“The Label Mental Illness” or “It's Showing Its Ugly Head…”: Mothers’ Conceptualizations of Mental Illness in Their Children

This grounded theory study examined the metaphors mothers used for mental illness when they had children who were. Two metaphor types were found: static and dynamic. Static metaphors for mental illness emphasized their unchanging qualities and problem-solving or learning strategies were highlighted as ways to approach them. Dynamic metaphors for mental illness highlighted how they were changeable. Positioning the diseases in a storyline, in which one could “try again tomorrow,” was one of the primary ways participants described approaching them. Clinical implications of this research may increase family engagement with treatment.     

A Review of: “The Mask of Shame: Stigma of Mental Illness and an Agenda for Change,by Steven P. Hinshaw”

This case report describes the successful treatment of a 5-year-old girl who, subsequent to an accident in which she received burns covering 30% of her body, experienced nightmares and night terrors as often as 15-20 times every night. In addition to the night terrors, she developed a strong phobic reaction to a wide range of fire-related stimuli. Treatment involved multiple stages which included a response prevention procedure, extinction, and systematic desensitization.     

The Role of a “Happy Personality” in the Relationship of Subjective Social Status and Domain-Specific Satisfaction in China

Most scholars have focused on group differences in overall life satisfaction, and little research has explored group differences in domain-specific satisfaction. This study investigated the variation in the effects of subjective social status on domain-specific satisfaction across personality styles (combined extraversion and neuroticism) in a sample of 1120 female and 745 male Chinese. Participants completed a questionnaire comprising demographics factors, MacArthur Scale, BFI personality scale and self-rated domain-specific satisfaction with interpersonal, health, political, financial, environmental, environmental, and cultural. The findings revealed that subjective social status positively, extraversion positively, and neuroticism negatively predicted six domain-specific satisfactions. Additionally, the results of the hierarchical regression analysis confirmed that the moderating roles of personality traits, but neither extraversion nor neuroticism alone moderated the effects of subjective social status on six domains of life satisfaction. Higher subjective social status related to a substantial increase in domainspecific satisfaction with health, political and environmental for respondents with high extraversion and low neuroticism. Taking together, from the “bottom-up” perspectives, these findings provide support to extend Maslow’s hierarchy of needs theory to explain the relationship between subjective social status and domain-specific satisfaction.

     

Mental Illness: Fact or Myth? Revisiting the Debate Between Albert Ellis and Thomas Szasz

Although it is widely accepted that mental illnesses affect millions of people worldwide, there is still disagreement among scholars about the facts of mental illness. The orthodox position is that mental illness is a fact; critics argue that it is a myth. Thomas Szasz was perhaps the most influential critic of mental illness while Albert Ellis was one of the most influential psychotherapists of the twentieth century. Yet, they disagreed about the facts of mental illness. Ellis argued that mental illness is a fact; Szasz argued that mental illness is a metaphor that we have mistaken for a fact. Both men were practicing psychotherapists: Ellis developed Rational Emotive Behavior Therapy and treated mentally ill clients as irrational thinkers; Szasz developed Autonomous Psychotherapy and treated clients as existential game-players who choose, or have been coerced into, the role of sick patient. Szasz vehemently disagreed with Ellis’s view that some people with serious mental illnesses should be institutionalized and treated against their will. While Ellis argued that mental illness is a convenient label for people who are a danger to themselves and others, Szasz argued that mental illness is a metaphor for moral problems in living and involuntary institutionalization and treatment are crimes against humanity. This paper, then, revisits the debate between Ellis and Szasz on the vexed topic of mental illness.     

Uncivilizing “Mental Illness”: Contextualizing Diverse Mental States and Posthuman Emotional Ecologies within The Icarus Project

This article argues humans should not be defined strictly at their physical boundaries with clear distinctions between anatomical bodies, mental states, and the rest of the world. Rather, diverse mental states, which are often diagnosed as “mental illness,” take shape within greater environmental forces and flows, including those that are constructed online. Drawing from a multi-sited ethnography of The Icarus Project, a radical mental health community, the author situates online narratives written by two of its members within posthuman emotional ecologies in which the exchange of ideas online affects mental states in a profound way. These narratives can be seen as a new type of psychiatric resistance based in new technologies, one that “uncivilizes” mental illness by searching for alternative frameworks and metaphors to understand lived experiences with mental distress. This ethnographic perspective differs significantly from traditional bio-psychiatric models and interventions and can offer both patients and mental healthcare providers with an alternative language to frame mental health.     

Correction to: “Experiences of Having a Parent with Serious Mental Illness: an Interpretive Meta-synthesis of Qualitative Literature”

Journal of Child and Family Studies - This paper provides and informs a set of corrections to the previously published article noted above. Specifically, following the publication of the article,...     

Awareness of Death Among Children: Does a Life-Threatening Illness Alter the Process of Discovery?

The authors review studies on death awareness among children who are healthy, chronically ill, and terminally ill. The review suggests that children with life-threatening diseases demonstrate increased understanding of death compared with children who are either healthy or chronically ill. In particular, children with terminal illness, especially during the end stage of their disease, show an advanced understanding of the death concepts of irreversibility and finality. In contrast, healthy and chronically ill children appear to require certain age, cognitive developmental level, or intelligence thresholds to understand these concepts. Possible explanations for the findings in this literature are discussed. The implications of death awareness research for counselors are used as a base for suggesting counseling strategies.     

Understanding the Relationship between Poverty and Children’s Mental Health in Poverty-Stricken Area of China: Social Causation or Social Selection?

This study aimed to explore the relationship between poverty and children’s mental health in the social context of China. Data were consisted of 1314 children, which were collected with a multi-stage cluster random sampling method in Xiushui, a typical poverty city in China. Structural equation modeling was adopted to test the hypothesized model. Results showed that both social causation model and social selection model could explain the relationship between poverty and children’s mental health in Mainland China. The implications of these findings on theory and social work services were also discussed.     

“Keeping Up with the Joneses”: Subjective Social Status Predicts Proactive Coping

Journal of Adult Development - Proactive coping involves actions to prevent or alter the form of future stressors which can be important for successful aging processes, but it relies on resources....     

Why Does Interactional Justice Promote Organizational Loyalty,Job Performance,and Prevent Mental Impairment? The Role of Social Support and Social Stressors

Using social exchange theory as a conceptual framework, we investigated the relationship between interactional justice and the outcomes organizational loyalty (affective commitment, turnover intentions), perceived job performance (self-rated performance, personal accomplishment), and mental impairment (cognitive irritation, emotional exhaustion) in an online survey of 218 employees working in the field of computer technology. Specifically, we predicted that interactional justice would heighten the quality of social exchange relationships and therefore expected perceived social support (POS) and bullying to mediate the proposed relationships. We tested our hypotheses applying a latent structural equation model. Our findings revealed that POS mediated the relationship between interactional justice and organizational loyalty, whereas bullying mediated the relationship between interactional justice and mental impairment. Practical implications are discussed concerning how to foster interactional justice and POS and how to weaken bullying behavior.     

Go With the Flow or Fight the Power? The Interactive Effects of Social Dominance Orientation and Perceived Injustice on Support for the Status Quo

Previous research in social dominance theory has found an asymmetry in the relationship between social dominance orientation (SDO) and various hierarchy-enhancing ideologies, such that the relationship between the two variables is significantly more positive among high-status group members than among low-status group members (Sidanius, Pratto, & Rabinowitz, 1994; Sidanius, Levin, & Pratto, 1996). Perceptions of systemic injustice toward one's ingroup may help to explain this ideological asymmetry. The hypothesis of a three-way interaction among group status, SDO, and perceived injustice was tested by using survey responses from American university students to predict opposition to hierarchy-attenuating policies as well as levels of patriotism. Analyses revealed the presence of a three-way interaction (ps < .05). Ethnic minority students who scored high on SDO did not always maintain conservative policy stances or strong patriotic attachments—it depends on their level of perceived injustice. Implications for social dominance theory and system-justification theory are discussed.     

What Factors Influence the Decision to Share Suicidal Thoughts? A Multilevel Social Network Analysis of Disclosure Among Individuals with Serious Mental Illness

Nondisclosure of suicidal thoughts limits suicide risk management. Consistent with disclosure models for other stigmatized statuses, understanding suicidal disclosure requires accounting for features of the discloser (individual factors) and the discloser–recipient relationship (relational factors). In a sample of 30 adults with schizophrenia, bipolar disorder, or major depressive disorder (Level 2) who nominated 436 social network members (Level 1), we examined disclosure patterns and identified individual and relational correlates of disclosure intent. Most individuals disclosed in the past (77%; n = 23) and all intended on disclosing (100%; n = 30). Disclosure was highly selective, with 14% (n = 62) of network members identified as prior confidants and 23% (n = 99) identified as intended confidants. Multilevel modeling indicated that relational factors were more central to disclosure than individual factors. Network members who were prior confidants and who provided social support were attractive targets for intended disclosure. Our findings suggest that “targeted” gatekeeper training may be a promising strategy and reveal relational characteristics to identify “high‐probability confidants.”     

The Role of the Family Therapist in Divorce: Benevolent Healer or Agent of Social Change?

Essay Review of:
The Dynamics of Divorce: A Life Cycle Perspective , F. W. Kaslow and L. L. Schwartz, New York: Brunner/Mazel, 1987.
Divorced Families: A Multidisciplinary Developmental View , C. R. Ahrons and R. H. Rodgers, New York: W. W. Norton, 1987.
The Difficult Divorce: Therapy for Children and Families , M. B. Isaacs, B. Montalvo, and D. Abelson, New York: Basic Books, 1986.     

The valence and the functions of autobiographical memories: Does intensity matter?

Autobiographical memories serve psychosocial functions in daily life and the use of memories is related to their valence. In the present study, we examined whether functions are also related to the intensity of positive and negative memories. Our sample included 110 participants (57–89 years of age). Memories were prompted with 30 emotionally neutral cue words. Participants rated the emotional quality of each memory and indicated how frequently they had recalled it for self-continuity, directing behavior, social-bonding, and mood-enhancement. We used multilevel modeling to test whether individual differences in the use of memories can explain why individuals recall different numbers of positive and negative memories as well as memories high or low in intensity. Each function revealed its specific pattern regarding valence and intensity but also regarding within-person and between-person effects. Mood-enhancement showed the strongest relations, which points to the importance of considering emotion regulation as a function of autobiographical memory.