Vibha Sharma | Ihbas - Academia.edu (original) (raw)
Papers by Vibha Sharma
Journal of Indian Association for Child and Adolescent Mental Health
The birth of a sibling is a major source of stress in the life of a child. Child's emotional and ... more The birth of a sibling is a major source of stress in the life of a child. Child's emotional and behavioural reaction to this event and effort to cope with ambivalent feeling depends on his/her interactions with parents before, and after the birth of a second child. This case report aims to highlight the importance of exploring and also considering family environment and interaction patterns among family members, in conceptualizing the problem and planning intervention in the case of a 5-year-old female child referred to neuropsychology OPD of IHBAS having an initial impression of generalized epilepsy with hallucinations. Clinical interview with parents and grandmother along with psychological assessment shed light that the child and parents had problem adjusting with the arrival of her baby sister and difficulty in adjusting with new roles of her parents, facilitating to conceive the case as Sibling rivalry disorder. The case report also highlights the use of not so commonly used intervention, i.e. Parent-child interaction therapy, with play therapy and parents' counseling. Intervention with the child was focused to achieve conflict resolution, emotional regulation including improving the quality of interaction with parents and grandmother. Child was followed up for 6 months. Effective parenting skills especially parent child interaction is an important factor in a child's mental health.
With the world being witness to one of the most calamitous virus, Covid-19, our ways of operating... more With the world being witness to one of the most calamitous virus, Covid-19, our ways of operating have undeniably been altered to a large extent. The rapid transmission rate is due the reason that it spreads through touch, causing millions of deaths globally. Along with its high infectivity and fatality rates, the Corona Virus Disease has caused universal psychosocial impact by causing mass hysteria, economic burden and financial losses along with having plenty of detrimental effects on the various groups in the society. The mental health of those locked due to the imposed restrictions and the professionals dedicatedly involved in the treatment of the virus has been severely impacted. Governments, worldwide have been actively involved in the policy making and implementation of measures to combat the virus. The pandemic has changed the face of the earth and has brought in the realization that unexpected times of crisis calls for a greater need for empathy and solidarity.
A child’s emotional and behavioral reactions are strongly determined by his interactions with his... more A child’s emotional and behavioral reactions are strongly determined by his interactions with his parents. This case report aims to highlight the impact of physical abuse and neglect by the mother on the behavioral and emotional reactions of a child, conceptualizing the case, and planning intervention in the case of a 9-year-old male child referred to Child Guidance Clinic of IHBAS for the purpose of Behavioral Management. Evaluation of the case revealed history of physical abuse and neglect by his mother which contributed to his negative attitude towards a mother figure as well as his behavioral and emotional difficulties. The case report focuses on the use of a therapeutic intervention named Parent-Child Interaction Therapy and parents counseling. Intervention with the child focused upon various areas such as unresolved negative emotions, negative attitude towards the mother figure, low self-esteem including improving the quality of interaction with parents and significant others....
interviews of epilepsy patients and 22 interviews of care givers of Dementia (Alzheimer Disease) ... more interviews of epilepsy patients and 22 interviews of care givers of Dementia (Alzheimer Disease) were conducted between August 2006 and July 2007 in neuropsychiatric hospital. The content analysis of these interviews is illuminated here in the paper. The cultural dimensions of epilepsy and dementia reveal social stigma, problems of marriage, school education and employment etc. in case of epilepsy as the main issues for the parents about it as disease, how do epilepsy patients being cared in home situations, who spend most of the caring time with the patients, family structure and composition are discussed; whereas in case of dementia the care givers discuss the strains in caring the dementia patients in the family. It recommends culturally appropirate interventions in such care and relevance of voluntary organizations in creating public awareness for such neuropsychiatric behavioral problems and they can act as the catalytic agents of mass awareness and change in rural areas of Nat...
Background: Alcohol abuse is reflected as a major public health concern in worldwide. It impaired... more Background: Alcohol abuse is reflected as a major public health concern in worldwide. It impaired many areas of life, including familial, vocational, psychological, legal, social, or physical aspects of life. Greater drug abuse has also been seen in those with high alexithymia, a condition that is strongly associated with low emotional intelligence. However, there is a dearth of Indian literature on the same. Methods: Cross-sectional hospital-based study; one hundred alcohol dependent patients, diagnosed by the Diagnostic and Statistical Manual of Mental Disorders, were selected by purposive sampling. One hundred normal controls were selected. General Health Questionnaire, an Indian adaptation of Emotional Intelligence Scale, and Toronto Alexithymia Scale were used for assessment. The statistical analysis of descriptive and inferential was carried out using the Statistical Product and Service Solutions (SPSS) 16.0. Results: Study revealed a significant difference in scores on the Em...
Indian Journal of Psychological Medicine
Background: In the Indian setting, several studies have documented that dissociative disorders (D... more Background: In the Indian setting, several studies have documented that dissociative disorders (DDs) are more common in females, and the most commonly elicited stressors are interpersonal. However, much of the research up to now has been quantitative. There is a notable paucity of qualitative studies exploring the subjective experiences of women with DD. Therefore, the present study sought to explore and gain an in-depth understanding of the lived experiences of women diagnosed with DD. Methods: Five women were recruited who were seeking psychological treatment for dissociative symptoms at a tertiary care neuropsychiatric institute in North India. In-depth interviews were conducted with each, and the transcripts were analyzed using the analytic method of interpretative phenomenological analysis. Results: Three superordinate themes that emerged were: patients’ illness perspectives, the salience of relationships, and dealing with relationship conflicts. Conclusions: Our findings highl...
Dementia and Geriatric Cognitive Disorders Extra
Background: As variability in the clinical profile of dementia subtypes had been reported with re... more Background: As variability in the clinical profile of dementia subtypes had been reported with regional differences across the world, we conducted a retrospective hospital-based study in a North Indian population. Methods: We retrieved patient records from 2007 to 2014 for details of clinical evaluation, diagnosis, neuroimaging, biochemical investigations, and follow-up of 1,876 patients with dementia (PwD), and the data were analyzed using descriptive statistics. Results: Of the total PwD, Alzheimer disease (AD) accounted for 30% followed by vascular dementia (VaD) 26%, mixed dementia (MD) 21%, Parkinson-related dementia 11%, frontotemporal dementia (FTD) 7%, and infective dementia 5%. Of all PwD excluding the infective group (n = 1,777), 63% were men, 39% were from rural areas, 87% had behavioral abnormalities along with cognitive deficits, and 73% had impaired ADLs. Among dementia subtypes, a positive family history, cardiovascular and metabolic risk factors, and behavioral abnor...
The International Journal of Indian Psychology, 2017
Working Memory provides a mental work place to support everyday cognitive activities that require... more Working Memory provides a mental work place to support everyday cognitive activities that require both processing and storage. It has been found to be associated with a range of cognitive functions. Recently, a strong link between working memory and learning has been reported. This finding can be implicated in learning disabilities. It is likely that limited working memory functioning of children with learning disabilities hampers their learning skills; possibly because of the crucial role played by working memory in learning process. The current paper reviews working memory functioning in subtypes of learning disabilities (Dyslexia, Dysgraphia and Dyscalculia) and provides a detailed account of pattern of deficit seen in working memory in the three subtypes of LD. Review of literature suggests that working memory functions differently in children with LD than normal achieving children. Children with LD often fail to learn because high working memory demand of the learning task ofte...
Advances in Anthropology, 2013
Paper reports nine Case Studies each of epilepsy and dementia patients. Content analysis of famil... more Paper reports nine Case Studies each of epilepsy and dementia patients. Content analysis of family and kinship care in their families reveals significant issues of social stigma, marriage, school education, employment etc. among epilepsy patients as main concern while care of dementia patients in family concerns to spouse caring. It explores stigma affecting socio-cultural understanding of epilepsy and dementia. How these patients are cared within their family. Who care them most? It illuminates relevance of family and kinship care givers and recommend culturally appropriate interventions in community of such neuropsychiatric diseases.
International Journal of Health, 2014
This paper explores the cultural domain wherein we try to locate the causes of missing girls with... more This paper explores the cultural domain wherein we try to locate the causes of missing girls with particular reference to Punjab, prevailing cultural constructions of the social structures wherein girls are born in outnumber as compared to boys but due to latter structures they continues to diminish since the ancient times. It captures on one side the state historical efforts to check it by means of the social legislation during the eighteenth and nineteenth centuries and during the pre and post independent times and links these efforts to the recent efforts of the government and further it illuminates how the advancement in medical technologies and medicines had been grossly (mis) used to determine the sex of the unborn child and finally reveal that how these technology has become the integral part of culture of Missing girls!
Indian Journal of Psychological Medicine
The paper strives to elucidate the complex yet intimate relation between spirituality and mental ... more The paper strives to elucidate the complex yet intimate relation between spirituality and mental health from contemporary perspectives. The diverse and constantly evolving views that spiritualists and mental health professionals have held toward each other over last century are ...
Indian Journal of Psychological Medicine
Background: In the Indian setting, several studies have documented that dissociative disorders (D... more Background: In the Indian setting, several studies have documented that dissociative disorders (DDs) are more common in females, and the most commonly elicited stressors are interpersonal. However, much of the research up to now has been quantitative. There is a notable paucity of qualitative studies exploring the subjective experiences of women with DD. Therefore, the present study sought to explore and gain an in-depth understanding of the lived experiences of women diagnosed with DD. Methods: Five women were recruited who were seeking psychological treatment for dissociative symptoms at a tertiary care neuropsychiatric institute in North India. In-depth interviews were conducted with each, and the transcripts were analyzed using the analytic method of interpretative phenomenological analysis. Results: Three superordinate themes that emerged were: patients’ illness perspectives, the salience of relationships, and dealing with relationship conflicts. Conclusions: Our findings highl...
The birth of a sibling is a major source of stress in the life of a child. Child's emotional and ... more The birth of a sibling is a major source of stress in the life of a child. Child's emotional and behavioural reaction to this event and effort to cope with ambivalent feeling depends on his/her interactions with parents before, and after the birth of a second child. This case report aims to highlight the importance of exploring and also considering family environment and interaction patterns among family members, in conceptualizing the problem and planning intervention in the case of a 5-year-old female child referred to neuropsychology OPD of IHBAS having an initial impression of generalized epilepsy with hallucinations. Clinical interview with parents and grandmother along with psychological assessment shed light that the child and parents had problem adjusting with the arrival of her baby sister and difficulty in adjusting with new roles of her parents, facilitating to conceive the case as Sibling rivalry disorder. The case report also highlights the use of not so commonly used intervention, i.e. Parent-child interaction therapy, with play therapy and parents' counseling. Intervention with the child was focused to achieve conflict resolution, emotional regulation including improving the quality of interaction with parents and grandmother. Child was followed up for 6 months. Effective parenting skills especially parent child interaction is an important factor in a child's mental health. 141
Journal of Indian Association for Child and Adolescent Mental Health
The birth of a sibling is a major source of stress in the life of a child. Child's emotional and ... more The birth of a sibling is a major source of stress in the life of a child. Child's emotional and behavioural reaction to this event and effort to cope with ambivalent feeling depends on his/her interactions with parents before, and after the birth of a second child. This case report aims to highlight the importance of exploring and also considering family environment and interaction patterns among family members, in conceptualizing the problem and planning intervention in the case of a 5-year-old female child referred to neuropsychology OPD of IHBAS having an initial impression of generalized epilepsy with hallucinations. Clinical interview with parents and grandmother along with psychological assessment shed light that the child and parents had problem adjusting with the arrival of her baby sister and difficulty in adjusting with new roles of her parents, facilitating to conceive the case as Sibling rivalry disorder. The case report also highlights the use of not so commonly used intervention, i.e. Parent-child interaction therapy, with play therapy and parents' counseling. Intervention with the child was focused to achieve conflict resolution, emotional regulation including improving the quality of interaction with parents and grandmother. Child was followed up for 6 months. Effective parenting skills especially parent child interaction is an important factor in a child's mental health.
With the world being witness to one of the most calamitous virus, Covid-19, our ways of operating... more With the world being witness to one of the most calamitous virus, Covid-19, our ways of operating have undeniably been altered to a large extent. The rapid transmission rate is due the reason that it spreads through touch, causing millions of deaths globally. Along with its high infectivity and fatality rates, the Corona Virus Disease has caused universal psychosocial impact by causing mass hysteria, economic burden and financial losses along with having plenty of detrimental effects on the various groups in the society. The mental health of those locked due to the imposed restrictions and the professionals dedicatedly involved in the treatment of the virus has been severely impacted. Governments, worldwide have been actively involved in the policy making and implementation of measures to combat the virus. The pandemic has changed the face of the earth and has brought in the realization that unexpected times of crisis calls for a greater need for empathy and solidarity.
A child’s emotional and behavioral reactions are strongly determined by his interactions with his... more A child’s emotional and behavioral reactions are strongly determined by his interactions with his parents. This case report aims to highlight the impact of physical abuse and neglect by the mother on the behavioral and emotional reactions of a child, conceptualizing the case, and planning intervention in the case of a 9-year-old male child referred to Child Guidance Clinic of IHBAS for the purpose of Behavioral Management. Evaluation of the case revealed history of physical abuse and neglect by his mother which contributed to his negative attitude towards a mother figure as well as his behavioral and emotional difficulties. The case report focuses on the use of a therapeutic intervention named Parent-Child Interaction Therapy and parents counseling. Intervention with the child focused upon various areas such as unresolved negative emotions, negative attitude towards the mother figure, low self-esteem including improving the quality of interaction with parents and significant others....
interviews of epilepsy patients and 22 interviews of care givers of Dementia (Alzheimer Disease) ... more interviews of epilepsy patients and 22 interviews of care givers of Dementia (Alzheimer Disease) were conducted between August 2006 and July 2007 in neuropsychiatric hospital. The content analysis of these interviews is illuminated here in the paper. The cultural dimensions of epilepsy and dementia reveal social stigma, problems of marriage, school education and employment etc. in case of epilepsy as the main issues for the parents about it as disease, how do epilepsy patients being cared in home situations, who spend most of the caring time with the patients, family structure and composition are discussed; whereas in case of dementia the care givers discuss the strains in caring the dementia patients in the family. It recommends culturally appropirate interventions in such care and relevance of voluntary organizations in creating public awareness for such neuropsychiatric behavioral problems and they can act as the catalytic agents of mass awareness and change in rural areas of Nat...
Background: Alcohol abuse is reflected as a major public health concern in worldwide. It impaired... more Background: Alcohol abuse is reflected as a major public health concern in worldwide. It impaired many areas of life, including familial, vocational, psychological, legal, social, or physical aspects of life. Greater drug abuse has also been seen in those with high alexithymia, a condition that is strongly associated with low emotional intelligence. However, there is a dearth of Indian literature on the same. Methods: Cross-sectional hospital-based study; one hundred alcohol dependent patients, diagnosed by the Diagnostic and Statistical Manual of Mental Disorders, were selected by purposive sampling. One hundred normal controls were selected. General Health Questionnaire, an Indian adaptation of Emotional Intelligence Scale, and Toronto Alexithymia Scale were used for assessment. The statistical analysis of descriptive and inferential was carried out using the Statistical Product and Service Solutions (SPSS) 16.0. Results: Study revealed a significant difference in scores on the Em...
Indian Journal of Psychological Medicine
Background: In the Indian setting, several studies have documented that dissociative disorders (D... more Background: In the Indian setting, several studies have documented that dissociative disorders (DDs) are more common in females, and the most commonly elicited stressors are interpersonal. However, much of the research up to now has been quantitative. There is a notable paucity of qualitative studies exploring the subjective experiences of women with DD. Therefore, the present study sought to explore and gain an in-depth understanding of the lived experiences of women diagnosed with DD. Methods: Five women were recruited who were seeking psychological treatment for dissociative symptoms at a tertiary care neuropsychiatric institute in North India. In-depth interviews were conducted with each, and the transcripts were analyzed using the analytic method of interpretative phenomenological analysis. Results: Three superordinate themes that emerged were: patients’ illness perspectives, the salience of relationships, and dealing with relationship conflicts. Conclusions: Our findings highl...
Dementia and Geriatric Cognitive Disorders Extra
Background: As variability in the clinical profile of dementia subtypes had been reported with re... more Background: As variability in the clinical profile of dementia subtypes had been reported with regional differences across the world, we conducted a retrospective hospital-based study in a North Indian population. Methods: We retrieved patient records from 2007 to 2014 for details of clinical evaluation, diagnosis, neuroimaging, biochemical investigations, and follow-up of 1,876 patients with dementia (PwD), and the data were analyzed using descriptive statistics. Results: Of the total PwD, Alzheimer disease (AD) accounted for 30% followed by vascular dementia (VaD) 26%, mixed dementia (MD) 21%, Parkinson-related dementia 11%, frontotemporal dementia (FTD) 7%, and infective dementia 5%. Of all PwD excluding the infective group (n = 1,777), 63% were men, 39% were from rural areas, 87% had behavioral abnormalities along with cognitive deficits, and 73% had impaired ADLs. Among dementia subtypes, a positive family history, cardiovascular and metabolic risk factors, and behavioral abnor...
The International Journal of Indian Psychology, 2017
Working Memory provides a mental work place to support everyday cognitive activities that require... more Working Memory provides a mental work place to support everyday cognitive activities that require both processing and storage. It has been found to be associated with a range of cognitive functions. Recently, a strong link between working memory and learning has been reported. This finding can be implicated in learning disabilities. It is likely that limited working memory functioning of children with learning disabilities hampers their learning skills; possibly because of the crucial role played by working memory in learning process. The current paper reviews working memory functioning in subtypes of learning disabilities (Dyslexia, Dysgraphia and Dyscalculia) and provides a detailed account of pattern of deficit seen in working memory in the three subtypes of LD. Review of literature suggests that working memory functions differently in children with LD than normal achieving children. Children with LD often fail to learn because high working memory demand of the learning task ofte...
Advances in Anthropology, 2013
Paper reports nine Case Studies each of epilepsy and dementia patients. Content analysis of famil... more Paper reports nine Case Studies each of epilepsy and dementia patients. Content analysis of family and kinship care in their families reveals significant issues of social stigma, marriage, school education, employment etc. among epilepsy patients as main concern while care of dementia patients in family concerns to spouse caring. It explores stigma affecting socio-cultural understanding of epilepsy and dementia. How these patients are cared within their family. Who care them most? It illuminates relevance of family and kinship care givers and recommend culturally appropriate interventions in community of such neuropsychiatric diseases.
International Journal of Health, 2014
This paper explores the cultural domain wherein we try to locate the causes of missing girls with... more This paper explores the cultural domain wherein we try to locate the causes of missing girls with particular reference to Punjab, prevailing cultural constructions of the social structures wherein girls are born in outnumber as compared to boys but due to latter structures they continues to diminish since the ancient times. It captures on one side the state historical efforts to check it by means of the social legislation during the eighteenth and nineteenth centuries and during the pre and post independent times and links these efforts to the recent efforts of the government and further it illuminates how the advancement in medical technologies and medicines had been grossly (mis) used to determine the sex of the unborn child and finally reveal that how these technology has become the integral part of culture of Missing girls!
Indian Journal of Psychological Medicine
The paper strives to elucidate the complex yet intimate relation between spirituality and mental ... more The paper strives to elucidate the complex yet intimate relation between spirituality and mental health from contemporary perspectives. The diverse and constantly evolving views that spiritualists and mental health professionals have held toward each other over last century are ...
Indian Journal of Psychological Medicine
Background: In the Indian setting, several studies have documented that dissociative disorders (D... more Background: In the Indian setting, several studies have documented that dissociative disorders (DDs) are more common in females, and the most commonly elicited stressors are interpersonal. However, much of the research up to now has been quantitative. There is a notable paucity of qualitative studies exploring the subjective experiences of women with DD. Therefore, the present study sought to explore and gain an in-depth understanding of the lived experiences of women diagnosed with DD. Methods: Five women were recruited who were seeking psychological treatment for dissociative symptoms at a tertiary care neuropsychiatric institute in North India. In-depth interviews were conducted with each, and the transcripts were analyzed using the analytic method of interpretative phenomenological analysis. Results: Three superordinate themes that emerged were: patients’ illness perspectives, the salience of relationships, and dealing with relationship conflicts. Conclusions: Our findings highl...
The birth of a sibling is a major source of stress in the life of a child. Child's emotional and ... more The birth of a sibling is a major source of stress in the life of a child. Child's emotional and behavioural reaction to this event and effort to cope with ambivalent feeling depends on his/her interactions with parents before, and after the birth of a second child. This case report aims to highlight the importance of exploring and also considering family environment and interaction patterns among family members, in conceptualizing the problem and planning intervention in the case of a 5-year-old female child referred to neuropsychology OPD of IHBAS having an initial impression of generalized epilepsy with hallucinations. Clinical interview with parents and grandmother along with psychological assessment shed light that the child and parents had problem adjusting with the arrival of her baby sister and difficulty in adjusting with new roles of her parents, facilitating to conceive the case as Sibling rivalry disorder. The case report also highlights the use of not so commonly used intervention, i.e. Parent-child interaction therapy, with play therapy and parents' counseling. Intervention with the child was focused to achieve conflict resolution, emotional regulation including improving the quality of interaction with parents and grandmother. Child was followed up for 6 months. Effective parenting skills especially parent child interaction is an important factor in a child's mental health. 141