11th Worldwide Forum on Mental Health & Psychiatry October 07-08, 2019 Holiday Inn Rome Aurelia, Italy

Angelina Baslari is a 3rd year Doctorate student in Counselling Psyhology at the University of Manchester. She has obtained her MSc in Counselling Studies from the University of Edinburgh. She has been working as a trainee Counselling Psychologist at the National Health Service (NHS) in the UK. Currently, she is undertaking her training at a Private Psychiatric Hospital in Manchester.

This review aimed to systematically explore the experiences of clients directly impacted by racist incidents and how racism is linked to trauma. Few studies have conceptualised racist incidents as unresolved historical trauma that cause various physical and psychological consequences such as Posttraumatic Stress Disorder (PTSD; American Psychiatric Association, 2013) and depression. A review of the existing qualitative literature in this area was conducted. The studies which met the predetermined inclusion criteria were nine. A thematic synthesis was employed in order to identify themes. The analysis identified five superordinate themes: reactions to racist incidents; reliving race-based traumatic experiences; social factors; perception of self; therapy interventions.

Mohammod Fokrul Islam is Business man & Village Doctor , He is Proprietor of Patowary Corporation , Patowary Health Care Center , He has Bachelor Degree in National University in Bangladesh, R.M.P (Rural Medical Practitioner) Dhaka, Kamrangirchar 31 Bed Hospital Kamrangichar. D.M.A  (Diploma Medical Assistant) Dhaka , Bangladesh Medical Association. Now he is serving help the sick people (Mainly Poor people)all over Bangladesh. He attended many health related program out site of Bangladesh like Turkey, Japan, Singapore, Malaysia , China , India , He import many kinds of machinery and sales Locally that’s purpose visited many country , Japan, Singapore, China , Malaysia , India. His website :www.patowarycorporation.com He is working K-Linking International M.LM foreign company , and Local company is Ergon Pharmaceutical Limited as (Sinior Deputy Sales Manager) their product is the Health related product.

Bangladesh has achieved remarkable success in improving most of the health indicators over the last couple of decades despite pervasive economic poverty. However, for a sustainable growth health sector should be among the top lists at Governments policy table. Unfortunately, the recent trend in budget allocation portrayed just the opposite and is concerning as expressed by health experts. Over the last seven fiscal years, budgetary allocation for health dropped from 6.2% to 4.3% of total government expenditure. Due to insufficient public spending, out of pocket payment (OPP) is much higher which is about two-third (64.7%) of total health care spending in Bangladesh. Inadequate and inefficient public healthcare and profiteering tendency of the private healthcare sector are two major factors behind such high private spending. Suffering from a massive shortage of health workforce and with such low public funding it would be very difficult for Bangladesh to fight against upcoming challenges like increasing burden of non communicable diseases (NCDs) and emerging threats due to climate change.

Omar Alejandro Ledesma has finished his PhD in Medicine at 26 years old, getting specialized in ICU, Legal- Forensic Medicine an Psychiatry. Was physician in Buenos Aires Police by nine years in psychiatric activities as in autopsies, Medical Director by 8 years in two rehabilitation centers, at present, is professor in the topics of stress and trauma and personality disorders in the Universitary post degree of Psychiatry, Maimonides University, Buenos Aires, Argentina, and has his own consult in Banfield, BA Metropolitan Area, dedicated to Neurosciences and CBT. He participates frequently in analysis and communication of cases relative to his specialities in radio, TV and media.

This clinical case was developed and diagnosed 25 years later of the traumatogenic event before this time had never gave symptoms. Patient was male, 45 years old, police, he made his consulting about breakdown of relationships, rage by minimal disturbs and frustrations and impulsive development, all of that began exactly 10 months before, when he was re- located in his job by his own. He was war veteran in the Falkland Islands, being one of last in get retired to take the last airplane from Port Stanley to continental territory. When he was on board, the plane was still in pre flight maneuvers, one of this was fuel load. The place where the patient was located was a site of automotor verifications, behind the choppers hangar and operations of this aerial division. Patient denies mood disorders or anxiety, scoring in HAM-A was highly, plasmatic 5HT was down, 5HIAA in urine/24 hours was highly and had a bifasic curve of plasmatic cortisol. Searching for traumatogenic or traumatic events, he couldn’t remember anyone, even not war. He told as casual that clinical symptoms was near 10 am and 4 pm, the same hour of choppers were reloaded with fuel, and the same fuel that uses the plane that made the last evacuation. He was treated according protocols, with well clinical evolution and leaving treatment by his own after 20 months. Finally, diagnosis was PTSD, being the “trigger” the smell of aviation fuel.

Aliki Vasiliadou is a final year doctorate student in Counseling Psychology at the University of Manchester. She had completed her Masters in Counseling Studies

at the University of Edinburgh. Her research interests include difference, diversity, identity and social justice.

Introduction: Research on the identity/identities of hearing-impaired individuals tends to explore mainly the role of the hearing status on the identity formation. Nevertheless, identity is a complex, multi-faced concept and it is challenging to be defined. No systematic review, to my knowledge, has been conducted on hearing impaired individuals’ identity. This research piece explored how hearing- impaired individuals make sense of their identity/identities as understood both individually/ personally and culturally.

Methods: A systematic review of the qualitative empirical research was employed, and five databases were searched, using fifteen combinations of key words. Seven papers were considered for data synthesis, after being assessed for their quality.

Analysis: A combination of deductive and inductive thematic analysis was used, to enable the conceptualization of themes/findings. Four findings were identified; social interaction, mode of communication, other identities and process of forming identity.

Discussion: Findings suggest that identity is a fluid, not universal, and context-informed concept. In the case of hearingimpaired individuals, identity can be informed by aspects such as social interactions, personal beliefs/ideas about deafness and disability, perceptions of hearing abilities, ethnicity, language, contexts and a retrospective interpersonal reflecting process (age). This paper confirms that current qualitative studies mainly focus on one aspect of cultural identity; hearing loss. It also agrees with previous findings on the mediating role of discrimination on identity construction. Psychological therapists are

encouraged to faciliatat their clients’ self-awareness of their identities, and be aware of the possible impact of the lack of selfawareness, as well as discrimination, on the clients’ mental health.

The purpose of the present study was to investigate the effectiveness of emotionally-focused couple therapy on sexual selfefficacy and marital conflict in divorce couples. The research design was quasi-experimental with pretest-posttest with control group. The statistical population included the couples seeking divorce in Bushehr city who referred to counselling center of Bushehr city in 1397 to solve their marital problems. Thirty couples were selected by convenience sampling method and randomly assigned to experimental and control groups. The Emotional Couple Therapy protocol was based on Johnson's (2012) viewpoint in eight 90-minute sessions. Both groups responded to sexual self-efficacy questionnaires (Vaziri and Lotfi Kashani, 2013) and marital conflict (Barati and Sana'i, 1996) in pre-test and post-test stages. The results of multivariate analysis of covariance showed that emotion-focused couple therapy had a significant effect on sexual self-efficacy and marital conflict (P = 0.690, P = 0.001, F = 275.85). Eta coefficient showed that 69% of the variance of the dependent variables of sexual selfefficacy and marital conflict could be explained by the independent variable of emotional couple therapy.