Found Voices:

This article explores the cultural consequences of disability on women. The author interviewed four women with disabilities and two mothers and shares some of her own experiences with disability. The relationship between disability rights and feminism and ethnic identity and the impact of disability on the sense of self and personal goals are considered, as is the transformative power of speaking to the larger culture about how disability experiences inform human perceptions and social practices.     

Lay concepts of health and illness from a developmental perspective

Abstract

The concepts of children, adolescents and their mothers with regard to different aspects of health and illness in general and five specific diseases were explored in this study. An exploration with fully standardised questions and open answers was subjected to a content analysis. A reliable rating system was developed to score the sophistication of the answers. The study included 99 Ss of the age groups 5, 8, 12 and 16 years, as well as 48 mothers of the children. Many children and adolescents were able to define health positively (well-being) and not merely as the absence of illness. The definition of illness in general was frequently composed of somatic symptoms and disorders, feeling poorly and things one would like to accomplish but can't. The causality explanations of illness in general were dominated by contagion. The concepts of the older children and the mothers were richer, more elaborated, less concrete and less action-oriented than those of the younger children. However, abstract formulations and complex aspects of illness were very rarely expressed. In addition, concepts regarding the characteristics (definition, symptoms, causality, treatment and prevention) of five diseases (cold, measles, heart infarction, cancer and AIDS) were measured. The pattern of results was strongly influenced by age. By and large, the development of most disease concepts was linear with significant differences between age groups. Conversely, within a given age group, significant differences were found in the cognitive level of disease characteristics, either with respect to the same disease or between different diseases (“horizontal shifts”).     

Isolement et solitude au travail : l’exemple des agents d’accueil de parcs urbains. Des effets pathogènes aux processus de régulation et de dégagement

Through action-research case study in the area of “Parks and Gardens”, this paper focused on the relations between “aloneness”, “loneliness” and “solitude” at work and their necessary distinctions. The Socio-Clinical work psychology approach used during the intervention helped to highlight some key elements. While aloneness characterizes a stretched between the subject and its external environment link, loneliness and solitude are defined as intra-subjective process mainly emotional psycho. These last notions remain in any case a test for physical and psychological occupational health. It seems that the outcomes depend largely on the ability of the subject to convert aloneness to solitude. In our case study three valences of aloneness with different level of risk for health, were underline: solitude, as creative aloneness; defensive aloneness; and loneliness. The advantages of this new approach for prevention are discussed in the positioning relative to other work on the subject.     

Cognitive Behaviour Therapy to Improve Mood in People with Epilepsy: A Randomised Controlled Trial

This study compared a 9-week individualised Cognitive Behaviour Therapy (CBT) programme for people with epilepsy (PWE), with a wait-list control. Fifty-nine PWE were randomised and 45 (75%) completed post-treatment outcomes. People with lower quality of life (QoL), particularly for cognitive functioning, were more likely to drop out. Analyses based on treatment completers demonstrated significant improvements on the Neurological Depressive Disorders Inventory for Epilepsy (p = .045) and Hospital Anxiety Depression Scale-Depression subscale (p = .048). Importantly, CBT significantly reduced the likelihood of clinical depressive symptoms (p = .014) and suicidal ideation (p = .005). Improvements were not observed for anxiety, QoL or maintained overtime for depression. Results suggest that CBT was effective, however, and could be improved to increase patient retention and long-term outcomes.     

A Controlled Pilot-Outcome Study of Sensory Integration (SI) in the Treatment of Complex Adaptation to Traumatic Stress

This study tested whether sensory integration (SI) treatment combined with psychotherapy would improve symptom outcome over psychotherapy alone in the treatment of complex posttraumatic stress, as measured by the Disorders of Extreme Stress Not Otherwise Specified (DESNOS) clinical construct in a group of 10 adult patients with histories of childhood abuse. DESNOS symptoms were assessed at three time periods (T1, baseline; T2, after experimental group SI treatment; and T3, after wait-list control group SI treatment) using the Structured Interview for Disorders of Extreme Stress (SIDES). The Sensory Learning Program? (SLP), developed by the Sensory Learning Institute of Boulder, Colorado, was used as the SI treatment modality. Results indicated significant differential improvement for the group treated with SLP in SIDES Total Score (T1/T2 and T2/T3), Self Perception (T1/T2 and T2/T3), Affect Regulation (T2/T3), and Alterations in Meaning (T1/T2).     

Effects of religious stigma and harm on perceived psychopathology

Prior research suggests that assessment of the pathology of religious beliefs is influenced by conventionality and harm, with less conventional and more harmful beliefs resulting in higher pathology ratings. This study, involving 313 participants, investigated levels of pathology assigned to religious beliefs when the beliefs were either helpful or less severely harmful than those used in prior research, and when the associated religion was either stigmatised (Islam) or non-stigmatised (Christianity). Results indicate that an attenuated form of harm results in elevated pathology ratings. Furthermore, religious stigma impacts these perceptions when beliefs are harmful but not when beliefs are helpful. Ratings in the harm condition were higher for Christianity than for Islam, suggesting that perceived pathology of religious beliefs may depend less on general stigma assumptions and more on perceived consistency between harmful beliefs and assumed religious schemata.     

Self-Knowledge and the ‘Inner Eye’

Mutual perceptual knowledge is a prevalent feature of our everyday lives, yet appears to be exceptionally difficult to characterise in an acceptable way. This paper argues for a renewed understanding of Stephen Schiffer's iterative approach to mutual knowledge, according to which mutual knowledge requires an infinite number of overlapping, embedded mental states. It is argued that the charge of ‘psychological implausibility’ that normally accompanies discussion of this approach can be offset by identifying mutual knowledge, not with the infinite iterations themselves, but with the finite base which Schiffer proves is capable of generating those iterations. An understanding of this finite base as a primitive, relational property holding between two or more people, allows us to understand the iterations as an implicit and ‘harmless’ intrapersonal feature of what is an interpersonal phenomenon. The paper concludes by relating the account to joint attention in infant interaction.     

Combining Ericksonian and Sandplay Approaches to Therapy with Children who Manifest Depression as a Developmental Barrier

This study reports on the use of the Ericksonian approach combined with sandplay therapy to assist children who present with depression, a troublesome developmental barrier. Participants were six children and/or adolescents with depression (two males and four females; age range 7 to 18; ethnicity: five white and one black). The intervention occurred once a week over a two-month period (eight 60-minute sessions in total). Outcome data were collected using qualitative interview and thematically analyzed. The Ericksonian approach to sandplay therapy had an overall positive effect on children who experienced depression as a developmental barrier.     

Adolescents as “producers of their own development”: Correlates and consequences of the importance and attainment of developmental tasks

In a four-wave longitudinal study, 228 adolescents from seven age cohorts were investigated annually regarding the importance and subjective attainment of age-specific developmental tasks. Distal outcomes (educational trajectory and residential independence) were examined when the adolescents were 21 years old. The results of latent growth models (LGM) showed that there was no mean level change in the importance of developmental tasks, whereas perceived attainment of developmental tasks increased over time. In general, whereas the importance of developmental tasks was more impacted by family factors, the attainment of tasks was more influenced by individual factors. Adolescents with more parental support for autonomy had higher developmental aspirations. Adolescents with unemployed fathers showed greater increases in the importance of developmental tasks, which subsequently predicted a higher educational trajectory. Only a small proportion of adolescents perceived a high initial level of attainment of diverse tasks; for 85% of the sample, the typical growth pattern with respect to overall attainment of developmental tasks was a moderate initial level, which increased over time. Girls, early maturers, and first-born adolescents reported higher perceived attainment of developmental tasks.     

The bidirectional relation between positive mental health and psychopathology in a longitudinal representative panel study

Background: There is accumulating evidence that positive mental health and psychopathology should be seen as separate indicators of mental health. This study contributes to this evidence by investigating the bidirectional relation between positive mental health and psychopathological symptoms over time. Methods: Positive mental health (MHC-SF) and psychopathological symptoms (BSI) were longitudinally measured in a representative adult sample (N?=?1932) on four measurement occasions in nine months. A cross-lagged panel design was applied and evaluated with a latent growth model combined with an item response theory measurement model. Results: Psychopathological symptoms were longitudinally related to positive mental health and vice versa, controlling for initial levels. The changes over time were even more important than the absolute levels of psychopathological symptoms and positive mental health, respectively. Conclusions: The results underline the need for a comprehensive perspective on mental health, incorporating both the treatment of symptoms and the enhancement of well-being.