Managing Depression: Stories of Patients and Their Families Pursuing Mental Health after Psychiatric Hospitalization

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dc.contributor.authorThorne, Catherine B.en
dc.contributor.committeechairJohnson, Scott W.en
dc.contributor.committeememberSporakowski, Michael J.en
dc.contributor.committeememberBenson, Mark J.en
dc.contributor.committeememberPiercy, Fred P.en
dc.contributor.committeememberSeidel, Richard W.en
dc.contributor.departmentHuman Developmenten
dc.date.accessioned2011-08-22T19:08:28Zen
dc.date.adate2003-10-03en
dc.date.available2011-08-22T19:08:28Zen
dc.date.issued2002-04-02en
dc.date.rdate2004-10-03en
dc.date.sdate2003-09-26en
dc.description.abstractThis qualitative research study was designed to follow-up with ten participants in a relapse prevention program at an inpatient psychiatric unit with a diagnosis of major depression for the purpose of determining their experiences post-discharge in practicing relapse prevention and in pursuing and maintaining wellness in their mental health. It relied upon narrative theory, theories of self-efficacy, and theories of depression to guide the research process as well as the field of knowledge about rehospitalization, relapse prevention, depression, and self-efficacy. Participants described depression associated with loss, feeling helpless, powerless, overwhelmed and suicidal. They increased in their confidence of depression management as their depression got better and they actively managed it. During the interviews participants expressed themes of connection, with participants feeling disconnected from themselves and others, wanting to be listened to, but feeling unheard or hiding their own voice, a loss of self with healing occurring through use of self, learning cognitively and experientially to manage their depression using specific self-efficacy skills and identifying the things that interfered with depression management. A relational theory of depression management, based on attachment theory is proposed and several suggestions for research and treatment are made.en
dc.description.degreePh. D.en
dc.format.mediumETDen
dc.identifier.otheretd-09262003-124826en
dc.identifier.sourceurlhttp://scholar.lib.vt.edu/theses/available/etd-09262003-124826en
dc.identifier.urihttp://hdl.handle.net/10919/11264en
dc.publisherVirginia Techen
dc.relation.haspartDissertation.pdfen
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subjectSelf-efficacyen
dc.subjectselfen
dc.subjectattachment theoryen
dc.subjectconnectionen
dc.subjectknowingen
dc.subjectdepression managementen
dc.subjectinternal family systems theoryen
dc.titleManaging Depression: Stories of Patients and Their Families Pursuing Mental Health after Psychiatric Hospitalizationen
dc.typeDissertationen
thesis.degree.disciplineHuman Developmenten
thesis.degree.grantorVirginia Polytechnic Institute and State Universityen
thesis.degree.leveldoctoralen
thesis.degree.namePh. D.en

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