Frontline staff in psychiatry need to perform at a very high professional level in order to ensure patient and community safety. At the same time they are exposed to high levels of stress and ...workplace trauma. This may have severe consequences for their professional quality of life. In addition, health care workers in general have higher incidence levels of childhood adversity than the general population. The CRITIC (CRITical Incidents and aggression in Caregivers) Study aims to improve increased understanding of the interaction between personal life history (childhood adversity and benevolence), individual capabilities, exposure to trauma and violence at work and Professional Quality of Life (ProQOL).
The Critic Study is a cross-sectional survey of these aspects in frontline, treatment and administrative staff in clinical and forensic psychiatry. We aim to include 360 participants. Participants will be asked to complete questionnaires on childhood adversity and childhood benevolence (assessing personal life history), professional quality of life, current trauma and violence exposure, current mental health (depression, anxiety and stress), coping, social support, work engagement and resilience. In this study we will examine the moderating role of adverse and benevolent childhood experiences in the association between workplace trauma exposure and professional quality of life. Finally, a theoretical model on the relationships between trauma, stress and coping in the context of professional functioning will be tested using structural equation modelling.
The CRITIC study examines which factors influence the complex relationship between childhood adversity and benevolence, and ProQOL in healthcare workers. It also aims to provide insight into the complex relationship between personal life history, individual characteristics, exposure to trauma and violence at work and ProQOL. The results can be used for designing interventions to increase resilience to trauma and to improve professional quality of life among health care professionals.
The CRITIC study has been approved by the Medical Ethical Committee of the Erasmus Medical Centre, under trial registration number NL73417.078.20.
One of the most critical complications of severe personality disorders is suicide. Earlier studies on patients with borderline personality disorder have reported rates from 8% to 10% of completed ...suicide. Some prospective investigations have also revealed antisocial personality disorder among predictors of future suicide attempts. On the other hand, there is substantial empirical evidence that severe personality disorders robustly predict suicidal behaviours among male and female offenders. In Romania, the literature on suicidal behaviours in prisons is relatively scarce. This study responds to a call to investigate factors that contribute to the prediction of lifetime suicide risk among persons imprisoned for criminal offences. Our aim was to test predictive models of current suicide risk and suicidal antecedents among imprisoned male offenders. A principal focus was on the role of severe personality disorders. Participants were 338 males incarcerated for a wide range of violent or non-violent offences (Mage = 34.41 years; SD = 8.95). Participants were interviewed individually using a protocol for demographic data, judicial status, vulnerabilities related to personal life history, and suicidal antecedents. The current suicide risk was captured with the Suicidal Behaviors Questionnaire- Revised. The psychiatric history and current diagnoses were collected from personal records. Raw data were analyzed using parametric and non-parametric comparative tests, multiple linear regression and binary logistic regression. At the time of data collection, eighty-two participants (24.3%) were diagnosed with at least one severe personality disorder. Antisocial personality disorder was prevalent (52.4%). Other diagnoses included: emotionally unstable personality disorder (17%), emotionally unstable personality disorder-impulsive type (13.4%), and borderline personality disorder (9.7%). Violent victimization during early socialization, disharmonic organization of personality in adolescence, personal history of self-harming behaviours, negative global perception of childhood and adolescence, and the presence of a severe personality disorder were predictors of suicidal antecedents. On the other hand, disharmonic organization of personality in adolescence, previous self-harming behaviours, and the diagnosis of severe personality disorder were the main predictors of current suicide risk. Furthermore, the likelihood of a future suicide attempt was higher among male inmates who had suicidal antecedents. The results suggest that severe personality disorders should be considered when developing self-destructive behaviours prevention programs in prisons.
Spejlets gåde Albinus, Lars
Dansk Teologisk Tidsskrift,
06/2011
Journal Article
Peer reviewed
Open access
In this article the point of departure for presenting a hermeneuticreading of Augustine’s Confessiones is taken in St. Paul 1 Cor. 13:12 where Paul speaks of our being earthly conditioned to see ...everything in a mirror as if in a riddle until we stand face to face with our creator. In a selective reading of Confessiones, I argue that the book is structured in a two layered manner in which the relationship between Augustine and his earthly parents is transposed to a relationship between these relatives, on the one hand, and their heavenly parents in God and his church, on the other. I further argue that Augustine’s individual life story in a similar vein gains its fulfilment in the creation and consummation of the world. Thus, in the concluding exegesis of the introducing verses of Genesis, in which God’s concreatio of time and matter mirrors human existence, Augustine unfolds the prospect of a totality only to be grasped face to face with the creator, that is, in the eschatological revelation of the love of God.
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