Читать книгу Counseling Practice During Phases of a Pandemic Virus - Mark A. Stebnicki - Страница 66

At Level 3, the person functions in the moderate range of mental, behavioral, and psychosocial health. The individual has very little recognition of and respect for the seriousness, lethality, and consequences of a pandemic virus. They are sometimes noncompliant with virus hygiene protocols such as wearing masks, washing hands, and keeping a safe social distance. They also do not endorse the use of vaccines. Individuals at Level 3 experience and exhibit moderate fear and anxiety in response to a pandemic disaster. However, this is directed solely toward their changing environment, which they only moderately understand, recognize, or feel they have control over. Individuals at Level 3 may or may not be triggered by specific events (e.g., media reporting of positive COVID-19 cases, COVID-related illnesses and deaths, school and workplace closures). They have a moderate lack of awareness of a pandemic disaster and how it could potentially adversely impact their present life. Clinically significant psychological/emotional symptoms and conditions are in the moderate range, and the person has chronic and persistent traits that create the exacerbation and remission of a mental health crisis on an occasional basis. The individual exhibits very few stress-hardy behaviors. The ability to bounce back from adversity is moderately impaired because of inadequate coping and resiliency skills. Individuals at Level 3 only somewhat endorse public health principles, practices, guidelines, and government mandates associated with a pandemic disaster. They view virus hygiene and adherence to public health guidelines in relation to the environment in which they live but generally view them as nonessential protection for themselves and others. Thus, persons at Level 3 take moderate virus hygiene risks in comparison to persons at Level 2. Individuals at Level 3 struggle with balance, adaptation, and adjustment in relation to their changing pandemic environment. They have little capacity to respond to the grief, loss, and extraordinary stressful and/or traumatic events associated with a pandemic virus because they are internally focused on their moderately unhealthy thoughts, feelings, and cognitions. Persons at Level 3 struggle moderately with balancing the reality of a pandemic disaster with other life responsibilities. They have moderate difficulties moving forward because of life circumstances related to their moderate medical, physical, and mental health conditions. Persons at Level 3 also have moderate difficulties in academic, job, career, relational, financial, and other essential life areas that may be beyond their control. Their overall mental and physical well-being is moderately compromised by their decreased ability to cope with adversity. Persons at Level 3 find very little meaning in their existence and find it difficult to gain relief during phases of a pandemic disaster. Some individuals at Level 3 exhibit suicidal ideation. Adjustment and adaptation to the overall effects of a pandemic virus are challenging because they have little awareness and recognition of the path forward to achieve overall health and well-being. The mental, behavioral, psychosocial, and medical/physical health of the individual at Level 3 is demonstrated by the following.