Mental health past age fifty: A growing specialty in psychotherapy

With the over-50 cohort becoming a major proportion of the population, the special needs and problems of this group call for special skills and knowledge on the part of psychotherapists involved with them. Not only are stage-related developmental considerations a factor, but repressed fears of physical depletion, failure to achieve life goals, and the ultimate reality of death all play a significant part, in therapists as well as patients. These need to be dealt with through exploration and confrontation.     

Mental health workshop

Pastoral Psychology -     

Mental health matters: a multi-family framework for mental health intervention

This paper reports a collaborative project, developed jointly by a group of community mental health workers in association with a specialist team commissioned to initiate family work throughout a central London mental health provider. The result of this project – The 'Mental Health Matters Workshops'– was a series of day workshops for patients who had experienced a major mental illness, and their families, carers and mental health workers. The positive impact of the workshops on attenders is reported, as well as the development of a 'multi-family' and social network culture.     

Mental health and education: Counselling as prophylaxis

Though school counselling is concerned primarily with prevention rather than cure, in practice the urgent needs of the wayward and the sick leave little time for genuinely preventive work. Furthermore, effective prophylaxis in the strong sense of laying foundations of robust mental health, competence and well-being in all children must involve the whole school to some degree, and particularly a team of willing and able teachers working along with the school counsellor on curriculum development in personal and social education. Though the needs of the few can be met by one-to-one counselling, the needs of the many will be answered only through group work. Trained counsellors must take the initiative in such work. They will retard the mental health movement if they permit their colleagues to feel complacently that the appointment of a school counsellor is an ample school contribution to the objectives of preventive psychiatry. Mental health is every teacher's business.     

Mental health and education: Reply to Daws

Daws is criticised on the grounds that he does not adequately define the ideological nature of mental health movements. Such terms as 'delinquent' and 'normal' are socially constituted and should not go unquestioned.     

Correspondence: Mental health care in South Africa

Shame has been an insufficiently studied emotion in psycho-analytic literature until recently, mainly because it tended to be ‘absorbed’ under the concept of guilt. Now it is recognized as a powerful affect of pregenital origin, linked with narcissism and the ego ideal. Shame can be a motivation for achievements and social adaptation, it can protect an individual's integrity and can be a modulator of interpersonal relatedness; it can also function as a defence or initiate psychopathological states, such as depression, self-alienation, identity confusion or acting out. In adolescence shame is a ubiquitous phenomenon, as this developmental stage consists of all the parameters that can trigger feelings of shame. The emotional regression connected with the emergence of primitive impulses, conflicts and defences; the grandiose phantasies and the increased narcissism; the preoccupation with bodily functions and body image; the tendency to idealization and the need for social acceptance constitute the matrix within which shame and shame-derived feelings can develop. Shame is discussed as it is experienced by young patients and often by the therapist. Shame in the countertransference and during supervision is also considered. Stress is put on the importance of taking shame into account as a fundamental factor in psychotherapy with adolescents, particularly in relation to the establishment of the therapeutic relationship, understanding and interpretations. The thesis is illustrated with clinical vignettes.     

Mental health consultation in infant day care: A new frontier of prevention

This paper deals with the mental health aspects of infant day care emphasizing that mental health input into the design, implementation and ongoing supervision/evaluation of the majority of day care programs is minimal at the present time. The author proposes the following three criteria by which the adequacy of mental health input in a day care program could be judged: 1) ongoing mental health consultation to the caregiver staff on a weekly basis and by the same clinician(s), 2) assignment of primary caregivers to the infants, 3) periodic naturalistic observations of the infants to be recorded and discussed by the caregivers. The author postulates that consultation to the caregiver staff of infant day care programs represents the opportunity to establish a new frontier of prevention. Therefore, the mental health profession should consider it a goal that every infant day care setting would have a mental health clinician as a consultant. The methods, preventive functions and manpower aspects of such consultation work is discussed.     

Mental health in Christian life

Conclusion The influence of mental health upon the perception, assimilation, and expression of religious values is very apparent. As the precision of our knowledge increases, there is no lack of evidence for an affirmative answer to the question posed for the second part of this report.If the proper methods for studying the influence of religion on mental health have seemed to us to be full of ambiguity, it has also seemed to us that the future development of our scientific knowledge relative to the influence of mental health upon religion is entirely feasible and highly desirable.To work for better mental health is to permit believers (and this is equally valid for all religions and all faiths) to gain better understanding of the call of their religion in all its authenticity. The very perception of the religious message, in its richness and complexity, would be enhanced if one could raise the level of balance and of psychological maturity in a population. Mental health does not automatically make men more religious (we have no interest in an automatic, conditioned religion), but it prepares a better background in which the word of God may be heard, received, and more fully assimilated.It is in this perspective that we all must work together—doctors, psychologists, educators, priests—toward improvement of mental health. Let us, however, avoid unenlightened enthusiasm; let us keep ourselves from undertakings of which the practical applications would be directed toward illusory purposes. An effective program demands precise objects: these can be formulated only on the basis of methodically conducted research and scientifically established conclusions.