The future of group therapy.

Reviews literature on the current status of and trends in group psychotherapy. It is expected that group psychotherapy will continue to play a pivotal role in mental health care. Projections for the practice of group therapy include the expanding application of short-term and self-help approaches, refinements in matching treatments and patients' needs, and the more effective integration of treatment modalities. More attention will be dedicated to the refinement of the conceptual foundations for group psychotherapy research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Recovery, Inc., as an adjunct to treatment in an era of managed care

As capitation increasingly limits professional mental health services, self-help organizations may play an expanding role. Recovery, Incorporated, is an internationally active mental health self-help organization developed in the late 1930s by Abraham A. Low, M.D. The author reviews concepts about mental illness and health developed since Low's time, such as locus of control, learned helplessness, defense theory, and Antonovsky's salutogenic model. He describes how these concepts support many of the principles developed by Low, in particular the idea that optimal health is achieved when a person assumes responsibility for his or her failure or success. In the structured format that Low designed for Recovery, Inc., meetings, members learn to identify self-defeating and illness-promoting thoughts and impulses and counter them with self-endorsing thoughts and wellness-promoting actions. The author suggests that professionals should become familiar with self-help organizations in their communities, promote relevant research, and facilitate referral to these groups.     

"Use of self-help materials for anxiety and depression in mental health services: A national survey of psychologists in Norway": Correction to Nordgreen and Havik (2011).

Reports an error in "Use of self-help materials for anxiety and depression in mental health services: A national survey of psychologists in Norway" by Tine Nordgreen and Odd E. Havik (Professional Psychology: Research and Practice, 2011[Apr], Vol 42[2], 185-191). The authors' affiliations were listed incorrectly. The correct affiliations are provided in the erratum. (The following abstract of the original article appeared in record 2011-08009-010.) How do psychologists in clinical practice perceive and use self-help materials for clients with anxiety and depression? The use of self-help materials with guidance from a therapist has been suggested as a way of meeting the increasing need for mental health services. The present study investigated factors relevant to the use of self-help materials for the treatment of anxiety and depression among psychologists employed in mental health services. Among 1863 eligible clinical psychologists in Norway, 815 (43.7%) participated in a national survey. A total of 93.5% of the participants had recommended self-help materials to clients, and approximately half (55.1%) had received requests from their clients regarding self-help materials. Self-help materials were recommended as an adjunct and not as an alternative to therapist contact by 73.0% of respondents, by 16.6% for relapse prevention, and by 1.2% to clients on a waiting list. Internet/computer-based programs were recommended by 2.2% of the participants. The practitioner's previous use of self-help materials to enhance his or her therapy skills and knowledge of self-help materials was related to use of self-help materials with clients. Psychologists working in child mental health services recommended self-help less often than those working in adult services. These results have implications for future efforts to disseminate effective self-help materials through increased attention toward self-help interventions in training and clinical practice. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Use of self-help materials for anxiety and depression in mental health services: A national survey of psychologists in Norway.

[Correction Notice: An erratum for this article was reported in Vol 42(3) of Professional Psychology: Research and Practice (see record 2011-11548-002). The author's affiliations were listed incorrectly. The correct affiliations are in the correction.] How do psychologists in clinical practice perceive and use self-help materials for clients with anxiety and depression? The use of self-help materials with guidance from a therapist has been suggested as a way of meeting the increasing need for mental health services. The present study investigated factors relevant to the use of self-help materials for the treatment of anxiety and depression among psychologists employed in mental health services. Among 1863 eligible clinical psychologists in Norway, 815 (43.7%) participated in a national survey. A total of 93.5% of the participants had recommended self-help materials to clients, and approximately half (55.1%) had received requests from their clients regarding self-help materials. Self-help materials were recommended as an adjunct and not as an alternative to therapist contact by 73.0% of respondents, by 16.6% for relapse prevention, and by 1.2% to clients on a waiting list. Internet/computer-based programs were recommended by 2.2% of the participants. The practitioner's previous use of self-help materials to enhance his or her therapy skills and knowledge of self-help materials was related to use of self-help materials with clients. Psychologists working in child mental health services recommended self-help less often than those working in adult services. These results have implications for future efforts to disseminate effective self-help materials through increased attention toward self-help interventions in training and clinical practice. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Make today count: A collaborative model for professionals and self-help groups.

Presents a narrative report of a field study in which members of a self-help research team provided services of significant, positive impact to one chapter of Make Today Count, a self-help group composed of cancer patients, their spouses, and health care professionals. A collaborative model is formulated. Important elements of this model include adequate knowledge of self-help processes, enhancement of rapport through acceptance of the group, and adoption of a consultive approach. Nonproductive modes on interaction observed between other professionals and chapter members are discussed. The present results are contrasted with negative results reported previously by professionals who attempted to collaborate with a similar self-help population, but who applied a different model. (16 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Using the media to foster self-help groups.

Describes a project that consisted of putting ongoing self-help groups on the radio for 1 hr a week. The 1st half hour each week involved an actual session of a self-help group; during the 2nd half hour, calls from the audience were taken and answered by members of the group. The groups were directed at helping women cope wth motherhood, at men who abused their wives or children, and at parents of children with behavior problems. Increases in referral calls to each group were found after the self-help groups went on the air. Process recordings of the shows were useful in documenting the communication patterns employed during the shows. A panel of 12 mental health professionals judged that the programs did not provide unethical, harmful, or inaccurate information. The present project provided a demonstration of how researchers can work collaboratively with media and self-help groups in monitoring change in community-level types of interventions. (27 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Planning a community-based mental health system: Perspective of service recipients.

From the perspective of individuals with experience in the ex-mental patient movement, the authors (former patients) each provide a consumer perspective on the planning of mental health systems (MHSs). Problems in the current system are addressed, and the role of self-help and of patient and ex-patient organizations in developing a community-based MHS is highlighted. Opportunities for meaningful change provided by the Mental Health Planning Act, Pub. L. 99-660, are noted. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Here comes the self-help revolution in mental heath.

A massive, systemic, and yet largely silent revolution is occurring in mental health today and is gathering steam for tomorrow: self-help efforts without professional intervention. The self-help revolution traverses multiple disciplines and entails diverse activities. In this article, the author briefly traces the reasons for this self-help revolution and, more urgently, argues for organized psychology's vital involvement in it. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Take control of your drinking? and you may not need to quit.

Reviews the book, Take control of your drinking? and you may not need to quit by Michael S. Levy (see record 2007-12140-000). This book is a self-help book explicitly designed for drinkers in the general population. It is written in a conversational, second-person style, and throughout the conversation, Levy encourages readers to be honest with themselves about how alcohol fits into their lives. In return, he adopts a nonjudgmental mentoring role throughout the text. As suggested by the title, Levy's approach includes options for reducing alcohol consumption (moderation) or quitting alcohol use altogether. Although allowing that moderation is a legitimate goal for treatment and/or self-help is still quite controversial in some quarters, the effectiveness of adopting this option for some drinkers is supported by research, some of which is cited in the notes that accompany each chapter. I suspect that the even-handed way that moderation or abstinence goals are treated in the book, along with its plain-spoken writing style and awareness that alcohol problems often exist in a context of other mental health issues, will appeal to any drinker who is curious about their own alcohol use and whether to reduce or quit drinking. Those who choose to engage with the material in the book will be using techniques that are, in general, well-supported by intervention research with problem drinkers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Differentiation of resources in mental health delivery: Implications for training.

The following mental health delivery systems, which include a variety of "movements" or approaches, are briefly differentiated and reviewed: prevention, self-help groups, social-skills training problems, psychotherapeutic interventions, environmental modification, and community resources. The implications of this differentiation for training in clinical psychology are discussed. (36 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Authoritative guide to self-help resources in mental health.

Reviews the book, Authoritative guide to self-help resources in mental health by John C. Norcross, John W. Santrock, Linda F. Campbell, Thomas P. Smith, Robert Sommer, and Edward L. Zuckerman. The title says it all; it is indeed an authoritative guide based on five national studies, with over 2,500 practicing psychologists contributing their collective wisdom regarding commonly used types of self-help resources. The authors have compiled ratings in five categories of self-help materials: self-help books, autobiographies, movies, Internet resources and self-help/support groups. In addition, the authors analyzed their data from the five national studies on how often self-help resources were rated and how high or low the ratings were. The book is organized into chapters, in alphabetical order, for 28 self-help categories. The book is well researched, well documented, and exhaustive in scale. It is easy to use and should be in your office bookcase. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The challenge of double jeopardy: Toward a mental health agenda for aging women.

The elderly may be considered a group at risk with regard to mental health and the mental health system. Aging women experience a double jeopardy arising from social, economic, and psychological conditions surrounding age and gender—in particular, poverty, widowhood, and the dynamics of family caregiving. This double jeopardy translates into a vulnerability within the mental health system that is seen in issues of service utilization, therapist–client interactions, and diagnosis, most notably in diagnoses of Alzheimer's disease, alcohol and drug misuse, and depression. The failure of the mental health system to consider elderly individuals as psychological survivors further suggests an implicit assumption that mental decline is a normative part of the aging process. Recommendations for change include addressing gender and age interactions in mental health policy and in psychological research, training, and practice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Popular self-help books for anxiety, depression, and trauma: How scientifically grounded and useful are they?

Self-help books for psychological disorders have become increasingly popular, yet there is surprisingly little research on their scientific status or overall utility. The authors identified 50 top-selling self-help books for anxiety, depressive, and trauma-related disorders. Using a scale derived from the literature on bibliotherapy, expert psychologists rated each book on overall usefulness, grounding in psychological science, the extent to which it offers reasonable expectations, the extent to which it offers specific guidance for implementing the self-help techniques and for monitoring treatment progress, and whether it offers potentially harmful advice. The results revealed strong intercorrelations among the scales, such that books scoring high along one dimension tended to score high along others. There was wide variability in the overall quality of the books, but several factors emerged as predictors of book quality. The most highly rated books tended to be those having a cognitive behavioral perspective, those written by mental health professionals, those written by authors holding a doctoral degree, and those focusing on specific problems. Implications of the findings, including specific recommendations for authors and consumers of self-help books, are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The variants and potentials of reconstructive surgery of the penile skin

This paper is part of a larger study examining the role of the nurse practitioner and its potential utility in mental health nursing. Two methods were employed for data collection: a focus group interview with eight RCN qualified nurse practitioners, the result of which informed the development of a postal questionnaire which was distributed to the remaining RCN qualified nurse practitioners (n = 130). Forty seven respondents did not feel adequately equipped to assess a mental health problem, despite nearly a third identifying mental health issues as a primary problem with which their patients presented. Just over 40 per cent of respondents stated that mental health needs were not met within their community and 78.7 per cent of respondents supported the development of a mental health nurse practitioner. In light of these findings the concept of a mental health nurse practitioner is discussed, alongside the need to clarify other advanced nursing roles.     

Basic behavioral science research for mental health: Sociocultural and environmental processes.

Provides a selective overview of sociocultural research investigating the role of culture in the course of mental illness and suggests promising directions for future research. Sociocultural variation in basic psychological processes and experiences including identity, self-esteem, attribution, and motivation are discussed. The role of race, ethnicity, SES, changing work roles, and communities in mental health across the life span are also explored. Possible directions for future research include cross-cultural research on universal vs culturally specific aspects of behavior, the expression and effects of ethnic discrimination, and factors mediating the effects of SES on the mental health of children and adults (0 ref). (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Self-help interventions for smoking cessation.

Self-help interventions for smoking cessation are an important bridge between the clinical and public health approaches to smoking cessation. The current literature on self-help interventions is encouraging but incomplete. Although their quit rates are lower than those of more intensive programs, self-help interventions could have a large public health impact because of their potential for widespread distribution. Studies comparing self-help to more intensive treatment suggest that long-term cessation rates for self-help programs are potentially as high as rates for face-to-face interventions, with lower quit rates for self-help programs that are likely due to differences in program adherence. Tailored materials and personalized adjuncts (e.g., written feedback or telephone counseling) that promote program adherence may increase cessation rates. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Supporting children's mental health in schools: Teacher perceptions of needs, roles, and barriers.

There is a significant research to practice gap in the area of mental health practices and interventions in schools. Understanding the teacher perspective can provide important information about contextual influences that can be used to bridge the research to practice gap in school-based mental health practices. The purpose of this study was to examine teachers' perceptions of current mental health needs in their schools; their knowledge, skills, training experiences and training needs; their roles for supporting children's mental health; and barriers to supporting mental health needs in their school settings. Participants included 292 teachers from 5 school districts. Teachers reported viewing school psychologists as having a primary role in most aspects of mental health service delivery in the school including conducting screening and behavioral assessments, monitoring student progress, and referring children to school-based or community services. Teachers perceived themselves as having primary responsibility for implementing classroom-based behavioral interventions but believed school psychologists had a greater role in teaching social emotional lessons. Teachers also reported a global lack of experience and training for supporting children's mental health needs. Implications of the findings are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Overview: Forging research priorities for women's mental health.

After a decade of reports underscoring the inadequacy of existing scientific knowledge for understanding gender differences in mental disorder and its treatment, the National Institute of Mental Health has developed a women's mental health research agenda with five priority areas for research: diagnosis and treatment of mental disorder, mental health issues for older women, violence against women, multiple roles, and poverty. This overview highlights some of the major findings in each of these five areas and introduces the more in-depth treatment given in this Psychology in the Public Forum section to the areas of violence, poverty, and multiple roles. It also underscores the importance of identifying sources of gender bias in all mental health research. Women's mental health issues have become officially recognized as part of the NIMH research agenda. Only time and continued monitoring will determine how these official policy priorities will become translated into actual funding and research initiatives. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sex roles and psychotherapy: A current appraisal.

Reviews the current status of research on the effects of sex-role stereotypes on mental health judgments. Studies in this area have addressed (a) whether there are different sex-role-related standards of mental health for men and women, (b) if violations of sex role norms result in adverse mental health judgments, and (c) if therapists set sex-role-related goals for their clients. It is concluded that sex-role stereotypes are strong mental health cues for nonprofessionals, with violations of sex-role norms leading to adverse mental health judgments, but that while professionals share the sex-role stereotypes of their lay contemporaries, the professionals are unaffected by them in making mental health judgments and in setting therapeutic goals. This discrepancy between stereotypes and behavior may be due to any of 3 factors: the methodological limitations of the studies, actual differences in mental health between men and women, or normal attitude–behavior discrepancies. (2 p ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)