Parents and carers of young people with mental ill-health: What factors mediate the effect of burden on stress?

A substantial body of research has reported negative outcomes due to caregiving, however, little is known about how caring for a young person with mental ill-health impacts on parents and carers. This study aims to examine whether, like carers of older people, they experience elevated levels of caregiver burden and stress. It expands on earlier studies by examining potential mediators of burden and stress, with a specific focus on how activity restriction affects this association. There were 226 Australian parents and carers of young people (12–25 years) experiencing mental ill-health who voluntarily completed a self-report questionnaire reflecting how their young person’s ill-health had affected them over the past month. Hierarchical regression and multiple mediation analyses were conducted to examine the relationship between caregiver burden and stress, and whether adaptive coping, self-efficacy and activity restriction mediated this relationship. Caregiver burden and stress were strongly related, and both activity restriction and self-efficacy mediated their association, with activity restriction having the stronger effect. Strategies aimed at increasing awareness of the impact of activity restriction and encouraging parents and carers to find ways to maintain essential activity may reduce stress, improving mental health and well-being in parents and carers.     

Heroes on the Hill: A qualitative study of the psychosocial benefits of an intercultural arts programme for youth in Northern Ireland

The current study investigates the psychosocial benefits of a cross‐community, intercultural dance programme for youth in Northern Ireland. Psychological theories, including contact theory and the ecology of childhood development, underpin the study, and results are discussed in relation to the programme's aims. The present study used qualitative, inductive methods; data consisted of interviews before and after the programme with facilitators (n = 2) and 10 (n = 10) programme participants (11–15 years old) of diverse races and nationalities. Latent themes were identified using thematic analysis. Findings reveal that participants have complex senses of identity. Worryingly, they also reported many instances of bullying, relating both to themselves and others. Results reveal three main psychosocial benefits of the programme, all of which promote positive mental health in adolescents. The benefits are increased self‐confidence, the formation of new cross‐community friendships, and improved intercultural awareness and pride. It is argued that the programme is an exemplar of how the arts can promote peace as well as resilience in the face of adversity. Recommendations for future research are included.     

Reengagement With Education: A Multidisciplinary Home-School-Clinic Approach Developed in Australia for School-Refusing Youth

School refusal (SR) can result in decreased academic achievement, impaired social connections, and family stress. Current interventions for SR include behavioral and cognitive-behavioral treatments that are not always effective. Incorporating multidisciplinary work that includes therapeutic and educational interventions may enhance outcomes for youth displaying SR. The In2School program fosters a working partnership between mental health clinicians and teachers. It was designed to meet the needs of young people missing more than 50% of school in the previous 6 weeks due to mental health disorders, including anxiety or depression. This paper reports on an action research study in which the In2School program was piloted. Over a 14-week period, therapeutic and educational interventions were integrated into the learning environment via a transitional classroom to support youths’ return to school. Outcomes of this program are reported for the first cohort of 7 youth. Of these youth, 6 returned to mainstream schooling with attendance levels being maintained for 6 months after completing the intervention. Progress was observed in mental health recovery, quality of life reports, increased social interactions with peers, and positive experiences at school. The preliminary results presented in this paper suggest that a multidisciplinary, home-school-clinic intervention holds promise for helping school-refusing youth to return to school.     

Archetypes Reconsidered as Emergent Outcomes of Cognitive Complexity and Evolved Motivational Systems

Advances in contemporary cognitive science suggest that our internal representational systems are powerfully shaped by interacting evolutionary, developmental, and neuro-computational processes. Although Jung’s archetypes of the collective unconscious are largely dismissed by modern psychological science, something very much like them emerges from the intersection of these perspectives. Functional analysis suggests that a variety of conserved systems—basic biological ones, like self-protection and mating, as well as more complex social ones, like cheater-detection—need to make use of more general representational systems (like face perception) to simulate and predict adaptive responses to recurring environmental problems. Furthermore, analogous to the capacity to develop language, these systems depend on specific input at critical developmental stages. Archetypes reflect the interaction of domain-specific challenges and domain-general simulations. They are dynamic patterns of perception, memory, and action, resonating with ancient motivational and emotional systems. They shed light on how the symbolic emerges from the subsymbolic. Archetypes are thus the natural consequence of our fundamental social goals playing out in three nested dynamics: the online representation of reality by mental simulation systems, the history of personal experiences that build a particular instantiation of these systems, and the evolutionary dynamics that selected the web of cognitive and affective capacities that all normally developing humans share. This modern elaboration of the idea of archetypes fuses disparate conceptual perspectives, provokes methodological reorientations, generates novel hypotheses, and will likely open whole new lines of integrative inquiry.     

The relationship between multidimensional economic well‐being and children’s mental health,physical health,and executive function development in South Africa

Conceptualizing both economic well‐being (EWB) and children's development as multidimensional constructs, the present study examines their association using bioecological developmental theory and structural equation modeling with Zulu children (ages 7–10) in KwaZulu‐Natal, a highly impoverished region of South Africa (N = 1,958). Relative EWB within impoverished communities consists of three dimensions: material assets (durable goods and living environment), fiscal appraisal (subjective experiences of access to/allocation of resources), and fiscal capacity (monetary inflow/outflow). Children's development also is measured across multiple dimensions: physical health, mental health, and executive functioning. In addition to an overall association between EWB and children's development across outcomes, the sub‐dimensions of EWB are differentially related to aspects of children's development. The dimension of material assets exhibits the greatest association with child outcomes, while fiscal capacity exhibits the least. Implications of these findings are discussed, including the use of multidimensional approaches to measuring EWB to understand, more clearly, its relationship to multiple dimensions of children's development. A video abstract of this article can be viewed at https://www.youtube.com/watch?v=ZcawZ6oOt-Q     

Transgender Children and the Right to Transition: Medical Ethics When Parents Mean Well but Cause Harm

In this article, I argue that (1) transgender adolescents should have the legal right to access puberty-blocking treatment (PBT) without parental approval, and (2) the state has a role to play in publicizing information about gender dysphoria. Not only are transgender children harmed psychologically and physically via lack of access to PBT, but PBT is the established standard of care. Given that we generally think that parental authority should not go so far as to (1) severally and permanently harm a child and (2) prevent a child from access to standard physical care, then it follows that parental authority should not encompass denying gender-dysphoric children access to PBT. Moreover, transgender children without supportive parents cannot be helped without access to health care clinics and counseling to facilitate the transition. Hence there is an additional duty of the state to help facilitate sharing this information with vulnerable teens.     

正负数混合呈现对负数SNARC效应的影响

采用数字大小判断任务,探讨正负数混合呈现对负数SNARC效应的影响。结果发现,负数单独呈现条件下,负数出现反转的SNARC效应;负数和无加号正数混合呈现,且只对负数作反应条件下,负数有反转SNARC效应;负数和有加号正数混合呈现,且只对负数作反应条件下,负数出现反转SNARC效应;负数和无加号正数混合呈现,并对正负数分别作反应的条件下,负数有反转SNARC效应出现,而正数出现SNARC效应。说明负数空间表征受其绝对值大小的影响,绝对值较小的负数(-1、-2)表征在心理数字线的左侧,绝对值较大的负数(-8、-9)表征在数字线的右侧,且不能延伸至心理数字线左侧。     

Can a Connection to Culture Reduce Mental Illness Symptoms and Risk for Future Violence?

Recent policy initiatives and service provider strategic frameworks from the state of Victoria have highlighted intentions to invest in culturally safe practices for justice-involved Indigenous individuals. However, the culturally themed frameworks and protocols presented by health and justice organisations appear to be largely underpinned by theoretical and/or anecdotal evidence. This commentary summarises findings from the first Australian program of research to investigate the influence of cultural identity and cultural engagement on mental health symptoms and violence for Indigenous people in custody. Implications for correctional policy and forensic clinical practice are discussed in this article.     

The role of early care and education in addressing early childhood trauma

Young children's experience of trauma is associated with a wide range of adverse events and circumstances, including abuse and neglect, domestic violence, loss of a parent, and community violence. Policymakers and practitioners are increasingly aware that trauma during the first few years of life is especially widespread, and there is growing interest in new ways to support these young children and their families. Many young children who experience trauma attend early care and education (ECE) programs, and these settings offer important opportunities to promote their well‐being. This paper examines strategies currently being implemented in ECE to address early childhood trauma. The paper first examines research on how trauma affects young children's development, ECE environments, and society. We then describe the unique needs of young, traumatized children and features of trauma‐informed care that can address their needs, along with emerging interventions and supports that can be incorporated into or linked with ECE settings as part of a trauma‐informed approach. We conclude with a discussion of future directions for ECE and trauma research, policy, and practice, bearing in mind both the promise of new approaches and a limited evidence base to date.     

Reflective Capacity: An Antidote to Structural Racism Cultivated Through Mental Health Consultation

Effecting a paradigm shift from “reproductive health” to “reproductive justice” within the perinatal field requires changes simultaneously at the levels of the individual healthcare provider and the system of care. The Infant-Parent Program at the University of California, San Francisco (UCSF) has extended its pioneering infant and early childhood mental health consultation to perinatal service systems applying an infant mental health approach to programs caring for expecting and new parents. In partnership with two nursing programs, UCSF consultants direct their efforts at supporting reflective practice capacities and use-of-self in patient–provider relationships. Both nursing programs serve vulnerable groups of expectant and new parents who grapple with challenges to health and well-being stemming from structural racism. As reflective capacities are supported within the consultation case conferences, providers spontaneously identify the need for tools to effectively address issues of race, class, and culture and to combat structural racism throughout the healthcare system. Policies and procedures that uphold structural racism cease to be tolerable to providers who bring their full selves to the work that they are trained to do. Using these nurse consultation partnerships as organizational case studies, this article describes a range of challenges that arise for providers and delineates steps to effective engagement toward reproductive justice.