Cultural Lens on Mental Illness: Four Clients Share Their Perspectives

People served by mental health providers represent diverse cultural groups. In-depth qualitative interviews were used to collect data to examine: “How do people, diagnosed with a mental illness, perceive their experience in a partial care mental health program from the perspective of their cultural context?” Four participants described cultural identities that included ethnic, health status, and sexual orientation identities. The participants' way of participating in the world was often in conflict with cultural values and expectations of the family and counselors. Cultural competence must include understanding how complex, multiple cultural contexts interact and influence a person's participation in the therapeutic process.     

Causal Necessity in Aristotle

Like many realists about causation and causal powers, Aristotle uses the language of necessity when discussing causation, and he appears to think that by invoking necessity, he is clarifying the manner in which causes bring about or determine their effects. In so doing, he would appear to run afoul of Humean criticisms of the notion of a necessary connection between cause and effect. The claim that causes necessitate their effects may be understood— or attacked— in several ways, however, and so whether the view or its criticism is tenable depends on how we understand the necessitation claim. In fact, Aristotelian efficient causation may be said to involve two distinct necessary connections: one is a relation between causes considered as potential, while the other relates them considered as active. That is, the claims that (1) what has the power to heat necessarily heats what has the power to be heated, and that (2) a particular flame which is actually under a pot necessarily heats it, both of which appear to be true for Aristotle, involve distinct notions of necessity. The latter kind of necessity is based on the facts, as Aristotle sees them, about change, whereas the former is based in the nature of properties. Though different, both kinds of necessity are instances of what contemporary philosophers would call metaphysical necessity, and together they also amount to a theory of causal determination.     

Sorrow,shame, and self-esteem: Perception of self and others in groups for women survivors of child sexual abuse

Despite evidence that exists about the severity of impact of child sexual abuse (CSA), less has been published about treatment options. Much CSA is enshrouded in secrecy in the context of dysfunctional family dynamics, therefore group work is often recommended as a method of treatment. Although long- and short-term groups are seen as being equally effective, there are few published studies of long-term analytic groups for survivors of CSA. This study was designed to analyse the process of one long-term group. A case is made for using Core Conflictual Relationship Theme (CCRT), a method designed to analyse individual therapy, with reference to group theory. Shifts in self-perception and in relation to others are analysed from the beginning to the end of therapy.     

The organisation of emotional experience: Creating links among emotion,thinking, language,and intentional action

Abstract

This paper discusses how emotional experience is interpreted, understood, and represented. Changes in the status of valued goals, and whether or not these goals can be attained or maintained are key conditions in determining the occurrence of an emotional experience. In addition, assessing the certainty with which goals can be maintained is critical as to which emotion is experienced. This small set of dimensions can be used to identify, and differentiate emotions that are considered to be basic. Basic emotion categories share features, and their elicitation is contingent on a number of components coming into conjunction with one another simultaneously. Thus, for any one basic emotion to be elicited, at least three converging components need to be activated. This view of the conditions for emotion is discussed with reference to componential theories of emotion, and to its developmental and cross-cultural implications.     

Otto Rank: Pioneering Ideas for Social Work Theory and Practice

This article examines Otto Rank's psychology and its profound implications for social work knowledge-building and practice. The paper begins with a brief biographical portrait, highlighting the significance of Rank's relationship and eventual break with Freud, and contextualizing the ideas that became the basis for the Functional Approach. We discuss Rank's conception of human functioning in the social environment, his influence on later theories, and a contemporary critique of Rank's ideas. The paper concludes with a discussion of Rank's contributions to the Functional Approach and to social work practice in general.     

Tracking the implicit self using event-related potentials

Negative biases in implicit self-evaluation are thought to be detrimental to subjective well-being and have been linked to various psychological disorders, including depression. An understanding of the neural processes underlying implicit self-evaluation in healthy subjects could provide a basis for the investigation of negative biases in depressed patients, the development of differential psychotherapeutic interventions, and the estimation of relapse risk in remitted patients. We thus studied the brain processes linked to implicit self-evaluation in 25 healthy subjects using event-related potential (ERP) recording during a self-relevant Implicit Association Test (sIAT). Consistent with a positive implicit self-evaluation in healthy subjects, they responded significantly faster to the congruent (self–positive mapping) than to the incongruent sIAT condition (self–negative mapping). Our main finding was a topographical ERP difference in a time window between 600 and 700 ms, whereas no significant differences between congruent and incongruent conditions were observed in earlier time windows. This suggests that biases in implicit self-evaluation are reflected only indirectly, in the additional recruitment of control processes needed to override the positive implicit self-evaluation of healthy subjects in the incongruent sIAT condition. Brain activations linked to these control processes can thus serve as an indirect measure for estimating biases in implicit self-evaluation. The sIAT paradigm, combined with ERP, could therefore permit the tracking of the neural processes underlying implicit self-evaluation in depressed patients during psychotherapy.     

Water Mist Punishment for Two Classes of Problem Behaviour

A study with multiple baseline design across situations and response-classes was used to evaluate the effects of a water mist procedure used for punishment of two classes of problem behaviour in a 50-year-old woman with severe mental retardation. Problem behaviour was reduced to less than 5% of baseline. After 19 months the problem behaviour was still reduced, and had stabilized at a level below 10% of baseline. Due to financial economies the local community authorities terminated the treatment, which resulted in a marked increase in the rate of problem behaviour.     

Exploring the Construct Validity of the Social Cognition and Object Relations Scale in a Clinical Sample

The resistance of the Personal Orientation Dimensions (POD) to deliberate attempts at creating a favorable impression was investigated. Two groups of college students were used: (a) 21 students completed the POD under standard instructions, then received information about actualization, and completed the POD again under instructions to Create a very good impression; (b) 21 students completed the POD under standard instructions, then received information not related to actualization, and completed the POD again under instructions to create a very good impression. An analyses indicated that providing students with information about actualization did not facilitate their ability to create a favorable impression on the POD. The POD profiles produced by both groups changed significantly, and in a similar direction from pretest to posttest. Evidence is presented suggesting the existence of a "lie profile" which distinguishes deliberate attempts to create a favorable impression on the POD. These findings provide support for the resistance of the POD to deliberate attempts at creating a favorable impression.     

Emotional and Behavioural Problems Among Refugee Children and Adolescents Living in South Australia

While there is a growing body of literature on the mental health status of adult refugees, children have been relatively neglected in research, particularly in Australia. This study investigated the prevalence of emotional and behavioural problems and patterns of service utilisation among 530 refugee children and adolescents aged 4–17 years living in South Australia. Parents and teachers of children aged 4–17 years and adolescents aged 13–17 years completed the appropriate versions of the Strengths and Difficulties Questionnaire. Of the 11.0% of children and adolescents found to have borderline or abnormal emotional and behavioural problems, only 13.0% accessed professional help. The study has practical implications for policy and practice.