Belief in a just world and social dominance orientation: Evidence for a mediational pathway predicting negative attitudes and discrimination against individuals with mental illness

Prejudice against individuals with mental illness stems from multiple factors, including the personality traits of those harboring the prejudiced attitudes. However, little is known about the personality processes (as opposed to static correlates) leading to negative attitudes and discrimination toward individuals with mental illness. The present research tested a mediational model in which negative attitudes against such people and resulting intentions to discriminate are distally rooted in just-world beliefs, which predispose people toward higher social dominance orientation, a well-known proximal personality predictor of general prejudice. Participants completed measures of behavioral intentions, attitudes toward individuals with mental illness, social dominance orientation, and belief in a just world. The proposed mediational model was supported, and an alternative causal model was not. These results illuminate the personality-process antecedents of attitudes toward individuals with mental illness and provide a foundation for research targeting interventions intended to reduce prejudice and discrimination against this population.     

Influence of character strengths on mental health stigma

We examined traits of open-mindedness, kindness, hope, and social intelligence in the context of mental health stigma. Stigma – a process that objectifies and dehumanizes a person who has mental illness – diminishes people’s ability to control their behavior as coping with stigma requires self-regulation. Exploring mental health stigma through the lens of character strengths allows for understanding individual differences and kinds of characteristics that help decrease the ramifications associated with stigma of mental health. Several tasks explored the effects of character strengths on implicit and explicit mental health stigma: implicit association task, measures of willingness to interact with those with a mental health disorder, and a social distance task of self, friend, and person with a disorder. Character strengths of social intelligence and kindness were indicative of less stigma of mental health. More open-minded individuals tended to not hold individuals diagnosed with a mental health disorder personally responsible for acquiring that disorder.     

Conceptualising mental health in the United Arab Emirates: the perspective of traditional healers

Substantial investments in health-care have ensured the widespread availability of allopathic medical services across the United Arab Emirates (UAE). However, in spite of this accessibility traditional healers (Mutawa) continue to play a significant, albeit, unofficial role in the UAE's health sector. Citizens routinely consult traditional healers for problems that might, from a western biomedical perspective, be considered psychiatric conditions. This qualitative study explores traditional healers' conceptualisations of mental health problems, discussing their perspectives on phenomenology, aetiology, intervention and outcome. Notably, traditional healers distinguished between biomedical illness and states they attributed to demonological or metaphysical causes. The Islamic spiritual narrative was central to discussions of aetiology, intervention and outcome. Greater integration of traditional healers within the UAE's mental health-care services would, in many cases, improve patient experience and outcomes.     

Prebirth and postbirth influence on the relationship between creative ability and recorded mental illness1

Groups of 10 high, 20 above average, and 20 low creative ability subjects were constituted by interjudge agreement from among an adult population who were removed from their biological parents and adopted shortly after birth. The adoptees thus received prebirth influence from their biological relatives and postbirth influence from then: adoptive relatives The rates of recorded mental illness were determined among the adoptees, their biological parents and siblings, and their adoptive parents and siblings Mental illness rates in the adoptees were positively and significantly related to their creative ability level, substantiating the hypothesized relationship between creative ability and mental illness. The mental illness rates of the biological parents were positively and significantly related to the creative ability level of the adoptees. Mental illness rates among the adoptive parents and the adoptive and biological siblings were independent of the adoptees’ creative ability level. The data were interpreted as evidence for the influence of prebirth factors on the relationship between creative ability and mental illness No evidence of family-related postbirth influence was found An evaluation of mental illness rates among uncooperative (nonresponding) potential subjects and their relatives suggested that noncooperation by these adoptees produced a dampening effect on the results of the study.     

Towards Youth Happiness and Mental Health in the United Arab Emirates: The Path of Character Strengths in a Multicultural Population

Happiness, good mental health and the possession of character strengths have been proposed in the context of positive psychology as important conditions for achieving a life full of gratification. However, there is a scarcity of studies examining those conditions in Eastern cultural contexts, in order to replicate findings from the Western countries. In this vein, the present study aims to explore the influence of strengths on happiness and mental health in the multicultural context of United Arab Emirates and it is hypothesised that certain strengths are better predictors of happiness and mental health than others, also after controlling for potential sociodemographic confounders. A sample of young university students, in the majority coming from eastern countries was assessed through the Global Happiness Scale, the GHQ-12 and the VIA-IS-120. The results of the regression analyses revealed that the group of character strengths under the denomination of Transcendence together with being young was associated with higher levels of happiness and better mental health. In addition, the possession of strengths of Restraint was associated with less happiness, whilst being a man indicated a better mental health. Such results have important implications regarding the replication of previous results from Western contexts in the context of UAE, highlighting the need for implementation of culturally context-tailored strategies for achieving happiness and mental health through the use of character strengths.     

Managing a stigmatized identity—evidence from a longitudinal analysis about people with mental illness

Previous research about coping with the stigma of mental illness mostly relied on cross‐sectional or qualitative research designs. In the present study, the consequences of ten identity management strategies for mental illness stigma were observed in a longitudinal design. Cross‐lagged analyses were used to describe the influence of the strategies on the frequency of stigma experiences and on mental health in a two‐wave panel of people with mental illness (n = 367, 79% repeated response rate). Selective disclosure and information seeking emerged as adaptive identity management strategies, whereas overcompensation and withdrawal led to lower mental health. Results were mostly unaffected by demographic and psychiatric variables. The results support an empowerment model of stigma resilience that portrays stigmatized people as active constructors of their social world.     

The relationship between mental toughness and subjective mental illness recovery

Recently there has been an increasing interest in subjective mental illness recovery, and it has been recognised that there is an important role for characteristics such as self-efficacy and locus of control. Mental toughness describes a set of characteristics important for dealing with stress and pressure, and is comprised of challenge, commitment, control of emotion, control of life, confidence in abilities, and interpersonal confidence. The current study explored relationships between mental toughness and subjective mental illness recovery. Seventy-seven participants (nineteen males and fifty-eight females, the majority of which were young adults aged 18–21 years) who had previously recovered from, or were currently recovering from a mental illness (self-reported) completed questionnaire measures of mental toughness and subjective mental illness recovery. Mental toughness had a positive significant relationship to recovery, with particular roles for commitment and confidence in abilities. The findings are discussed in terms of implications for recovery-oriented practice, intervention, and measurement. Further research should examine the role of mental toughness in different aspects of subjective recovery, and also explore relationships with objective measures of recovery.     

Differences in attributions of mental illness and social distance for portrayals of four mental disorders

For individuals with mental illness, others' perceptions of mental illness often limit integration into communities. Perceptions of mental illness manifest as social stigma in the form of social distance and may depend on individuals' attributions of the origins of mental illness. 180 university students completed a survey on attribution of mental illness and social distance across several disorders (psychiatric and physical). Participants indicated greater social distance for severe mental illness (i.e., schizophrenia) than less severe mental illness and physical illness. More desire for social distance may be related to unfamiliarity with severe mental illness rather than less severe mental and physical illnesses. Greater understanding of how individuals perceive mental illness can inform efforts to educate the public.     

Seeking professional help: Etiology beliefs about mental illness across cultures

In the present study, the authors examined the contributions of cultural beliefs about the etiology of mental illness to the seeking of help from mental health professionals among college students in 4 cultural groups, European Americans, Chinese Americans, Hong Kong Chinese, and Mainland Chinese. Group differences were found in help-seeking history and likelihood, with European and Chinese Americans being more likely to seek help than Hong Kong and Mainland Chinese. Multiple-group path analysis showed that lay beliefs about causes of mental illness and prior help-seeking history significantly predicted help-seeking likelihood, which was related positively to environmental/hereditary causes but negatively to social-personal causes. Our findings demonstrate the importance of understanding help-seeking patterns within specific cultural contexts and the effects of Western influences on shaping help-seeking propensities. (PsycINFO Database Record (c) 2010 APA, all rights reserved).     

The typology of parricide and the role of mental illness: Data-driven approach

Parricide is a rare type of homicide in which mental illness is often an important factor. The aims of this study were (a) to describe the characteristics of parricide offenders with a focus on mental illness and clinical care and (b) to examine Heide's widely used typology of parricide through a data-driven approach. We analyzed all homicides in England and Wales between 1997 and 2014. Parricide offenders in our sample were most often male, unmarried, and unemployed, with a third of offenders diagnosed with schizophrenia; 28% had been in contact with mental health services before the offense. The latent class analysis resulted in three types of parricide offenders: middle-aged with affective disorder, previously abused, and seriously mentally Ill, which confirmed, to an extent, Heide's typology. Health and social care services should actively engage with carers of people with mental illness and support to those caring for older relatives and victims of abuse.     

China's importation of Western psychiatry: Cultural relativity and mental disorders

As one aspect of China's modernization, the importation of Western psychiatric ideas poses a mystery. How are such ideas integrated with traditional assumptions? The apparently wholesale adoption of Western psychiatric categories runs counter to the fact that the Chinese have been generally reluctant to define problems in highly individualized psychiatric terms. Our lack of knowledge as to how the Chinese and Western medical models interface raises questions about the cross-cultural applicability of psychiatric theory. Ironically, the very conceptual categories intended to facilitate professional discourse obscure cultural, political, and epistemological differences between Chinese and Western thought. This paper focuses on certain incongruities in psychiatric theory and practice in order to underscore many unresolved issues that still exist with respect to our cross-cultural understandings of ‘mental illness’. Insofar as the trend has been towards standardizing methodology, taxonomies have been generated without a corresponding development in textured comparison. Originating from Western theoretical frameworks, comparative analyses have been otherwise devoid of culture-specific knowledge. The goal of this paper is to show that these categorical assumptions are still premature, and that examining the meaning of current ‘rates of mental illness’ in China specifically raises more questions than it answers. Hopefully, this discussion will stimulate a renewed interest in ethnographic methods that would uncover locally-based understandings and thereby create the basis for a more sophisticated epidemiological comparison.     

Help-seeking for mental health problems of children: preferences and attitudes in the United Arab Emirates

Parental attitudes, religious beliefs, and other sociocultural factors have all been recognized to influence help-seeking patterns in relation to child psychiatric morbidity. But few systematic studies have addressed this issue in the Arab region. In this study, we investigated the help-seeking preferences for mental health problems in a community sample. 325 parents contacted as part of a community-based study of child psychiatric disorders were surveyed using a semistructured interview schedule. Only 38% of those surveyed indicated they would seek help from mental health specialists in the event of psychiatric problems developing in a family member, including their children. Main reasons given for nonconsultation were reluctance to acknowledge that a member of their family has a mental illness, stigma attached to attending mental health services, and the skepticism about the usefulness of mental health services. Willingness to utilize psychiatric services was associated with better parental education, occupation, and socioeconomic status. Our results suggest that sociocultural factors and parental perceptions may have a major effect on whether children with psychiatric disturbance receive professional help.     

Psychological distance reduces the effect of internalized stigma on mental health treatment decisions

Although stigma is a major barrier to treatment for those with mental health concerns, it is poorly understood when stigma is more or less influential in mental health treatment decisions. In the current work, we examined whether psychological distance—the removal of an event from direct experience—reduced the influence of internalized stigma on willingness to seek treatment. Specifically, we tested the hypothesis that psychological distance versus proximity (e.g., seeking treatment in three months vs. in two days, respectively) decreases the negative influence of stigma on willingness to seek treatment. We focused on a population for whom mental health treatment decisions are personally-relevant: individuals who had previously sought mental health treatment. Experiment 1 showed that the extent to which these individuals internalized (i.e., personally endorsed) stigma about mental illness predicted lower intentions to make an appointment with a mental health care provider for themselves (but not another person). Experiment 2 replicated this result using a different measure of psychological distance (temporal distance) and extended this finding to behavior (time spent reading mental health resources). Overall, this research demonstrated that internalized stigma disrupts mental health treatment-seeking intentions and behaviors when they are psychologically proximal, but not when they are distant. Potential applications of these results are discussed.     

Factors associated with perceived helpfulness and use of mental health websites by Australian young adults with a family history of mental illness

Young adults with a family history of mental illness may be vulnerable to develop mental health conditions based on genetic and environmental features. This study aimed to explore factors associated with the use of mental health websites for young adults aged 18–30 years who reported a family history of mental illness. Young adults (n = 469) who reported a family history of mental illness completed an online survey regarding their use of mental health websites, demographic questionnaires and the Depression, Anxiety and Stress Scales. In total, 194 (41%) participants reported using mental health websites, with the majority using these for their own mental well-being (n = 156; 33%). Having a previous history of a mental health condition was associated with mental health website use, along with having a prior history of drug use and having more than one family member diagnosed with a mental illness.     

Explanatory models for mental illness endorsed by Christian clergymen: The development and use of an instrument in Singapore

Researchers have attempted to elicit the explanatory models used by different populations to understand mental illness, since these models can influence how populations use mental-health treatment. However, little effort has been made to understand the explanatory models used by Christian clergymen. This is despite their important role as providers of mental-health care in many Asian and Western societies. Neither are there suitable instruments to conduct such investigations. This study attempts to present a suitable instrument for such research and explore the belief structure of this population by administering a modified version of the Opinions about Psychological Problems to a representative sample of Singaporean Christian clergymen. Factor-analytic techniques revealed five factors which were explained as (1) a Traditional Christian and (2) a Deliverance etiology, both models implicating religious causes for mental illness, (3) a Poor Coping and (4) Internal Conflicts etiology, essentially being psychological explanations and an (5) Organic etiology model. The Traditional Christian model received the greatest endorsement, followed by the Poor Coping model, while the Organic model had the least acceptance. The belief structure used by nearly half of the respondents was noted to be complex, involving a combination of religious, psychological, and organic explanations.     

The mental health of university students in the United Kingdom

ABSTRACT

There are increasing concerns globally about the mental health of students. In the UK, the actual incidence of mental disturbance is unknown, although university counselling services report increased referrals. This study assesses the levels of mental illness in undergraduate students to examine whether widening participation in education has resulted in increases as hypothesised by the UK Royal College of Psychiatrists. Patterns of disturbance across years are compared to identify where problems arise. Students (N=1197) completed the General Health Questionnaire-28 either on the first day at university or midway through the academic year for first, second and third year students. Rates of mental illness in students equalled those of the general population but only 5.1% were currently receiving treatment. Second year students reported the most significant increases in psychiatric symptoms. Factors contributing to the problem are discussed.     

Impact of a television film on attitudes toward mental illness

The possible impact of a prime time television film portraying a mentally ill killer was investigated. Groups of college students were shown the film with and without a film trailer reminding viewers that violence is not characteristic of mentally ill persons. A third group viewed a film not about mental illness. Postfilm responses to the Community Attitudes toward the Mentally Ill scale indicated that those who saw the target film expressed significantly less favorable attitudes toward mental illness and community care of mentally ill persons than did those who saw the control film, regardless of whether of not they received the trailer along with the target film. Results support concerns that media depictions add to mental illness stigma and also suggest that corrective information alone may be sufficient to counteract the stigmatizing impact of such audience-involving mass media portrayals.     

Narrative, identity and mental health: How men with serious mental illness re-story their lives through sport and exercise

ObjectivesIt has been suggested that mental illness threatens identity and sense of self when one's personal story is displaced by dominant illness narratives focussing on deficit and dysfunction. One role of therapy, therefore, is to allow individuals to re-story their life in a more positive way which facilitates the reconstruction of a meaningful identity and sense of self. This research explores the ways in which involvement in sport and exercise may play a part in this process.DesignQualitative analysis of narrative.MethodWe used an interpretive approach which included semi-structured interviews and participant observation with 11 men with serious mental illness to gather stories of participants’ sport and exercise experiences. We conducted an analysis of narrative to explore the more general narrative types which were evident in participants’ accounts.FindingsWe identified three narrative types underlying participants’ talk about sport and exercise: (a) an action narrative about “going places and doing stuff”; (b) an achievement narrative about accomplishment through effort, skill or courage; (c) a relationship narrative of shared experiences to talk about combined with opportunities to talk about those experiences. We note that these narrative types differ significantly from—and may be considered alternatives to—dominant illness narratives.ConclusionThis study provides an alternative perspective on how sport and exercise can help men with serious mental illness by providing the narrative resources which enabled participants to re-story aspects of their lives through creating and sharing personal stories through which they rebuilt or maintained a positive sense of self and identity.