scholarly journals Rethinking Schizophrenia in the Light of New Evidence: Thirty Years after the Vermont Longitudinal Study of Persons with Severe Mental Illness

2017 ◽  
Vol 35 (2) ◽  
pp. 199
Author(s):  
Alberto Fergusson ◽  
Miguel Gutierrez-Pelaez
Keyword(s):  
Mental Illness ◽  
Longitudinal Study ◽  
Severe Mental Illness ◽  
Mental Health Professionals ◽  
Academic Research ◽  
The Public ◽  
Empirical Correction ◽  
The World ◽  
The Mind ◽  
New Evidence

Despite new evidence, procedures, client testimony, and movements around the world, old myths regarding schizophrenia still prevail among both the public and mental health professionals.  Thirty years have passed since the mind-blowing publication in 1987 of the Vermont Longitudinal Study of Persons with Severe Mental Illness (Harding, Brooks, Ashikaga, Straus, & Breier), which led to Harding and Zahniser’s 1994 article, Empirical Correction of Seven Myths about Schizophrenia with Implications for Treatment.  We need to systematically review what we know and what we do not know in the light of new evidence.  We need to find ways  to communicate  the knowledge derived from academic research on schizophrenia and psychosis to professionals working with this population, and to people with schizophrenia and their families. Thus can we begin to break down the rock-solid prejudices that have been rooted in humanity for centuries.

Children's Attitudes toward Mental Illness as Assessed by the Opinions about Mental Illness Scale

1985 ◽  
Vol 57 (1) ◽  
pp. 251-258 ◽  
Author(s):  
Marc Franchot Weiss
Keyword(s):  
Mental Illness ◽  
Mental Health Professionals ◽  
Mentally Ill ◽  
Psychiatric Patients ◽  
School Age Children ◽  
Elementary School Age ◽  
The Public ◽  
Children's Attitudes ◽  
Attitudes Toward Mental Illness ◽  
Opinions About Mental Illness

Research on attitudes toward mental illness held by the public, by mental health professionals and personnel, and by psychiatric patients and their families is substantial. Little attention has been given to children's attitudes toward mental illness and the mentally ill, so this exploratory-descriptive study examined the developmental trends of children's attitudes toward the mentally ill. An adaptation of the Opinions About Mental Illness Scale was given to 512 elementary school age children who were placed in Grades 2, 4, 6, and 8. It was determined that with increasing grade/age children took a less authoritarian attitude toward the mentally ill and viewed mentally ill persons as more like themselves. Children rook an increasingly parernalistic view of the mentally ill, were less likely to see mental illness as an illness like any other, perceived mental patients as less of a threat to society and needing fewer restrictions. Finally, with increasing age/grade children perceived mental illness as less likely attributable to inadequate, deprived or interpersonal experiences. Results were discussed in terms of a relatively increased “positive attitude” and the relative acceptance and rejection of the mentally ill.

Adapting to Expectations

2013 ◽  
Author(s):  
Brigitte Granville
Keyword(s):  
Public Debt ◽  
World Economy ◽  
Inflation Targeting ◽  
Academic Research ◽  
Balance Sheet ◽  
Inflation Risk ◽  
The Public ◽  
The World ◽  
Future Value ◽  
Value Of Money

This chapter considers the possible application of academic research to address the dire predicament of balance sheet recession and chronic stagnation characterizing large parts of the world economy since 2007. Contemporary policymakers have striven to stimulate demand despite huge debt overhangs and without undermining confidence in the future value of money or sustainability of the public finances and debt. However, as the analysis in the book has shown, excess public debt is fraught with future inflation risk. It highlights two characteristics underlying the best thinking about inflation: adaptation and remembering. It then addresses the question of how inflation targeting might be usefully applied to the post-2007 problems of recession and stagnation against a background of excessive indebtedness.

City Brands and their Communication through Web Sites

2010 ◽  
pp. 26-49 ◽  
Author(s):  
José Fernández-Cavia ◽  
Assumpció Huertas-Roig
Keyword(s):  
World Wide Web ◽  
Web Sites ◽  
World Wide ◽  
Early Stage ◽  
City Marketing ◽  
The Public ◽  
Qualitative And Quantitative ◽  
The World ◽  
The Mind

City marketing tries to position cities in the mind of the public, although the process of creating and communicating city brands is still at an early stage of its development. One of the main tools for the communication of these brands is now the World Wide Web. This chapter describes the results of two combined studies (qualitative and quantitative) that analyzes a sample of official city Web sites. The results show that official Web sites of cities give much attention to ease of navigation, but interactivity is much less implemented, especially between users. Furthermore, some lack of attention to the communication aspects of city brands can also be found. Finally, the chapter submits a number of improvement proposals.

Halley’s Atheism and the end of the world

1977 ◽  
Vol 32 (1) ◽  
pp. 17-40 ◽  
Keyword(s):  
Royal Society ◽  
Natural Philosophy ◽  
Exact Nature ◽  
The Public ◽  
Earth History ◽  
Ecclesiastical Authority ◽  
The World ◽  
Consistent Picture ◽  
End Of The World ◽  
New Evidence

Edmond Halley’s views on theology and natural philosophy have often drawn puzzled attention both from his contemporaries and from subsequent scholars. There has seemed to be a contrast between some public statements he made when under pressure from ecclesiastical authority, and his continued, and privately-held, faith in the over-arching relevance of science (1). However, it now emerges from some unpublished papers which Halley read to the Royal Society in the 1690s that he made public his own debate over such issues as the eternity of the world. This new evidence gives us a much more consistent picture of Halley’s work, and it refutes the view that there were two Halleys—the public orthodox face and the private heterodox one. It is true that the work of Edmond Halley presents us with a picture of considerable diversity. Nevertheless, throughout the 1690s he was primarily concerned with an investigation of Earth history independently of scriptural authority, and this gave some unity to his varied researches. However, there were both ideological and institutional problems with such a programme. The Anglican establishment of the period after 1688 was filled with a sense of threat. This led to a series of statements antipathetic to Halley’s attitude, including a devaluation of the power of unaided reason and an emphasis on the power of God’s Providence. Halley’s failure to obtain the Savilian Chair of Astronomy in 1691/2 was due in part, perhaps, to this antipathy. Yet this failure was also precipitated by the personal antagonism aroused by Halley’s jocular style, and the innate irascibility of Flamsteed. Because of these other sources of controversy the exact nature of Halley’s atheism remains confused. Even his identification with the ‘infidel mathematician’ of Berkeley’s Analyst is problematic. Yet the fact is that Halley took these charges seriously enough to spend several years working to show that one of them was unjustified. He had been accused of believing that the world would continue for eternity, and he was to try and show that it must, in the end, come to a halt.

scholarly journals Next steps for meeting the needs of people with severe mental illness in low- and middle-income countries

2016 ◽  
Vol 26 (4) ◽  
pp. 348-354 ◽  
Author(s):  
C. Hanlon
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Human Rights ◽  
Mental Health Care ◽  
Severe Mental Illness ◽  
Mental Health Professionals ◽  
Task Sharing ◽  
Middle Income ◽  
Middle Income Countries

The explicit inclusion of mental health within the Sustainable Development Goals is a welcome development, borne out of powerful advocacy using public health, economic and human rights arguments. As funding comes on line for scale-up of evidence-based mental health care by task-sharing with primary care, it is time to take stock about care for people affected by severe mental illness (SMI). The existing evidence base for task shared care for SMI provides an imperative to get started, but is skewed towards relatively more affluent and urban populations in middle-income countries where specialist mental health professionals provide most of the care. Randomised, controlled trials and rigorous implementation research on task shared service models are underway which will go some way to improving understanding of the quality, safety, effectiveness and acceptability of more widely generalisable care for people with SMI. A sub-group of people with SMI have more complex and long-term needs for care, with a high risk of homelessness, imprisonment and human rights violations as family and social supports become overwhelmed. Case studies from non-governmental organisations provide examples of holistic approaches to rehabilitation, recovery and empowerment of people with SMI, but rigorous comparative studies are needed to identify the most efficient, effective and scalable approaches to care. Health system constraints are emerging as the over-riding barriers to successful task-sharing, highlighting a need to develop and evaluate chronic care models for people with SMI that succeed in reducing premature mortality, improving wellbeing and achieving better social outcomes. Addressing these evidence gaps is essential if task-sharing mental health care is going to deliver on its promise of promoting recovery for the full range of people affected by SMI.

Confronting 60 Minutes’ “Imminent Danger”: The Evidence on Schizophrenia and Psychotropic Medications, Violence, and Forced Orders to Treat

2014 ◽  
Vol 16 (1) ◽  
pp. 51-62 ◽  
Author(s):  
Toby T. Watson
Keyword(s):  
Mental Health ◽  
United States ◽  
Mental Illness ◽  
Severe Mental Illness ◽  
Mentally Ill ◽  
The United States ◽  
Psychotropic Medications ◽  
Television Show ◽  
Imminent Danger ◽  
The World

Recently, considerable attention has been given to individuals labeled “mentally ill,” with the possibility that they too often go untreated with psychotropic medications and in turn, commit disproportionally higher rates of violence. The world-known television show60 Minutesbroadcasted a special on this topic in the United States on September 29, 2013; however, they created a disturbingly inaccurate picture of those who suffer with what some label as “mental illness.” There are decades of peer-reviewed research demonstrating that individuals diagnosed with severe mental illness, labeledschizophrenia,and given psychotropic medications are in fact less likely to recover from their disorder and more likely to be rehospitalized. Additionally, although mental health commitments, often calledforced orders to treat,are quite common and now being supported more so due to such programming, the research on mental health commitments has not shown they are actually effective.

scholarly journals Interpersonal Relations Within the Context of Resource Groups for People With Severe Mental Illness: A Narrative Approach

2021 ◽  
Vol 12 ◽  
Author(s):  
Cathelijn D. Tjaden ◽  
Jenny Boumans ◽  
Cornelis L. Mulder ◽  
Hans Kroon
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Mental Health Professionals ◽  
Narrative Analysis ◽  
Interpersonal Relations ◽  
Group Method ◽  
Interpersonal Dynamics ◽  
Resource Group ◽  
Group Members ◽  
Field Notes

Objective:The resource group method intends to promote patients' agency and self-management and to organize meaningful partnerships between patients and their informal and formal support systems. The aim of this study was to enhance the understanding of interpersonal dynamics that arise within resource groups for people with severe mental illness. Insight into these unfolding processes would enable improved implementation of the resource group method so that it contributes to establishing a positive social environment, which can lead to more enduring recovery.Methodology:We performed a narrative analysis of transcripts and field notes obtained in a longitudinal, qualitative study on the resource group method. The stories of four different resource groups were reconstructed and analyzed in depth. Data included a total of 36 interviews (with patients, significant others, and mental health professionals) and 18 observations of resource group meetings.Results:The degree to which the resource group method actually contributes to recovery was based on the extent to which the existing roles of and patterns between the patient and his/her resource group members were altered. Breaking through old patterns of inequality and the joint search for a new balance in relationships proved to be crucial processes for establishing an empowering resource group. The four cases showed that it takes time, patience, and small steps back and forth to overcome the struggles and fears related to finding new ways of relating to each other. An honest and reflective atmosphere in which all participants are encouraged to participate and be curious about themselves and each other is essential for changes in interpersonal dynamics to emerge. Such changes pave the way for individuals with SMI to find their own voices and pursue their unique recovery journeys.Conclusions:The functioning of the resource group and the ability of the involved members to respond in new ways are important when working toward the patient's recovery goals. The resource group method should therefore not be considered an intervention to organize informal support for the patient, but a platform to expose and adjust the functioning of the patient's social network as a whole.

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