Trends in community mental health programming

One hundred-seventy-three mental health centers responded to a survey inquiring about allocation of staff time for mental health services and about the availability of an array of services at present, 3 years previous, and 3 years hence. The data reflect an emphasis upon reactive services as opposed to those considered proactive, and on services directed to individuals as opposed to other groups. However, this emphasis seems to be changing. Future projections call for a de-emphasis on individual reactive programs and increased emphasis on programs directed toward families and small groups, and toward proactive programs directed to the communities-at-large. Data about specific programs and services further suggest de-emphasis of services that involve the mental health professional and the client in direct interaction, and continued growth in services that can be delivered by less formally trained mental health workers or volunteers.     

Supervision in careers guidance: Empowerment or control?

Like many other professions, careers guidance is currently undergoing rapid and radical change. But the Careers Service is still operating to nationally agreed 'core training objectives' which determine both initial training (Diploma in Careers Guidance Part I) and supervisory training (Diploma in Careers Guidance Part II). Recent changes influencing guidance practice and training are outlined, and the predominant mode of current supervision within the Careers Service is identified as 'managerial' in character. This is explained in terms of both the historical development of the service and its funding mechanisms. A model for supervisory practice for the future is presented, identifying three essential elements: organisational commitment, contractual agreement and an explicit framework.     

Performance indicators for student services

New arrangements for funding higher education institutions promise to introduce sharper management styles. Such institutions can anticipate that much closer scrutiny will be given to the details of their activities, with value for money becoming a more prominent factor. The development of performance indicators offers management a way of evaluating effectiveness and efficiency. It may be difficult to develop valid performance indicators for many aspects of higher education, but perhaps those difficulties will be greatest in relation to services whose activities are essentially private and as such hidden. An approach to the development of performance indicators is presented which could be effective in relation to counselling services in higher education institutions.     

When to intervene and take a stand: Evaluating bystander roles in intergroup name-calling contexts

Children (n = 121, M = 9.86 years, SD = 0.64) and adolescents (n = 101, M = 12.84 years, SD = 0.69) evaluated proactive and passive bystander behaviour to intergroup name-calling (N = 222, 54% female). Scenarios depicted ingroup perpetrators and outgroup victims who were from a stigmatized group (ethnicity) or a non-stigmatized group (school affiliation), with bystanders depicted as being proactive (intervening to help) or passive (failing to challenge the aggression), counter to their own group's norm. Children and adolescents personally evaluated proactive bystanders more favourably than passive bystanders. However, adolescents, more than children, expected their peers to be more positive about proactive bystanders than passive bystanders in the stigmatized context. Results are discussed in terms of the complexities of bystander decisions and implications for anti-bullying interventions.     

The impact of domestic violence on mothers' prenatal representations of their infants

This study examined the relationship between domestic violence during pregnancy and mothers' prenatal representations of their infants and themselves as mothers. Two hundred and six women were recruited from the community and interviewed during their last trimester of pregnancy. Forty‐four percent of women reported experiencing domestic violence during the current pregnancy, while 56% reported no domestic violence during the pregnancy. Maternal representations were assessed using the Working Model of the Child Interview (WMCI; Zeanah, Benoit, Hirshberg, Barton, & Regan, 1994). Multiple analysis of variance (MANCOVA) and χ² analyses revealed that women who experienced domestic violence had significantly more negative representations of their infants and themselves as mothers and were significantly more likely to be classified as insecurely attached (either Disengaged or Distorted) than women who had not experienced domestic violence. These results, along with several excerpts from battered women's interviews, highlight the importance of domestic violence as a risk factor for maternal and infant well being. These findings and their clinical implications are discussed in light of attachment theory. ©2004 Michigan Association for Infant Mental Health.     

Student mental health: how can psychiatrists better support the work of university medical centres and university counselling services?

Student psychiatric morbidity is rising. Whilst the influence of university counselling services is widely reported, NHS involvement by psychiatrists and general practitioners is not so well described. Counselling and mental health service providers for students at the University of Leeds were approached for numerical data and a university Group on Student Mental Health discussed the findings. The Student Counselling Centre, the University Medical Practice and a dedicated student psychiatric clinic have all seen a rise in referral rates. The University Medical Practice has also seen a rise in the prescribing of psychoactive medication. Collaborative links at the University of Leeds are explored and options for the future discussed. These include self-help over the internet, a research project to assess student mental health needs and the provision of a dedicated NHS psychiatric team for the university.     

“It Depends on What You Mean by Starting”: An Exploration of How Women Define Initiation of Aggression and Their Motives for Behaving Aggressively

This study explored women's use of aggression, focusing on how they define initiation of aggression and what motives they have for behaving aggressively. Twenty-five women who had used aggression during conflicts with their romantic partners were interviewed. Results indicated that, while the women reported initiating aggression in the majority of conflicts described (54%), they varied in how they defined initiation, with some believing that initiating aggression meant being angry, bringing up the conflict issue, or persistently asking the partner to engage verbally. Twelve categories of motives for the use of aggression were also identified. Theoretical and practical implications are discussed, highlighting the ongoing need for an ecological perspective when studying women's use of aggression.     

Two scenes or not two scenes: The effects of stimulus repetition and view-similarity on scene categorization from brief displays

Previous research suggests that understanding the gist of a scene relies on global structural cues that enable rapid scene categorization. This study used a repetition blindness (RB) paradigm to interrogate the nature of the scene representations used in such rapid categorization. When stimuli are repeated in a rapid serial visual presentation (RSVP) sequence (~10 items/sec), the second occurrence of the repeated item frequently goes unnoticed, a phenomenon that is attributed to a failure to consolidate two conscious episodes (tokens) for a repeatedly activated type. We tested whether RB occurs for different exemplars of the same scene category, which share conceptual and broad structural properties, as well as for identical and mirror-reflected repetitions of the same scene, which additionally share the same local visual details. Across 2 experiments, identical and mirror-image scenes consistently produced a repetition facilitation, rather than RB. There was no convincing evidence of either RB or repetition facilitation for different members of a scene category. These findings indicate that in the first 100–150 ms of processing scenes are represented in terms of local visual features, rather than more abstract category-general features, and that, unlike other kinds of stimuli (words or objects), scenes are not susceptible to token individuation failure.