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Personal relationships: their role in shaping both cause and cure of mental health disorders Stefan...
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![Page 1: Personal relationships: their role in shaping both cause and cure of mental health disorders Stefan Priebe Queen Mary University of London.](https://reader036.fdocuments.in/reader036/viewer/2022083005/56649f275503460f94c3ec51/html5/thumbnails/1.jpg)
Personal relationships: their role in shaping both cause
and cure of mental health disorders
Stefan PriebeQueen Mary University of London
![Page 2: Personal relationships: their role in shaping both cause and cure of mental health disorders Stefan Priebe Queen Mary University of London.](https://reader036.fdocuments.in/reader036/viewer/2022083005/56649f275503460f94c3ec51/html5/thumbnails/2.jpg)
Main factors associated with mental disorders
1. Adverse childhood conditions2. Poverty3. War experience and torture4. Social isolation5. Social inequality
![Page 3: Personal relationships: their role in shaping both cause and cure of mental health disorders Stefan Priebe Queen Mary University of London.](https://reader036.fdocuments.in/reader036/viewer/2022083005/56649f275503460f94c3ec51/html5/thumbnails/3.jpg)
Prevention
• Safe and supportive upbringing conditions• No social isolation• Strong and weak ties
![Page 4: Personal relationships: their role in shaping both cause and cure of mental health disorders Stefan Priebe Queen Mary University of London.](https://reader036.fdocuments.in/reader036/viewer/2022083005/56649f275503460f94c3ec51/html5/thumbnails/4.jpg)
Mental disorders as social phenomena
• Defined in social interactions• Occurring in interactions• Related to interactions
• Diagnosed in interactions• Treated in interactions
![Page 5: Personal relationships: their role in shaping both cause and cure of mental health disorders Stefan Priebe Queen Mary University of London.](https://reader036.fdocuments.in/reader036/viewer/2022083005/56649f275503460f94c3ec51/html5/thumbnails/5.jpg)
Evidence for the benefits of
• Various direct social support• Larger social networks• More supportive relationships in networks• Family interventions
![Page 6: Personal relationships: their role in shaping both cause and cure of mental health disorders Stefan Priebe Queen Mary University of London.](https://reader036.fdocuments.in/reader036/viewer/2022083005/56649f275503460f94c3ec51/html5/thumbnails/6.jpg)
Therapeutic relationship
• Defining element of health care• In patient surveys consistently reported as
the most important component of care• Predictor of adherence and outcomes• Along with expectations, most important
non-specific factor for outcomes
![Page 7: Personal relationships: their role in shaping both cause and cure of mental health disorders Stefan Priebe Queen Mary University of London.](https://reader036.fdocuments.in/reader036/viewer/2022083005/56649f275503460f94c3ec51/html5/thumbnails/7.jpg)
Deficit or resource?
• Medical treatment focuses on deficit or dysfunction
• There is also some tradition of treatment utilising resources
• Independent of diagnostic categories
![Page 8: Personal relationships: their role in shaping both cause and cure of mental health disorders Stefan Priebe Queen Mary University of London.](https://reader036.fdocuments.in/reader036/viewer/2022083005/56649f275503460f94c3ec51/html5/thumbnails/8.jpg)
Resource oriented models
• Befriending• Client centered therapy• Creative music therapy• Open dialogue• Peer support workers• Positive psychotherapy
• Self help groups• Solution focused
therapy• Systemic family therapy• Therapeutic
communities
Priebe et al., Br J Psychiatr, 2014
![Page 9: Personal relationships: their role in shaping both cause and cure of mental health disorders Stefan Priebe Queen Mary University of London.](https://reader036.fdocuments.in/reader036/viewer/2022083005/56649f275503460f94c3ec51/html5/thumbnails/9.jpg)
Resource-oriented themes Social
relationships
Decision-making ability
Knowledge
Individual strengths
Recreational activities
Self-actualising
Befriending Client-centred therapy Creative music therapy Open dialogue Peer support workers Positive psychotherapy Self-help groups Solution-focused therapy
Systemic family therapy
Therapeutic communities
![Page 10: Personal relationships: their role in shaping both cause and cure of mental health disorders Stefan Priebe Queen Mary University of London.](https://reader036.fdocuments.in/reader036/viewer/2022083005/56649f275503460f94c3ec51/html5/thumbnails/10.jpg)
Types of social relationships Professionals Peers Friends Family
Befriending
Client-centred therapy Creative music therapy Open dialogue
Peer support workers Positive psychotherapy Self-help groups Solution-focused therapy Systemic family therapy Therapeutic communities
![Page 11: Personal relationships: their role in shaping both cause and cure of mental health disorders Stefan Priebe Queen Mary University of London.](https://reader036.fdocuments.in/reader036/viewer/2022083005/56649f275503460f94c3ec51/html5/thumbnails/11.jpg)
Personal relationships
• Are part of quality of life• Are influenced by and influence experience
and skills• Contribute to mental health• Are crucial to overcoming distress• Are facilitated by context factors