Creating Change: Using the Arts to Help Stop the Stigma of Mental Illness and Foster Social Integration
University of Washington, School of Nursing, Spokane, WA 99201, USA.Journal of Holistic Nursing 02/2009; 27(1):57-65. DOI: 10.1177/0898010108323011
Stigma is a social justice problem that plagues persons with psychiatric disabilities, their families, and society. It fuels the fear underlying discrimination; undermines consumer self-efficacy; and blocks rehabilitation, recovery, and social integration. The author hopes to create a passion for change and suggest a way that everyone can help stop stigma. This approach is simple: to nurture the artistic talent many clients possess and connect them with public venues for their artworks. On display, too, will be the "ability" in "disability." This will reduce stigma while building self-efficacy and empowerment. Anecdotal evidence supports this hypothesis. However, research is needed; a design for a study to test this hypothesis is described. Significantly, an antistigmal arts intervention can be conducted by any aware practitioner; one does not need to be an art therapist or have any background in art, only a desire to make a difference and resources on which to draw.
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- "The use of artwork from the Ingram Collection engaged participants and the public in a high quality aesthetic experience . Using resources in this way , to widen participation and foster community involvement , effectively changes attitudes and promotes social integration ( Lamb , 2009 ) . "
ABSTRACT: Background: The three year “Ways of Seeing” project was hosted by an award-winning museum and included adults with long-term diagnoses associated with mental health and physical impairments. The participants were involved throughout the project, preparing and curating artwork for a major public exhibition. Methods: Qualitative data were collected to explore meanings of the project from the perspective of participants, the project manager and the public, using interviews, participant observation and comment cards. Results: The project was successful in engaging the participants who had previously often felt excluded from mainstream art spaces. Findings about the benefits of arts participation echoed other studies but participants highlighted some difficulty with the ending of the project. Public perceptions were positive, acclaiming the thought-provoking quality of the exhibition. Interviews and participant observation revealed the importance of egalitarian leadership, mutual trust and the absence of any therapeutic agenda. Conclusion: Developing similar projects would offer opportunities to foster diverse artistic communities and empower people with experiences of disability and mental health conditions.Arts & Health 06/2015; 7(3):1-14. DOI:10.1080/17533015.2015.1046891
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- "It is increasingly apparent that arts-based therapies such as visual art, music, drama, poetry, horticulture, dance and storytelling can be important vehicles for patients to express their thoughts, emotions and ideas in symbolic fashion. It is the process of creation, not the product that remains the focus of such intervention (Lamb 2009). "
ABSTRACT: The cognitive losses in dementia and the excess disability associated with the label of dementia threaten personal identity and sense of self (Fontana and Smith 1989). Opportunities for communication are especially constrained for individuals with dementia who reside in assisted living or long-term care facilities (MacDonald, 2006). The construction, telling or writing, and sharing of stories serve to promote connections between the person living with dementia and others, thereby fostering personhood. This paper will explain the use of narrative arts in the promotion of personhood in dementia care. It addresses the use of narrative arts such as storytelling, life writing, memory boxes, and collaborative poetry, and provides case examples. The clinical implications of narrative arts for the care of persons with dementia as well as staff development needs are also discussed. We begin with a description of the Canadian context for research concerning older adults with dementia. [A] Aging, dementia, and caregiving in Canada Canada's population of older people is growing, increasing from 11% of the total population in 1987 to 13% in 2007. By 2056, it is anticipated that the number of people over the age of 65 years will further increase to 27% of the total population. It is forecasted that the population segment that will experience the most growth will be older people over the age of 80 years. This group is predicted to increase from 3% of the total population in 2007 to 10% by 2056 (Statistics Canada 2008). Given that age is considered to be the number one risk factor for Alzheimer's disease and related dementias (ADRD), the aging of Canada's population will have direct consequences on the number of people living with these illnesses. The incidence of ADRD in Canada was 103,700 new cases per year by 2008. The prevalence of ADRD in Canada was 480,600 people (1.5% of the total population) in 2008. This is expected to rise to 1,125,184 or 2.8% of Canada's total population by 2038 (ASC 2010). The economic costs associated with ADRD are considerable. It is estimated that the cumulative incidence of dementia will be more than 5.5 million people by 2038, with an associated economic cost of C$872 billion. While individuals with dementia in the early to moderate stages of the illness will most likely be cared for at home, most persons in the later stages of the illness will require some type of facility-based care. In 2008, 45% of Canadians with dementia over the age of 65 years were being cared for in long-term care homes. It is anticipated that the demand for long-term care beds will increase but there will most likely be a shortfall (ASC 2010).
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ABSTRACT: A companion paper (New and Wittey) describes a new Power Equipment Rack concept. The present paper describes the design of a SMPS for the new rack. The SMPS operates on 240V 50Hz s.p. A.C., producing a nominal 28A D.C. at a preset level between 52 and 58V D.C. The active element is a power transistor half-bridge switching the transformer primary winding at 20kHz between the centre tap of series connected capacitors across a D.C. link, using PWM for load-dependent regulation. The D.C. link is provided by a f.w. diode bridge across the line, feeding a small reservoir capacitor, topped up by a shunt-transistor (boost) converter giving line-dependent pre-regulation. The rectified transformer output (40kHz) after filtering for ripple and RFI may be used to provide an output of either polarity. A low power auxiliary inverter provides isolated supplies for the transistor base drives. The module is totally enclosed for better mechanical protection and freedom from RFI, and has a single full length `thermal wall' heat sink carrying insulated devices, which forms the mechanical `back bone' of the module. 95% of the drilling and tapping operations are carried out in this heat sink using a steel jig. Almost all interconnections are made using PCB tracks, leaving only a few wire links between PCB and devices. Overall efficiency is better than 90% at f.l.c. and the psophometric ripple is about 1mV. Line power factor is better than 0.97 and fold back current limit below 40V cuts the current back to 2.Telecommunications Energy Conference, 1982. INTELEC 1982. International; 11/1982
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