PROMOTION OF MENTAL HEALTH AMONG WOMEN IN PHILIPPINES CELEBRATION OF INTERNATIONAL WOMEN S DAY STAGING MENTAL HEALTH PROMOTION AND SERVICES INDIVIDUAL, COMMUNITY AND NATIONAL INTERVENTION

1. MENTAL
HEALTH
Promotion and Practice
Strategies
in celebration of
International Women s
Year (2019)
BEYOND GENDER AND DEVELOPMENT, A WOMAN S PATH
BEYOND GENDER AND DEVELOPMENT
DEPT OF EDUCATION REGION 7 AND ECOTECH PROGRAM
INITIATIVE
MILEN SANTIAGO RAMOS MA. MSc PhD
PSYCHSERV,, Phils.
Clinical Psychology – Neuroscience –
Criminology

3. Pinay women s
journey pathway on
mental health

4. Mental Health Law (Republic Act 11036)
proposes a
mental health policy that aims
to enhance integrated mental
health services,
the promotion of mental health
services,
protection of people who use said
services, and
the establishment of a Philippine mental
health council.

5. The bill, otherwise known as the
proposed “Comprehensive Mental
Health Act,” aims to
ensure a community of Filipinos who are
mentally healthy, able to contribute to the
development of the country and attain a better
quality of life
through access to an integrated, well-planned,
effectively organized, and efficiently delivered
mental health care system
that responds to the people’s mental health
needs in equity with their physical health
needs

7. on
March 8, 2004
creation
of
RA 9262
An Act Defining Violence Against Women and
Their Children, Providing Protective
Measures for Victims, Prescribing Penalties
Therefor and for Other Purposes

8. A 2008 NATIONAL DEMOGRAPHIC AND HEALTH SURVEY (NDHS)
CONDUCTED BY NATIONAL STATISTICS OFFICE (NSO) WITH WOMEN
PARTICIPANTS AGED 15–49 YEARS OLD FOUND OUT THAT
ONE IN FIVE WOMEN HAVE EXPERIENCED PHYSICAL ABUSE FROM THEIR HUSBANDS,
AND
4% OF THESE WOMEN HAVE EXPERIENCED SUCH ACT OF VIOLENCE DURING THEIR
PREGNANCY.
DOMESTIC VIOLENCE COMMITTED TO WOMEN WHO ARE WIDOWED OR SEPARATED
MIGHT ALSO BE THE REASON OF THEIR SEPARATION OR ANNULMENT. THESE WOMEN
WERE NOT EXEMPTED FROM EXPERIENCING SEXUAL VIOLENCE AS ONE IN TWENTY
FIVE OF THE PARTICIPANTS WERE FORCED TO ENGAGE IN SEXUAL
INTERCOURSE ON THEIR FIRST EVER SEXUAL EXPERIENCEWHILE;
ONE IN TEN EXPERIENCED SEXUAL ABUSE.
THE MOST COMMON TYPES OF SPOUSAL VIOLENCE, APART FROM PHYSICAL AND
SEXUAL VIOLENCE, WERE EMOTIONAL AND OTHER FORMS OF NON-PERSONAL
VIOLENCE.
AS A RESULT, ONE IN THREE WOMEN HAVE REPORTED TO THE AUTHORITY OF THEIR
EXPERIENCE OF VIOLENCE WITH MARKS OF TRAUMA LEFT BY THEIR PHYSICAL
INJURIES.
ABOUT 10% ARE HAUNTED BY PSYCHOLOGICAL SCARS, AS THREE IN FIVE
ABUSED WOMEN ARE LEFT WITH DEPRESSION, ANXIETY, AND ANGER WHICH COULD
DEVELOP INTO THEIR ATTEMPTS TO COMMIT SUICIDE.

9. Additionally, according to RA 9262:
SECTION 8. Protection Orders.- A protection order is an order issued
under this act for the purpose of preventing further acts of violence
against a woman or her child specified in Section 5 of this Act and
granting other necessary relief. The relief granted under a protection
order serve the purpose of safeguarding the victim from further
harm, minimizing any disruption in the victim's daily life, and
facilitating the opportunity and ability of the victim to
independently regain control over her life. The provisions of the
protection order shall be enforced by law enforcement agencies. The
protection orders that may be issued under this Act are the barangay
protection order (BPO), temporary protection order (TPO) and
permanent protection order (PPO). The protection orders that may
be issued under this Act shall include any, some or all of the following
reliefs

10. FORMS OF ABUSE IN ADULTS
Abuse can take many forms. It can include:
.

11. Physical abuse such as hitting, pushing, pinching, shaking,
misusing medication, ; withholding food or drink; force-
feeding ,scalding, restraint and hair pulling, ; failing to
provide physical care and aids to living.

15. PROTECTION ORDERS
when physical abuse is extreme
temporary
permanen
even in the absence of a decree of legal
separation or annulment or declaration of absolute
nullity of marriage.

16. Sexual abuse such as rape, sexual assault, or sexual
acts to which the person has not or could not have
consented, or pressurising someone into sexual acts
they don’t unders tand or feel powerless to refuse.

18. Psychological or emotional abuse such as threats of
harm or abandonment, being deprived of social or any other
form of contact, humiliation, blaming, controlling,
intimidation, coercion, harassment, verbal abuse and being
prevented from receiving services or support

20. TYPES OF EMOTIONAL ABUSE
REJECTING : Putting down a woman s worth or
putting down their needs
IGNORING: Failing to give any response to or interact
at all
ISOLATING: Keeping a child away from family and
friends
TERRORIZING: causing a woman to be terrified by
the constant use of threats and/or intimidating
behavior
CORRUPTING: encouraging a woman to do things
that are illegal or harmful to themselves
EXPLOITING: giving responsibilities that are far
greater than what she can handle. Or using the
person for profit

21. Financial or material abuse such as theft, fraud or
exploitation, pressure in connection with wills, property, or
inheritance, misuse of property, possessions or benefits.

25. Neglect such as ignoring medical or physical care needs and
preventing access to health, social care or educational services
or withholding the necessities of life such as food, drink and
heating , or failing to ensure adequate supervision or exposing a
person to unacceptable risk.

28. Discriminatory abuse such as that based on race or
sexuality or , harassment, /slurs / maltreatment because of
someone’s race, gender, disability, age, faith, culture, or
sexual orientation

30. How Discrimination Against Female Doctors Hurts
Patients
In August 2018 officials from Tokyo Medical
University admitted to systematically altering
medical school admission test scores to
disadvantage female applicants. Since 2006 the
university had been subtracting points from all exam
scores, then adding up to 20 points to those of male
applicants, with the explicit goal of reducing the
percentage of women entering medical school. (The
percentage of enrollees who were women had
reached 40% in 2010, and now stands at
approximately 30%.)

32. Institutional abuse can sometimes happen in residential
homes, nursing homes or hospitals when people are
mistreated because of poor or inadequate care, neglect
and poor practice that affects the whole of that service

34. TYPICAL ABUSE PHENOMENA
DOMESTIC VIOLENCE
INTIMATE PARTNER
VIOLENCE
BATTERED
WIFE
SYNDROME/
DOMESTIC
STOCKHOLM
SYNDROME
PSYCHOPATHOLOGY
(i.e.PERSONALITY DISORDERS)
FACTORS OTHER THAN PSYCHOPATHOLOGY
(i.e. advent of OFW – children are left on their
own/our women in their place of work are prone to
many forms of abuses; advent of technology leads to
cyber or digital forms of abuse

35. SEXUAL ABUSE
Nearly quarter of men in Asia-Pacific admit to committing rape
Survey shows extent of sexual violence in region where 70% of men
report facing no legal consequencesNearly a quarter of men in the Asia-
Pacific region have admitted to committing rape at least once in their life,
according to a new survey with more than half of those respondents claiming
they raped for the first time while in their teens.
The study covering six countries – Bangladesh, China, Cambodia,Indonesia,
Papua New Guinea and Sri Lanka – found that 10% of men admitted to raping
at least once a woman who was not their partner, a figure that rose to nearly
25% when rape of a partner was included.
Nearly 75% of those who had committed rape said they did so because they
felt sexually entitled; more than half said they did it for entertainment.

36. STATISTICS ON SEX CRIMES ON THE PHILIPPINES
Based on data from the Philippine National Police (PNP) and the Women’s Crisis and
Child Protection Center (WCCPC) there were 14,201 recorded cases of rape
(76.56 percent of all crimes committed against women of a sexual nature)
(18.68 percent) attempted rape and
(5.74 percent) incestuous rape
from January 2000 to August 2011.
From January 2011 to June that same year, there were 28 recorded cases of gang rape.
One child is raped every two hours and 30 minutes
Center for Women s Resources ’s 2012 monitoring records, the youngest victim of rape
is three years old while the oldest is 86 years old. Majority or 54 percent of the victims
are within the ages of 11 to 20 years old.
One child becomes a victim of sexual harassment every seven hours.
From January 2000 to August 2011, there were 619 recorded cases of trafficking. Some
500,000 women fell victim to prostitution during the same period, and 100,000 of these
victims were children.

37. CLINICAL DISORDERS ASSOCIATED WITH SEXUAL
ABUSE
rape trauma syndrome
Domestic stockholm syndrome
post traumatic stress syndrome
false memory syndrome
child sexual abuse accomodation syndrome

39. CHILD RAPE SYNDROME

40. DOMESTIC STOCKHOLM
SYNDROME

41. POST STRAUMATIC STRESS
SYNDROME

42. FALSE MEMORY SYNDROME

43. SUICIDE/ NIHILISM
One has to differentiate ordinary depression with clinical
depression. Clinical depression, more often than not is
associated with suicide or nihilism as psychologist call it
when one showed obsession to stop breathing
biologically or end one s life. But clinical depression per se
is not just one disorder. From a clinician s point of view
they scrutinize all gamut’s of affective problem. Bipolar 2
disorder ..the hypomanic phase can create this nihilism
roo Dysthymia is not often heard. On the other hand,
there s a type of bipolar disorder associated with
suicide... Borderline personality disorder with psychotic
dip can also end one s life. Narcissistic rage in narcissistic
personality disorder is also a problem to watch out for.
Anhedonia, the inability to experience pleasure is also
worth comprehending

45. BUENCAMINO S CASE

46. BUENCAMINO S PAINTINGS

47. WRIST CUTTING

48. recent form of self mutilation called
skin stitching (China)

49. SELF INJURIOUS BEHAVIOR

50. PIERCING ENGAGEMENT RING

51. alexithymia
Alexithymia / e l ksə θa miə/ is aˌ ɪ ɛ ˈ ɪ
personality construct characterized by
the subclinical inability to
identify and describe emotions in
the self. The core characteristics of
alexithymia are marked dysfunction
in emotional awareness, social
attachment, and interpersonal relating

52. Results indicate significantly higher levels of alexithymia in women
who self-harm compared with women who do not self-harm. Studies
of men were less conclusive and require further investigation. A
subsample of the studies found that childhood abuse and bullying
were more likely to be associated with self-harm if alexithymia was
present as a mediator. Other studies found that depression mediated
between alexithymia and self-harm. The results indicate that the poor
emotional cognition and expression associated with alexithymia may
increase vulnerability to self-harm, particularly in women.
The relationship between self-harm and alexithymia
Hilary Norman, Jo Borrill

53. PSYCHOPATHOLOGIES
CLINICAL AREAS MEASURED

54. DIAGNOSTICS/5 AREAS MEASURED

55. L OR LIE SCALES

56. D OR DEFENSIVENESS SCALE

57. F OR BIZARRENESS SCALE

58. NONPSYCHOTIC SCALES,PERSONALITY/CHARACTER
DISORDER SCALES, PSYCHOTIC SCALES,
PROGNOSTICATION SCALE/OTHER SCALES WORTH
MENTIONING

59. PSYCHOTIC SCALES

60. NON -PSYCHOTIC SCALES

61. PERSONALITY DISORDER

62. PERSONALITY DISORDERS 2

63. OVERT SYMPTOMS

64. COVERT SYMPTOMS

65. PROGNOSTICATION
ES OR EGO STRENGTH

66. MAC
or MACHOVER ADDICTION SCALE

67. A OR ANXIETY

68. OTHER LAWS ENACTED IN FAVOR OF
FILIPINO WOMEN

72. TYPES OF ABUSE
ON HOW IT IS ENACTED

73. Active abuse
means that person’s personal boundaries are
actively violated (i.e., significant others are too
involved and over-controlling). Some examples of
that can be physically hurting,, yelling, name
calling, molestation, shaming, etc.

74. Passive abuse
means that the partner bond is not stable or
broken (i.e., significant other is physically or
emotionally too distant or completely
unavailable). It includes neglect and
abandonment. Some examples are emotional
unavailability,, withdrawal of affection and
validation, and so on.

75. Vicarious abuse
means that the significant other fails to protect
the partner or puts her in an environment where
the partner suffers some form of abuse from
others.

76. APPROACH MODALITIES
FOR WOMEN S MENTAL HEALTH
1) mental health promotion
strategies
2) actual intervention strategies

78. MENTAL HEALTH
PROMOTION
STRATEGIES

79. ACTUALIZATION
OF MENTAL
HEALTH
STRATEGIES

80. INDIVIDUAL/PERSONAL LEVEL

83. COMMUNITY LEVEL
(barangay level)
staging mental health intervention

84. staging mental health intervention
Prevention and early intervention
Identify a mental health problem early
Physical health
Safety and security
Resource availability
Relationship
Know when to seek mental health interevention
Recogniting a Serious Mental health issue
• Mood disorders
• Eating disorders
• Sleeping disorders
• Personality disorders
• Anxiety disorders
• Emotional disorders
• Attention deficit disorder
• Attention deficit hyperactivity disorder
• Dementia
Breaking the stigma with professional help
Rehearse the intervention and show support
Follow through

85. NATIONAL LEVEL

86. National Demographic And Health Survey 2013
Philippines | 2013
Type of Measure : Research and statistical data > Violence against
women module in survey
Form of Violence : Violence against women and girls
________________________________________
National Strategy To Combat Trafficking
Philippines | 2011
Type of Measure : Policies > National strategy specific to violence
against women
Form of Violence : Trafficking
________________________________________
National Action Plan On The Implementation Of UN SC Resolution
1325
Philippines | 2010 | 2016
Type of Measure : Policies > Inclusion of violence against women
in other national plan/strategy
Form of Violence : Sexual harassment, Sexual violence,
Trafficking, Violence against women and girls

87. Temporary Shelters
Philippines | 2008
Type of Measure : Social services > Shelter/Safe accommodation
Form of Violence : Domestic violence/Intimate partner violence
________________________________________
Performance Standards And Assessment Tools For Services Addressing
Violence Against Women
Philippines | 2008
Type of Measure : Violence against women > Regulations
Form of Violence : Domestic violence/Intimate partner violence, Sexual
violence, Trafficking

88. Campaign:"CEDAW Ng Bayan: ReMOVE VAW!"
Philippines | 2008
Type of Measure : Prevention > Awareness-raising
/Campaigns
Form of Violence : Trafficking, Violence against women
and girls
________________________________________
Crisis Intervention Units
Philippines | 2008
Type of Measure : Social services > Shelter/Safe
accommodation, Coordinated and or Integrated service
delivery > Integrated services delivery, Social services >
Psycho-social counselling
Form of Violence : Domestic violence/Intimate partner
violence

90. human rights,
gender equality
income equality,
progress
and safety.

92. Happy International Women s Day
to the epitome
Of strength and will power
H I W D to a woman
Who can achieve it so big
You have that soft side to you
You can be all strong too
Salute to a powerful woman of today
And that is solely you!