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Sensitization of General Public for Emotional and Psycho-social Adjustment of PWDs By Professor Dr. Muhammad Mahmood Hussain Awan Dean Faculty of Education AL-KHAIR UNIVERSITY
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Sensitization of General Public Emotional and Psycho-social Adjustment of PWDs Characteristics of People who are Emotionally & Socially Healthy Types of adjustment problems Common emotional reactions to disability Adjusting Strategies Contents
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To increase recognition and awareness of the role General Public & Carers play in providing daily care and support to people with disability. Sensitization of General Public
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Relates to emotional & psychological development in, and interaction with, a social environment. Psycho: refers to the mind and soul of a person. This involves internal aspects such as feelings, thoughts, beliefs, attitudes, and values. Social : refers to a person’s external relationships and environment. This includes interactions with others, social attitudes, and values (culture) and social influences of family, peers, school, and community. Psychosocial support: addresses the ongoing emotional, social, and spiritual concerns and needs of people living with disability, their partners, and their caregivers. Emotional and Psycho-social Adjustment of PWDs
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5 Characteristics of People who are Emotionally & Socially Healthy A sense of satisfaction & pleasure for respecting norms. A zest for living and the ability to laugh and have fun. The ability to deal with stress and bounce back from adversity. A sense of meaning and purpose, in both their activities and their relationships. The flexibility to learn new things and adapt to change. A balance between work and play, rest and activity, etc. The ability to build and maintain fulfilling relationships. Self-confidence and high self-esteem.
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6 Types of adjustment problems Physical – being unable to cope with functional aspects of disability, loss of control of basic physical functions, pain, health changes Social – difficulty with losing activities that give sense of pleasure & identity & achievement, finding new ones & coping with changed relationships with family, friends & sexual partners, loneliness & isolation Occupational – difficulty revising educational & career plans or finding new job Emotional – high levels of denial, anxiety, grief, depression, aggression against staff Motivational – failure to comply with therapist- & self-management, loss of initiative Self-concept – inability to accept changed body image, self-esteem, levels of competence Existential/spiritual – Without sense of meaning & purpose disability can be an unbearable burden. When usual sources threatened or diminished “Why go on?” questions arise
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7 Common emotional reactions to disability Confusion, denial & disbelief Anxiety, fear of losing control Panic Inadequacy & humiliation Anger & frustration, resentment Sadness & crying Guilt Helplessness, hopelessness & despair Disorganisation Fatigue & lethargy Loss of interests Withdrawal Loneliness, isolation & abandonment
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8 Adjusting Strategies The Person, well – handled, nurtured, and loved, develops trust and security and a basic optimism. Give correct information about their disability, its prognosis & treatment. Can prevent or reduce significant anxiety, give direction & hope Distancing – try to detach from stress Positive focus – try to see the positives in their situation/find meaning e.g. personal growth Seek out social support – have skills, access & receive encouragement to do so, connecting with family, friends, organisations can result in people living longer, adjusting more positively, improving health habits & use health services appropriately Problem-solving focus on aspects of illness amenable to change.....but use emotion-focused coping techniques (e.g. calming strategies) for aspects that can’t be controlled Use flexible coping strategies – “try to change the things I can & accept the things I can’t”
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9 Adjusting Strategies Open to ‘self-management’ view of illness that complements efforts of doctors, therapists, & carers Determine appropriate setting of care Involve family & friends where possible Regular observation of the person is important Active listening by staff Encourage expression of feelings & active coping Help with maintenance of health Encourage person to talk Social support Psychiatric consultation if necessary Ensure immediate safety
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Role Modeling Dissemination of success stories Arranging seminars, symposium, workshops Promoting volunteer and Counseling services Making part of content or curriculum/Public education Religious & literary competitions Recreational events and leisure time activities Formation of positive image of PWDs Promoting accessible physical environment Creating a system of social support in the employment of people with disabilities Improving coordination and trust. Joint Ventures for employment Advocacy through Media Strategies for Sensitizing of Public Participation
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