Mental health symptoms,well-being and experiences of the COVID-19 pandemic: A mixed-methods practice-based study

The COVID-19 pandemic necessitated abrupt and substantial changes in daily life, and public health strategies intended to protect physical health can negatively affect mental health and well-being, especially for individuals with pre-existing mental health challenges. For this study, we surveyed a sample of clients (N = 94) in the summer of 2020 from a community mental health clinic in the northeast United States. A mixed-methods, concurrent triangulation design was used to (a) identify client subgroups on indicators of mental health (i.e. anxious and depressive symptoms) and emotional, psychological, and social well-being using latent profile analysis (LPA), and (b) within these subgroups, examine qualitative, thematic patterns in self-described challenges, benefits and learning related to the pandemic. The LPA revealed five distinct subgroups with various levels of symptoms and well-being, including Stagnant (moderate symptoms/moderate well-being), Languishing (high symptoms/low well-being), Flourishing (low symptoms, high well-being), Fortitudinous (high symptoms, moderate well-being) and Mobilized (moderate symptoms, high well-being). These divergent subgroups support the need to conceptualise mental health symptoms apart from well-being and assess for heterogeneous constellations of such constructs among psychotherapy clients. Thematic analysis offered additional insight into pandemic experiences within each subgroup, including attention to psychological, emotional, behavioural/lifestyle, relational, physical and ecological/contextual dimensions of self-experience, as well as the ways clients had adjusted to the pandemic's circumstances. Findings support nuanced conceptualisations of positive mental health and offer insight into coping and adaptation during this public health crisis.     

Mental health in Christian life

Conclusion The influence of mental health upon the perception, assimilation, and expression of religious values is very apparent. As the precision of our knowledge increases, there is no lack of evidence for an affirmative answer to the question posed for the second part of this report.If the proper methods for studying the influence of religion on mental health have seemed to us to be full of ambiguity, it has also seemed to us that the future development of our scientific knowledge relative to the influence of mental health upon religion is entirely feasible and highly desirable.To work for better mental health is to permit believers (and this is equally valid for all religions and all faiths) to gain better understanding of the call of their religion in all its authenticity. The very perception of the religious message, in its richness and complexity, would be enhanced if one could raise the level of balance and of psychological maturity in a population. Mental health does not automatically make men more religious (we have no interest in an automatic, conditioned religion), but it prepares a better background in which the word of God may be heard, received, and more fully assimilated.It is in this perspective that we all must work together—doctors, psychologists, educators, priests—toward improvement of mental health. Let us, however, avoid unenlightened enthusiasm; let us keep ourselves from undertakings of which the practical applications would be directed toward illusory purposes. An effective program demands precise objects: these can be formulated only on the basis of methodically conducted research and scientifically established conclusions.     

Illusory conjunctions and the cerebral hemispheres

Two visual half-field experiments tested Moscovitch’s (1979) proposition that cerebral asymmetry does not concern the earliest perceptual stages but only later processing. Subjects were briefly shown displays that included one (Experiment 1) or two (Experiment 2) types of forms differing in size and which, according to previous evidence, might lead to opposite laterality effects. Laterality effects were assessed for correct detections and for illusory conjunctions, both in terms of raw detection scores and in terms of perceptual discriminability (dr scores). In Experiment 1, displays included either rectangles or triangles. In the first case, the target was a cross; in the second case, it was a Star of David. A hemifield x size interaction was observed both on correct detections and on associated discriminability. Yet, no such interaction was obtained for illusory conjunctions or for associated d’ scores. In Experiment 2, the two types of forms were presented simultaneously, with the small ones either inside or outside the large ones. No laterality effects were observed. Some implications of these data for both hemispheric asymmetry and feature integration issues are discussed. The results suggest that early preattentive processes of feature extraction are not lateralized, whereas some integrative mechanisms, such as Treisman’s (1988) focal attention, may operate differently in the two hemispheres.     

Medical expertise asa function of task difficulty

This paper is concerned with factors that disrupt the pattern of forward reasoning characteristic of experts with accurate performance. Two experiments are described. In the first, the performances of cardiologists, psychiatrists, and surgeons in diagnostic explanation of a clinical problem in cardiology were examined. In the second, the performances of cardiologists and endocrinologists in diagnostic explanation of clinical problems within and outside their domains of expertise were examined. The performances of researchers and practicing physicians are also compared. The results of Experiment 1 replicated earlier results regarding the relationship between forward reasoning and accurate diagnosis. There were no differences in recall as a function of expertise. Experts did not show any bias toward using specific knowledge from their own areas of expertise. The results of Experiment 2 showed that the breakdown of forward reasoning was related to the structure of the task. In particular, nonsalient cues induced some backward reasoning even in subjects with accurate diagnoses. Some differences were also found between the types of explanation used by researchers and practitioners. The practitioners referred more to clinical components in their explanations, whereas the researchers focused more on the biomedical components.     

Transformation in Counselling

The view is put forward that counselling appears to be undergoing a transformation which renders the old distinction between counselling and therapy no longer meaningful or practical. This transformation reflects the psychic backdrop of our times; it has come about because the needs of people seeking help, as well as the needs of those counselling, have altered and developed. Increasingly, clients are acknowledging the need for radical change which involves exploration of all levels of their being. This transformative work, a moving across inner barriers and coming into wholeness, necessarily involves active awareness of spirit. Thus it is no longer possible to be a client-centred counsellor without being willing to address the spiritual dimension ofhuman-beingness.     

Effects of Level of Processing on Implicit and Explicit Memory in Depressed Mood

Recently, several studies have addressed the question of whether depression affects priming in implicit memory tasks. The main aim of this experiment was to assess the presence of a bias for negative information in explicit memory (free recall) and implicit memory (word-stem completion) tasks among subclinically depressed subjects compared to nondepressed subjects, using the typical levels of processing manipulation. The results of this study show the existence of a mood-congruent memory bias for both implicit and explicit memory in depressed subjects. The theoretical implications of these findings for implicit and explicit memory biases associated with depressed mood are discussed.     

TheP system: A scheme for organizing Pavlovian procedures

The present paper introduces theP system as a scheme for organizing Pavlovian procedures in an orderly and comprehensive manner. The system is defined by three temporal variables and three restrictions on their possible values. It can be used to define all standard temporal variables—namely, stimulus duration, interstimulus interval, trace interval, and intertrial interval—as well as variables C and T of scalar expectancy theory. The system also permits the definition of new independent variables through combinations of the basic temporal parameters. We exemplify this possibility by defining two ratios of temporal intervals. These ratios lead to a space where traditional Pavlovian arrangements (viz., simultaneous, forward-trace, forward-delay, backward) become points on a continuum, and optimal conditions across different experimental preparations become equivalent. Finally, the system can be used to define contingency variables such asp(US/CS),p(US/～CS), and the phi coefficient (φ). In this manner, an organization of different kinds of Pavlovian procedures is achieved on the basis of a single parametric scheme. Such an organization facilitates establishing procedural and theoretical relationships between temporal and contingency variables. The paper concludes with a discussion of certain limitations of the system and other related issues