australia have since modified their disaster relief plans to include mental health services.
32 citations
TL;DR: For bereavement research to fulfill its potential, its practical applications with defined patient groups needs to demonstrate a superiority over treatment based largely on intuition and common sense.
26 citations
TL;DR: A list of potential factors influencing the occurrence of depression with physical illness is proposed and a modifying factor on the outcome of the adjustment is the influence of social support in protecting the individual from the life event.
22 citations
TL;DR: The prevalence of minor psychiatric morbidity was investigated in 523 adults presenting to the casualty section of an Australian public hospital and relationships between subject characteristics and the level of MPM were examined, together with the acceptability of an offer of short-term intervention and the effectiveness of this intervention in reducing distress.
Abstract: The prevalence of minor psychiatric morbidity (MPM) was investigated in 523 adults presenting to the casualty section of an Australian public hospital. Relationships between subject characteristics and the level of MPM were also examined, together with the acceptability of an offer of short-term intervention and the effectiveness of this intervention in reducing distress. Threshold morbidity on initial presentation to casualty was 41% (using the GHQ-12 with the customary 1/2 cut-off point) and the probable prevalence was estimated to be about 27%. The intervention was initially offered to a random sample of those identified as being ‘under stress’ (GHQ of three or above), but as there was a 90% rejection rate, it was offered to all symptomatic subjects. Overall, 26% accepted our offer of intervention. Those who accepted intervention and those who rejected it did not differ in their improvement in MPM during the subsequent six months. However, these groups improved slightly more than the group that was eli...
20 citations
01 Feb 1987
TL;DR: Sigmund Freud wrote, aggressiveness, these themes of power and dominance, this capacity to exploit and be exploited will color the human response to terminal illness and the nature of dying.
Abstract: as the struggle of the human species for existence&dquo; (quoted from &dquo;Civilization and Its Discontents,&dquo; see Ref. 1, p. 260). Freud was pessimistic about the nature of man. He was not religious and did not believe in a better existence after death. Freud wrote, &dquo;Men are not gentle creatures who want to be loved, and who at the most can defend themselves if they are attacked; they are, on the contrary, creatures among whose instinctual endowments is to be reckoned a powerful share of aggressiveness. As a result, their neighbor is for them not only a potential helper or sexual object, but also someone who tempts them to satisfy their aggressiveness on him, to exploit his capacity for work without compensation, to use him sexually without his consent, to seize his possessions, to humiliate him, to cause him pain, to torture and to kill him&dquo; (Ref. 1, p. 260). This aggressiveness, these themes of power and dominance, this capacity to exploit and be exploited will color the human response to terminal illness and the nature of dying. The stamp of their real life and personality will powerfully pattern their death.
1 citations
TL;DR: In this paper, the role of early support programs and its relation to parental perceptions was examined and their relation with parental perceptions were found to be a significant relationship (r = 0.64, p#lt0.001) to family grief scores on an unresolved grief inventory reported in an earlier paper.
Abstract: This paper reports data based on interviews with parents of congenitally developmentally disabled infants, including parental perceptions and reactions to professional services. The role of early support programmes is also examined and its relation to parental perceptions. Overall, family distress scores on interview showed a significant relationship (r = 0.64, p#lt0.001) to family grief scores on an unresolved grief inventory reported in an earlier paper (Nicholas & Lewin, 1986). Results also suggest that early intervention programmes extend the social network of the family and provide parents with skills to manage their baby. In so doing, such programmes may ameliorate the intensity of the parental grief response.