Mental Health in Information Work

Abstract

The attention paid to problems related to mental health of employees in organizations is growing. Although the stress literature is huge and varied, most of the empirical studies are done in traditional work environments in which information technology and computers are of little importance. The recent increasing use of information technology has created a growing number of information processing work environments. The work in those work environments is typically done with data and can be characterized as “mental” work. The general hypothesis in this paper is that people doing mental work relate the perception of their work to mental health. More specifically, this paper describes the relationship between work-related factors and mental health among employees in a typical information processing environment: an insurance company. First, we discuss the concept of mental health. Next, we summarize the results of a number of studies on the determinants of mental health in information work. The results of our study indicate that work and health perception has a greater impact on mental health than work characteristics, personality, and activities outside work. Work perception, health perception, and mental health can be considered as one factor, although there are minor differences between subgroups in the population. In the discussion we try to integrate the findings into a general model of mental health related to work.     

Characteristics of START Assessments Completed in Mental Health Jail Diversion Programs

Many different instruments have been developed to assist in the assessment of risk for violence and other criminal behavior. However, there is limited evidence regarding how these instruments work in the 'real world'. Even less is known about how these instruments might work for assessing risk in jail diversion populations, whether in research or practice. To address these knowledge gaps, the present study examined the characteristics of risk assessments completed by program staff (n?=?10) on 96 mental health jail diversion clients (72 men and 24 women) using the Short-Term Assessment of Risk and Treatability (START). The findings provide preliminary support for the reliability and validity of START assessments completed in jail diversion programs, the first evidence of the transportability of START outside psychiatric settings, and further evidence regarding the reliability and validity of START assessments completed in the field. They additionally support the consideration of an eighth, general offending risk domain in START assessments. Copyright ? 2012 John Wiley & Sons, Ltd.     

Work and Unemployed Mental Health Clients

The mental health treatment process is better served when career counseling and development are included. Their inclusion can contribute to the recovery process of clients.     

The Effectiveness of a Consultation Model in Community Mental Health

This one-year study explored the impact of an occupational therapy consultation model on housing status and goal attainment among 57 people with severe mental illness who were homeless or at risk of homelessness. A repeated-measure experimental design was used. Although results were mixed, the significant improvement in housing stability and goal attainment six months into the study supports the value of continued research on the effects of both direct and consultative occupational therapy intervention on client goal attainment.     

Rethinking a Familiar Model: Psychotherapy and the Mental Health of Refugees

This paper examines with a somewhat critical eye the primary role that psychotherapy and other clinic-based services currently play in addressing the mental health needs of political refugees in the industrialized countries. Two factors are considered which suggest that refugee mental health needs might be better served by complementing clinic-based treatments with a variety of community-based interventions. The first factor concerns the pervasiveness of psychological distress within refugee communities, coupled with the reluctance of many refugees to utilize formal psychological and psychiatric services. This calls into question both the adequacy and appropriateness of clinical-based services as cornerstones of our response to the mental health needs of refugees. More precisely, it suggests the need to complement such services with a variety of culturally grounded, community-based strategies that do not require attendance in formal mental health settings. Second, recent findings have shown consistently that a considerable amount of the distress reported by refugees is related not to prior exposure to violent events, but to a constellation of exile-related stressors such as the loss of one's community and social network, the loss of important life projects, changes in socioeconomic status and related concerns about economic survival, the loss of meaningful structure and activity in daily life, and the loss of meaningful social roles. It is suggested that while psychotherapy can play an important adjunctive role in helping people confront these exile-related stressors, they may most effectively be addressed through targeted community-based interventions. Examples of such community-based approaches are briefly described, and suggestions are offered for community-level strategies that might be explored. The paper concludes by emphasizing the complementary nature of clinical and community-based programs, and by suggesting that psychotherapy might best be conceptualized as one component of a more comprehensive approach to addressing the mental health needs of refugee communities.     

The Kawa Model: Therapists' Experiences in Mental Health Practice

This pilot study sought to gather information related to the experience of occupational therapists, using the Kawa Model of practice in a mental health setting. Two therapists utilized the model with one client, each over a six-week period. Through qualitative inquiry, the participants (therapists) revealed that, although initially apprehensive about using a new model, they found that the Kawa Model increased client/therapist interaction and energy levels and challenged them to push the boundaries of therapeutic practice. This research suggests that exploration of new models of practice may be beneficial in terms of facilitating successful partnerships and outcomes with clients in mental health settings.     

推理的启发式再认新模式

本文介绍了推理的启发式再认新模式,阐述了启发式再认的再认基础,介绍了“少即是多”效应,并且引用大量实验介绍了启发式再认的证据以及启发式再认的适用范围。并对启发式理论上的争议问题进行了讨论。同时也对未来的研究方向做了展望。     

Reactions to Terror Attacks: A Heuristic Model

What are the signature features of the reactions of mass publics to terrorist attacks? We argue that the available empirical evidence suggests a general pattern of reactions: The peaks of mass reactions to terrorist attacks are limited in size and duration and their end states marked by a return to baselines values of tolerance. We label this perturbation effects. In this article, we review the available evidence for perturbation effects, build a heuristic model of such effects and provide an explanation of their characteristic pattern, combing theories of emotional arousal and opinion leadership. Finally, we relate the overlooked existence of perturbation effects to widespread fears about the frailty of democratic norms in the face of mass terrorism.     

Mental Illness and Mental Health: The Two Continua Model Across the Lifespan

Mental health has long been defined as the absence of psychopathologies, such as depression and anxiety. The absence of mental illness, however, is a minimal outcome from a psychological perspective on lifespan development. This article therefore focuses on mental illness as well as on three core components of positive mental health: feelings of happiness and satisfaction with life (emotional well-being), positive individual functioning in terms of self-realization (psychological well-being), and positive societal functioning in terms of being of social value (social well-being). The two continua model holds that mental illness and mental health are related but distinct dimensions. This model was studied on the basis of a cross-sectional representative internet survey of Dutch adults (N = 1,340; 18–87 years). Mental illness was measured with the Brief Symptom Inventory and mental health with the Mental Health Continuum Short Form. It was found that older adults, except for the oldest-old, scored lower on psychopathological symptoms and were less likely to be mentally ill than younger adults. Although there were fewer age differences for mental health, older adults experienced more emotional, similar social and slightly lower psychological well-being. In sum, today’s older adults have fewer mental illness problems, but they are not in a better positive mental health than today’s younger adults. These findings support the validity of the two continua model in adult development.     

心理健康双因素模型指标的再探讨及稳定性研究

摘 要 采用整群抽样以1293名中学生为被试,并对其中531名进行纵向追踪,探讨以生活满意度和内化问题构建的心理健康双因素模型（DFM）的可行性、稳定性及其影响因素。结果：(1)以生活满意度和内化问题为指标的DFM在中国中学生中适用;(2)完全心理健康组的学业和社会功能最好,疾患组最差;(3)完全心理健康组的稳定性最高,有症状但满足组最低;(4)管理消极情绪效能感和学业情绪显著预测生活满意度和内化问题。结论：以生活满意度和内化问题为指标的DFM为复合指标DFM提供了新的研究视角;管理消极情绪效能感和学业情绪是中学生心理健康的核心影响因素。     

Mental Health Diversion Courts: A Two Year Recidivism Study of a South Australian Mental Health Court Program

The need to develop specialized judicial processes to deal with offenders with mental illnesses is now widely recognized and has led to the introduction of mental health court diversion programs around the world. At present, however, there is only limited evidence from which to assess the impact of these initiatives. This paper describes the South Australian model of diversion, with specific reference to the relationship between identified participant characteristics, program compliance rates, and re‐offending outcomes. The results of a two‐year recidivism study suggest that involvement with the program has a positive impact on recidivism, but that this is independent from the individual's level of success in the program. Lower risk offenders were more likely to achieve successful outcomes than those in the higher risk categories. The implications of these results, as well the factors that might inform the ongoing development of mental health court programs, are discussed. Copyright © 2014 John Wiley & Sons, Ltd.     

Ageism in Mental Health and Health Care: A Critical Review

Discussions of aging and mental health widely assume that ageism among mental health providers is an important factor limiting access to mental health services for older adults. Given the widespread citation of ageism as a problem, we critically review the history of the ageism construct, and evidence for its existence in both mental health and medical professionals. There is surprisingly little empirical evidence for age bias among mental health providers. Considerable evidence does suggest differential medical treatment for older adults in such diverse areas as physician–patient interaction, use of screening procedures, and treatment of varied medical problems, although it is unclear whether age bias accounts for these differences. We suggest that innovations in delivery of psychological services, such as collaborative medical/psychological care in primary care settings, may ultimately prove more useful in improving access to mental health services than efforts to combat ageism.     

A General Structural Model for Primary Prevention Program Development in Mental Health

A five-step structural model for primary prevention program development work in mental health is proposed. Each step is defined and illustrated.     

Mental Health and Obesity: A Meta-Analysis

The relationship between obesity and psychological distress is not clear because research conducted so far is not conclusive, with some studies finding that obese people report less mental health than normal-weight individuals, whilst others find that obesity may work as a protective factor that prevents people with weight problems from developing mental health issues. In this meta-analysis we review research that compares the mental health (measured with SF-36) of class I obese people (Body Mass Index between 30 and 34.99) with normal weight people (Body Mass Index between 18 and 24.99) in non-clinical adult populations. The meta-analysis conducted assumed a random-effects model and a weighted mean effect size was calculated (d), together with its statistical significance and confidence interval. Results reveal that obese women report less mental health than normal weight females (d?=??.26) but that obese men show more mental health than normal weight individuals (d?=?.62). The results give support to the so-called “Jolly Fat” hypothesis.     

Inequalities in Mental Health: the Inner City Mental Health Project

This paper draws on the evidence of a 3-year evaluation study of an inner city mental health project. Innovative service developments aimed at Afro-Caribbean and Asian communities are described, as are the reactions of providers of mainstream mental health services to these initiatives. The structural position of special projects aimed at Black communities is explored in relation to mainstream mental health services, as are the difficulties which may be encountered by service users and project staff when the project is integrated into mainstream mental health services.     

Medicalizing Mental Health: A Phenomenological Alternative

With the increasingly close relationship between the pharmaceutical industry and the American Psychiatric Association (APA) there has been a growing tendency in the mental health professions to interpret everyday emotional suffering and behavior as a medical condition that can be treated with a particular drug. In this paper, I suggest that hermeneutic phenomenology is uniquely suited to challenge the core assumptions of medicalization by expanding psychiatry's narrow conception of the self as an enclosed, biological individual and recognizing the ways in which our experience of things--including mental illness--is shaped by the socio-historical situation in which we grow. Informed by hermeneutic phenomenology, psychiatry's first priority is to suspend the prejudices that come with being a medical doctor in order to hear what the patient is saying. To this end, psychiatry can begin to understand the patient not as a static, material body with a clearly defined brain dysfunction but as an unfolding, situated existence already involved in an irreducibly complex social world, an involvement that allows the patient to experience, feel, and make sense of their emotional suffering.     

Physician-Assisted Suicide: A Mental Health Perspective

Despite their wealth of relevant clinical and research experience, mental health professionals have contributed relatively little to the active and ongoing debate about physicians assisting in the suicide of their patients. Methodologies developed for the study of completed suicide, the knowledge they have revealed, and the complex questions that remain unanswered, all must be considered. Similarly, psychiatry's extensive contributions to our understanding of the doctor-patient relationship, fundamental to the practice of psychodynamically informed treatments, have been almost completely ignored. Mental health care providers have much to contribute to, and should become actively involved in, this important public health and policy debate.     

团队共享心智模型的影响因素与效果

采用两种测量方法对团队共享心智模型的影响因素与影响效果进行探讨。多元回归和层次回归分析的结果表明,团队成员沟通得越好,就越有利于形成共享心智模型;如果团队中存在搭便车的行为越严重,就越不利于形成共享心智模型;共享心智模型有利于团队有效运作,取得好的绩效;有共享心智模型的团队,成员的满意度比较高,群体效能感较高,并且团队成员之间的密切关系会延续到工作之外;共享心智模型在团队运行过程变量和团队有效性之间起到中介作用。     

Mentoring for Mental Health within a University: A psychodynamic approach

This paper explores the role of mentoring in a British University for students with mental health issues and is written from the perspective of the Mentor who is also a Psychodynamic Psychotherapist. Psychodynamic theory is applied to two case studies in order to understand the conscious and unconscious factors when considering these students’ particular learning difficulties and motivation for entering a learning environment. In the first case study, it is suggested that the student hopes to find his lost father within the containing bricks of the institution. When confronted with frustration and disappointment, he mobilises schizoid defences, precipitating a psychotic episode. The second case study formulates the student’s chronic procrastination, which verges on academic sabotage, as a defence against the unbearable guilt concerning his abilities and achievements in contrast with his unsuccessful and disabled siblings. The challenge of helping these students is explored, including the approaches taken by the Mentor, given her remit and the particular issues presented by the students.