Institutional Values of Managed Mental Health Care: Efficiency or Oppression?

The authors suggest that many managed mental health care (MMHC) practices have oppressive effects on members of cultural and ethnic minority groups. They examine the dissonance between institutional practices and cultural traditions that reflect insensitivity and forced conformity, particularly regarding time, pace, and intervention uniformity as applied to clients and commonly required in the MMHC industry. Los autores sugieren que muchas prácticas del cuidado administrado de la salud mental (MMHC, por sus siglas en inglés) tienen efectos opresivos sobre los miembros de grupos de minorías étnicas y culturales. Examinan también la disonancia entre prácticas institucionales y tradiciones culturales que reflejan insensibilidad y una conformidad forzada, sobre todo en lo referente a tiempo, ritmo y uniformidad de intervención tal y como se aplica a clientes y normalmente requeridos por la industria de MMHC.     

Does Religion Buffer the Effects of Discrimination on Mental Health? Differing Effects by Race

Much research has shown that experiences of discrimination are negatively related to mental health. In this study, a national probability survey of whites and African Americans at midlife is used to examine whether attendance at religious services and religious comfort seeking protect people from the effects of discrimination on mental health, and if the protective power of religion varies by race. Results show that reports of discrimination are related to greater negative affect and less positive affect, but only attendance at religious services moderates this relationship, and then only for African Americans' negative affect. The historical involvement of African-American religious bodies in combating discrimination may help to explain the specificity of these moderating effects.     

Participatory Research in Systems of Care for Children’s Mental Health

The children’s system of care initiative in the United States requires the participation of caregivers of children with emotional or behavioral problems in conducting research and evaluation. This entails a restructuring of traditional power dynamics among families served by the community mental health system and other system stakeholders, including researchers. However, evidence indicates that system of care research may not currently embrace the different types of knowledge possessed by caregivers and may be frustrated by traditional power hierarchies, resulting in research findings that are not useful for the community. In this paper I examine a framework for power and knowledge and examine how, when viewed through this framework, participatory research in the system of care initiative thus far may be less than authentic. I conclude with improvements suggested by the framework that are expected to shift power to caregivers and result in more useful, actionable research findings for the community.     

Who Is Referred to Mental Health Services in the Juvenile Justice System?

We describe the mental health referral rate among youth in a correction facility, examine how sociodemographic and criminal history characteristics relate to referral, and explore how these variables and diagnostic class differ by referral source. Data were abstracted from case records. The referral rate was low (6%). Non-Latino youth, repeat offenders, and violent offenders were more likely to be referred compared to all detained youth. Referral source also varied by violent offense history and diagnosis type. Future studies examining access to mental health services should take into account a detained youth's sociodemographic, criminal history, and clinical characteristics.     

Emotional Intelligence or Personality in Resistance to Change? Empirical Results in an Italian Health Care Context

This study investigated the role of personality traits and emotional intelligence in relation to resistance to change. The Eysenck Personality Questionnaire–Revised Short Form, the Bar‐On Emotional Quotient Inventory, and the Resistance to Change Scale were administered to 274 Italian physicians and nurses. With respect to resistance to change, the study revealed that emotional intelligence added a significant percentage of incremental variance compared with personality trait variances. The results highlight the role of emotional intelligence and its relationship with resistance to change and offer new research and intervention perspectives for career development and career counseling.     

Should Counseling Be Considered a Health Care Profession? Critical Thoughts on the Transition to a Health Care Ideology

The counseling profession has increasingly identified with health care ideology. The logical justifications for this transition are critically examined. Ideological and practical consequences of the health care transition are also considered. The author concludes that the usual ways of justifying the transition to health care are insufficient and that this transition has generally had negative consequences for the counseling profession.     

Is Attachment to God a Unique Predictor of Mental Health? Test in a Jewish Sample

Research suggests that religion and spirituality generally correlate positively with various aspects of mental health, although mediators remain unclear. We explored whether attachment to God is a unique predictor above and beyond other key religious variables within a Jewish sample. Given the religion-as-culture perspective suggesting that Judaism can be characterized as primarily focused on behavior versus internal mental experiences, we expected that attachment to God would be less relevant to Jewish mental health. Surprisingly, attachment emerged as the strongest predictor of mental health among both more traditional Orthodox Jewish participants and less traditional non-Orthodox Jews. Although additional cross-cultural research is clearly needed, our results suggest that even in more behaviorally focused religious cultures, attachment to God is a key mediator of the protective effects of religion and spirituality.     

The Medical Humanities Today: Humane Health Care or Tool of Governance?

The medical humanities have been presented as a panacea for medical reductionism; a means for 'humanizing' medicine. However, there is a lack of consensus about the appropriate contributing disciplines and how curricula should be taught and assessed. This special issue critically examines the role of the medical humanities in medical education and their potential to serve, inadvertently or otherwise, as a tool of governance. The contributors, who include medical educators and medical practitioners, employ a range of perspectives for analysing the pertinent issues.     

The Biophilia Hypothesis and Life in the 21st Century: Increasing Mental Health or Increasing Pathology?

Wilson's biophilia hypothesis includes the claim that, as a consequence of evolution, humans have an innate tendency to focus on life and lifelike processes. A review of various literatures converges to support this central claim. One area of support for our innate affiliation with nature comes from research demonstrating increased psychological well-being upon exposure to natural features and environments. Support also comes from the strength and prevalence of phobic responses to stimuli of evolutionary significance and near absence of such responses to potentially dangerous human-made stimuli. That survival emotions of equivalent intensity and prevalence have failed to develop in response to modern life-threatening stimuli can be explained by the extremely rapid process of change and progress that has occurred post World War II and continues at an ever increasingly rapid pace. Given that our modern ways of living, as prescribed by Western industrialised culture, stand in stark contrast to our evolutionary history, it is proposed that we may currently be witnessing the beginnings of significant adverse outcomes for the human psyche.     

Understanding the Relationship between Poverty and Children’s Mental Health in Poverty-Stricken Area of China: Social Causation or Social Selection?

This study aimed to explore the relationship between poverty and children’s mental health in the social context of China. Data were consisted of 1314 children, which were collected with a multi-stage cluster random sampling method in Xiushui, a typical poverty city in China. Structural equation modeling was adopted to test the hypothesized model. Results showed that both social causation model and social selection model could explain the relationship between poverty and children’s mental health in Mainland China. The implications of these findings on theory and social work services were also discussed.     

Where Have All the Children Gone? Movement from Child to Adult Mental Health Systems

The mental health histories of the 448 children 15 and 16 years of age who were admitted to state-operated children's psychiatric inpatient services in New York during 1982 were reviewed for the 11 year period through April 1993, Thirty-three percent were served as adults (after age 18) in the state-operated adult civil mental health system; 42% of these individuals were still receiving services at the end of the period. 113 of the 146 individuals served as adults were served only in the civil system. Thirteen percent of the cohort received some of their mental health services as adults in the state-operated adult forensic mental health system due to criminal law involvement. This includes nine percent who received mental health services while they were inmates in state prisons. Twenty four of the 57 forensic clients received services as adults only in the forensic system. Diagnostic, demographic, and service history characteristics of the groups were compared to foster an early understanding of policy and programmatic issues related to movement from the child mental health system to the adult system. Baseline (1982) information was used to identify predictors of later service utilization.     

Locked into the System? Critical Community Psychology Approaches to Personal Debt in the Context of Crises of Capital Accumulation

The considerable and sustained boom in personal debt recently has in many countries around the world led to experiences of over‐indebtedness that are associated with very considerable distress and suffering. This article explores critical perspectives that situate personal debt, material deprivation and suffering, and specific ways of knowing and acting, within the context of recent political and economic practices. There is a need to focus on positioning people's experiences of debt within a broader matrix of factors of national and international practices and policies, including globalisation, changing labour markets, and poorly regulated financial industries. These factors appear to have allowed a network of international financial institutions to adopt practices that have proved successful in creating personal debt. Yet, an individualised discourse of financial capability has been propagated, configuring personal debt as a problem of irresponsible individual consumption. In order to explore ways of resisting reactionary and individualised modes of addressing personal debt, proposals will be made of alternative paradigms for responding to personal debt, defined by two dimensions of community psychological practice, with examples. This article aims to increase collective awareness of the systemic character of debt and the collective responses required. Copyright © 2014 John Wiley & Sons, Ltd.     

A Protective Factor Against Mental Health Problems in Youths? A Critical Note on the Assessment of Self-Compassion

Self-compassion, which refers to the tendency of being kind and understanding to oneself when confronted with personal failings and difficulties, is increasingly investigated as a protective factor within the context of mental health problems. In this invited paper, I will briefly introduce the concept of self-compassion and give an overview of the research that has examined its relationship with psychopathology in youth. Then I will make my critical point regarding the assessment of self-compassion: the scales that are currently used for measuring this construct include a large number of reversely scored, negative items that measure the precise opposite of having compassion with oneself. I present evidence (partly on the basis of own data) that these negative items do not reflect the true protective nature of self-compassion and tend to inflate the relation with psychopathology. My recommendation is to remove the negative items from the scales and to assess self-compassion by means of a set of items that truly reflect its protective nature.     

Age-of-Onset or Behavioral Sub-Types? A Prospective Comparison of Two Approaches to Characterizing the Heterogeneity within Antisocial Behavior

There are two common approaches to sub-typing the well-documented heterogeneity within antisocial behavior: age-of-onset (i.e., childhood-onset versus adolescence-onset; see Moffitt 1993) and behavioral (i.e., physical aggression versus non-aggressive rule-breaking). These approaches appear to be associated, such that aggression is more characteristic of childhood-onset antisocial behavior whereas rule-breaking is linked to both child- and adolescence-onset antisocial behavior. However, it remains unclear which approach, if either, better explains the heterogeneity within antisocial behavior. We examined this question in a prospective sample of male twins, assessed at the ages of 11, 14, 17, and 24 years. Although the age-of-onset subtypes predicted adult antisocial behavior in the expected direction when analyzed alone, this association dissipated once we controlled for aggression and rule-breaking. Such findings suggest that the behavioral sub-types of antisocial behavior may be a stronger predictor of later antisocial outcomes than is its age-of-onset.     

Mental models or methodological artefacts? Adults' naïve responses to a test of children's conceptions of the earth

Vosniadou and Brewer (1992) claim that children's drawings and answers to questions show that they have naïve, theory‐like ‘mental models’ of the earth; for example, they believe it to be flat, or hollow with people inside. However, recent studies that have used different methods have found little or no evidence of these misconceptions. The contrasting accounts, and possible reasons for the inconsistent findings, were tested by giving adults (N=484) either the original task (designed for 5‐year olds) or a new version in which the same drawing instructions and questions were rephrased and clarified. Many adults' responses to the original version were identical to children's ‘naïve’ drawings and answers. The new version elicited substantially fewer non‐scientific responses. These findings indicate that even adults find the original instructions and questions ambiguous and confusing, and that this is the principal reason for their non‐scientific drawings and answers. Since children must find the task even more confusing than adults, this explanation very probably applies to many of their non‐scientific responses, too, and therefore accounts for the discrepant findings of previous research. ‘Naïve’ responses result largely from misinterpretation of Vosniadou and Brewer's apparently simple task, rather than from mental models of the earth.     

Who is Left Behind? Altruism of Giving,Happiness and Mental Health during the Covid-19 Period in the UK

Applied Research in Quality of Life - The UK government has decided to implement lockdown measures at the end of March 2020 as a response to the outbreak and spread of the Covid-19 pandemic. As a...     

Effects of Directed Thinking on Intentions to Engage in Beneficial Activities: Idea Generation or Mental Simulation?

How might people best persuade themselves to engage in beneficial activities, such as dieting, exercise, and studying? One strategy is to think about actions. Another strategy is to think about reasons. In previous research, students who were directed to think about actions increased their study intentions more than did students who were directed to think about reasons. The present experiment tested whether thinking about actions was effective because of idea generation (coming up with the thoughts) or because of mental simulation (imagining the scenarios). In immediate and delayed measures, directed thinking about actions (but not reasons) proved generally more effective when students focused on mental simulation than when they focused on idea generation. Theoretical and applied implications are discussed.