Religious Doubt and Mental Health Across the Lifespan

The current study examined the connections among religious doubt, mental health, and aging in a nationwide sample of individuals 18 years and older (N = 1629). Findings indicate that that religious doubt emerging from the recognition of suffering and evil in the world has a deleterious impact on mental health. Results also show that as people grow older, religious doubts continue to be associated with psychopathology, but the magnitude of this association becomes weaker across age categories. In other words, the impact of doubt on mental distress declines as one ages. These effects were found across various measures of mental distress, including depression, general anxiety, interpersonal sensitivity, paranoia, hostility, and obsessive-compulsive symptoms. Findings are explored within the context of psychosocial development and the experiential trajectory of religious maturity.     

Mental Illness and Mental Health: The Two Continua Model Across the Lifespan

Mental health has long been defined as the absence of psychopathologies, such as depression and anxiety. The absence of mental illness, however, is a minimal outcome from a psychological perspective on lifespan development. This article therefore focuses on mental illness as well as on three core components of positive mental health: feelings of happiness and satisfaction with life (emotional well-being), positive individual functioning in terms of self-realization (psychological well-being), and positive societal functioning in terms of being of social value (social well-being). The two continua model holds that mental illness and mental health are related but distinct dimensions. This model was studied on the basis of a cross-sectional representative internet survey of Dutch adults (N = 1,340; 18–87 years). Mental illness was measured with the Brief Symptom Inventory and mental health with the Mental Health Continuum Short Form. It was found that older adults, except for the oldest-old, scored lower on psychopathological symptoms and were less likely to be mentally ill than younger adults. Although there were fewer age differences for mental health, older adults experienced more emotional, similar social and slightly lower psychological well-being. In sum, today’s older adults have fewer mental illness problems, but they are not in a better positive mental health than today’s younger adults. These findings support the validity of the two continua model in adult development.     

Argumentation in and Across Disciplines: Two Norwegian Cases

This paper aims at exploring the challenges arising when teachers at secondary school level decide to cooperate about students’ argumentative writing. Two teams of teachers and researchers have met regularly during the school year, discussing students’ texts from a variety of disciplines. Going into two writing tasks in detail, the authors discuss the importance of scaffolding (support) in the teaching of argument. The paper includes a discussion of some specific textual features that are often touched upon in the meetings.     

Challenges of Urban Mental Health Disaster Planning

Summary

Establishing disaster preparedness is an urgent matter, particularly with regard to mental health. This article examines the challenges of mental health disaster planning in the context of an urban setting, which may differ from those pertaining to rural areas. The need to better integrate public health disaster planning and mental health disaster planning is critical. This document particularly focuses on the challenges involved in leading, coordinating, and convening an urban mental health disaster response. With time, dedication, resources, and creation of effective policy, successful mental health response capability will evolve and endure.     

Case Conceptualization and Treatment of Comorbid Body Dysmorphic Disorder and Bulimia Nervosa

Body dysmorphic disorder (BDD) and eating disorders often co-occur and share some clinical features. In addition, the co-occurrence of BDD and an eating disorder may be associated with greater impairment in functioning. Furthermore, clinical impressions suggest that this comorbidity may be more treatment resistant than either disorder alone. The current article discusses the treatment of a 48-year-old female diagnosed with BDD and comorbid bulimia. We attempted to address these co-occurring disorders in a strategic, formulation-based manner using a variety of cognitive-behavioral strategies such as cognitive restructuring, rational disputation, exposure with response prevention, and mirror retraining. Despite the complexity of this case, results suggest that comorbid BDD and bulimia nervosa can be effectively managed with cognitive behavioral therapy.     

The Credentialing of Professional Psychologists and Its Implication for the Other Mental Health Disciplines

Professional psychology was the first mental health profession to challenge the preeminence of psychiatry and in so doing blazed the trail for clinical social workers, mental health counselors, marriage and family therapists, and addiction counselors. Social work has followed one decade behind psychology's footsteps, and the other rapidly emerging mental health professions are not too far behind social work. This article reviews the lessons learned by professional psychology when it adopted the strategy of statutory regulation, freedom of choice, control of its own training and of its national organization, and future strategies for Medicare and eventually for the enactment of universal health care. These lessons are important to the professions following psychology.     

Sexist Treatment in the Mental Health System

No abstract available for this article.     

Mental Health Values and Response to Alcoholism Treatment

Mental health values consist of the subset of values that refer to what constitutes good mental health. Torrey (1972) suggested that agreement between patient and therapist about such values may influence psychotherapy outcome. The authors found mixed support for this hypothesis using a sample of 100 chemical dependency inpatients. Positive treatment effects were associated with pretreatment agreement between counselor and patient about some mental health values, but with pretreatment disagreement about others. Because outcome measures assess general personality functioning, the authors suggest that attitudes about what constitutes good mental health may predict general psychotherapy effects as well as response to alcoholism treatment.     

The Use of Metaphor and Drawings in Case Conceptualization

The author describes a procedure whereby counselors, as part of their conceptualization for case conferences or supervision, develop metaphors and then make them concrete by constructing drawings or collages. The drawings or collages are used as the basis for case discussions.     

Comparison of the Family Therapy Educational and Experience Requirements for Licensure or Certification in Six Mental Health Disciplines

In a review of literature on clinical licensure programs and certified mental health disciplines, no studies specifically compared didactic methods and clinical training standards for family-based interventions. Consequently, consumers and insurers of these services have no basis from which to evaluate the relative competency of each of the mental health disciplines in providing family-based interventions. This study used content analysis to examine the amount of family based training that is required by six core mental health disciplines (Clinical Psychology, Psychiatry, Psychiatric Nursing, Professional Counseling, Marriage and Family Therapy, and Social Work) in each of the 50 United States. Results indicate that a marriage and family therapist is required to have three times more family therapy coursework than any other professional mental health discipline. Also, before becoming licensed a marriage and family therapist, must complete 16 times more face-to-face family therapy hours than a mental health professional from any other discipline. Implications for consumers and practitioners are discussed.     

Development of Clinical Psychology and Mental Health Resources in Vietnam

In this paper, we discuss development of the Vietnam National University graduate Clinical Psychology Program, which has the goal of training both Vietnamese researchers who will develop and evaluate culturally appropriate mental health treatments, as well as Vietnamese clinicians who will implement and help disseminate these evidence-based treatments. We first review the background situation in Vietnam regarding mental health, and its infrastructure and training needs, and discuss the process through which the decision was made to develop a graduate program in clinical psychology as the best approach to address these needs. We then review the development process for the program and its current status, and our focus on the schools as a site for service provision and mental health task shifting. Finally, we outline future goals and plans for the program, and discuss the various challenges that the program has faced and our attempts to resolve them.     

Psychodynamic Conceptualization and Treatment of Suicidal Patients

This paper discusses psychodynamic perspectives to the conceptualization and treatment of suicidal patients. A review of psychoanalytic and psychodynamic conceptualizations is provided, along with representative case examples of these phenomena. Empirical studies are also reviewed, noting how recent research provides some meaningful insight into the object relations of suicidal patients. Finally, treatment issues are discussed, including comments about transference, dreams, and countertransference. It is concluded that a psychodynamic model is of value when treating patients with suicidal ideation and impulses.     

Case Conceptualization: A Strategy for Incorporating Individual,Couple and Family Dynamics in the Treatment Process

While market and regulatory forces have made case conceptualizations essential in individual, couple and family therapy, therapists, trainees, and supervisors are increasingly recognizing the clinical value and utility of case conceptualizations in everyday practice. This article describes and critically analyzes three main types of case conceptualization and argues that the client-focused type is the most appropriate in addressing theoretical and clinical considerations. A client-focused type with a phenomenological and systematic emphasis, called pattern analysis, is described. A detailed case study illustrates pattern analysis.     

Conceptualization and Treatment of Social Withdrawal in the Schools

Social withdrawal represents a class of behavior problems that are not as frequently referred by teachers in school settings as are disruptive, acting-out behaviors. Approximately 15% of all children referred to school psychologists and other mental health professionals in the schools are socially withdrawn. This paper provides several definitions of social withdrawal from a social skills perspective and presents a four-fold classification system of children's social skills deficits. Assessment procedures for identifying socially withdrawn children are briefly reviewed. Four social skills training strategies (i.e., modeling, coaching, peer-mediated interventions, and group contingencies) are reviewd and the relative efficacy of each are evaluated. Several commercially-available social skills training curricula designed for school settings are described at the conclusion of this paper.     

Family Influences on Treatment Refusal in School-linked Mental Health Services

This study analyzed family influences on treatment refusal in school-linked mental health services (SLMHS). Specifically, it assessed whether levels of family cohesion, conflict, and organization were related to whether a family refused to initiate recommended treatment. Children (N = 133) referred for emotional and behavioral problems and their families participated. Results indicated that (1) family environment factors explained a significant amount of variance in treatment refusal after controlling for demographic factors, (2) families of children with predominantly internalizing symptoms were at greater risk for refusing treatment than families of children with predominantly externalizing symptoms, and (3) lower level of family cohesion was an individual risk factor for refusing treatment. Incorporating an evaluation of family environment within SLMHS assessments may aid in the identification of areas wherein intervention may be beneficial in preventing treatment refusal.