The end of mental illness thinking?

Mental health theory and practice are in a state of significant flux. This theoretical article places the position taken by the British Psychological Society Division of Clinical Psychology (DCP) in the context of current practice and seeks to critically examine some of the key factors that are driving these transformations. The impetus for a complete overhaul of existing thinking comes from the manifestly poor performance of mental health services in which those with serious mental health problems have reduced life expectancy. It advocates using the advances in our understanding of the psychological, social and physical mechanisms that underpin psychological wellbeing and mental distress, and rejecting the disease model of mental distress as part of an outdated paradigm. Innovative research in genetics, neuroscience, psychological and social theory provide the platform for changing the way we conceptualise, formulate and respond to psychological distress at both community and individual levels.     

Exploring the depths of the rainforest: a metaphor for teaching critical reflection

Many social welfare and social work students struggle to demonstrate competence in the complex process of critical reflection through to the stage of transformed thinking and action. Examples of how students learn critical reflection as an interpretive experience are scarce. This paper presents, as a case study, the process one of the authors experienced while critically reflecting on teaching critical reflection. The paper explores how this approach unlocked disturbing insights into how personally held values, views and knowledge influenced her performance relating to teaching critical reflection. Experiencing what she asks of her students raised questions regarding the duty of care that social welfare and social work educators have to ensure their students engage in critical, and transformative, self-discovery in safe and supportive ways. We propose that in the early stages of social welfare and social work degrees, rather than assessing students’ critical reflection of an event, educators examine students’ capacity to learn critical reflection in a different way. Drawing on critical hermeneutics, and a theory of visual thinking, the paper outlines the cognitive map of a process of critical reflection on teaching critical reflection. We present this as a metaphor of walking through a rainforest.     

SAMHSA philosophy and statement on ethical principles

As the major federal agency responsible for improving the delivery and effectiveness of substance abuse and mental health services to the American public, the Substance Abuse and Mental Health Services Administration (SAMHSA) is aware that its programs deal with especially sensitive issues. As a national leader in advancing effective services to persons with addictive and mental disorders, SAMHSA has stewardship over important interventions affecting personal, community, institutional, and social values. Inherent in SAMHSA's mission and goals is a commitment to protect and promote the human, civil, and legal rights and moral freedoms of those individuals and groups who participate in SAMHSA-funded activities and to demonstrate that Agency policies and procedures are congruent with publicly acceptable ethical principles and standards of conduct. A foundation of mutual trust between SAMHSA officials and participants as well as sensitivity to issues of public accountability will hasten and strengthen progress toward this shared vision.     

Conversation and Behavior Games in the Pragmatics of Dialogue

In this article we present the bases for a computational theory of the cognitive processes underlying human communication. The core of the article is devoted to the analysis of the phases in which the process of comprehension of a communicative act can be logically divided: (1) literal meaning, where the reconstruction of the mental states literally expressed by the actor takes place: (2) speaker's meaning, where the partner reconstructs the communicative intentions of the actor; (3) communicative effect, where the partner possibly modifies his own beliefs and intentions; (4) reaction, where the intentions for the generation of the response are produced; and (5) response, where an overt response is constructed. The model appears to be compatible with relevant facts about human behavior. Our hypothesis is that, through communication, an actor tries to exploit the motivational structures of a partner so that the desired goal is generated. A second point is that social behavior requires that cooperation be maintained at some level. In the case of communication, cooperation is, in general, pursued even when the partner does not adhere to the actor's goals, and therefore no cooperation occurs at the behavioral level. This important distinction is reflected in the two kinds of game we introduce to account for communication. The main concept implied in communication is that two agents overtly reach a situation of shared mental states. Our model deals with sharedness through two primitives: shared beliefs and communicative intentions.     

Human Capital,Education and the Promotion of Social Cooperation: A Philosophical Critique

Although since the 1960s human capital theory has played a major role in guiding educational policy, philosophical issues that stem from this development have rarely been discussed. In this article, I critically examine how the idea that human capital should serve as a guide to educational policy making stands in relation to the role assigned to education in promoting social cooperation. I begin by exploring the conception of human conduct that underlies human capital theory. I then move to examine the conception of social cooperation that tacitly guides human capital theory and maintain that it could not be effectively defended. I, therefore, turn to examine alternative ways to combine between human capital theory and the promotion of social cooperation. My main argument is that under existing conditions there is a deep theoretical incompatibility between the philosophical foundations of human capital theory and the ways in which education seeks to promote social cooperation.     

Interpersonal Goals and Close Relationship Processes: Potential Links to Health

A substantial body of empirical evidence suggests that social relationships buffer people from poor health. We review a program of research demonstrating how interpersonal goals create relationship processes that shape the quality of close relationships, which we argue may have consequences for own and others’ health. Self‐image goals to construct, maintain, and defend desired images of the self create negative interpersonal dynamics that undermine close relationships and mental health, while compassionate goals to support others’ well‐being create positive interpersonal dynamics that promote close relationships and mental health. We discuss the potential implications of social goals and close relationship processes for health. Finally, we suggest that exploring the independent benefits of giving and receiving in close relationships may inform how social relationships affect health and well‐being.     

共享心理模型的前因变量研究：群体合成特征的视角

以192个被试组成64个三人团队,通过计算机完成团队合成任务,从群体合成特征的视角出发探讨共享心理模型的前因变量。结果表明:团队成员的价值取向合成特征和初始心理模型合成特征对于共享心理模型的形成具有显著的主效应;群体合成特征与合作任务的信息分布特征形成了显著的交互效应,表明共享心理模型的形成存在潜在的信息分布依存性。最后对研究结果在共享心理模型理论研究上的意义和进一步研究的方向进行了讨论。     

Adaptation, evolution, and religion

Neo-Darwinian theories of religion include both nonadaptationist and adaptationist versions. Nonadaptationist versions contend that the mental architecture of the brain is wired for religious thinking but that religious concepts have piggybacked on other cognitive adaptations, especially those for agency detection. Religious concepts are not evolved biological adaptations but rather by-products of more general cognitive structures that are adaptations. Adaptationist versions concentrate on the benefits provided by religion, such as increased social cohesion and the individual benefits that stem from it, such as better physical and mental health and greater longevity. After clarifying the meaning of the terms “adaptation” and “adaptationism,” this article presents four lines of evidence in favor of the adaptationist position: (1) in the ancestral environment the role of the shaman was nearly universal and was primarily devoted to the crucial human goals of curing illness and protecting and finding vital resources; (2) religion generally has positive effects on both physical and mental health; (3) religions tend to be pro-natalist and more religious people tend to leave more offspring than less religious or nonreligious people; (4) the major world religions that evolved in the first millennium BCE during a period of major social chaos and disruption emphasized an omnipotent, transcendent God of love and mercy who offered salvation in a heavenly afterlife and released individuals from earthly suffering. None of these facts demonstrate conclusively that cognitive modules specifically oriented to supernatural agents evolved by natural selection, but they are highly suggestive and make a good inferential case.     

Parental Cooperation with Social Services and Termination of Parental Rights in Israeli Court Cases of Child Maltreatment

Parental cooperation with social services in child maltreatment cases is fundamental to all forms of family intervention. If rehabilitation efforts fail and the child cannot be safely reunified with his parents, the state is authorized to initiate termination of parental rights (TPR) proceedings. Given the scant literature on parental cooperation and TPR, the present study examined associations between parental cooperation and TPR in Israeli court cases of child maltreatment. Comparisons between uncooperative (n = 106) and cooperative parents (n = 155) revealed that uncooperative parents were more than three times more likely to have their parental rights terminated than cooperative parents, controlling for child and parent characteristics. Parents who did not cooperate with social services had high levels of mental health problems, substance abuse, criminal records, and poverty and their children had more mental health concerns and suffered more from neglect. We discuss the important implications resulting from these findings, which include: the need to view the engagement of parents in the child welfare process as a specific goal in itself and develop research-based models specifically targeting multiple-problem families at high risk of TPR; the need for professionals to build a good working alliance with parents in order to strengthen their participation; the need to take into account different background conditions and stressors related to the parents in order to facilitate greater cooperation; and the need to assess the potential mental health needs of children involved in cases of maltreatment with low parental cooperation.     

The listening heart and the chi square: clinical and empirical perceptions in the family therapy of anorexia nervosa

Clinical and empirical methods are commonly considered to be complementary activities. However, many people in the fields of mental health and social welfare espouse a strong adherence to experimental, scientific methods for the evolution of theory and practice and consider only that which has been experimentally tested as‘really true”. Others would propose the clinical method as the main source of useful knowledge and are suspicious of enumeration and quantification as sources of useful information. Formal, empirical methodology is well and extensively described whilst there is less systematic exposition of the clinical method. Family therapy evolved in a context in which activity was visible and the emerging discipline was propelled by a theoretical framework with strongly scientific origins that was critical of the exclusive clinical method of pre-existing psychotherapies. This paper describes some of the clinically based contributions to the family therapy of anorexia nervosa and compares this information with that which comes out of the Maudsley trials of psychotherapies in anorexia nervosa.     

Thinking About Me: How Social Awareness Evolved

ABSTRACT— Humans seem unique in their consideration of others' goals, motivations, intentions, and needs. But the human form of social awareness did not spring from nowhere; certain mechanisms shared across primates formed the foundation from which these processes derived. A review of recent nonhuman primate research points to particular ancestral mechanisms, including an interest in images moving in synchrony with self, a mirror neuron system that responds in the same way to actions made by the self and by others, and inherited social tolerance that provided the bases for social thinking. Still there is a gap in tracking social awareness from these basic beginnings to the ability to think about self and other with respect to intentions and goals. Comparative and clinical work will fill in this gap and will map brain processes onto social thinking.     

Barriers to evidence-based treatment: developmental psychopathology and the interdisciplinary disconnect in school mental health practice

Reframing the role of school psychologists and related school professionals in a public health and primary prevention model represents a proactive antidote to their more traditional reactive stance to mental health problems. Two additional concepts, developmental psychopathology and complex comorbidity, are suggested as critical to complete this transition, and illustrations of these concepts for more effective school mental health services are provided.     

Social Rights and Migrant Realities: Migration Policy Reform and Migrants’ Access to Health Care in Costa Rica,Argentina, and Chile

Immigration poses a significant challenge to states’ existing social protection systems, especially in developing countries that are already struggling to provide social services for their citizens. In particular, immigration produces a tension between citizenship rights—those extended only to citizens, and social rights—rights extended by the state to others within their national territory. Immigration raises questions not only about the rights and access of migrants to health and other social services but also the level and quality of provisions to citizens. We draw on literatures on welfare regimes in Latin America, welfare magnets, and the legitimacy of social rights to examine the nexus of migration and health care policy in Costa Rica, Argentina, and Chile—three countries that have recently pursued immigration reform. We argue that variation in the extension of immigrants’ social rights to health is explained by the interaction of existing migration and social policies, the nature of the health care system in each country, and, in some cases, international and regional norms.     

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。     

Building contexts that support effective community responses to HIV/AIDS: a South African case study

In this paper we discuss our conceptualisation of a 'health-enabling social environment', and some of the strategies we are currently using to build social contexts most likely to support effective HIV/AIDS management in southern Africa. In developing these ideas, we draw on our on-going collaboration with residents of Entabeni, a remote rural community in South Africa where 43% of pregnant women are HIV positive. The aim of this collaboration is to facilitate contextual changes that will enable more effective community-led HIV/AIDS management in an isolated area where people have little or no access to formal health or welfare support, and where HIV/AIDS is heavily stigmatised. We give an account of the three phases of collaboration to date. These include research; the dissemination of findings and community consultation about the way forward; preliminary project activities (skills training for volunteer health workers; partnership building and a youth rally) as a way of illustrating what we believe are six key strategies for facilitating the development of 'AIDS-competent' communities: building knowledge and basic skills; creating social spaces for dialogue and critical thinking; promoting a sense of local ownership of the problem and incentives for action; emphasising community strengths and resources; mobilising existing formal and informal local networks; and building partnerships between marginalized communities and more powerful outside actors and agencies, locally, nationally and internationally. We discuss some of the triumphs and trials of this work, concluding with a discussion of the need to set realistic goals when working at the community level in highly conservative patriarchal communities to tackle problems which may be shaped by economic and political processes over which local people have little control.     

“Socializing” Achievement Goal Theory: The Need for Social Goals

Cultures shape the types of goals that students pursue in the classroom. However, research in achievement goal theory seems to have neglected this cultural aspect with its exclusive focus on individualistically-based goals such as mastery and performance goals. This emphasis on mastery and performance goals may reflect Western individualist psychological thinking. Thus, social goals, which may be more salient in collectivist cultures, are relatively neglected. There is a dearth of studies investigating the role of social goals in academic motivation, and the few studies that did explore them are somewhat problematic. This paper reviews research done within the achievement goal theory, considers the need for more studies on social goals, and concludes with the argument that social goals are important in understanding student motivation especially in collectivist cultures.     

A Review of “The Relational Origins of Prejudice: A Convergence of Psychoanalytic and Social Cognitive Perspectives”

Abstract

Key concepts in social welfare and clinical social work - concepts such as person-in-environment, women's rights, prevention and outreach-had as precedents the pioneering theory and practice of Europe's free psychoanalytic clinics of the 1920s. Sex-Pol, a Viennese community-based clinical network created in 1927 by Wilhelm Reich, perhaps the most overtly political of the first psychoanalysts, was motivated by reformist social goals he shared with Sigmund Freud. This historical study of Sex-Pol draws on Reich's own words to explore his use of the term “social work” where clinical work is predicated on an activist ideology of human liberation.     

Lifetime stress exposure and health: A review of contemporary assessment methods and biological mechanisms

Life stress is a central construct in health research because it is associated with increased risk for a variety of serious mental and physical health problems, including anxiety disorders, depression, cardiovascular disease, autoimmune disorders, Alzheimer's disease, certain cancers, and other diseases of aging. In this review, we examine how lifetime stress exposure contributes to elevated disease risk and explore ongoing measurement and scientific issues related to this topic. To accomplish these goals, we first review existing instruments that have been developed for assessing perceived stress, self‐reported life events, interviewer‐assessed life stressors, and lifetime stress exposure. Next, we describe laboratory‐based tasks that have been used for characterizing individual differences in psychological and biological stress reactivity. These methods have yielded an enormous amount of data showing how life stress influences the activity of the hypothalamic–pituitary–adrenal axis, hypothalamic–pituitary–gonadal axis, sympathetic–adrenal–medullary axis, and immune system, and how such processes can in turn cause allostatic load and biological embedding of the stress effect at the level of the human brain and genome. At the same time, many critical measurement and scientific issues remain unresolved, and we discuss these topics last while describing some pressing issues and opportunities for future research on stress and health.     

Thinking is for doing: portraits of social cognition from daguerreotype to laserphoto.

From the outset, perspectives on social cognition have taken an emphatically pragmatic stance, as evident in early writing by James, Allport, Bruner, Asch, Heider, Tagiuri, and Jones. After a hiatus, during which social cognition research neglected its proper attunement to social behavior, researchers again are emphasizing that thinking is for doing, that social understanding operates in the service of social interaction. Early and recent (but not intermediate) theories have reflected a pragmatic orientation in 3 recurring themes: People are good-enough social perceivers; people construct meaning through traits, stereotypes, and stories; and people's thinking strategies depend on their goals. The pragmatic viewpoint again opens up new areas for research and theory in social cognition.     

The role of intimacy and social support in health outcomes: Two processes or one?

That intimacy and social support are related to an individual's health and well-being has often been noted. The present study had two goals. First, we intended to establish whether intimacy and social support were related to mental and physical health in a large, representative community sample. Second, we sought to determine whether intimacy and social support make unique contributions to predicting health, as a step toward developing a model of the relation between these processes. Results strongly supported the initial hypothesis that intimacy and social support were both related to health status. We also found that the effects of intimacy on well-being were mediated by social support, but that the effects of social support were not mediated by intimacy. We therefore concluded that the health-promoting benefits of intimacy most likely occur because intimate relationships are likely to engender higher levels of social support. Distinguishing unique and shared prediction effects is a generic concern for disciplines that study variables that are naturally correlated in real life, such as in the field of personal relationships.