Test burning: Part II.

A research program, sponsored by the Rip Van Winkle Foundation, concerned with mental health in rural areas was started in 1955. A few members of the Hudson Post of the American Legion opposed the organized "mental health movement." Local newspaper articles linked "mental health with 'world citizenship, one worldism, internationalism, communism, and socialism.'… Actually, the ruckus did not blow up until the period of data collection from the children was in its last week. Data from only three children were destroyed in compliance with the wishes of their parents." Details of the background and the problem are presented. From Psyc Abstracts 36:02:2AA37E. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Ecological constraints on mental health services.

Proposes 4 principles for community mental health programing that are consistent with an ecological thesis: (1) Assessment methods are focused on the total population rather than on those persons who presently receive a mental health service. (2) Mental health services are designed to reduce a high risk for community service. (3) Professional and research services are created as local community resources. "By initiating the informal coordination of current services, the community mental health program helps to create specific new community services as needed." (4) The program plans for change; this involves mobilizing anticipatory problem-solving resources not only for clients but for professionals as well. A "conception of community mental health work based upon the ecological thesis that adaptive programs change" is presented. (39 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Southern regional mental health program focuses on development of training and research.

"The American psychological profession is taking a leading role in the nation's first regional program to improve mental health and combat mental disease which the Southern Regional Education Board is conducting." The program reached its operational stage with the organization of the Southern Regional Council on Mental Health Training and Research in Atlanta on July 11-12, 1955, following 18 months of surveys and planning. The organization, problems, and activities of the Southern program are discussed. State committees have "… agreed that the need for new knowledge is as acute as the personnel shortage." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The community and the community mental health center.

The community has responsibility "for the quality and adequacy of the mental health services that it gets. The opportunities are now open for communities to employ the mechanism of the comprehensive mental health center to take major strides toward more intelligent, humane, and effective provision for their people. If communities rise to this opportunity, the implications for the national problem of mental health and for the quality of American life are immense." Guidelines are suggested. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Preparedness for progress.

The extensive problems of mental illness are reviewed. "Either we must develop new kinds of mental health personnel or we must develop new skills in the personnel we already have. This is no longer a pious statement; it is an absolute necessity in the imminence of approaching events." Problems involved in training specialists are considered. Efforts must be made "to identify those areas in which our skills… can be useful." Efforts should be made "to find answers to social needs where our contribution can be effective" and we must "accept responsibility for handling the wide range of truly psychiatric problems, whether or not they fit our individual preferences." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Introduction: Methodological issues in school-based mental health services research.

New research directions on the effectiveness of mental health services for children and adolescents offer the opportunity for school psychology to apply its knowledge base to the systemic juncture between mental health and school systems. Models of service delivery to children, adolescents, and their families that integrate school, mental health, and other service sectors are being actively studied to answer questions about the outcomes of these services for children with mental health problems. The papers in this journal were first presented at the 6th Annual Research Conference of the Florida Mental Health Institute on "A System of Care for Children's Mental Health: Expanding the Research Base." The papers describe state-of-the art studies of school-based mental health interventions for children, adolescents, and their families. In each of the papers, particular attention is paid to the salient methodological issues researchers face in conducting these studies within school settings. It is hoped that these articles will foreground the healthy and creative tensions that exist between different research paradigms and multiple service communities, especially mental health and school systems, by encouraging new research on important and as yet unanswered questions about the effectiveness of school-based service delivery to children and adolescents with mental health needs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Review of Pure types are rare": Comment on book review.

My book Pure types are rare: Myths and meanings of madness (see record 2007-08930-001) may have piqued some members of the mental health community; thus I was not entirely surprised by the caustic review that appeared in the January 1985 issue of Canadian Psychology, nor do I wish to engage the polemics or the personal asides therein. I am impelled, however, to respond to the allegation of "repeated failure of professional scholarship." The reviewer provides three substantive examples. In the first, he objects to the citation following my statement that post-mortem studies have failed to find neurological correlates of senile dementia, and implies that the study cited did find such correlates. Actually, the study was inadequate for the question inasmuch as statistics were not presented for senile dementia exclusive of other conditions, and normal controls were not used. The second maintains that I underestimated the significance of a concordance rate of 53% for the diagnosis of schizophrenia between two psychiatrists examining the same patient, and says it should actually be "somewhere beyond even the .00000001 level." My point, however, was that in vivo, where more than 50% of mental patients are diagnosed schizophrenic, a 53% concordance rate represents chance. Third, Professor Burd relates several sentences of mine to make it appear that I questioned the validity of the co-twin data on genetic factors in schizophrenia on the "curious grounds" that similar data have been obtained for a variety of behavioural and personality traits. I will comment on the statement "There are but a dozen references to articles in established professional journals." I did not attempt to deduce the criteria for "established," nor did I count journals, but I did ascertain that there were 112 citations in the text, comprising 80 separate sources. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Beliefs about mental illness as a functon of psychiatric status and psychiatric hospitalization.

Beliefs about mental illness were assessed among psychiatric inpatients at a VA hospital, the mental health staff responsible for their treatment, and a group of medical and surgical (control) patients. Results indicated that: (a) Psychiatric and nonpsychiatric patients generally hold similar opinions regarding mental illness. Severely disturbed psychiatric patients, however, view mental illness in more moralistic terms than do "normals." (b) Psychiatric hospitalization is generally accompanied by a change in the patient's beliefs concerning mental illness, toward those held by the staff. (c) Psychiatric patients whose beliefs about mental illness are most strikingly influenced by the staff tend to respond most favorably to treatment, as measured by length of hospital stay and gains in self-esteem during the 1st month of treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychology and the mental health movement.

The following points are elaborated: "1. Among many other things, mental health is a vast social movement which, for better or for worse, will carry us all along with it. 2. Psychologists, for a number of reasons, have not been enthusiastic participators in this social movement. 3. Psychologists have a great deal to contribute to the mental health movement, and they can contribute mightily without loss of identity." Mental health as a social movement seems due to three factors: (a) The tendency to conceive human behavior in naturalistic terms. (b) The American belief in the almost infinite improvability of almost anything. (c) The rising level of aspiration for health and well-being. The scientific humility of the psychologist "can become maladaptive diffidence, and diffidence sometimes becomes irresponsibility." 6 suggestions for dealing with diffidence are indicated. The psychologists perceptions of mental health, the orientation of the movement toward the "pathological," and the focus on the clinical may have discouraged the interests of psychologists in mental health. The unique contribution of the psychologist to mental health is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Psychologist in community mental health.

It is "our belief that the field of community mental health is a challenging and stimulating field for research oriented psychologists. We feel strongly that the identity of the psychologist may be best maintained through a scientist-professional model." Recommendations are made for the future training of psychologists in this field. The individual psychologist "must be assisted by adequate post-doctoral interdisciplinary training in a university setting." Major sections are: Maintenance of an Identity, Scientist and Professional, and Training the Scientist-Professional. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Research survey: State mental health programs.

"In preparation for the 1959 meeting of chief psychologists in state mental health programs a questionnaire on research was prepared and sent to 77 psychologists who were either functioning as chief psychologists in state programs" or in similar positions. Replies were received from 39 individuals, representing 30 states. "Evaluation of treatment was listed most frequently as an area in need of research." At least 45 different types of ongoing research projects were listed. "Three factors were emphasized as the main obstacles to research in the state programs: lack of personnel… lack of funds… emphasis on service, with subsequent lack of time for research." Psychologists were "seen as the individuals most involved in mental health research in state programs." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Public attitudes toward mental health professions.

"The study reported here involves the application of opinion sampling methods to public attitudes toward mental health professions." The following titles were employed: doctor, physician, nurse, psychiatrist, psychoanalyst, psychologist, clinical psychologist, research psychologist, mental hospital attendant, social worker. The Semantic Differential was used. The sample of respondents was obtained from the Opinion Panel of the Institute of Communications Research; 207 of 239 panel members returned questionnaires on time. "A very high, positive, public attitude was found for the professions as a whole." Virtually no distinction is made between the concepts doctor and physician. "No distinction is made… among the concepts Psychiatrist, Psychoanalyst, Clinical Psychologist, and Research Psychologist on the Semantic Differential… . There are large and significant differences between the concept Doctor and Physician and the cluster of concepts whose titles start with the morpheme 'Psych-.' " The mental hospital attendant is held in relatively high esteem. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The National Service Corps.

"On November 14, 1962, President Kennedy announced the appointment of a cabinet-level committee… to assess the feasibility of a national service corps." The corps would "recruit youth and older adults whose main function would be personal service to people. Among human needs described are problems of mental health and mental retardation, educational and vocational training deficiencies, inadequate social skills for urban living, delinqency, and communicable disease… . The American Psychological Association has been involved from the start and the Executive Officer serves as a member of a continuing Advisory Council on Mental Health and Mental Retardation." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Practice, policy and parity: The politics of persistence.

The road to comprehensive mental health parity legislation at the state level often reaches a dead end when mental health advocates are forced to compromise by accepting partial parity for "severe mental illness" (SMI) only. In 1999 Connecticut became the first state to modify a biologically based or SMI mental health parity law into comprehensive mental health and substance abuse parity legislation. In this article we chronicle the fight for mental health parity in Connecticut and discuss subtleties of legislative advocacy. This information should prove useful to psychologists who are pursuing parity in other states. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Evolution of Behavioral Primary Care.

The financing, organization, and delivery of behavioral health care services has undergone dramatic change in the past 25 to 30 years. The authors trace the evolution of behavioral health care delivery in the United States over the past several decades and find (a) that the value of mental health "carve-outs" has diminished greatly and that they are being replaced by "carve-ins," (b) that primary care physicians (PCPs) are becoming a primary source of mental health care secondary to the introduction of new medications, and (c) that PCP treatment of mental health disorders is suboptimal. The authors conclude that the behavioral health care system is entering an era of flux as it experiments with ways of integrating behavioral and primary care. Opportunities for psychologists are explored. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The companion program: Implementing the manpower recommendations of the joint commission on mental illness and health.

There are many barriers to successful recruitment of professional and subprofessional personnel in the mental health professions. The companion program "recruits students from… universities to serve as volunteer companions to mentally ill patients for a full academic year. Students are invited to either select or be assigned to a chronic patient who has minimal or no contact with individuals outside the hospital, and to meet with this patient for one hour on a weekly basis throughout the school year… . The goal that is stressed throughout is that the student must build a feeling of companionship between himself and the patient." The program appears to be "a very significant method for altering the attitudes of people." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Research strategies toward a conception of positive mental health.

Problem areas in the field of science for a concept of mental health and the question of how research may be brought to advance our understanding of optimal human functioning are considered. Major sections are: Some Conceptual Difficulties with "Mental Health," The Frontal Assault, The Multiple Criterion Approach, Fundamental Research in Personality, and Systems Theory as a Frame of Reference. "The systems framework as a way of thinking ties mental health to our most general conceptions of personality in a schema that permits or, better, requires elaboration by research… . Mental health… is complex and not easily schematized." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

From the Editor.

The research in social sciences has continued to evolve in order to strengthen fields of study that are not typically associated with "hard science." Play therapy is one such field in which research explores variables that are difficult to identify, label, control, and measure. However, emerging professional standards dictate that mental health research will be encouraged to follow stricter guidelines. The field of play therapy is being called on to conduct and provide research that meets prevailing mental health investigation criteria set in the last decade. The "International Journal of Play Therapy," (IJPT) has responded to the field by strengthening requirements for the reporting of play therapy research. The journal seeks to integrate two goals offer research that will ensure the continuation of play therapy as an accepted mental health practice, and offer explanation of play therapy practices to ensure the continued education of our play therapy practitioners. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Symposium on relationships between religion and mental health: Introductory remarks.

"We are witnessing a conspicuous change in the climate between religion and science in recent years." In psychology this has been evidenced in seminars on religion and psychiatry, work shops on pastoral care and psychotherapy, grants to universities for developing mental health curricula for theological students, creation of an Academy of Religion and Mental Health, and the establishing of an APA committee to study relationships between religion and mental health. "The hitherto existing chasm between religion and psychology is somewhat unusual because… both concern themselves with human nature and behavior." This symposium spotlights: expanding links between psychology and religion, religious experience and psychological conflict, the nature of religious controls, and moral issues in psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)