Barriers to Mental Health Care: A 25‐Year Follow‐Up Study of the Orthodox Jewish Community

The current study is a 25‐year follow‐up to a mental health needs assessment in the often overlooked, but rapidly growing, Orthodox Jewish denomination. Results suggest increased acceptance of mental illness and its treatment and satisfaction with quality of care, along with decreased mistrust of the mental health field, belief that religion and psychiatry conflict, and tendency to attach stigmas to psychiatric problems. However, issues of stigma and affordability continue to be obstacles to treatment. El presente estudio es un seguimiento tras 25 años de una evaluación de necesidades de salud mental en la población frecuentemente ignorada, pero en crecimiento rápido, de individuos de denominación judía ortodoxa. Los resultados sugieren una mayor aceptación de enfermedades mentales y sus tratamientos, así como la satisfacción con la calidad de los cuidados, además de una reducción en la desconfianza hacia el campo de la salud mental, la creencia de que existe un conflicto entre religión y psiquiatría, y la tendencia a estigmatizar los problemas psiquiátricos. Sin embargo, problemas relacionados con la asequibilidad y el estigma continúan siendo obstáculos para el tratamiento.     

Differential effects of happy,neutral, and sad still‐faces on 2‐, 4‐ and 6‐month‐old infants

The role of facial expression in the determination of infants' reaction to the sudden still‐face of a social partner was investigated. In a within subject design, 2, 4 and 6‐month‐old infants were tested in periods of normal interaction interspersed with periods of prolonged still‐face episodes in which the female adult social partner adopted either a happy, neutral, or sad static facial expression while maintaining eye contact with the infant. Proportion of infants' smiling and gazing at the social partner as indices of reaction from the various still‐face episodes reveal that, in comparison with same age control groups, four and six‐month‐old infants did not demonstrate any differential responses depending on either happy, neutral, and sad still‐faced expression. In contrast, two‐month olds demonstrated some evidence of a reduced still‐face effect in the happy still‐face condition. These results point to early developmental changes in the mechanisms underlying the still‐face phenomenon. We propose that by 4 months, and not prior, the reaction to still‐face episodes are essentially based on the detection of social contingencies. Copyright © 2002 John Wiley & Sons, Ltd.