Occupational Therapy Interventions in Mental Health: A Literature Review in Search of Evidence

A growing body of literature sheds light on occupational therapy (OT) interventions and outcomes in adult mental health. Although this research has not developed to the point where a systematic review is warranted, a synthesis of these findings is needed. This article provides an overview of OT interventions in adult mental health and their documented outcomes. Fifty peer-reviewed intervention studies targeting adults with mental illness were reviewed. Seven categories of interventions emerged: employment/education; psychoeducation; creative occupations/activity; time use/occupational balance; skills/habit development; group/family approaches; and animal-assisted therapy. Further research involving rigorous designs is needed to establish a solid evidence base for OT interventions in adult mental health.     

Evaluations of Clergy Children Versus Non-Clergy Children: Does a Negative Stereotype Exist?

Studies that have been conducted on PKs (children of the clergy) are limited and outdated. But it has been thought that numerous stresses coincide with being a PK. This study tried to document the existence of a negative stereotype of PKs. The participants were 63 college students consisting of 40 Non-PKs and 23 PKs. They were given a mock college application to evaluate and then asked to rate the applicant on various dimensions. The participants rated one of three applicants: PK with bad behavior, PK with good behavior, or non-PK with bad behavior. The bad behavior was a DWI offense. Results indicated limited support of the hypothesis of a negative stereotype of PKs. A separate questionnaire given to the PKs inquiring about the stresses of their lifestyle revealed that PKs do report experiencing a significant amount of stress.     

How Attention Partitions Itself During Simultaneous Message Presentations

Television producers, across all types of programming, assume young viewers can parallel process simultaneously presented messages. For instance, television news producers appear to believe that young viewers can attend to weather icons, lexical news crawls, and sports scores while they also attend to news anchors who present the news. Nonetheless, attention theory suggests parallel processing on this scale cannot be executed efficiently. Given the format's popularity, perhaps those messages take advantage of perceptual grouping, as described by Treisman, Kahneman, and Burkell (1983). Perceptual grouping describes a process where separate but semantically related messages are attended to simultaneously with minimal effort. Using secondary task methodology, we measured participants' attentional capacity while they watched an example of this format: CNN's Headline News. In addition to this visually complex condition, we created a visually simple condition by deleting graphics and news crawls. Participants in this latter condition attended to both the auditory and visual channels, thus retaining story facts conveyed by both channels. Participants in the complex condition, however, shifted attention to the auditory channel. Ten percent of the factual information contained in news stories was lost to participants. It appears that this multimessage format exceeded viewers' attentional capacity. In conclusion, we discuss the implications for attention theory.     

Maternal influences on daughters' restrained eating behavior.

This study examined whether mothers' preoccupation with their own weight and eating was linked to daughters' restrained eating behavior. Participants included 173 non-Hispanic, White mother-daughter dyads, measured longitudinally when daughters were ages 5, 7, 9, and 11. Mothers who were preoccupied with their own weight and eating reported higher levels of restricting daughters' intake and encouraging daughters to lose weight over time. Mothers' encouragement of daughters' weight loss was linked to daughters' restrained eating behavior; this relationship was partially mediated by daughters' perception of maternal pressure to lose weight. These findings suggest that mothers' preoccupation with weight and eating, via attempts to influence daughters' weight and eating, may place daughters at risk for developing problematic eating behaviors.     

When hearts,hands, and feet trump brains: Centralist versus peripheralist responses in children and adults

A series of studies examined the presence of centralist versus peripheralist responding about the physical location of psychological processes. Centralists respond that processes such as cognition and emotion are a function of the brain. Peripheralists respond that such processes are located in other parts of the body, such as the heart. Although peripheralist responses declined across grade levels, even older children and adults often gave peripheralist answers, depending on the context of the questions. Peripheralist responses occurred when participants were asked about the effect of switching irrelevant body parts between two people and when they were asked to choose a different body part among four choices. Results also showed adults' responses varied with different contextual cues. The findings support a coexistence model of development which argues for the simultaneous presence of developmentally advanced reasoning or scientifically based knowledge along with presumably less advanced, intuitive‐based reasoning, or folk beliefs.     

Disambiguating ambiguous figures by selective attention

The present study was designed to investigate the hypothesis that the formation of a given percept of an ambiguous figure results from focusing attention on a focal area that contains features significant for this percept but not for the alternative one. Two such focal areas were designated for the two competing interpretations of the bird/plane and duck/rabbit ambiguous figures. Detecting a letter following the figure was faster when the letter appeared in the focal area of the perceived interpretation than in the focal area of the alternative one. Furthermore, directing attention to a given focal area shortly before the presentation of the figure increased the likelihood of forming the corresponding interpretation rather than the alternative one. Results suggest that maintaining different interpretations of the same ambiguous figure is mediated by focusing attention on different parts of the figure.     

Construction and maintenance of parent–child relationships: Bidirectional contributions from the perspective of parents

The purpose of the present study was to investigate parents' perspectives of parent and child contributions to the construction and maintenance of the parent–child relationship. Twenty‐four mothers and fathers, with a child between 4‐ to 7‐years‐old, completed an open‐ended interview in which they described their parent–child relationship and commented on how they and their child strengthen, damage, and repair the relationship. Findings indicated that parents described their parent–child relationship with relatively similar emphasis on elements of authority, companionship, and intimacy. Parents reported that they were most likely to strengthen the parent–child relationship by interacting with their child in the companionship domain, whereas their overuse of power or authority and non‐responsiveness temporarily created damage in the relationship. Parents reported that their children were most likely to strengthen the relationship by complying with parent requests and engaging in companionate interactions, whereas not complying or challenging parent directives created relational tension. Parents indicated that both they and their children were most likely to repair interactional errors by restoring intimacy (e.g. apology, communication, or affection). Results are discussed from a framework of multiple relationship domains consisting of the interplay of vertical and horizontal dimensions of power. Copyright © 2004 John Wiley & Sons, Ltd.