Stigma of mental and physical illness and the use of mobile technology

Research has shown the stigma attached to mental disabilities, yet little research has directly compared the experiences of people with physical disabilities and those with mental disabilities. Not only are both conditions likely perceived as stigmatizing, but the pervasive use of mobile technology may be one means by which people with disabilities can manage and understand their disability. Four hundred and eighty-seven individuals with physical and/or psychological disabilities completed a survey examining whether they would be willing to use mobile technology to manage their disability and how stigmatizing they perceived their disability to be. Willingness to use mobile technology was related to the age of the sample as well as the type of disability. Individuals with psychological disabilities were more likely to use certain forms of mobile technology relative to those with physical disabilities. Observed differences between physical and psychological disabilities are discussed in terms of the symbolic interaction stigma model.     

The Provision of Assistive Technology by Occupational Therapists Who Practice in Mental Health

The purpose of this study is to determine what assistive technology devices occupational therapists working in mental health settings use with their clients. Based on the literature, the authors expected that no tech and low tech assistive technology solutions are being used with clients in these settings even though high technology options are available for people with mental illness who have co-existing cognitive disabilities. The findings of the study reveal that indeed no tech and low tech interventions are most often used. Implications for professional development educational programs and further research are suggested.     

Ability to Resist Temptations of Technology Use: A Qualitative Analysis of Children's Views on Factors Associated with Delay of Gratification

Excessive technology use among young children remains a public health concern with diverse serious consequences. It is important to find out how children resist the temptation to use technology. Using focus group interviews, the authors explored what factors influence children's ability to delay gratification in using technology. Four specific themes emerged from the interview data: they found (a) fear of punishment, (b) self-directed speech, (c) reinforcement, and (d) parental modeling are effective measures to train children to forgo immediate pleasures of using technology. These findings provided some support for the hypothesis that children's self-control of technology use can be modified and improved. This study suggests methods to leverage and strengthen existing initiatives to promote self-control of technology use for children.     

Mental Health,Culture and Spirituality: Implications for the Effective Psychotherapeutic Care of Australia's Ageing Migrant Populations

SUMMARY

In this essay, attention is given to discussing the notions of and influences of culture, mental health and spirituality. Research shows that people who came to Australia either as immigrants or refugees are at risk of suffering a disproportionate incidence of mental problems relative to the rest of the Australian population. Older male immigrants are particularly at risk. A key variable influencing the mental health of immigrants/refugees in Australia is the social conditions in which they live. Another largely unrecognised variable influencing mental health is spirituality. The extent to which the expression of spirituality promotes mental health and healing, however, will depend on cross-cultural perceptions of what spirituality is, and how it influences mental health, illness and recovery. Whatever the perceptions of spirituality, it is important to understand that its roots are cultural, and its influence is on meaning construction. Meaning construction, in turn, is itself culturally mediated and framed. Given this, it is crucial that culture-what it is and how it influences human experience-is understood by health professionals if they are to be able to provide meaningful and therapeutically effective care to culturally diverse people and their mental health problems. A central aim of this essay is to facilitate this understanding.     

How do People Attribute their Polydrug Use? A Mixed Methods Approach

ABSTRACT

In Finland, polydrug use is generally seen as stigmatized deviant behavior. By means of the mixed methods approach, this article focuses on how people explain their polydrug use and what they attribute it to. Our findings show that these explanations vary according to sociodemography. Moreover, polydrug use is not always presented as planned and goal-oriented behavior, but also something that can occur due to sudden situational factors beyond the control of the person. Our findings implicate that the judgments regarding the deviance of polydrug use are contextual and different sociodemographic groups consider whether it is deviant behavior or not differently.     

Poverty and Mental Health: Underclaiming of Welfare Benefits

The study undertaken by a local MIND welfare benefits service found that 51% of people attending a local mental health resource centre were not receiving the welfare benefits to which they were entitled. Being in receipt of correct benefit entitlement was found to be unaffected by: whether a person had a long history of using mental health services; whether they had a care manager; or whether they had previously been given benefits advice. Women were less likely to be receiving their correct benefit entitlement than men. It is argued that the only way to guarantee that people receive their full benefit entitlement is to ensure that highly trained and experienced welfare benefits advisers are readily accessible to all people who use mental health services.     

You can do it if you really try: The effects of motivation on thinking for pleasure

People find it difficult to enjoy their own thoughts when asked to do so, but what happens when they are asked to think about whatever they want? Do they find thinking more or less enjoyable? In the present studies, we show that people are more successful in enjoying their thoughts when instructed to do so. We present evidence in support of four reasons why this is: without instructions people do not realize how enjoyable it will be to think for pleasure, they do not realize how personally meaningful it will be to do so, they believe that thinking for pleasure will be effortful, and they believe it would be more worthwhile to engage in planning than to try to enjoy their thoughts. We discuss the practical implications of thinking for pleasure for promoting alternatives to the use of technology.     

Unadulterated Arrogance: Autopsy of the Narcissistic Parental Alienator

This article guides professionals to recognize and gain insight of the inner dynamics and profile of the narcissist and the chronic parental alienator. It covers and exposes the commonalities of both their modus operandi and characteristics. Parental Alienation stems from intolerance, denigration, prejudice, and deep-seated dysfunction. In like manner, narcissistic abuse is caused by malignant self love and unadulterated arrogance. The deception of the Narcissistic Parental Alienator (NPA) is a cruel act. It often has many players on different stages that corrode the soul. The NPA is one who systematically deceives and turns their own children into little abuser proxies. Narcissists lie, manipulate, and speak in mixed messages. They cannot part with their illusions, and if their illusions are gone, they may still exist, but they have ceased to live.

All too often mental health and legal professionals and judges do not listen to the target parent and they are fooled or tolerate NPAs out of faith, trust and a sense of fairness. The NPA's deceit and defiance must be recognized and seen for what it is. Evaluators, courts, and therapists, at that point, should consider this danger directly and act swiftly. The quote by François de la Rochefoucauld; “The most deceitful persons spend their lives in blaming deceit, so as to use it on some great occasion to promote some great interest,” is strikingly similar to the conception of a divorce or custody dispute among NPAs, within the context of this topic. It is discouragingly common to see how few people are not shocked by deceit and how many are shocked by honesty. Educating, exposure, accountability, and resolve are the threads of the tapestry of this article on what these authors have coined the “Narcissistic Parental Alienator.”     

MENTAL HEALTH AND THE GOSPEL: A RESPONSE TO CHRISTOPHER COOK

It is sometimes assumed that when the gospels talk about demon possession they are just using different terminology for what would now be called psychosis or epilepsy. However, these terms come from different discourses that need to be distinguished, but do not need to be kept completely separate. The nature of the relationship between religion and mental health is complex. There is usually a positive correlation, but it is more difficult to be confident about the nature of the causal connection. Poor mental health can become intertwined with religion in a way that drags both down. It is a consistent feature of Jesus' interactions that he encourages people to believe that more is possible than might have been imagined. His impact on the mental health of those around him seems to have been largely a matter of what might now be called positive psychology.     

“Just do it… before you talk yourself out of it”: the self-talk of adults thinking about physical activity

ObjectivesLittle is known about what adults are thinking about and doing for health-promoting physical activity (PA). We examined the PA levels of middle-aged (40–55 years) and older men and women (56+) as well as their intentions for future activity.MethodsRandom telephone surveys stratified for age, gender and geographic location assessed the weekly PA and plans for exercise among 40 adults.ResultsNumerical data showed that activity patterns were age-determined and gender-patterned with adults aged 40–55 expending far more energy at both work and leisure-time PA than adults aged 56+. Self-talk strategies occurred among 88% of the respondents but a key strategy used by active people was to ignore activity self-talk and ‘just do it’ lest they talk themselves out of exercising.ConclusionsInactive people already know that keeping active is important to their health and still do not participate. The group to target with positive triggering messages, assistance in getting started and reminders are those who already want to be more active but have not got a regular pattern established. Future research is needed to explore the impact of various kinds of social cueing. Messages such as, “Just do it” or “Don’t think about it” may be all that is needed to trigger adults who are already seriously contemplating how to increase their PA.     

The <Emphasis Type="Italic">Community Supports for Wraparound Inventory</Emphasis>: An Assessment of the Implementation Context for Wraparound

The wraparound process has emerged as perhaps the most frequently implemented comprehensive approach for planning and providing individualized, community-based care for children and adolescents with serious mental health conditions. Providing comprehensive care through the wraparound process necessarily requires a high level of collaboration across organization and agency boundaries. This need for significant inter-agency or “system-level” collaboration creates a complex implementation environment for wraparound. It is therefore not surprising that creating and sustaining a hospitable implementation environment has proven to be extremely challenging. For the people who are responsible for managing the inter-organizational collaboration, it is not easy to evaluate the adequacy of local system-level support for wraparound and to see exactly what kinds of supports are lacking or where system-development efforts should focus. Furthermore, as system-development strategies are put into practice, it can be difficult to assess whether or not meaningful progress is occurring. The Community Supports for Wraparound Inventory (CSWI) was developed to respond to the need for an assessment of the extent to which a community has developed system-level capacity to implement wraparound. This article reports on a study that evaluated the reliability and validity of the CSWI for use in communities implementing wraparound. Findings indicate that the CSWI shows promise as a reliable, valid and useful tool.     

Knowledge in science and engineering

It is now fashionable to say that science and technology are social constructions. This is true, or rather, a truism. Man is a social animal. Man is a linguistic animal, and language is social. Hence all products of human activities and everything that involves language are social constructions. But an assertion that covers everything becomes empty. The constructionist mantra that science or technology is “not a simple input from nature” attacks a straw man, for no one denies the necessity of enormous human efforts in research, development, and design. To say that these are social activities should not imply that they are indistinguishable from other social activities such as politicking or profiteering. An investigation into their peculiarities will bring to relief their intellectual and technical characteristics. The argument that science and technology are social constructions because they involve many assumptions is again a truism. Whenever we think, whenever we find things intelligible, we invariably have used some concepts and made some assumptions. Philosophers such as Kant have painstakingly analyzed concepts without which intelligibility is impossible. The important questions are not whether scientists and engineers make assumptions but what kind of assumptions they make; not whether they make judgments, but what kind of reasons they offer to support their judgments. Are the assumptions and justifications all social? Or are they mainly technical? Admittedly, the boundaries between the two are not always sharp, but is it impossible to make any differentiation at all?     

Mental imagery: in search of a theory

It is generally accepted that there is something special about reasoning by using mental images. The question of how it is special, however, has never been satisfactorily spelled out, despite more than thirty years of research in the post-behaviorist tradition. This article considers some of the general motivation for the assumption that entertaining mental images involves inspecting a picture-like object. It sets out a distinction between phenomena attributable to the nature of mind to what is called the cognitive architecture, and ones that are attributable to tacit knowledge used to simulate what would happen in a visual situation. With this distinction in mind, the paper then considers in detail the widely held assumption that in some important sense images are spatially displayed or are depictive, and that examining images uses the same mechanisms that are deployed in visual perception. I argue that the assumption of the spatial or depictive nature of images is only explanatory if taken literally, as a claim about how images are physically instantiated in the brain, and that the literal view fails for a number of empirical reasons--for example, because of the cognitive penetrability of the phenomena cited in its favor. Similarly, while it is arguably the case that imagery and vision involve some of the same mechanisms, this tells us very little about the nature of mental imagery and does not support claims about the pictorial nature of mental images. Finally, I consider whether recent neuroscience evidence clarifies the debate over the nature of mental images. I claim that when such questions as whether images are depictive or spatial are formulated more clearly, the evidence does not provide support for the picture-theory over a symbol-structure theory of mental imagery. Even if all the empirical claims were true, they do not warrant the conclusion that many people have drawn from them: that mental images are depictive or are displayed in some (possibly cortical) space. Such a conclusion is incompatible with what is known about how images function in thought. We are then left with the provisional counterintuitive conclusion that the available evidence does not support rejection of what I call the "null hypothesis"; namely, that reasoning with mental images involves the same form of representation and the same processes as that of reasoning in general, except that the content or subject matter of thoughts experienced as images includes information about how things would look.     

Porn,Peers, and Performing Oral Sex: The Mediating Role of Peer Norms on Pornography’s Influence Regarding Oral Sex

ABSTRACT

The goal of this study was to offer insights into how pornography use might be linked to young adults’ sexual experiences via the mediating role of peer norms (i.e., their perceptions of what same-sex peers do sexually). We focused on oral sex behavior, as it is common in pornography and among young people. Young adults (N = 349; ages 19–30; 54% female) were recruited through a crowdsourcing website. Participants completed an anonymous online survey about the frequency that they observed various sexual behaviors in online pornography, the frequency that they engaged in these behaviors, and their perceptions of the frequency that their peers engaged in these behaviors. Frequency of viewing cunnilingus (men) or fellatio (women) in pornography predicted how often they engaged in oral sex, and this association was mediated by their perceptions of how frequently their peers engaged in oral sex. Peer norms did not mediate how frequently they received oral sex. Findings are discussed in terms of implications for understanding how pornography may relate to young people’s social norms surrounding oral sex and their performance of sexual behaviors, as well as for understanding generally how media consumption relates to adoption of media behaviors through suggesting a social norm.     

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.     

Integrating technology in psychological skills training for performance optimization in elite athletes: A systematic review

ObjectivesThe aim of the current study was to systematically review the literature on the integration of technology in psychological skills training (PST) to optimize elite athletes’ performance.DesignSystematic review.MethodPublished English, Italian, and Russian language articles were identified using electronic databases. Eighteen articles (out of 3753 records) fulfilled the inclusion criteria, and their quality was assessed using the Mixed Method Appraisal Tool (MMAT). Six papers were judged to be excellent and four to be high quality. There were significant methodological inconsistencies across eight studies. An overall score of quality assessment ranged from 20% to 100%.ResultsThe included studies implemented various technologies, in combination with PST, to identify, monitor and/or have an intervention aimed at optimizing elite athletes' performance. The results suggested that the integration covered different meanings, i.e., functional integration, integration between technologies and measures, integration between technology, theoretical framework, and psychological skills training. There was no distinct consistency between the studies with regards to the theory or model used.ConclusionsTechnology and mental training should not be viewed as interchangeable facets of performance enhancement, but rather as complementary ones – where technology integrated in psychological skills training can lead to identify and monitor optimal performance and to implement more effective interventions.     

“Where Did I Come From?” The Impact of ART on Families and Psychotherapists

ABSTRACT

This article focuses on the field of assisted reproductive technology (ART) and psychoanalysis as it relates to people who’ve struggled emotionally in pursuit of their wish to create a family. Recent medical advances have changed baby-making to the extent that infertility is no longer a terminal diagnosis (Ehrensaft, 2012). New opportunities exist to create a family through introduction of a third party in the process of conception via in vitro fertilization, the use of donor egg and/or sperm, intracytoplasmic sperm injection, and surrogacy. The realities raised by these new methods have challenged usual cultural ideas of what constitutes a family, as well as what it means to become a parent or give birth to a child (Ehrensaft, 2000; Notman, 2011; Samish, 2006). The subject of reproductive medicine has stimulated a wide range of emotions within the community of people who suffer infertility and among psychotherapists who become involved with them in analytic and psychotherapeutic relationships.     

What members of Alcoholics Anonymous really believe

Many mental health professionals work with people who are members of Alcoholics Anonymous (AA) or may benefit from AA attendance. This article provides practical information about AA that professionals can use to understand and work with people in AA. It is a summary of a survey of 187 members of AA as well as synthesising the literature on AA. Specifically, it describes what AA is, the twelve steps and principles that underlie them, common AA expressions and how they can be used in therapy, common concerns about AA, and how to get more information about AA. Implications of how AA's steps and language can be incorporated into therapy, how therapy can facilitate working the steps of AA, and how to address consumers’ (or professionals’) concerns about AA are addressed.     

Psychoanalysis and Trauma

This article articulates some of the problems that surround the use of the term trauma in psychoanalytic theory and suggests that the key element for a theory of pathogenesis and mental functioning is not the either/or of external versus internal causation or trauma versus drive. Rather, it is an understanding of whether, or to what extent, the raw data of existential experience is or is not transformed into psychological experience. From this perspective, trauma is whatever outstrips and disrupts the psyche’s capacity for representation or mentalization. Absent the potential for mental representation, these events and phenomena are historical only from an external, third-person perspective. Until they are mentalized, they remain locked within an ahistorical, repetitive process as potentials for action, somatization, and projection.     

It’s in your nature: a pluralistic folk psychology

I suggest a pluralistic account of folk psychology according to which not all predictions or explanations rely on the attribution of mental states, and not all intentional actions are explained by mental states. This view of folk psychology is supported by research in developmental and social psychology. It is well known that people use personality traits to predict behavior. I argue that trait attribution is not shorthand for mental state attributions, since traits are not identical to beliefs or desires, and an understanding of belief or desire is not necessary for using trait attributions. In addition, we sometimes predict and explain behavior through appeal to personality traits that the target wouldn’t endorse, and so could not serve as the target’s reasons. I conclude by suggesting that our folk psychology includes the notion that some behavior is explained by personality traits—who the person is—rather than by beliefs and desires—what the person thinks. Consequences of this view for the debate between simulation theory and theory theory, as well as the debate on chimpanzee theory of mind are discussed.