The mental health of university students in the United Kingdom

ABSTRACT

There are increasing concerns globally about the mental health of students. In the UK, the actual incidence of mental disturbance is unknown, although university counselling services report increased referrals. This study assesses the levels of mental illness in undergraduate students to examine whether widening participation in education has resulted in increases as hypothesised by the UK Royal College of Psychiatrists. Patterns of disturbance across years are compared to identify where problems arise. Students (N=1197) completed the General Health Questionnaire-28 either on the first day at university or midway through the academic year for first, second and third year students. Rates of mental illness in students equalled those of the general population but only 5.1% were currently receiving treatment. Second year students reported the most significant increases in psychiatric symptoms. Factors contributing to the problem are discussed.     

Manifestation of altruism: Perceptions among counselling students in the United Kingdom

Aims: The purpose of this study was to examine the applicability of a proposed model of the development of altruism, or unselfish caring for others, as perceived by counselling students in the UK. Method: Semi‐structured interviews were conducted with eight counsellors‐in‐training. The data analysis involved open coding, axial coding, and the development of a coding paradigm. Findings: The findings address the four factors (biological, cognitive, social learning, and religiosity/spirituality) proposed in the model. Additional themes included: (a) community development and sustainability, (b) altruism across the lifespan, and (c) the counselling profession. Implications: The findings suggest a relationship between altruism and counsellor success. This supports the integration of altruism within the counselling curriculum, as it relates to the British Association for Counselling and Psychotherapy (BACP) Ethical Framework (2010). Furthermore, the findings support future research focused on altruism.     

Counselling psychology in the United Kingdom

Counselling psychology within the UK has grown over the last three decades, adapting to many changes in the field of applied psychology, whilst remaining true to its core values and humanistic origins. The identity of counselling psychology is strongly rooted in a relational stance and applied psychology, where attention to psychological formulation is given to improve psychological functioning and well-being. This article outlines a brief history of counselling psychology in the UK, the training process, credentialing and looks at some important challenges and future directions for counselling psychology in the UK. A proportion of the members from the British Psychological Society’s division of counselling psychology (DCoP, N = 148) took part in the study. Participants provided demographic, training, employment, workplace and career pathway information obtained through an online questionnaire distributed to all DCoP members. On the whole, DCoP members are working in a variety of areas within the UK and the findings of this article contribute to the international study comparing counselling psychology across the globe.     

Forensic telepsychiatry in the United Kingdom

Forensic telepsychiatry remains in its infancy in the United Kingdom. This article sets out to describe how it can be used within a community forensic service, and the future challenges ahead in the United Kingdom. It looks at relevant academic, governmental, and legal resources and is designed as a scholarly reflection by clinicians rather than as a formal literature review.     

Cancer counselling in the United Kingdom

Abstract

A national survey of 289 people from a variety of professions (nurses, social workers, clinical psychologists, psychiatrists, etc) involved in counselling cancer patients and their families within the United Kingdom obtained a response rate of 82%. The primary findings discussed in this paper cover a range of issues, including the working conditions and responsibilities of the counsellors, what professional qualifications they possess, the extent and availability of supervision and support, as well as the types of counselling intervention employed. Particularly disturbing was the fact that only 25% of our sample had any recognised formal counselling qualification and that 75% did not belong to any professional counselling organisation. In view of the wide diversity of qualifications, salary scales, responsibilities and working conditions and practices amongst the respondents, we propose that the National Health Service (NHS) should establish clearer guidelines as to the minimum acceptable qualifications for people employed as oncology counsellors, and that more adequate provision and resources are made available for training and supervision.     

Philosophy of medicine in the United Kingdom

This report explores the relationship between philosophy and medicine in the U.K. We note that medical training involves very little formal instruction in philosophy and ethics, and that, with few exceptions, philosophers in the U.K. do not contribute to the instruction of physicians or the philosophy of medicine. However, reviewing the problems arising out of recent developments within scientific medicine we find a pressing need for future philosophical analysis in the following areas: psychiatry, organ transplantation, abortion, euthanasia, experiments on living subjects, consent, confidentiality, the relationship between medicine and political authority, and the provisions for social justice in medicine.     

Gender Comparisons of Fat Talk in the United Kingdom and the United States

This study compared different forms of body talk, including ??fat talk,?? among 231 university men and women in central England (UK; n?=?93) and the southeastern United States (US; n?=?138). A 2 (gender) by 2 (country) repeated measures ANOVA across types of body talk (negative, self-accepting, positive) and additional Chi-square analyses revealed that there were differences across gender and between the UK and US cultures. Specifically, UK and US women were more likely to report frequently hearing or perceiving pressure to engage in fat talk than men. US women and men were also more likely to report pressure to join in self-accepting body talk than UK women and men.     

Immigrant Acculturation and Transnationalism: Israelis in the United States and Europe Compared

This article examines relations between social integration into host societies, religio‐ethnic acculturation into group belonging, and ties to home country among Israeli émigrés in the United States and Europe. I use data from a 2009–2010 Internet survey into which I incorporated country‐contextual characteristics. The results of multivariate analyses show that a social integration combining duration of residence abroad and local citizenship enhances religio‐ethnic identification. Another measure of integration, social networks, deters group behaviors. All measures of general integration inhibit attachment to the home country, whereas religio‐ethnic acculturation is largely insignificant for transnationalism. The religiosity of the new country does not influence immigrants’ religio‐ethnic patterns or homeland attachment. Insofar as group size is a significant determinant of particularistic behaviors, it weakens them. The more policy‐based opportunities newcomers receive, the more they dissociate from group behaviors and homeland ties. Irrespective of individual and contextual factors, living in the United States encourages group affiliation more than living in Europe does. The results are discussed in reference to four working hypotheses—marginalization, integration, assimilation, and separation—and from a U.S.‐European comparative perspective.     

Spiritual advisors and old age psychiatry in the United Kingdom

This survey investigates the role and views of NHS spiritual advisors across the United Kingdom on the provision of pastoral care for elderly people with mental health needs. The College of Health Care Chaplains provided a database, and questionnaires were sent to 405 registered NHS chaplains/spiritual advisors. The response rate was 59%. Quantitative and qualitative analyses were carried out. Spiritual advisors describe their working patterns and understanding of their roles within the modern NHS, and their observations of the level of NHS staff awareness of the importance of spiritual issues in the mental health care of older adults. They provide insights into possible negative and positive perceptions of their roles at a service level, and contribute suggestions of topics relevant to shared education between pastoral care and clinical services. This survey further highlights ethical and operational dimensions at the point of integration of the work of spiritual advisors and multidisciplinary teams.     

Acculturation,stress, and depressive symptoms among Korean immigrants in the United States

A sample of 157 Korean immigrants responded to measures of acculturation level, stress from acculturation, and depressive symptoms. The authors hypothesized that adaptive acculturation would depend on assimilation regarding social interactions and the host culture's language as well as on retention of a core identity, including values and traditions of the culture of origin. Consistent with the mediation hypothesis, acculturation, based on a factor representing language use and social relationships, was related to lower acculturative stress and, in turn, lower depression. However, there was no direct support for the integrative, or bicultural, strategy of acculturation. Stress did not mediate the effect of a 2nd acculturation factor, identity and tradition-based acculturation. Rather, this measure of acculturation was directly related to higher depression (i.e., immigrants reporting abandonment of Korean identity, traditions, and values scored higher for depression).     

Acculturation,Stress, and Depressive Symptoms Among Korean Immigrants in the United States

Abstract

A sample of 157 Korean immigrants responded to measures of acculturation level, stress from acculturation, and depressive symptoms. The authors hypothesized that adaptive acculturation would depend on assimilation regarding social interactions and the host culture's language as well as on retention of a core identity, including values and traditions of the culture of origin. Consistent with the mediation hypothesis, acculturation, based on a factor representing language use and social relationships, was related to lower acculturative stress and, in turn, lower depression. However, there was no direct support for the integrative, or bicultural, strategy of acculturation. Stress did not mediate the effect of a 2nd acculturation factor, identity and tradition-based acculturation. Rather, this measure of acculturation was directly related to higher depression (i.e., immigrants reporting abandonment of Korean identity, traditions, and values scored higher for depression).     

Acculturation and depressive symptoms in Muslim university students: personal-family acculturation match

The relationships of personal acculturation and of personal-family acculturation match to depressive symptoms were investigated in a sample of 68 Muslim university students. Two dimensions of personal and family acculturation were assessed: heritage and mainstream culture identification. Participants completed the Vancouver Index of Acculturation (Ryder, Alden, & Paulhus, 2000 ) and the depressive disorder subscale of the Psychiatric Diagnostic Screening Questionnaire (Zimmerman & Mattia, 1999 ). For personal acculturation, individuals with high personal heritage culture identification reported fewer lifetime (but not past-year) depressive symptoms. In contrast, individuals with high personal mainstream culture identification reported more past-year (but not lifetime) depressive symptoms. The hypothesis that a match between personal and family acculturation orientation would be associated with fewer depressive symptoms was supported for heritage culture identification only. For past-year depression, the two match conditions (low or high personal and family heritage culture identification) were associated with significantly fewer depressive symptoms than a low personal/high family mismatch but did not differ from a high personal/low family mismatch. For lifetime depression, a high personal/high family match was associated with significantly fewer depressive symptoms than all other conditions. Findings suggests that, for Muslims, a match of high personal and high family heritage culture identification may act as a protective factor for the experience of depressive symptoms both in the short term (past year) and in the long term (lifetime).     

Guidance in the United Kingdom: past, present and future

The turn of the century is an apposite time to review the development of guidance in the United Kingdom. The concept of guidance, in the terms in which it is now understood, is very much a 20th-century notion. It draws on two distinct but related traditions: the development of the practice of career guidance; and the development of guidance as an educational concept. The history of these two developments, and the relationship between them, are briefly outlined. Some of the conceptual issues they raise are examined, including the important but somewhat problematic interface with counselling. Challenges for guidance in the new millennium are discussed, in relation both to policy and practice and to theory and research.     

Labour market careers of immigrants in Germany and the United Kingdom

This article examines the employment careers of immigrants as compared with those of the native-born in Germany and the United Kingdom using existing longitudinal data from the German Socioeconomic Panel and the British Household Panel Study. Results of the sequence analysis show that in both countries employment career sequences of immigrants are similarly remote from those of native-born men. Further analysis reveals that long and frequent spells of unemployment are behind this dissimilarity in both countries. Results of the pairwise Optimal Matching analysis of the occupational career sequences, however, show that immigrants in the UK and Germany pursue largely different occupational paths, the former having occupational careers similar to those of the native-born, the latter being segmented in manual, mostly unskilled, jobs.     

Psychotherapy in the United Kingdom: past, present and future

The 20th century, perhaps 'the age of Freud', has seen the development and growth of psychological therapies. The first half of the century was virtually the province of the psychoanalytic approaches, with the last three decades marking the flowering of many other approaches, and a gradual and general rapprochement between nearly all the major therapies. This history is traced, identifying the major players, including behaviour therapy and humanistic therapies challenging the initially dominant model. The rapid expansion in practitioners and training courses has led to questions of organisation, registration, and relationship between the therapies. The development of UKCP and BCP is examined, examining the size of the constituent elements within these major groupings, their relationship to each other and to counselling and the Independent Practitioners Network. Other developments such as psychotherapeutic studies within universities and the subsequent linking of some psychotherapy trainings to academic qualifications are referred to, while the relationship of British psychotherapy to the European and world scene is briefly described before the author hazards a prediction that it is integrative psychotherapy that will probably expand most in the new century, with counselling asserting its right to be an equal partner in the therapeutic endeavour.