Capturing system level activities and impacts of mental health consumer-run organizations

Since the 1970s mental health consumer-run organizations have come to offer not only mutual support, but they have also adopted agendas for broader social change. Despite an awareness of the need for system level efforts that create supportive environments for their members, there has been limited research demonstrating how their system level activities can be documented or their impacts evaluated. The purpose of this paper is to feature a method of evaluating systems change activities and impacts. The paper is based on a longitudinal study evaluating four mental health consumer-run organizations in Ontario, Canada. The study tracked system level activities and impacts using both qualitative and quantitative methodologies. The article begins by describing the development and implementation of these methods. Next it offers a critical analysis of the methods used. It concludes by reflecting on three lessons learned about capturing system level activities and impacts of mental health consumer-run organizations.     

Narcissism and body image

This research examined the relationship between narcissism, as measured by the Narcissistic Personality Inventory (NPI; Raskin & Hall, 1979), and body image, as measured by the Body-Self Relations Questionnaire ( Winstead & Cash, 1984), in a nonclinical sample of college students. Also examined were narcissism's relationships to masculinity, femininity, and self-esteem. Results indicated that more narcissistic individuals had more favorable body images and were higher in masculinity and self-esteem. No gender differences were observed in either the levels of narcissism or its body image correlates. Overall, the findings suggest that the NPI measures “adjusted” narcissism rather than the “maladaptive” narcissism emphasized in theoretical and clinical accounts of the construct.     

Development and validation of adolescent-perceived microsystem scales: Social support,daily hassles,and involvement

Developed and validated instruments for urban and culturally diverse adolescents to assess their self-reported transactions with family, peer, school, and neighborhood microsystems for the constructs of social support, daily hassles, and involvement. The sample of 998 youth were from schools in three Eastern cities with high percentages of economically disadvantaged youth. Data were collected before and after the transition to junior high school or to senior high school. Blacks constituted 26%, whites 26%, and Latinos 37% of the sample. Factor analyses confirmed and enhanced the hypothesized four-factor microsystem factor structure for support, hassles, and involvement; internal consistency and stability coefficients were consistent with these structures. In general, the microsystem factors were common across gender, ethnicity, and age. However, when group differences did occur on these demographic variables, they tended to validate the salience of microsystem specificity. In contrast to the total scores, the microsystem-specific factors yielded more meaningful and differential information with regard to demographic differences and the mediating processes across a school transition.     

Treatment outcome in personality disorder: The effect of social,psychological and behavioural variables

The study followed-up 245 patients referred to the Henderson Hospital (194 admitted for treatment and 51 not admitted) and for whom information had been collected on their social background and certain psychological variables allowing a classification and typology of personality disorder to be worked out. The study indicates that the therapeutic community treatment is effective with selected individuals showing the antisocial behaviour associated with such disorder. In particular this treatment is of benefit to the offenders with only one conviction and who are able to persevere with treatment for a period of 6 months for treatment to be maximally effective. The variation of psychological types within the broad category of personality disorder was demonstrated and this has a bearing on the outcome of treatment, the extrapunitive neurotic being of poorest prognosis with or without treatment. Yet even in this group, therapeutic community treatment can be effective.     

Parallel processing of position and form information in young children

Young children and adults were compared in their processing of position and form information when only one type of information was processed and when both types of information were processed. For adults, position information in both the single and combined tasks showed a linear increase in report accuracy with increasing duration. For children, this linear increase was found only in the single task, at longer durations, resulting in a loss of parity across tasks for position information among children. No loss of parity was found for form information for either age group. The children’s loss of parity in processing position information when combined with form information replicates their previously demonstrated inability to process multiple-form arrays using a parallel independent strategy.     

The influence of similarity between relevant and irrelevant information upon a complex identification task

This experiment sought answers to two questions: (1) Do increases in the similarity between relevant and irrelevant information present in visual stimulus patterns detrimentally influence the performance of a complex identification task, and (2) does the effect of such similarity interact with increasing amounts of irrelevant information? An analysis of the response latencies and errors indicated that identification of the relevant information in the stimulus patterns becomes significantly poorer with increasing similarity between relevant and irrelevant information and with increasing amounts of irrelevancy. The results also showed that the joint effect of similarity and irrelevancy produces a greater performance decrement than that associated with either variable alone. Practice on the task reduced the detrimental effects.     

Temporal grouping, rehearsal and short-term memory

The effects of temporal grouping on auditory short-term memory are investigated, using pauses of different lengths to indicate the groups. No quantitative or qualitative differences were found between the shorter and longer pauses. This result, in conjunction with an analysis of the order errors, is used to suggest what kind of processing occurs during the pauses. This processing is selective, recoding the information about order according to position within a group.