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These are all movies about doctors and hospitals and med students, etc. .. contend with their hopeless situation: too many patients and not enough beds. and becoming infatuated with a teenage girl who has a heart condition. . A dramatization of the relationship between heart surgery pioneers Alfred. 18 Terminal Romance Movies Ranked, From Me Before You to The Fault in Our Stars she plays a cancer patient who is granted three wishes by God (Whoopi Goldberg). She also falls in love with her doctor (Gael García Bernal) and expires That didn't work out, and neither did this teen weeper starring. Movie portrayals of physicians and the doctor - patient relationship .. For all these reasons and more, the teen pregnancy becomes a "sacred" medical.
Matchstick Men is an honest depiction of the rituals and behaviors of someone living with OCD. However, this well-crafted film tells the story of year-old Craig Keir Gilchrist who checks himself into a psychiatric ward because of his depression and suicidal ideation.
He ends up staying in the adult unit because the youth wing is under renovation. This Hollywood approach to a psychiatric unit may be more comical than any real-life scenario, but it helps normalize the fact that sometimes people need this level of care.
Silver Linings Playbook After a stay in a mental health hospital, Pat Solatano Bradley Cooper is forced to move back in with his parents. His previously untreated symptoms of bipolar disorder caused him to lose both his wife and job, and he is determined to get his wife back.
In his efforts, Pat meets Tiffany Jennifer Lawrencewho offers to help him in exchange for Pat being her ballroom dance partner. Silver Linings Playbook represents the range of emotion that often occurs with bipolar disorder in a real and riveting way. His friends bring joy to his life, but his inner turmoil reaches a high when they prepare to leave for college.
This coming-of-age movie does an exemplary job of showing the highs and lows of growing up with mental illness. Both characters express their depression in candid and humorous ways as they learn to accept each other and themselves.
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Infinitely Polar Bear Cam Mark Ruffaloa father with bipolar disorder, becomes the sole caregiver for his two daughters while his wife Zoe Saldana goes away to graduate school. Throughout the movie, Cam faces many challenges that make it difficult for him to take care of his daughters.
One study on TG youth identified key assets correlated with their resilience, including personal mastery, self-esteem, and perceived social support [ 13 ].
Providers were not mentioned as contributors to resilience for these TG youth. There is a paucity of literature from the perspective of providers who care for TG youth [ 1415 ].
In order to better characterize the complex interplay between personal attributes that promote resilience and environmental barriers, we conducted a qualitative study of TG youth providers.
Providers may offer unique insights into the lives of TG youth and how to best structure resources for this population. We obtained written consent from participants prior to the interviews. We used convenience and purposive sampling to recruit participants known in the Boston community for their professional work with TG youth.
Providers included clinical staff two psychiatrists, two behavioral health clinicians, one nurseresearchers one epidemiologist, one advocacy expertand trained community educators. Youth were defined as individuals between the ages of 13 and 21 per Institute of Medicine Based on an exhaustive literature search, we developed an interview guide consisting of 14 open-ended questions Appendix 1.
Providers were asked to sign an informed consent if they wished to participate; they were informed that they could withdraw consent at any time.
The interviewer had training in qualitative interviewing techniques. Three of the co-authors reviewed five transcripts to identify the main themes. Using inductive coding, we identified 13 themes that were then reduced to eight after testing the draft scheme on three transcripts. Once the major concepts were established, we completed detailed coding to identify sub-themes, connections between codes, and inclusion and exclusion criteria Appendix 2. We double-coded three transcripts to ensure coding agreement and address inter-rater reliability.
Using multiple coders is a standard and dynamic process commonly used in qualitative research to cross-check coding strategies and interpretation of data by the research team [ 17 ]. Differences in coding were resolved with team discussions, and we used Atlas. Results Interviews of providers who interact closely with TG youth highlight their unique health care needs and distinctive characteristics.
Five primary themes emerged: While the most frequently addressed themes included the lack of access to general services and the importance of social support, the most salient theme included the resilience displayed by TG youth.
Resilience of TG youth A prominent theme was the resilience of many TG youth despite the obstacles faced in their day-to-day lives. They have a goal.
They believe that there is something worth fighting for. One mental health provider fostered these connections by organizing a panel for TG youth and their families to hear from TG adults who had overcome adversity: Lack of access to services that influence health Mental health When we asked providers about the health care needs of TG youth, they reported that access to mental health services was especially challenging.
TG youth often experience mental distress and suicidal behavior due to a lack of acceptance. They also live in a society that is stigmatizing and discriminatory. This ought to put these kids at increased risk for mental health issues.
Safety, housing, and employment Participants emphasized the importance of housing, violence, and employment in the lives of TG youth.
For instance, one provider stated: You need a place to sleep and feel rested and healthy, to shower and feel safe. TG youth these days are so diverse, and they express themselves in different ways. Many insurance companies have clauses that do not cover TG related services such as hormones including GnRH agonists which can be extremely costly and sex-affirming surgery. Providers described that their patients often have to work multiple jobs including sex work to save enough money to pay for treatments out of pocket.
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They expressed disappointment with insurance companies who often do not understand how serious the need for medical services may be for some TG youth. The critical role of social support Another reoccurring theme was the crucial role of social support, including family, school, and the broader community in providing acceptance, protection from violence, and housing.
One provider illustrates this by stating: You need to have all those three things to create a sense of safety and empowerment. If you only have one and not the other two, everything goes awry. Many youth are rejected by their families after coming out as TG.
Sometimes you have to choose yourself and not have a family, which is heart-breaking. Their peers were just awful, and these were just little kids. Participants identified finishing school as a very important indicator of future success and job attainment, so they emphasized the importance of providing TG adolescents with support in completing their education. Participants also highlighted the importance of role models in the community for the development of TG youth. The community was described as vital in providing connections and networking.
Providers often commented on the importance of support groups: People could share ideas and connect. People access doctors through these networks. Navigating the complex medical system Navigating the health care system is a major barrier for TG youth under 18 who often depend on their parents for health insurance, transportation, and consent. An important component of this challenge is the lack of agency via-a-vis the healthcare system at a young age.
One provider powerfully describes this: I mean no one sits you down and teaches you how to do that…You acquire that knowledge as you grow older and based on the environment that you grew up in and based on your experiences.