Infants' meaning-making and the development of mental health problems

We argue that infant meaning-making processes are a central mechanism governing both typical and pathological outcomes. Infants, as open dynamic systems, must constantly garner information to increase their complexity and coherence. They fulfill this demand by making nonverbal "meaning"-affects, movements, representations-about themselves in relation to the world and themselves into a "biopsychosocial state of consciousness," which shapes their ongoing engagement with the world. We focus on the operation of the infant-adult communication system, a dyadic, mutually regulated system that scaffolds infants' engagement with the world of people, things, and themselves, and consequently their meaning-making. We argue that infant mental health problems emerge when the meanings infants make in the moment, which increase their complexity and coherence and may be adaptive in the short run, selectively limit their subsequent engagement with the world and, in turn, the growth of their state of consciousness in the long run. When chronic and iterative, these altered meanings can interfere with infants' successful development and heighten their vulnerability to pathological outcomes. Cultural variations in meaning-making and implications for clinical practice are discussed.     

Quality of social support in mental and physical health

The current study investigates the relationship between social support and mental and physical health. Results indicate that poor functional support (or quality of support) is related to physical health problems while structural support (or social network size) is not. Moreover, although both poor functional and structural support are related to depression and anxiety, functional support is more strongly related to these outcome variables, the strongest relationship being associated with depression. Depression and hostility are also related to social isolation, although the relationship is again stronger for depression. The results suggest that the quality of social relationships is more important than quantity for optimal mental and physical health. The clinical relevance of these findings is that the quality of social support in the lives of individuals is central to recovery and should be addressed in medical and mental health treatment planning whenever it is an etiological or maintaining factor. The author dedicates this paper to her beloved father, Charles VanderVoort and her colleagues Dr. Uwe Stuecher and Dr. Gay Barfield whom she describes as “natural altruists, the rarest and most loving type of people in the world.”     

Physical health and social network characteristics as determinants of mental health across cultures

This study examines cross-cultural differences in the etiology of depression and anxiety, two common indicators of mental health problems. Using an ethnically diverse sample of 162 college students, we found that chronic physical symptoms and social network characteristics, particularly network quality, were predictive of both depression and anxiety, yet their effects were mediated by ethnicity. Multiple regression analyses showed that social network quality, compared to physical health, was a much stronger predictor of mental health in Caucasian students, whereas among students of Asian/Pacific descent, physical health was a much stronger predictor of mental health than the social network characteristics. The observed differences were particularly strong for anxiety, which was not significantly associated with physical health in Caucasian students or social network size and quality in the Asian/Pacific group. Theoretical and clinical implications of the results are discussed.     

Physical health and social network characteristics as determinants of mental health across cultures

This study examines cross-cultural differences in the etiology of depression and anxiety, two common indicators of mental health problems. Using an ethnically diverse sample of 162 college students, we found that chronic physical symptoms and social network characteristics, particularly network quality, were predictive of both depression and anxiety, yet their effects were mediated by ethnicity. Multiple regression analyses showed that social network quality, compared to physical health, was a much stronger predictor of mental health in Caucasian students, whereas among students of Asian/Pacific descent, physical health was a much stronger predictor of mental health than the social network characteristics. The observed differences were particularly strong for anxiety, which was not significantly associated with physical health in Caucasian students or social network size and quality in the Asian/Pacific group. Theoretical and clinical implications of the results are discussed.     

Infants' joint attention skills predict toddlers' emerging mental state language

To assess predictive relations between joint attention skills, intention understanding, and mental state vocabulary, 88 children were tested with measures of comprehension of gaze and referential pointing, as well as the production of declarative gestures and the comprehension and production of imperative gestures, at the ages of 7-18 months. Infants' intention-based imitation skills were assessed at 12, 15, and 18 months. At the ages of 24 and 36 months, toddlers' internal state lexicon was evaluated by parents with a German adaptation of the Mental State Language Questionnaire (Olineck & Poulin-Dubois, 2005). Regression analyses revealed that 9-months-olds' comprehension of referential pointing contributed significantly to the prediction of intention-based imitation skills at 15 months, as well as to children's volition and cognition vocabularies at 24 and 36 months, respectively. Moreover, 12-month-olds' comprehension of an imperative motive was shown to selectively predict toddlers' use of volition terms at 24 months. Overall, these results provide empirical evidence for both general and specific developmental relations between preverbal communication skills and mental state language, thus implying developmental continuity within the social domain in the first 3 years of life.     

Social psychology of mental health: the social structure and personality perspective

Previous research has revealed a persistent association between social structure and mental health. However, most researchers have focused only on the psychological and psychosocial aspects of that relationship. The present paper indicates the need to include the social and structural bases of distress in our theoretical models. Starting from a general social and psychological model, our research considered the role of several social, environmental, and structural variables (social position, social stressors, and social integration), psychological factors (self-esteem), and psychosocial variables (perceived social support). The theoretical model was tested working with a group of Spanish participants (N = 401) that covered a range of social positions. The results obtained using structural equation modeling support our model, showing the relevant role played by psychosocial, psychological and social, and structural factors. Implications for theory and intervention are discussed.     

Sex roles,social roles,and clinical judgments of mental health

This study examined whether clinical psychologists expect similar behavior from males and females in contexts that are traditionally male vs. female. In a modification of the task by Broverman et al. (Journal of Consulting and Clinical Psychology, 1970, 34, 1–7), practicing psychologists (N=104) rated the appropriate behavior of a mature, healthy, socially competent man in the home environment, man in the work environment, woman in the home environment, or woman in the work environment. There was a significant effect of environment, with ratings closer to the pole traditionally labeled masculine in the work environment (p<.001). However, clinicians did not assign significantly different ratings to men vs. women. These data call into question the continued use of feminine and masculine to describe behavior, and emphasize the need to specify the environmental context in research on sex role stereotypes.This report is based on an undergraduate honors thesis conducted by the second author under the sponsorship of the first. Order of authorship is alphabetical.     

Infant day care: A social and psychological perspective on mental health implications

A review of infant group daycare programs abroad and in the USA leads to the conclusion that the degree of industrial and technological development is a major determinant of infant daycare practices. In the USA a culture gap exists between the middle class providers and the predominantly poor and non-caucasion recipients of the service. Difficulties in implementing programs, especially in transmitting child development information to parents stem from these basically different orientations. Some suggestions are made that may lead to more effective communication and collaboration between families using daycare personnel.     

Relations between social and emotional competence and mental health: a construct validation study

Researchers working fairly independently of each other have created numerous measures of social and emotional competence (SEC). These measures tend to correlate (sometimes highly) with each other and with measures of stressful events, suggesting potential redundancy. We evaluated which, if any, SEC variables predicted unique variance in social and mental health after controlling for other SEC variables in the study and the impact of stressful events. Three-hundred and thirty-one university students participated in an anonymous, cross-sectional study. We measured stressful events, and a wide variety of SECs, including: social problem solving skill (effective problem orientation, automatic processing, and problem solving), alexithymia (difficulty identifying and describing emotions; minimising emotions), effective emotional control (low rumination, high impulse control, high aggression control, low defensive inhibiting of emotions), and level of emotional awareness. We also assessed a variety of aspects of social and mental health (e.g. depression, anxiety, hopelessness, suicidal ideation, life satisfaction, social support). Covariance analyses revealed that all SEC measures except minimising emotions had significant incremental value over the other measures and over stressful events in predicting social and mental health. The optimal set of predictors differed depending upon the type of health predicted. These findings have important implications for the design of social and emotional intervention programs.     

Risky families: family social environments and the mental and physical health of offspring

Risky families are characterized by conflict and aggression and by relationships that are cold, unsupportive, and neglectful. These family characteristics create vulnerabilities and/or interact with genetically based vulnerabilities in offspring that produce disruptions in psychosocial functioning (specifically emotion processing and social competence), disruptions in stress-responsive biological regulatory systems, including sympathetic-adrenomedullary and hypothalamic-pituitary-adrenocortical functioning, and poor health behaviors, especially substance abuse. This integrated biobehavioral profile leads to consequent accumulating risk for mental health disorders, major chronic diseases, and early mortality. We conclude that childhood family environments represent vital links for understanding mental and physical health across the life span.     

Celtic culture,Calvinism, social and mental health on the Island of Lewis

The five points of federal Calvinism, as outlined by the Synod of Dort, have had a strong influence on the Protestant church. Their negative effects on the culture and society of the Western Isles of Scotland are often overlooked, or simply accepted as an expresion of that culture. In this paper, an attempt is made to show how Celtic culture on the Isle of Lewis has been held back by this theology, and the effect of this repression on society and the individual. Particular areas of concern are the neglect of the Gaelic language, and the incidence of violence, alcoholism, and depression. Iain Macritchie, S.T.M., comes from the village of Ballantrushal on the Island of Lewis. He is a Church of Scotland minister with a particular interest in training ministers for work in the Highlands and Islands of Scotland, to which he has returned after a year on the Scottish Fellowship at Union Theological Seminary.     

Spinoza and mental health

With the proviso that Spinoza's concerns were philosophical, not medical, we examine the Ethics with a view to bringing out those aspects of it which are of import for mental health. We find that the Ethics surrounds the idea that man can be egoless in the Buddhist sense of that term. This concept provides a criterion of mental health. Further, according to Spinoza's theory of the Affections, those which are passive include some which are based on pain. These he ‘enumerates among the diseases’. And for them he provides, in Part V, specific ‘remedies’. This in turn leads him to equate ‘Mental Freedom or beatitude’ with a ‘healthy Mind’. We thus have in Part V additional possible criteria of mental health. Finally, there is the suggestion that philosophy for Spinoza was a kind of therapy.’

There is not a philosophical method, though there are indeed methods, like different therapies. — The philosopher's treatment of a question is like the treatment of an illness. — A main cause of philosophical disease — a onesided diet . . .

Wittgenstein

This doctrine of knowledge first and action later is not a minor disease . . . My present advocacy of the unity of knowledge and action is precisely the medicine for that disease.

Wang Yang‐ming

When asked by two disciples which of the views of each was correct, Wang replied: both are. Which is used depends on the kind of person you are trying to help. Some persons need this one, others that.