Positive psychology and adolescent mental health: false promise or true breakthrough?

The emerging field of positive psychology has pledged to improve the mental health of American adolescents. Yet, without a principle-based conceptual foundation to guide its study of optimal youth functioning, positive psychology will ultimately fail to keep its promise. This paper suggests that the principles of Mind, Thought and Consciousness can provide positive psychology with a clearer understanding of optimal psychological functioning, serve as a unifying conceptual framework to guide its proposed mission, and lead to a true breakthrough in adolescent mental health. It first describes how the logic of these principles accounts for all subjective human experience. It then demonstrates how optimal mental health is generated, and how it can be maintained irrespective of present or past circumstances. Finally, it discusses how several contemporary models of positive psychology (i.e., Csikszentmihalyi's flow. Seligman's learned optimism, Goleman's emotional intelligence, and Buss's evolutionary perspective) can be simplified and clarified using the logic of the above three principles.     

Practicing psychology in the era of managed care. Implications for practice and training

Beginning with the HMO Act of 1973, managed care, a system for controlling health care costs, rapidly expanded and gained influence as the main vehicle for health care delivery in the United States. Implementation of managed care principles in the mental health arena has generated much debate, particularly with respect to issues of quality of care. The authors briefly trace the development of managed care and evaluate its impact on the practice of psychology. The extant literature is reviewed with specific attention to issues of quality of care, confidentiality of patient information, and shifting practice patterns of clinicians. Finally, the future of professional psychology within the context of managed care is examined, and the implications of newly created mental health roles for practitioners, training programs, and organized psychology are discussed.     

The professional identity of counselling psychologists in health care: a review and call for research

Despite (a) anecdotal evidence which suggests that it is possible to be a counselling psychologist in non-traditional settings, and (b) the potential integration of counselling psychology foci with the medical model, there has been some discussion about whether counselling psychologists who practice in health care settings might experience a change in their professional identity. Professional identity is defined here as a sense of connection to the values and emphases of counselling psychology. The retention of professional identity seems important for counselling psychologists in health care settings. This is considering that the application of counselling psychology principles has the potential to make their contributions unique among mental health professionals in the health care arena. Here, the authors describe the evolution of ‘counselling health psychology’ and address issues of professional identity. Limitations of existing literature are examined. Recommendations for future research are also made.     

Extending the influence of positive psychology interventions into health care settings: Lessons from self-efficacy and forgiveness

The goal of this article is to explore strategies to extend the influence of positive psychology interventions into environments where strength-promotion is not generally embraced. Particularly, we are interested in examining the potential benefits and barriers to extending positive psychology interventions into health care settings (really illness-treatment settings), such as hospitals, community mental health centers, and disorder-focused psychotherapy practices where psychologists increasingly work. Patients primarily come to these settings to reduce suffering rather than to develop strengths. We argue that positive psychology interventions and concepts may become more valued within such contexts if they can be shown to be cost-effective in improving important health care targets. By examining positive psychology-based interventions that have already become relatively mainstream within health care (e.g., self-efficacy-based interventions), we identify strategies for making promising but less-influential positive psychology interventions (e.g., forgiveness training) more valued in today's health care marketplace. Through these examples, we suggest that extending the influence of positive psychology into health care settings is desirable, but will involve several conceptual, evidentiary, and educational or marketing challenges.     

Challenges and opportunities in moving toward a public health approach in school mental health

These three outstanding papers are important for the discipline of school psychology, the field of school-based mental health, and more generally for systems of education and mental health for children and adolescents. As the authors emphasize, there is an unprecedented focus on improving programs that remove barriers to learning and enhance development, health, and mental health in youth, in the most universal natural setting—the schools. The authors also correctly highlight that school psychology is uniquely positioned to play a leading role in this reform and change effort. Two interconnected themes of the public health approach—applying the evidence base and moving toward preventive and population-focused interventions—are emphasized in these papers, and while they focus on school psychology, the issues discussed are generalizable to the many disciplines that operate within educational and mental health systems. In the following discussion, I react to the papers' two major themes, discuss realities that should be addressed for progress to be made, and comment on their implications for school psychology.     

Dilemmas in qualitative health research

Abstract

As the use of qualitative methods in health research proliferates, it becomes increasingly necessary to consider how the value of a piece of qualitative research should be assessed. This article discusses the problem posed by the novelty and diversity of qualitative approaches within health psychology and considers the question of what criteria are appropriate for assessing the validity of a qualitative analysis. In keeping with the ethos of much qualitative research, some open-ended, flexible principles are suggested as a guide to the quality of a qualitative study: sensitivity to context; commitment and rigour; transparency and coherence; impact and importance. Examples are given of the very different ways in which various forms of qualitative research can meet these criteria.     

Psychologie communautaire et recherche : l’exemple du projet EMILIA

The development of community psychology has also had significant implications in the area of evaluation and research methodology. The empowerment principle, that is, giving users the means to control their health and to make their own health decisions, has important implications for the choice of evaluation strategies for both individual therapeutic acts as well as for public health programmes. If the user's potential expertise in the health area is to be fully acknowledged, how is this to be done with regard to research? How can users become not only actors of their own health, but also play an active role in research and health evaluation? The article gives an overview of research strategies based on community psychology principles, with a particular emphasis on action research and participative-action research. The example of a multisite European project on empowering mental-health service users to access life-long learning and employment, currently underway in Paris, is presented to illustrate these community research methods.     

Examining the acceptance of and resistance to evolutionary psychology

The field of psychology remains a divided one. Several different sub-disciplines (e.g., developmental, cognitive, behaviorism, social, etc.) form what could be a unified scientific area. However, there is no widely accepted theory of unification. Charles Darwin once theorized that evolutionary theory would change the foundation of psychology; but over the years, evolutionary psychology has been met with hostile resistance from some of the prominent psychologists within the other sub-disciplines. Yet in recent years, all of the divided sub-disciplines of psychology have been slowly implementing evolutionary principles into their literature and research. This slow integration of evolutionary psychology into the other sub-disciplines indicates the possibility of a unified psychology with evolution as its foundation. This paper briefly reviews the literature within each major sub-discipline of psychology to show their implementation of evolutionary psychological theories, indicating the possibility of evolutionary psychology becoming the unifying paradigm upon which the entire field of psychology can be based. A call for action to continue this process is also discussed.     

Systems of Care: New Partnerships for Community Psychology

For almost two decades, the federal government has supported the development of integrated models of mental health service delivery for children and families, known as systems of care (SOCs), that strive to be child-centered, family-focused, community-based, and culturally competent. These efforts align well with the values and principles (e.g., empowerment, collaboration, strengths emphasis, focus on macro-level social/system change) central to community psychology (CP; Kloos et al. in Community psychology, Cengage Learning, Belmont, 2012). Despite the convergence of many core values, CPs have historically been underrepresented in key roles in SOC initiatives. However, this has changed in recent years, with increasing examples of community psychology skills and principles applied to the development, implementation, and evaluation of SOCs. Because successful and sustainable implementation of SOCs requires community and system-level change, and SOCs are increasingly being urged to adopt a stronger "public health" orientation (Miles et al. in A public health approach to children's mental health: a conceptual framework, Georgetown University Center for Child and Human Development, National Technical Assistance Center for Children's Mental Health, Washington, DC, 2010), there is great potential for CPs to play important roles in SOCs. This paper discusses opportunities and roles for CPs in SOCs in applied research and evaluation, community practice, and training.     

Supervision Needs of Correctional Mental Health Counselors

Supervision of mental health counselors and psychologists is a developing field within psychology. Supervision models and needs are being researched and defined. Supervision for correctional mental health counselors and psychologists is an important part of correctional psychology, but has received very little research attention. There are many aspects of correctional psychology that are unique from the field of psychology as a whole; this is certainly true for supervision of correctional mental health staff. This article examines the supervision needs of correctional mental health counselors and psychologists. An application of one supervision model to correctional psychology is presented.     

Commentary: Reintegrating psychology into an expanded biopsychosocial model of severe acute respiratory syndrome

The Special Issue highlights the importance of psychology in the research agenda on severe acute respiratory syndrome (SARS). The five articles examined relevant theories on social cognition and coping in the ecological context of the SARS outbreak. They provide preliminary tests to current psychological principles of coping and health psychology in a real crisis. The limitations of the studies are recognized. Other areas of psychological research on SARS are suggested. It is proposed that the biopsychosocial model of behavioral medicine could be expanded as a paradigm in public health to study and prepare for future emerging epidemics.     

Psychological correlates of negative self-assessed health

The recent growth in the area now subsumed under the title health psychology can be seen to reflect real changes in the societal pre-occupation with health promotion. Established models within health psychology have tended to focus on the interface between the individual and the health care system. Moreover, as a consequence of employing the tripartite model of health, illness and sick-role behaviour as separate entities, research has tended to construct barriers between these behaviours. In is necessary to develop psychological models within health psychology rather than use the education model of the medical orthodoxy. This study explored the distinguishing features of a sub-group of women within the sample who were identified as having relatively negative self-assessed health. Data was obtained on their experience of health and illness, their involvement in health-related behaviours (HRB) and their health beliefs. It was shown that this group was more likely to be involved in damaging HRB, but involvement in positive HRB did not differ from the main sample. They tended to anticipate an improvement over time from their present health status which they felt had been influenced by their own behaviour and by their experience of motherhood.     

Smoking research: basic research, intervention, prevention, and new trends

Smoking is a behavior that is influenced by a variety of factors that cut across methodologies, disciplines, and content areas within health psychology. The present article is designed to show the diversity and richness of smoking research by examining smoking from four perspective: basic laboratory research, intervention, prevention and deterrence, and new directions in smoking research. Methodologies that were derived from such varied sources as psychopharmacology, behavioral pharmacology, behavior therapy, clinical psychology, public health and health promotion, and social and developmental psychology have been used to study the smoking problem. The subject populations in these investigations ranged from animal models, to the individual smoker attempting to quit, to communities involved in health promotion and public health approaches. Future research should seek to provide new and improved examples of interdisciplinary research within the field of health psychology to multidisciplinary approaches from the basic and applied sciences.     

Counseling Military Populations: A Content Analysis of Counseling Journals From 1998 to 2018

Mental health scholarship of military populations is largely guided by researchers in psychiatry and psychology. Recent advocacy efforts have created increased opportunities for professional counselors to serve military clients, but the research within the profession has yet to be explored. A content analysis of 23 professional counseling journals from June 1998 to June 2018 was conducted to determine military population research trends. Findings indicated that counselors are researching topics similar to those of other mental health fields, such as posttraumatic stress, but are contributing to those topics conceptually rather than empirically. Topical areas in which counselors do produce more empirical studies include career counseling, and these studies relied on college student veteran populations. Suggestions for incorporating the philosophical principles of counseling into future research are provided to inform the trajectory of military scholarship in the profession.     

Cuban health psychology: A priority is the primary health care system

Cuban health psychology has experienced a great expansion during the last 25 years, both in the number of psychologists and in range of activities in the field. Today, psychologists are integrated at all levels of the national health system, an achievement which is particularly interesting in that Cuba is a developing country. In a position isolated from trends in international psychology, Cuba has developed a role for psychologists within the field of health which is adapted to its situation as a poor and socialistic country. Priority is given to preventive and community-based psychology within primary health care facilities. Psychologists in primary health care serve a composite client-group, with high priority given to pregnant women and to children. The work of these psychologists covers a wide range of health problems—-physical as well as mental—and focuses upon individuals as bio-psycho-social units. Their responsibilities include health promotion, disease prevention, consultation and treatment, rehabilitation, research and education. This report is based on a 2½ month long field study in Cuba, where Cuban health psychology, particularly as it relates to primary health care, was explored.     

Historicizing the Role of Psychologists in the U.S. Military: Introduction to Issue on Coercive Interrogations and the Mental Health Profession

This special issue addresses the disturbing events that emerged in the aftermath of 9/11 in the United States with regard to the role of mental health professionals in coercive interrogations of detainees held in detention centers and military “black sites.” While other professional associations condemned such practices, the American Psychological Association maintained a position of collaboration, despite activist members' protests.

These events will be examined in an effort to reconstitute our history as a profession through the actions of what Freud called “nachtraeglichkeit’, (deferred action) in which the unassimilated experiences of the past relationship between psychology and the military will be used to transform our perceptions and future directions. This introduction also summarizes the papers in this issue. These include a history of the interrogation practices and the controversy within the APA; a history of the long-standing relationship between the profession of psychology and government, military, and intelligence organizations; analyses of the psychology of torture and evidence of how this psychology is manifested in the consulting room; a comparison of psychological structures within the population and mental health professions in the United States today and Argentina during recent totalitarian regimes; and an interview with Robert Lifton, eminent psychohistorian, psychiatrist and political activist.     

Children's mental health as a primary care and concern: a system for comprehensive support and service

In response to the serious crisis in mental health care for children in the United States, this article proposes as a priority for psychology a comprehensive approach that treats mental health as a primary issue in child health and welfare. Consistent with the principles of a system of care and applying epidemiological, risk-development, and intervention-research findings, this approach emphasizes 4 components: easy access to effective professional clinical services for children exhibiting disorders; further development and application of sound prevention principles for high-risk youths; support for and access to short-term intervention in primary care settings; and greater recognition and promotion of mental health issues in common developmental settings and other influential systems. Integral to this approach is the need to implement these components simultaneously and to incorporate family-focused, culturally competent, evidence-based, and developmentally appropriate services. This comprehensive, simultaneous, and integrated approach is needed to achieve real progress in children's mental health in this country.     

Psychologists' role in family-centered approach to practice, training, and research with young children

Family-centered, community-based, coordinated care for children with special needs is presented as the best practice model for providing services to children and families. Psychologists must learn to play an active role in this frame-work that both integrates psychology with other health and education disciplines and uses the broad spectrum of psychological knowledge about families, development, community organization, and intervention strategies. Key principles of family-centered child psychology affect practice research and training. The psychologist becomes part of a team created to support families as the primary care-givers of their children. Training programs must reorganize the types of experiences both in the classroom and the field to train new psychologists within this model. As mandates for family-centered care affect policies at the state and federal levels, research will remain a critical factor in understanding the effects of these policy shifts on child and family functioning and the delivery of services.     

Professional burnout

Abstract

Stress has been a ubiquitous concept in health research. We compare stress theories with the operationalization of stress in health research. Although scientific investigation is ideally based on theoretical principles, stress research is seen as often atheoretical or misapplying theories. Major conceptualizations of stress are considered and prominent research avenues in health psychology are analyzed as to the extent they mirror, diverge from, or inform stress conceptualizations. A central conclusion of the paper is that perceived and objective stressors are not only both valid construels of stress, but that they operate differently on psychological and physiological systems.     

Transpersonalism: Ego Meets Soul

Over the last few decades, the transpersonal approach has emerged from mainstream psychology to address the effects of spirituality and consciousness on personal transformation and health and to explore the optimal levels of human functioning. Despite its increasing popularity, many mental health professionals lack basic knowledge of the transpersonal approach. This article provides an introduction to and overview of the historical development, scientific basis, philosophical stance, theoretical principles, and clinical methods of transpersonal psychology.