Journal of Psychosocial Nursing and Mental Health Services

Includes bibliographical references.

Editorial -- Letter to editor -- Commentary -- Case Study Application for Psychopharmacology With Borderline Personality Disorder -- Aripiprazole-Induced Neutropenia: Case Report and Literature Review -- Women With Dissociative Identity Disorder Who Experience Intimate Partner Violence -- Factor Structure of the Eating Disorder Examination-Questionnaire in a Clinical Sample of Adult Women With Anorexia Nervosa -- Using Recovery-Oriented Principles to Improve Consumer Empowerment in a State Psychiatric Hospital -- Destigmatizing Mental Illness: An Innovative Evidence-Based Undergraduate Curriculum.

[Article Title: Case Study Application for Psychopharmacology With Borderline Personality Disorder / Barbara J. Limandri, p. 16-19] Abstract: Using an evolving case study, the current article demonstrates the principles of working with a client who has borderline personality disorder in relation to medications. The case study poses questions for the reader to consider and answers at the end of the article. ;[Article Title: Aripiprazole-Induced Neutropenia: Case Report and Literature Review / Tricia Felin, Sadiq Naveed and Amna M. Chaudhary, p. 21-24] Abstract: Aripiprazole is a third-generation atypical antipsychotic medication, which is widely used for various psychiatric disorders across the lifespan. Aripiprazole can cause side effects including headache, insomnia, agitation, nervousness, lightheadedness, dizziness, somnolence, akathisia, and weight gain. Neutropenia is a less frequent side effect of aripiprazole. The current article reviews a case of a 10-year-old African American boy who developed neutropenia with aripiprazole. It is important for clinicians to be aware of this rare side effect.;[Article Title: Women With Dissociative Identity Disorder Who Experience Intimate Partner Violence / Briana L. Snyder, p. 26-32] Abstract: Women with dissociative identity disorder (DID) are significantly more likely than other women to experience intimate partner violence (IPV). The purpose of this qualitative investigation was to explicate the experiences of women with DID who experience IPV and describe how they cope. Grounded theory was used to conduct this investigation. Purposive sampling was used to recruit participants (N = 5) for face-to-face, semi-structured interviews. Verbatim transcripts were coded and categorized, and reflective memos were developed to explicate substantive categories. Women with DID used coping strategies that were consistent with their diagnoses, such as switching and dissociating. These coping mechanisms reflect past self-preservation strategies that were developed in association with severe childhood maltreatment. Women with DID who experienced IPV sought to mitigate and safeguard themselves from danger using strategies they developed as maltreated children. Nurses can use these findings to better recognize and understand the motivations and behaviors of women with DID who experience IPV.;[Article Title: Factor Structure of the Eating Disorder Examination-Questionnaire in a Clinical Sample of Adult Women With Anorexia Nervosa / Kathryn E. Phillips, Karen M. Jennings and Matthew Gregas, p. 33-39] Abstract: An exploratory factor analysis on the Eating Disorder Examination-Questionnaire (EDE-Q) is presented for a clinical sample of women with anorexia nervosa. THE EDE-Q was completed by 169 participants after admission to an inpatient unit for eating disorders. Results of the current study did not support the four-factor model presented by the EDE-Q. A new four-factor solution was obtained with two factors showing similarity to the Restraint and Eating Concern subscales of the original model. The Shape and Weight Concern items primarily loaded together on one factor, along with preoccupation with food and fear of losing control over eating, two Eating Concern items. Finally, an appearance factor was obtained that supports the results of prior research.;[Article Title: Using Recovery-Oriented Principles to Improve Consumer Empowerment in a State Psychiatric Hospital / Tom Bartholomew, Loren Gildar, Gwen Carrick, Angela Saafigueroa and Ruth Cook, p. 40-45] Abstract: The culture of state psychiatric hospitals may make it difficult to implement recovery-oriented principles such as empowerment. The current study describes efforts of one hospital to empower consumers of psychiatric hospital services using focus groups, surveys, and a workgroup to address the issue of low program attendance. The study determined the importance of identifying consumer goals, informing consumers about options for therapeutic group programming, and matching consumer goals to treatment. Identifying these items led to development of a consumer catalog designed to allow consumers of psychiatric hospital services to choose programs that aligned with their goals while also meeting staff needs to address problem areas on a treatment plan. Limitations to the current approach and direction for future research are discussed. ;[Article Title: Destigmatizing Mental Illness: An Innovative Evidence-Based Undergraduate Curriculum / Stacey M. Carroll, p. 50-55] Abstract: Stigma toward individuals with mental illness is prevalent, not only in society but also among nurses caring for this population. Such stigma contributes to health disparities, discrimination, and a lack of providers working with those who experience mental illness. An evidence-based anti-stigma curriculum innovation in a mental health nursing course in an undergraduate program is described. The curriculum change, undertaken over 2 years, included two elements: (a) contact-based education, and (b) reflective activities. For the contact-based education element, volunteers with varying mental illnesses modeling a recovery focus spoke with students and reinforced the content of that day's lecture. For the reflective element, students engaged in reflective activities regarding stigma, personal biases, and changed perceptions at three points: before, during, and after the contact-based education series. Implications related to nursing and nursing education are presented.