Perceptions of mental healthcare consumers regarding their conditions

Distress is experienced, understood and communicated differently across various cultures. The aim of the study was to investigate the role of culture, religion and spirituality in patients’ understanding of and coping with mental problems. A quantitative survey was done at a psychiatric institution. A questionnaire was designed to explore patients’ cultural and religious beliefs about mental illness, and how these beliefs and perceptions influenced their actions in search for recovery. Questionnaires were completed by 94 patients. The majority of participants were Christian (79.8%), followed by African traditionalists (17.0%). Seventy-two per cent believed that faith in God, and 34.4% that help from religious leaders, could contribute to mental wellness. Approximately a third (29.0%) believed that by keeping their ancestors happy, they would be protected from sickness and bad luck. Mental healthcare providers’ sensitivity to cultural and religious beliefs will translate into a more comprehensive management plan, ensuring a satisfying therapeutic relationship.     

Anomalous Monism: Oscillating between Dogmas

Davidson’s anomalous monism, his argument for the identity between mental and physical event tokens, has been frequently attacked, usually demanding a higher degree of physicalist commitment. My objection runs in the opposite direction: the identities inferred by Davidson from mental causation, the nomological character of causality and the anomaly of the mental are philosophically problematic and, more dramatically, incompatible with his famous argument against the third dogma of empiricism, the separation of content from conceptual scheme. Given the anomaly of the mental and the absence of psychophysical laws, there are no conceptual resources to relate mental and physical predicates. We fall in the third dogma if we claim that the very same token event is mental and physical. One of the premises must be rejected: I will claim that we do not need a law to subsume cause and effect to be entitled to speak of causation. Davidson has never offered an argument to back this premise. Against such a dogma I will sketch some ideas pointing towards a different conception of causality, singularist and undetachable from explanatory practices.     

Mental addition in third,fourth, and sixth graders

Research on mental arithmetic has suggested that young children use a counting algorithm for simple mental addition, but that adults use memory retrieval from an organized representation of addition facts. To determine the age at which performance shifts from counting to retrieval, children in grades 3, 4, and 6 were tested in a true/false verification task. Reaction time patterns suggested that third grade is a transitional age with respect to memory structure for addition—half of these children seemed to be counting and half retrieving from memory. Results from fourth and sixth graders implicated retrieval quite strongly, as their results resembled adult RTs very closely. Fourth graders' processing, however, was easily disrupted when false problems were presented. The third graders' difficulties are not due to an inability to form mental representations of number; all three grades demonstrated a strong split effect, indicative of a simpler mental representation of numerical information than is necessary for addition. The results were discussed in the context of memory retrieval versus counting models of mental arithmetic, and the increase across age in automaticity of retrieval processes.     

A Survey on Driving in Clients With Mental Health Disorders

Few studies have explored driving issues in adult mental health. In this pilot study, 48 drivers were compared to 24 participants who had ceased driving, on their clinical and driving characteristics. Driving-related services offered to them were also documented. Participants who had stopped driving were more likely to be in-patients on antipsychotic or several medications. A third of the participants reported negative effects of their illness and/or medications on driving. Psychiatrists and occupational therapists offered assessments and recommendations related to fitness to drive to 30% of their clients using complementary approaches. This survey indicates that few drivers with mental health disorders receive driving-related services. More evidence-based practice guidelines are needed.     

Identification of mental retardation by the system of multicultural pluralistic assessment: Nondiscriminatory or nonexistent?

The effects of applying the dual-criterion classification system for mental retardation in connection with the System of Multicultural Pluralistic Assessment (SOMPA) were investigated by using the SOMPA standardization sample as subjects. Average scaled scores on the Adaptive Behavior Inventory for Children (ABIC) were paired (a) with Full Scale IQ (FSIQ) Wechsler Intelligence Scale for Children-Revised or (b) with the SOMPA-derived Estimated Learning Potential (ELP). The children performing below the third percentile on either combination of measures were thus classified as “mentally retarded.” By the FSIQ and ELP procedures, 0.6% and 0.2%, respectively, of the children were so classified; the overwhelming majority of the children were of minority background. The implications for the diagnostic category of mild mental retardation and the further use of the SOMPA are discussed.     

One and One and One is Minus Three: Therapeutic Consultations in Child and Adolescent Mental Health Services with Separated and Conflicted Parents

Many children and young people attend mental health services where the conflict and dynamics between their separated parents contribute to their mental health difficulties. Without intervention in the conflicted co-parenting relationship, the child’s mental health may not improve. This article discusses the issues from the position of both children and their parents and describes some psychoanalytic thinking that can be applied in this work. This includes the development of triangular space and a third position in which the relationship itself is seen as a separate third and the understanding of grievance as a state of mind and a psychic retreat. The therapist’s countertransference offers insight into the experience of the child.     

Nazi cruelties: Are they literally hard to imagine?

In four experiments, the characteristics of participants' mental imagery of World War II were investigated. In the first experiment, mental images of WWII were found to lack clarity compared to mental images of a Medieval war. In a second experiment, the association between the lack of clarity of WWII mental images, and the underestimation of Nazi cruelties was explored. In line with the expectation based on source monitoring theory, participants whose mental imagery was less clear more readily endorsed an item modelling denial of Nazi cruelties. In a third experiment, these findings were replicated. In experiment 4, participants' WWII mental images were manipulated by means of film footage. Ultimately, it is argued that viewing film footage of poor quality results in unclear mental images of WWII, and that lack of clarity of WWII imagery is associated with a tendency to Nazi cruelties.     

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.     

Mental Disorders and Socioeconomic Status: Impact on Population Risk of Attempted Suicide in Australia

The population attributable risk (PAR) of mental disorders compared to indicators of socioeconomic status (SES) for attempted suicide was estimated for Australia. For mental disorders, the highest PAR% for attempted suicide was for anxiety disorders (males 28%; females 36%). For SES, the highest PAR% for attempted suicide in males was for occupation (males 31%; females 16%) and education level (males 19%; females 8%), following adjustment for age and mental disorders. The study results suggest that one third of suicide attempts in both males and females are attributable to anxiety disorders, the same proportion attributable to low educational or occupational status.     

Craziness and criminal responsibility.

This article addresses why mental disorder is relevant to criminal responsibility. It begins by considering the meaning of criminal responsibility because it is impossible to understand the relevance of mental disorder unless one understands responsibility clearly. The next section provides a theoretical account of responsibility and excuse in general and addresses common misconceptions about these topics. The third section examines in detail why mental disorder can sometimes produce either a complete or partial excusing condition, such as legal insanity or "partial responsibility," and whether the U.S. Constitution requires the provision of an excuse based on mental disorder. The section proposes that mental disorder should produce an excusing condition in appropriate cases. The next section considers the relation of mental disorder to mens rea, the mental state "element" that is a definitional criterion of most crimes, and whether the U.S. Constitution requires that defendants be permitted to use evidence of mental disorder to negate mental state elements of the crime charged. This section argues that mental disorder rarely negates mens rea, but in those cases in which a plausible claim for negation could be made, defendants should be allowed to make this claim.     

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.     

Head Start Children at Third Grade: Preliminary Special Education Identification and Placement of Children with Emotional, Learning, and Related Disabilities

Although children in Head Start are at risk for emotional or behavioral problems, little is known about their later need for special education. There is evidence that children at risk for emotional disturbance are underidentified or misidentified in other special education categories. We examined special education identification rates for Head Start children at risk for emotional disturbance, learning disabilities, speech or language impairments, and mental retardation as they complete third grade. Two cohorts of 4136 children across 30 sites were followed as part of a larger study on transition. Diagnosis of each child as being at risk for emotional disturbance or related disabilities was made using clinical cut-offs on teacher ratings and individual testing completed in the spring of third grade. Special education eligibility of these children was determined from school records. Only 31.8% of children considered to be at risk, based on research diagnostic criteria, were actually identified by the schools, and fewer than 6% of children at risk for ED were identified in the school category of ED. Comparisons were made between school-identified and nonidentified children in gender, ethnicity, and school variables; and findings were discussed in relation to underidentification or misidentification of children with emotional disturbance.     

Functionalism and type-type identity theories

Conclusion Token-token identity theorists do not and need not deny that it may frequently be the same (kind of) brain state which on different occasions fills the functional rôle definitive of a given mental state. That is not at issue. What is at issue is whether functionally-oriented identity theorists should make two claims or three claims.The two claims they customarily make are, first, that each instance of a mental state is an instance of a brain state, and, secondly, that being in a mental state is having in one a state filling the relevant functional rôle. But to be in a mental state is to have that state in one. To be in pain is to have pain, to desire water is to have desire for water, and so on; just as to be poisoned is to have poison in you. (It is to have what is poison for you at the time, of course; and likewise for pain, desire and so on.)Our paper has been about a third sort of claim — relating particularly not to being in a mental state, nor to instances of that state, but to the mental state itself. We have argued that functionally-oriented identity theorists can and should make, in addition to the first two claims, the third type-type identity claim that mental states are brain states. Consequently a token brain state is a token of pain in a derivative sense. What makes it a token of pain is that it is a token of the type of brain state which realizes the pain-rôle for the organism at the time.     

Mental imagery combined with physical practice of approach shots for golf beginners

Recent research on motor skills of golf have pointed to the usefulness of mental imagery. In golf, such training is rarely used as a teaching technique for beginners on the grounds that only top professionals stand to gain from mental imagery. This study tested whether mental imagery combined with physical practice can improve golf performance for the approach shot. 23 volunteer beginners, 8 women and 15 men, M age 23.4 yr. (SD = 3.7), enrolled in the University Physical and Sporting Activities Department, were divided into three groups, using a combination of physical practice of the approach shot plus mental imagery, physical practice only, and a third group engaging in various sporting activities instead of either mental or physical practice of the chip shot. Analysis showed that the beginners' approach shot performance improved most in the group combining physical practice and mental imagery when compared with the group just physically practising the approach shot. It seems mental training can be used effectively to improve performance even with beginners.     

Children at Risk: Effects of a Four-Year Head Start Transition Program on Special Education Identification

Children in Head Start are at risk for school learning or behavioral problems. While Head Start has decreased special education placement, there has been little systematic data until recently on identification of children in disability categories following preschool. In this study, two cohorts of 6,162 children across 30 sites were followed through third grade. Approximately half of these children were provided transition assistance from kindergarten through third grade. This included school transition and curricular modifications, parent involvement activities, health screening or referrals, and family social services, all similar to those received in Head Start. They were compared to a similar group of Head Start children who did not receive such services beyond the Head Start experience. Special education eligibility was determined from school records in the spring of third grade. Only 0.89% of children in the transition group were identified in the mental retardation category compared to 1.26% in the non-transition group. In the category of emotional disturbance, these same figures were 1.21% and 1.65% respectively. Both differences were statistically significant, but an opposite effect was found in the category of speech or language impairment. Findings are discussed in relation to differences in disability categories and implications for early identification.     

亲子关系对中学生心理健康的影响:社会支持和心理素质的链式中介作用

为探究亲子关系、社会支持和心理素质对中学生心理健康的影响,本研究采用问卷调查的方式,对全国23个省（市）共10190名初一至高三年级的中学生展开调查。结果表明：（1）父子关系、母子关系、社会支持和心理素质两两之间呈显著正相关,且均与心理健康问题呈显著负相关;（2）相比于母子关系,父子关系对中学生心理健康的影响更大;（3）亲子关系通过三条中介路径对中学生心理健康产生影响：①是社会支持和心理素质的单独中介作用;②社会支持和心理素质的链式中介作用。本研究进一步明确了亲子关系和中学生心理健康之间的内在心理机制,同时能帮助教育工作者预防和干预中学生的心理健康问题。     

Priming in deduction: a spatial arrangement task

The mental model theory assumes that people reason by manipulating mental representations of states of the word, called "mental models." In the present study we used a new deduction task based on diagrammatic premises. We show that a premise can prime other premises that induce similar mental models in a way analogous to the case of words with related meanings, which prime one another. We present three experiments. In Experiment 1 we used an evaluation task. In Experiment 2, a construction task was used. The priming effect was obtained in both cases. In a third experiment we show that the priming effect was still present when partcipants were instructed to ignore a prime displayed before the premises. In all three experiments we compared determinate and indeterminate problems and found faster responses in the former.     

Defining mental disorder. Exploring the 'natural function' approach

Due to several socio-political factors, to many psychiatrists only a strictly objective definition of mental disorder, free of value components, seems really acceptable. In this paper, I will explore a variant of such an objectivist approach to defining metal disorder, natural function objectivism. Proponents of this approach make recourse to the notion of natural function in order to reach a value-free definition of mental disorder. The exploration of Christopher Boorse's 'biostatistical' account of natural function (1) will be followed an investigation of the 'hybrid naturalism' approach to natural functions by Jerome Wakefield (2). In the third part, I will explore two proposals that call into question the whole attempt to define mental disorder (3). I will conclude that while 'natural function objectivism' accounts fail to provide the backdrop for a reliable definition of mental disorder, there is no compelling reason to conclude that a definition cannot be achieved.     

A possible physiological correlate for mental flow

The relationship between mental flow and physiological coherence was investigated in three tasks. Coherence is a state defined by a particular pattern of low frequency heart rate variability (HRV), which has been related to optimal performance and positive mental states. Flow is a pleasurable performance-enhancing psychological state. In the first task, participants answered questionnaires. In the second, they played a coherence-inducing biofeedback game, and in a third, they played a flow-inducing videogame. HRV was used to measure coherence while flow was assessed using the Flow State Scales. The data revealed that coherence could be induced without flow and vice versa. More surprising, the correlations between flow and coherence were different in each of the tasks. We conclude that coherence and flow are discrete constructs despite their theoretical similarities.     

The Causal Exclusion Argument

Jaegwon Kim’s causal exclusion argument says that if all physical effects have sufficient physical causes, and no physical effects are caused twice over by distinct physical and mental causes, there cannot be any irreducible mental causes. In addition, Kim has argued that the nonreductive physicalist must give up completeness, and embrace the possibility of downward causation. This paper argues first that this extra argument relies on a principle of property individuation, which the nonreductive physicalist need not accept, and second that once we get clear on overdetermination, there is a way to reject the exclusion principle upon which the causal exclusion argument depends, but third that this should not lead to the belief that mental causation is easily accounted for in terms of counterfactual dependencies.