An internet survey of emotional health,treatment seeking and barriers to accessing mental health treatment among Chinese-speaking international students in Australia

The present internet survey examined the demographic characteristics of Chinese-speaking international students in Australia, psychological distress levels as measured by the Kessler-10 (K-10) Item scale, help-seeking history and preferences, as well as treatment barriers. Of the 144 respondents, 54% reported high psychological distress (mean K-10 score?=?23.96; SD?=?9.03). However, only 9% of those who were highly distressed reported they had sought mental health services in the past year. While the majority preferred help from informal social networks, they tended to favour mental health services over traditional culture-specific forms of help. Common barriers to accessing mental health services reported by respondents with high psychological distress included costs or transportation concerns, limited knowledge of available services, time constraints, the perception that symptoms were not severe enough to warrant treatment, language difficulties and lack of knowledge of symptoms of psychological distress. Although the majority preferred face-to-face treatments over internet treatments, a considerable percentage of respondents were willing to try either treatment modality. Chinese-speaking international students are a high risk group for developing psychological distress, yet they tend to underuse mental health services. Education about the effectiveness of face-to-face and online treatments may increase treatment seeking by this population.     

The acceptability and preference for the psychological treatment of PTSD

The acceptability and preference of psychological treatments is important in understanding patient treatment seeking, choice, engagement and attrition and possibly treatment response in health care. The acceptability of, and preference for, 14 different types of psychological treatment for posttraumatic stress disorder (PTSD) were investigated in a student population through invitation to participate in a web-based survey. Respondents were asked to rate each treatment on 10 scales and to rank the treatments in order of preference. Respondents were also asked whether they would seek treatment themselves, recommend treatment to friends and family, feel stigmatised by suffering from PTSD, had any prior knowledge of the treatments and if this had been positive or negative and whether they had a history of psychological problems or treatment. A total of 330 respondents completed the survey. A past or current history of psychological problems and treatment was surprisingly high. Almost all respondents indicated that they would seek or recommend treatment in spite of high levels of stigmatisation. Factor analysis of the 10 scales indicated two factors: Endorsement and Discomfort. Rank ordering on preference and Endorsement scores was highly consistent. The highly preferred and endorsed treatments involved cognitive therapy, exposure or psycho-education in spite of high levels of discomfort anticipated with exposure. Treatments involving new technologies, EMDR and psychodynamic psychotherapy received the lowest Endorsement and preference. There was a modest influence of prior knowledge of a treatment.     

The past as a determinant of the present: Historical continuity,collective angst,and opposition to immigration

We propose that the perceived continuity between a group's past and present can be a psychological resource that provides confidence in the group's future vitality, thereby reducing the need to preserve identity. In two studies, English participants were told that there was continuity or discontinuity between England's past and present. Both studies showed that higher identifiers (but not lower identifiers) experienced more collective angst (i.e., concern for the group's future) and were more opposed to immigration when English history was presented as discontinuous compared with continuous. Importantly, collective angst mediated the effect of the historical continuity manipulation on opposition to immigration. We conclude that, particularly among those higher in group identification, perceived discontinuity of the group's past can undermine the perceived vitality of the future, thereby increasing the need to preserve current collective identity. Copyright © 2011 John Wiley & Sons, Ltd.     

On the spatiotemporal extensiveness of sense-making: ultrafast cognition and the historicity of normativity

The enactive approach conceives of cognition as acts of sense-making. A requirement of sense-making is adaptivity, i.e., the agent’s capacity to actively monitor and regulate its own trajectories with respect to its viability constraints. However, there are examples of sense-making, known as ultrafast cognition, that occur faster than the time physiologically required for the organism to centrally monitor and regulate movements, for example, via long-range neural feedback mechanisms. These examples open a clarificatory challenge for the enactive approach with respect to how to operationalize monitoring and regulation, and with respect to the temporal scale of sense-making, which has traditionally been limited to the here-and-now in accordance with the axiom of structural determinism. We explore possible responses to this challenge and suggest that this axiom should be explicitly rejected, in particular, we suggest that adaptivity is a property of organism–environment interactions over a time span that includes both present and past conditions. Ultrafast performances are thus no longer a challenge for the enactive approach, because the constitutive basis of their normativity is spatiotemporally extensive. This is in agreement with recent developments in different varieties of enactivism, which all converge toward assigning a constitutive role to an agent’s history of interactions.

     

The long past and short history of the vocabulary of Anglophone psychology

How do particular words come to be part of the vocabulary of Anglophone psychology? The present study sampled 600 words with psychological senses from the Oxford English Dictionary, which not only gives the number of senses for each word but also the date and author for the earliest known occurrence of each sense. Analogous information for the same words was taken from PsycINFO. One can distinguish between words for which their psychological sense is the first to occur in the history of the written language (primary psychological words) and words for which their psychological sense only emerges after one or more other senses have become established in the written language (secondary psychological words). To use a distinction made famous by Ebbinghaus, secondary psychological words have both a past and a history in psychology, while primary psychological words only have a history. Secondary psychological words have more connections to other words and occur more frequently in PsycINFO than do primary psychological words. For secondary psychological words, it is possible to trace a process of metaphoric polysemy that provides a basis for the eventual occurrence of the psychological sense of a word. Some primary psychological words are now developing secondary, nonpsychological senses, showing that they are subject to the same metaphoric process as are any other words.     

Between certainty and uncertainty--observations on psychoanalysis in Russia

'Diversity', the theme of our conference, carries a subversive sub-text in totalitarian societies. This is one of the themes presented as the current revival of psychoanalysis in the more democratic post-Communist Russia is explored. The history of psychoanalysis in Russia is summarized with a focus on its politicization, which led to initial interest in its theory (by way of a misapprehension of its tenets), and then to ultimate suppression of psychoanalytic thinking as an ideology deemed antagonistic to the totalitarian regime. In contrast, features of psychoanalysis and democracy are explored for their mutual affinities. The background of the resourceful new generation of analytic therapists is discussed, especially in regard to their experience of the parallel meanings of the word 'repression' (political, psychological). There is a persistence of some traits in patients and practitioners alike that are referable to past repression, such as the newness of verbal treatments, the inhibition of psychological curiosity, the ambivalent lure of certainty, and the pressure of authoritarian introjects. It is noted that psychoanalysis has its own history of a posture opposed to pluralism and diversity, which deepens the dialogue on the mutual engagement between psychoanalysis and the vicissitudes of its history in Russian culture.     

Roots of the Pavlovian Society''s Missions of the Past and Present: The Pavlov Dimension

This paper offers an interpretation of the relation between Pavlov's life and work and the missions of the Pavlovian Society, both past ("observation and observation") and present ("interdisciplinary research on the integrated organism"). I begin with an account of Pavlov's life and his influence on contemporary thought. I then indicate the relation of some of Pavlov's attitudes (e.g., his motto, his epistemological stance) to the Society's past mission. In the concluding and most controversial section, I argue for six guiding principles derived from Pavlov, to be applied to the Society's mission. These are: (a) a confident methodological behaviorism; (b) a significant role assigned to both physiological and psychological factors in the prediction and control of the integrated organism; (c) approximately equal taxonomic precision of physiological and psychological explanatory concepts; (d) distrust of teleological explanatory concepts; (e) rejection of psychology's instrumentalist "cognitive paradigm shift"; and (f) rejection of the representational theory of knowledge.     

Perspectives on Psychology and Law

The past decade saw an explosive growth in psychological research on law (particularly the judicial process) that continues unabated. This article presents an intellectual history of this research and a critical assessment of its contemporary developments. It begins by tracing four stages in the relations between psychology and law that serve to place present scholarship in perspective. Then follow two sections consisting of conceptual, methodological, and jurisprudential critiques of two topics, respectively, that traditionally have been and still remain at the center of research attention: the pretrial phase of the criminal process (eyewitness identifications) and the criminal trial itself (jury selection, jury decision making, and presentations of evidence and law to the jury). Finally, some themes are culled from past and present experience that capture the mood, difficulties, and prospects of applying psychology to the law. The purpose of this theoretical overview of the field is to suggest some insights into two recurrent questions: why has psychological research not had more of an impact on the judicial process, and what can be done about it?     

OUR CONSTRUCTIONS OF TRAUMA: A DIALECTICAL PERSPECTIVE

The field of mental health has been confronted by issues of psychological trauma since its inception. Throughout its history there have been a host of oscillating and conflicting views on the reality and consequences of many types of psychological trauma. A dialectical stance provides a useful framework with which to consider and work with these contradicting views. Such a stance enables a focus on the total context in which professional narratives of trauma are formed and looks for useful elements from both sides of the debates about trauma. In this article, dialectical thought is applied to professional narratives regarding the prevalence, responsibility, consequences, and treatment of trauma.     

Addressing the Global Burden of Mental Illness: Why Transdiagnostic and Common Elements Approaches to Evidence-Based Practice Might Be Our Best Bet

This paper provides a commentary of Murray et al. (2014--this issue), who discuss the need for greater treatment quality and availability globally, particularly in low- and middle-income countries, and present outcome data for a common elements treatment approach that was developed to address the staggering burden of mental illness. This commentary discusses barriers to the dissemination and implementation of evidence-based psychological treatments, with a particular emphasis on training initiatives. The utility of a transdiagnostic approach to evidence-based practice is also explored within the context of training initiatives and ease of dissemination.     

The course in the history of psychology: present status and future concerns

The present study provides a turn-of-the-century status report on the teaching of the history of psychology in colleges and universities in the United States. The data indicate that the course is offered regularly in most departments of psychology and is frequently required of majors; these findings are consistent with earlier research. Most instructors teach the course largely out of personal interest and self-taught expertise with their primary teaching and research commitments to other areas of psychology. Few instructors engage in publication of research and scholarship in the history of psychology, although there are 2 journals in the field that provide an outlet for scholarship. The few positions that allow for primary commitment to teaching and research in the history of psychology is a possible cause of concern for the future of the course and for its place in the education of psychologists in the 21st century.     

The menstrual taboo in the Judeo-Christian tradition

The menstrual taboo continues to be a primary reason why women in Judaism and Christianity are excluded from positions of authority. This is demonstrated by examining positions taken toward menstruation by religious leaders in past history and in the present day. Jesus and Gregory the Great are notable exceptions to the disdain expressed by male religionists toward menstruants. Only after the removal of this persistent taboo will religious bodies come to treat women as full participants.     

Chicken,Eggs, and Speciation 1

Standard biological and philosophical treatments assume that dramatic genotypic or phenotypic change constitutes instantaneous speciation, and that barring such saltation, speciation is gradual evolutionary change in individual properties. Both propositions appear to be incongruent with standard theoretical perspectives on species themselves, since these perspectives are (a) non‐pheneticist, and (b) tend to disregard intermediate cases. After reviewing certain key elements of such perspectives, it is proposed that species‐membership is mediated by membership in a population. Species‐membership depends, therefore, not on intrinsic characteristics of an organism, but on relationship of an organism to others. A new definition of speciation is proposed in the spirit of this proposal. This definition implies that dramatic change is neither necessary nor sufficient for speciation. It also implies, surprisingly, that an organism can change species during its lifetime.     

The use of the past and the present in the clinical setting Pasts and presents

The author provides a brief summary of Latin American literature concerning temporality. She shows that a common theme throughout all these papers is that the analytical relationship is considered to be bipersonal and symmetrical, thus demonstrating a concern for establishing the basis by which social subjectivity can be reconsidered. This literature displaces the idea of linear time from its central position and introduces other measures of time. The analytical relationship takes place not only in the past but also in a newly created present. This is the ongoing present, of what is happening now, instantaneous and without a prior history attached to it. This leads the author to suggest that there is a present to one's history and a history to one's present. She then analyses the consequences of this proposition by examining some clinical material where she attempts to pinpoint those instances in which the analyst may have reacted defensively, tending to position himself in the analysand's past instead of being able to take action in the present. Clinical material from the IJP is used.     

Toward a Cognitive-Behavioral Classification System for Mental Disorders

As is true for its predecessors, the recently published DSM-5 uses arbitrary criteria and cutoffs to define categories of mental disorders that are of questionable validity and that provide no guidance for treatment. Recently, the NIMH introduced an alternative classification system, the Research Domain Criteria (RDoC). Both the DSM-5 and the RDoC initiative make the strong assumption that psychological problems are expressions of specific latent disease entities. In contrast, the complex causal network approach conceptualizes psychological problems as mutually interacting, often reciprocally reinforcing, elements of a complex causal network. The cognitive behavioral model offers a classification framework that is compatible with the complex causal network approach and provides a treatment-relevant alternative to the latent disease model that is the basis for the DSM-5 and the RDoC initiative.     

The long past and the short history of social psychology

In 1908 Ebbinghaus distinguished between the long past and the short history of psychology. The short history dated from 1879 when Wundt established a psychological laboratory at Leipzig. The long past concerns the time when psychology was a branch of philosophy. Implicit in such a break with the past is a positivist philosophy of science. I show how this philosophy of science distorts the historical record. I then analyse the history of social psychology. Unwittingly Lindzey and Aronson (1985) distinguish between the long past of social psychology as part of the Western intellectual tradition and its short history as an experimental science that is mainly American. Murchison's Handbook of Social Psychology (1935), whilst marking the boundary between the long past and the short history, belongs to the long past. The break with tradition came in 1954, when Lindzey published the first Handbook in the modern series. There is a self-conscious need, in the post World War II era, to train a whole new generation of social psychologists. The Lindzey series of Handbooks meets that need. The ‘progress’ of modern social psychology is now measured in terms of its distance from the Murchison milestone of 1935.     

Meditation Awareness Training (MAT) for Improved Psychological Well-being: A Qualitative Examination of Participant Experiences

Mindfulness-based interventions are reported as being efficacious treatments for a variety of psychological and somatic conditions. However, concerns have arisen relating to how mindfulness is operationalized in mindfulness-based interventions and whether its ‘spiritual essence’ and full potential treatment efficacy have remained intact. This qualitative study used interpretative phenomenological analysis to examine participant experiences regarding the acceptability and effectiveness of a newly designed secularized intervention called meditation awareness training (MAT) that follows a more traditional Buddhist approach to meditation. Participants (with issues of stress and low mood) reported experiencing improvements in psychological well-being due to receiving MAT. The wider implications are discussed.     

Self across time: the diachronic unity of bodily existence

The debate on personal persistence has been characterized by a dichotomy which is due to its still Cartesian framwork: On the one side we find proponents of psychological continuity who connect, in Locke’s tradition, the persistence of the person with the constancy of the first-person perspective in retrospection. On the other side, proponents of a biological approach take diachronic identity to consist in the continuity of the organism as the carrier of personal existence from a third-person-perspective. Thus, what accounts for someone’s persistence over time, is the continuity of his mind on the one hand, and the continuity of his body on the other. In contrast to those views, the paper intends to show that bodily existence represents the basis of selfhood across time, both as the continuity of the experiential self and as the continuity of the autopoietic organism. On the one hand, the lived body conveys a continuity of the self from a first-person perspective, namely a pre-reflective feeling of sameness or a felt constancy of subjectivity. Moreover, an analysis of awakening and sleep shows that there is a continuous transition from full wakefulness to periods of deep sleep which may thus not be regarded as a complete interruption of subjective experience. On the other hand, this constancy converges with the continuity of the organismic life process as conceived from a third-person perspective. Thus, the experiential self of bodily subjectivity and the autopoietic self of the living organism should be regarded as two aspects of one and the same life process. Finally, the lived body also exhibits a specific form of memory that results from the continual embodiment of existence: it consists of all the affinities, capacities and experiences, which a person has acquired throughout his life. Thus, it provides a continuity of self that must not be actively produced through remembering, but rather integrates the person’s entire past in his present being and potentiality.     

The Roles of Cognitive Flexibility and Experiential Avoidance in Explaining Psychological Distress in Survivors of Interpersonal Victimization

The long-term negative psychological consequences associated with interpersonal victimization are significant; however a history of interpersonal victimization alone does not necessarily lead to greater long-term psychological distress. The current study examined the relationship between cognitive flexibility, experiential avoidance, and psychological distress among 92 women who reported a history of interpersonal victimization. The findings indicate that both cognitive flexibility and experiential avoidance are significantly related to posttraumatic stress symptomology and depression in this sample. Preliminary evidence is also presented suggesting experiential avoidance maybe a potential mediator between cognitive flexibility and psychological distress in this sample. The current findings suggest that treatments targeting greater emotional acceptance and mindfulness might be useful approaches in working with survivors of interpersonal victimization.