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Studies that have been conducted on PKs (children of the clergy) are limited and outdated.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.     

On Equal Citizenship and Public Reason: Reply to Critics

In writing Equal Citizenship and Public Reason, we aimed to show that political liberalism is a feminist liberalism. To that end, we develop and defend a particular understanding of the commitments of political liberalism. Then, we argue that certain laws and policies are needed to protect and secure the interests of persons as free and equal citizens. We focus on the laws and policies that we think are necessary for gender justice. In particular, we apply our view to the contexts of prostitution law, family and marriage law, state support for caregivers, and religious exemptions from generally applicable laws. In this article, we consider some of the challenges made by the thoughtful critics who are part of this symposium. In particular, we address: why the collective enterprise view of liberal democracy requires shared reasons for the justification of certain laws and policies; how we understand substantive equality and why our understanding of substantive equality does not commit us to a comprehensive doctrine; how we avoid defending a particular political conception of justice in showing that political liberalism is a feminist liberalism; and how it is that, given justice pluralism, public reasons can provide stability for the right reasons.     

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.