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İşlevsel İyileşme Bağlamında Mental Bozukluğa Sahip Hastalara Yönelik Anadolu’daki Geleneksel Uygulamalar: Nitel Çalışma

Yıl 2023, Sayı: Özel Sayı, 364 - 375, 27.10.2023
https://doi.org/10.17753/sosekev.1345388

Öz

Tarihten bu yana mental bozuklukların tedavisinde geleneksel yöntemler kullanılmıştır. Geleneksel yöntemler şekil değiştirse de temelindeki amaç ve uygulama şekli değişmemektedir. İyileşmeye olan etkisi de yine yöntemlerin tarihi kadar eski tartışma temeline sahiptir. Bu çalışmanın amacı; işlevsel iyileşme bağlamında mental bozukluğa sahip hastalara yönelik anadolu’daki geleneksel uygulamaların bireyler üzerindeki etkisini incelemektir. Çalışmada fenomolojik ve kalitatif araştırma yöntemi kullanılmıştır. Verilerin toplanması için 11 soruluk yarı yapılandırılmış soru formu kullanılmıştır. Soru formu, çalışma konusu ile ilgili uzman olan iki bilirkişiye danışılarak hazırlanmıştır. Soru formundaki sorular çalışmanın yapıldığı bölgeye ait kültüre uygun hazırlanmıştır. Katılımcılara açık uçlu sorular sorulmuştur. Çalışmayı tek araştırmacı yürütmüştür. Verilerin içeriğinin değerlendirilmesinde İçerik Analizi yöntemi kullanılmıştır. Bakım verenler genellikle geleneksel uygulamaların sonucu olarak; sosyal işlevsel iyileşme ve günlük hayattaki rol ve sorumluluklar için olumlu geri bildirimler verirken, özellikle ilaç uyumu ve iş/okul hayatı için olumsuz geri bildirimlerde bulunmaktadırlar. Çalışmada geleneksel yöntem olarak daha çok topluma katma, ev rutinine dahil etme, spiritüel içerikli yöntemler kullanılmıştır. Bireyler sosyal ve günlük hayatta kısmen iyileşme göstermiş olsalar da, geleneksel yöntemlerin ilaç kullanmanın önüne geçmesi bireyleri mesleki/okul yaşantılarından uzakta tutmuştur.

Kaynakça

  • Abbo, C., Okello, E. S., Musisi, S., Waako, P., & Ekblad, S. (2012). Naturalistic outcome of treatment of psychosis by traditional healers in Jinja and Iganga districts, Eastern Uganda–a 3-and 6 months follow up. International Journal of Mental Health Systems, 6(1), 1-11. https://doi.org/10.1186%2F1752-4458-6-13
  • Bartholomeusz, C. F., Allott, K., Killackey, E., Liu, P., Wood, S. J., & Thompson, A. (2013). Social cognition training as an intervention for improving functional outcome in first‐episode psychosis: A feasibility study. Early İntervention in Psychiatry, 7(4), 421-426. https://doi.org/10.1111/eip.12036
  • Black, J., & Green, A. (1992). Gods, Demons and Symbols of Ancient Mesopotamia. The British Museum.
  • Bornheimer, L. A. (2019). Suicidal ideation in first‐episode psychosis (FEP): Examination of symptoms of depression and psychosis among individuals in an early phase of treatment. Suicide and Life‐Threatening Behavior, 49(2), 423-431. https://doi.org/10.1111/sltb.12440
  • Borras, L., Mohr, S., Brandt, P. Y., Gilliéron, C., Eytan, A., & Huguelet, P. (2007). Religious beliefs in schizophrenia: Their relevance for adherence to treatment. Schizophrenia Bulletin, 33(5), 1238-1246. https://doi.org/10.1093/schbul/sbl070
  • Burns, J. K., & Tomita, A. (2015). Traditional and religious healers in the pathway to care for people with mental disorders in Africa: A systematic review and meta-analysis. Social Psychiatry and Psychiatric Epidemiology, 50(6), 867-877. https://doi.org/10.1007/s00127-014-0989-7
  • Corbin, J. M., & Strauss, A. (1990). Grounded theory research: Procedures, canons, and evaluative criteria. Qualitative Sociology, 13(1), 3-21.
  • Driessens, C. M. E. F. (2007). The impact of psychosis on vocational functioning. State University of New York at Stony Brook.
  • Eaton, W. W., Martins, S. S., Nestadt, G., Bienvenu, O. J., Clarke, D., & Alexandre, P. (2008). The burden of mental disorders. Epidemiologic Reviews, 30(1), 1-14. https://doi.org/10.1093/epirev/mxn011
  • Fernando, S. (2010). Mental health, race and culture. Bloomsbury.
  • Fisher, M., Newton, C., & Sainsbury, E. (2021). Mental health social work observed. Routledge.
  • Fylan, F. (2005). Semi-structured interviewing. In J. Miles & P. Gilbert (Eds.), A handbook of research methods for clinical and health psychology (pp.236-245). Oxford University.
  • Gençel, Ö. (2006). Müzikle tedavi. Kastamonu Eğitim Dergisi, 14(2), 697-706.
  • Gizzi, M. C., & Rädiker, S. (Ed.). (2021). Niteliksel veri analizi uygulaması: MAXQDA kullanarak araştırma örnekleri (pp.115-118). BoD–Talep Üzerine Kitaplar.
  • Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105-112. https://doi.org/10.1016/j.nedt.2003.10.001
  • Gureje, O., Nortje, G., Makanjuola, V., Oladeji, B. D., Seedat, S., & Jenkins, R. (2015). The role of global traditional and complementary systems of medicine in the treatment of mental health disorders. The Lancet Psychiatry, 2(2), 168-177. https://psycnet.apa.org/doi/10.1016/S2215-0366(15)00013-9
  • Hickie, I. B., Scott, J., & McGorry, P. D. (2013). Clinical staging for mental disorders: a new development in diagnostic practice in mental health. The Medical Journal of Australia, 198(9), 461-462. https://doi.org/10.5694/mja13.10431
  • Huguelet, P., Mohr, S., Gilliéron, C., Brandt, P. Y., & Borras, L. (2010). Religious explanatory models in patients with psychosis: A three-year follow-up study. Psychopathology, 43(4), 230-239. https://doi.org/10.1159/000313521
  • Kern, R. S., Glynn, S. M., Horan, W. P., & Marder, S. R. (2009). Psychosocial treatments to promote functional recovery in schizophrenia. Schizophrenia Bulletin, 35(2), 347-361. https://doi.org/10.1093/schbul/sbn177
  • Kohrt, B. A., Asher, L., Bhardwaj, A., Fazel, M., Jordans, M. J., Mutamba, B. B., ... & Patel, V. (2018). The role of communities in mental health care in low-and middle-income countries: a meta-review of components and competencies. International Journal of Environmental Research and Public Health, 15(6), 1279. https://doi.org/10.3390/ijerph15061279
  • Kuckartz, U., & Rädiker, S. (2019). Nitel verileri MAXQDA ile analiz etme (pp. 1-290). Springer.
  • Longden, E., Branitsky, A., Moskowitz, A., Berry, K., Bucci, S., & Varese, F. (2020). The relationship between dissociation and symptoms of psychosis: a meta-analysis. Schizophrenia Bulletin, 46(5), 1104-1113. https://doi.org/10.1093/schbul/sbaa037
  • Lyne, J., O'Donoghue, B., Roche, E., Renwick, L., Cannon, M., & Clarke, M. (2018). Negative symptoms of psychosis: a life course approach and implications for prevention and treatment. Early Intervention in Psychiatry, 12(4), 561-571. https://doi.org/10.1111/eip.12501
  • Mohr, S., Borras, L., Betrisey, C., Pierre-Yves, B., Gilliéron, C., & Huguelet, P. (2010). Delusions with religious content in patients with psychosis: how they interact with spiritual coping. Psychiatry: Interpersonal and Biological Processes, 73(2), 158-172. https://doi.org/10.1521/psyc.2010.73.2.158
  • Nortje, G., Oladeji, B., Gureje, O., & Seedat, S. (2016). Effectiveness of traditional healers in treating mental disorders: a systematic review. The Lancet Psychiatry, 3(2), 154-170. https://doi.org/10.1016/s2215-0366(15)00515-5
  • Pham, T. V., Koirala, R., Wainberg, M. L., & Kohrt, B. A. (2021). Reassessing the mental health treatment gap: what happens if we include the impact of traditional healing on mental illness?. Community Mental Health Journal, 57 (1), 777-791. https://doi.org/10.1007/s10597-020-00705-5
  • Rädiker, S. (2020). MAXQDA ile nitel görüşmelerin odaklanmış analizi. (pp.15-26). Adım adım.
  • Rose, P., Beeby, J. & Parker, D. (1995). Academic rigour in the lived experience of researchers using phenomenological methods in nursing. Journal of Advanced Nursing. 21(6), 1123-1129. https://doi.org/10.1046/j.1365- 2648.1995.21061123.x
  • Santesteban-Echarri, O., Paino, M., Rice, S., González-Blanch, C., McGorry, P., Gleeson, J., & Alvarez-Jimenez, M. (2017). Predictors of functional recovery in first-episode psychosis: a systematic review and meta-analysis of longitudinal studies. Clinical Psychology Review, 58, 59-75. https://doi.org/10.1016/j.cpr.2017.09.007
  • Siddiq, A. B. (2018). Socio-psychological effects of the beliefs on supernatural beings: Case studies from Southeast Anatolia. Artuklu İnsan ve Toplum Bilim Dergisi, 3(1), 10-19. https://doi.org/10.6084/m9.figshare.13159481
  • Slade, M., Amering, M., Farkas, M., Hamilton, B., O'Hagan, M., Panther, G., ... & Whitley, R. (2014). Uses and abuses of recovery: implementing recovery‐oriented practices in mental health systems. World Psychiatry, 13(1), 12-20. https://doi.org/10.1002/wps.20084
  • Sorketti, E. A., Zainal, N. Z., & Habil, M. H. (2013). The treatment outcome of psychotic disorders by traditional healers in central Sudan. International Journal of Social Psychiatry, 59(4), 365-376. https://doi.org/10.1177/0020764012437651
  • Ting, R. S., Mah, S., & Zhang, K. (2020). Chinese traditional religions and mental health. The psychology of world religions and spiritualities: An indigenous perspective, 4(6), 237-262. https://doi.org/10.1177/0020764012437651
  • Turner, D. T., McGlanaghy, E., Cuijpers, P., Van Der Gaag, M., Karyotaki, E., & MacBeth, A. (2018). A meta-analysis of social skills training and related interventions for psychosis. Schizophrenia Bulletin, 44(3), 475-491. https://doi.org/10.1093/schbul/sbx146
  • Ünal, A. (1988). The role of magic in the ancient Anatolian religions according to the cuneiform texts from Bogazköy-Hattusa. In: Mikasa, P. T. (ed.) Essays on Anatolian Studies in the Second Millennium B.C. Wiesbaden: Otto Harrassowitz (pp. 52-85). Puplish university.
  • Valencia, M., Juarez, F., & Ortega, H. (2012). Integrated treatment to achieve functional recovery for first-episode psychosis. Schizophrenia research and treatment. Isı.
  • Wittchen, H. U., Jacobi, F., Rehm, J., Gustavsson, A., Svensson, M., Jönsson, B., ... & Steinhausen, H. C. (2011). The size and burden of mental disorders and other disorders of the brain in Europe 2010. European Neuropsychopharmacology, 21(9), 655-679. https://doi.org/10.1016/j.euroneuro.2011.07.018
  • Yücel, H. (2016). Türk Islam Medenıyetınde Müzıkle Tedavı Yöntemlerının Uygulandıgı Sıfahaneler: Amasya Darüssıfası/Hospıtals Called Sıfahane In Whıch Curıng Methods Used In Turkısh Islam Cıvılatıon: Amasya Darüssıfa. Turan: Stratejik Arastirmalar Merkezi, 8(29), 53.

TRADITIONAL PRACTICES IN ANATOLIA FOR PATIENTS WITH MENTAL DISORDERS IN THE CONTEXT OF FUNCTIONAL HEALING: A QUALITATIVE STUDY

Yıl 2023, Sayı: Özel Sayı, 364 - 375, 27.10.2023
https://doi.org/10.17753/sosekev.1345388

Öz

Traditional methods have been used for the treatment of mental disorders throughout history. Although these traditional methods have changed in form, the underlying purpose and application methods have remained the same. The effect of these traditional methods on healing is as controversial as their long history. In the study, it was aimed to analyze the effect of the traditional methods used for treating patients with mental disorders on individuals in the context of functional healing. Phenomenological and qualitative research design was used in the study. 11-item semi-structured questionnaire form was used in order to collect the data. The questionnaire form was prepared by consulting with two experts who were specialists on the study subject. The questions in the questionnaire form were prepared in line with the culture of the region where the study was conducted. As for the type of questions, the participants were asked open-ended questions. The research was carried out by one researcher. In the analysis of the data, content analysis method was employed. While caregivers generally provided positive feedback for social functional healing and the roles and responsibilities in daily life as a result of traditional practices, they gave negative feedback for particularly drug compliance and work/school life. In the study, mostly social inclusion, involving in home routine, and spiritual methods were mostly used as traditional methods. Although individuals displayed partial healing in in social and daily life, the traditional methods preventing drug use kept individuals from their occupational/school lives.

Kaynakça

  • Abbo, C., Okello, E. S., Musisi, S., Waako, P., & Ekblad, S. (2012). Naturalistic outcome of treatment of psychosis by traditional healers in Jinja and Iganga districts, Eastern Uganda–a 3-and 6 months follow up. International Journal of Mental Health Systems, 6(1), 1-11. https://doi.org/10.1186%2F1752-4458-6-13
  • Bartholomeusz, C. F., Allott, K., Killackey, E., Liu, P., Wood, S. J., & Thompson, A. (2013). Social cognition training as an intervention for improving functional outcome in first‐episode psychosis: A feasibility study. Early İntervention in Psychiatry, 7(4), 421-426. https://doi.org/10.1111/eip.12036
  • Black, J., & Green, A. (1992). Gods, Demons and Symbols of Ancient Mesopotamia. The British Museum.
  • Bornheimer, L. A. (2019). Suicidal ideation in first‐episode psychosis (FEP): Examination of symptoms of depression and psychosis among individuals in an early phase of treatment. Suicide and Life‐Threatening Behavior, 49(2), 423-431. https://doi.org/10.1111/sltb.12440
  • Borras, L., Mohr, S., Brandt, P. Y., Gilliéron, C., Eytan, A., & Huguelet, P. (2007). Religious beliefs in schizophrenia: Their relevance for adherence to treatment. Schizophrenia Bulletin, 33(5), 1238-1246. https://doi.org/10.1093/schbul/sbl070
  • Burns, J. K., & Tomita, A. (2015). Traditional and religious healers in the pathway to care for people with mental disorders in Africa: A systematic review and meta-analysis. Social Psychiatry and Psychiatric Epidemiology, 50(6), 867-877. https://doi.org/10.1007/s00127-014-0989-7
  • Corbin, J. M., & Strauss, A. (1990). Grounded theory research: Procedures, canons, and evaluative criteria. Qualitative Sociology, 13(1), 3-21.
  • Driessens, C. M. E. F. (2007). The impact of psychosis on vocational functioning. State University of New York at Stony Brook.
  • Eaton, W. W., Martins, S. S., Nestadt, G., Bienvenu, O. J., Clarke, D., & Alexandre, P. (2008). The burden of mental disorders. Epidemiologic Reviews, 30(1), 1-14. https://doi.org/10.1093/epirev/mxn011
  • Fernando, S. (2010). Mental health, race and culture. Bloomsbury.
  • Fisher, M., Newton, C., & Sainsbury, E. (2021). Mental health social work observed. Routledge.
  • Fylan, F. (2005). Semi-structured interviewing. In J. Miles & P. Gilbert (Eds.), A handbook of research methods for clinical and health psychology (pp.236-245). Oxford University.
  • Gençel, Ö. (2006). Müzikle tedavi. Kastamonu Eğitim Dergisi, 14(2), 697-706.
  • Gizzi, M. C., & Rädiker, S. (Ed.). (2021). Niteliksel veri analizi uygulaması: MAXQDA kullanarak araştırma örnekleri (pp.115-118). BoD–Talep Üzerine Kitaplar.
  • Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105-112. https://doi.org/10.1016/j.nedt.2003.10.001
  • Gureje, O., Nortje, G., Makanjuola, V., Oladeji, B. D., Seedat, S., & Jenkins, R. (2015). The role of global traditional and complementary systems of medicine in the treatment of mental health disorders. The Lancet Psychiatry, 2(2), 168-177. https://psycnet.apa.org/doi/10.1016/S2215-0366(15)00013-9
  • Hickie, I. B., Scott, J., & McGorry, P. D. (2013). Clinical staging for mental disorders: a new development in diagnostic practice in mental health. The Medical Journal of Australia, 198(9), 461-462. https://doi.org/10.5694/mja13.10431
  • Huguelet, P., Mohr, S., Gilliéron, C., Brandt, P. Y., & Borras, L. (2010). Religious explanatory models in patients with psychosis: A three-year follow-up study. Psychopathology, 43(4), 230-239. https://doi.org/10.1159/000313521
  • Kern, R. S., Glynn, S. M., Horan, W. P., & Marder, S. R. (2009). Psychosocial treatments to promote functional recovery in schizophrenia. Schizophrenia Bulletin, 35(2), 347-361. https://doi.org/10.1093/schbul/sbn177
  • Kohrt, B. A., Asher, L., Bhardwaj, A., Fazel, M., Jordans, M. J., Mutamba, B. B., ... & Patel, V. (2018). The role of communities in mental health care in low-and middle-income countries: a meta-review of components and competencies. International Journal of Environmental Research and Public Health, 15(6), 1279. https://doi.org/10.3390/ijerph15061279
  • Kuckartz, U., & Rädiker, S. (2019). Nitel verileri MAXQDA ile analiz etme (pp. 1-290). Springer.
  • Longden, E., Branitsky, A., Moskowitz, A., Berry, K., Bucci, S., & Varese, F. (2020). The relationship between dissociation and symptoms of psychosis: a meta-analysis. Schizophrenia Bulletin, 46(5), 1104-1113. https://doi.org/10.1093/schbul/sbaa037
  • Lyne, J., O'Donoghue, B., Roche, E., Renwick, L., Cannon, M., & Clarke, M. (2018). Negative symptoms of psychosis: a life course approach and implications for prevention and treatment. Early Intervention in Psychiatry, 12(4), 561-571. https://doi.org/10.1111/eip.12501
  • Mohr, S., Borras, L., Betrisey, C., Pierre-Yves, B., Gilliéron, C., & Huguelet, P. (2010). Delusions with religious content in patients with psychosis: how they interact with spiritual coping. Psychiatry: Interpersonal and Biological Processes, 73(2), 158-172. https://doi.org/10.1521/psyc.2010.73.2.158
  • Nortje, G., Oladeji, B., Gureje, O., & Seedat, S. (2016). Effectiveness of traditional healers in treating mental disorders: a systematic review. The Lancet Psychiatry, 3(2), 154-170. https://doi.org/10.1016/s2215-0366(15)00515-5
  • Pham, T. V., Koirala, R., Wainberg, M. L., & Kohrt, B. A. (2021). Reassessing the mental health treatment gap: what happens if we include the impact of traditional healing on mental illness?. Community Mental Health Journal, 57 (1), 777-791. https://doi.org/10.1007/s10597-020-00705-5
  • Rädiker, S. (2020). MAXQDA ile nitel görüşmelerin odaklanmış analizi. (pp.15-26). Adım adım.
  • Rose, P., Beeby, J. & Parker, D. (1995). Academic rigour in the lived experience of researchers using phenomenological methods in nursing. Journal of Advanced Nursing. 21(6), 1123-1129. https://doi.org/10.1046/j.1365- 2648.1995.21061123.x
  • Santesteban-Echarri, O., Paino, M., Rice, S., González-Blanch, C., McGorry, P., Gleeson, J., & Alvarez-Jimenez, M. (2017). Predictors of functional recovery in first-episode psychosis: a systematic review and meta-analysis of longitudinal studies. Clinical Psychology Review, 58, 59-75. https://doi.org/10.1016/j.cpr.2017.09.007
  • Siddiq, A. B. (2018). Socio-psychological effects of the beliefs on supernatural beings: Case studies from Southeast Anatolia. Artuklu İnsan ve Toplum Bilim Dergisi, 3(1), 10-19. https://doi.org/10.6084/m9.figshare.13159481
  • Slade, M., Amering, M., Farkas, M., Hamilton, B., O'Hagan, M., Panther, G., ... & Whitley, R. (2014). Uses and abuses of recovery: implementing recovery‐oriented practices in mental health systems. World Psychiatry, 13(1), 12-20. https://doi.org/10.1002/wps.20084
  • Sorketti, E. A., Zainal, N. Z., & Habil, M. H. (2013). The treatment outcome of psychotic disorders by traditional healers in central Sudan. International Journal of Social Psychiatry, 59(4), 365-376. https://doi.org/10.1177/0020764012437651
  • Ting, R. S., Mah, S., & Zhang, K. (2020). Chinese traditional religions and mental health. The psychology of world religions and spiritualities: An indigenous perspective, 4(6), 237-262. https://doi.org/10.1177/0020764012437651
  • Turner, D. T., McGlanaghy, E., Cuijpers, P., Van Der Gaag, M., Karyotaki, E., & MacBeth, A. (2018). A meta-analysis of social skills training and related interventions for psychosis. Schizophrenia Bulletin, 44(3), 475-491. https://doi.org/10.1093/schbul/sbx146
  • Ünal, A. (1988). The role of magic in the ancient Anatolian religions according to the cuneiform texts from Bogazköy-Hattusa. In: Mikasa, P. T. (ed.) Essays on Anatolian Studies in the Second Millennium B.C. Wiesbaden: Otto Harrassowitz (pp. 52-85). Puplish university.
  • Valencia, M., Juarez, F., & Ortega, H. (2012). Integrated treatment to achieve functional recovery for first-episode psychosis. Schizophrenia research and treatment. Isı.
  • Wittchen, H. U., Jacobi, F., Rehm, J., Gustavsson, A., Svensson, M., Jönsson, B., ... & Steinhausen, H. C. (2011). The size and burden of mental disorders and other disorders of the brain in Europe 2010. European Neuropsychopharmacology, 21(9), 655-679. https://doi.org/10.1016/j.euroneuro.2011.07.018
  • Yücel, H. (2016). Türk Islam Medenıyetınde Müzıkle Tedavı Yöntemlerının Uygulandıgı Sıfahaneler: Amasya Darüssıfası/Hospıtals Called Sıfahane In Whıch Curıng Methods Used In Turkısh Islam Cıvılatıon: Amasya Darüssıfa. Turan: Stratejik Arastirmalar Merkezi, 8(29), 53.
Toplam 38 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Bilimleri Eğitimi ve Program Geliştirme: Tıp, Hemşirelik ve Sağlık Bilimleri
Bölüm Makaleler
Yazarlar

Pınar Harmancı 0000-0003-4193-0450

Yayımlanma Tarihi 27 Ekim 2023
Yayımlandığı Sayı Yıl 2023 Sayı: Özel Sayı

Kaynak Göster

APA Harmancı, P. (2023). TRADITIONAL PRACTICES IN ANATOLIA FOR PATIENTS WITH MENTAL DISORDERS IN THE CONTEXT OF FUNCTIONAL HEALING: A QUALITATIVE STUDY. EKEV Akademi Dergisi(Özel Sayı), 364-375. https://doi.org/10.17753/sosekev.1345388