From Podium to Pen and Paper: 72 Hour Hold as Commentary, Critique, and Catharsis

Author(s):  
Osizwe Raena Jamila Harwell

Chapter four considers the direct relationship between Campbell’s final novel, 72 Hour Hold, and her activist work with the NAMI-Urban LA. The novel is examined for Campbell’s recurring themes and for its socio-political commentary and emphasis on mental health disparities, coping with mental illness, and advocacy in black communities. It eventually becomes the top recommended reading for the National Alliance of Mental Illness. Campbell’s fictional account, and last major work before her death, bears striking resemblance to her own life and the challenges that emerged with her daughter Maia, upon the onset of bipolar disorder. 72-Hour Hold strategically extends the reach of Campbell’s activism by exposing the racial, economic, and social layers of mental illness to a broad audience.

2020 ◽  
Vol 5 (2) ◽  
pp. 67-82
Author(s):  
MATT HARGRAVE

This article addresses the subject of stand-up and mental health through the prism of comic persona, generating new, non-diagnostic discourses around mental illness. The article focuses on British and Australian comedians whose material addresses conditions such as bipolar disorder (John Scott), depression and anxiety (Seymour Mace; Lauren Pattison; Felicity Ward), or feigns the staging of mental collapse (Stewart Lee). Based on the analysis of live events and one-on-one interviews, the essay considers the role that persona plays in mediating the relationship between the comedian and their material, arguing that shaping persona is key to developing practices framed within a poetics of vulnerability.


Author(s):  
Osizwe Raena Jamila Harwell

Chapter two provides an in-depth discussion of Bebe Moore Campbell’s activism as a mental health advocate from 1999-2006 based on interviews with colleagues, family, and friends. It narrates her personal struggle with a daughter who is bipolar and the proactive stance that she took to cope with this difficulty. The chapter reveals how her involvement in the National Alliance on Mental Illness (NAMI), her role as a national spokesperson, and her local activism sparked the birth of the NAMI-Urban LA chapter, serving black and Latino communities. Campbell and a group of black women concerned about their children with mental illness effectively addressed the practical needs of families of color by challenging stigma, lobbying for social policies, and providing information, support, and resources both locally and on a national stage. Considering gendered racial communities as the resource and landscape for much of Campbell’s work, it appears that she maintained a broad friendship circle beyond the Black Action Society and NAMI- Urban LA. Exploring this primarily female “embedded friendship network” further evidences Campbell’s commitment to community and family and broadens context of her activism, writing, and life trajectory.


2020 ◽  
pp. 070674372096642
Author(s):  
Aditya Nrusimha Vaidyam ◽  
Danny Linggonegoro ◽  
John Torous

Objective: The need for digital tools in mental health is clear, with insufficient access to mental health services. Conversational agents, also known as chatbots or voice assistants, are digital tools capable of holding natural language conversations. Since our last review in 2018, many new conversational agents and research have emerged, and we aimed to reassess the conversational agent landscape in this updated systematic review. Methods: A systematic literature search was conducted in January 2020 using the PubMed, Embase, PsychINFO, and Cochrane databases. Studies included were those that involved a conversational agent assessing serious mental illness: major depressive disorder, schizophrenia spectrum disorders, bipolar disorder, or anxiety disorder. Results: Of the 247 references identified from selected databases, 7 studies met inclusion criteria. Overall, there were generally positive experiences with conversational agents in regard to diagnostic quality, therapeutic efficacy, or acceptability. There continues to be, however, a lack of standard measures that allow ease of comparison of studies in this space. There were several populations that lacked representation such as the pediatric population and those with schizophrenia or bipolar disorder. While comparing 2018 to 2020 research offers useful insight into changes and growth, the high degree of heterogeneity between all studies in this space makes direct comparison challenging. Conclusions: This review revealed few but generally positive outcomes regarding conversational agents’ diagnostic quality, therapeutic efficacy, and acceptability, which may augment mental health care. Despite this increase in research activity, there continues to be a lack of standard measures for evaluating conversational agents as well as several neglected populations. We recommend that the standardization of conversational agent studies should include patient adherence and engagement, therapeutic efficacy, and clinician perspectives.


2013 ◽  
Vol 19 (6) ◽  
pp. 467-469
Author(s):  
Abhijit Pal

SummaryThis article examines the life and work of John Kennedy Toole, focusing on his 1981 Pulitzer Prize winning novel A Confederacy of Dunces. Toole finished the novel in 1966 and, after failing to rework his manuscript to his editor's satisfaction, he shelved the project. Following this, he displayed symptoms typical of paranoid schizophrenia and he took his own life at the age of 31. In his novel, Toole parodies both psychoanalysis and the practice of psychiatry at the time, with a strong overlap with the emerging perspectives critical of psychiatry popularised by figures such as Szasz, Laing and Foucault. Toole's life and work have relevance for psychiatrists interested in the relationship between creativity and mental illness, attitudes towards psychiatry in the 1960s, and the interplay between societal values and judgements of mental health.


Author(s):  
Paul Raeburn

It wasn't until I had a profound personal experience with mental illness in my family that I started covering psychiatry and psychology. In the late 19905, my son, Alex, was diagnosed with bipolar disorder. A few years later, my daughter, Alicia, began suffering from repeated bouts of severe depression. Even after they became ill, I resisted turning my reporting to mental health. But as I continued to experience the suffering that these illnesses can cause, I finally succumbed. If I was going to help my children, I needed to learn a lot more about psychiatry, both research and treatment. With a background covering research, I could have confined my reporting to published studies and conferences, the bread-and-butter of science coverage. But I quickly realized that by taking that approach, I would be getting only a small piece of the story. For one thing, research in the behavioral sciences is, as I had always suspected, at a rather primitive stage. Researchers know far more about the heart, the kidneys, and tumor cells than they do about the brain. That's understandable; the brain is a far more complex organ. The scandal, however, is that what is known about the brain is rarely taught to psychiatrists. “Most of the more advanced training for psychiatric residents is really apprenticeship training in which brain science plays little or no part,” write the Harvard psychiatrist J. Allan Hobson and the writer Jonathan A. Leonard in their book, Out of Its Mind: Psychiatry in Crisis (2002). “The brain science knowledge of many practicing psychiatrists remains mostly informal or even anecdotal, leaving psychotherapy and psychopharmacology separated, isolated, and diminished at a time when brain science has the ability to nourish and combine them in an empowering fashion.” The message to reporters is that if we are to understand psychiatry, psychology, and mental illness, and write capably about them, we must do more than peruse the scientific journals and attend the neuroscience meetings. We need to get out there in the trenches, by which I mean the homes and the minds and hearts of the families who are suffering from mental illness.


2021 ◽  
Vol 13 (1) ◽  
pp. 107-112
Author(s):  
A. G. Merkin ◽  
S. S. Akinfieva ◽  
A. V. Martyushev-Poklad ◽  
O. P. Beloskurskaya ◽  
E. N. Dinov ◽  
...  

The COVID-19 coronavirus pandemic in 2020 led to significant negative social consequences associated inter alia with adverse effects on mental health. One of the most common mental illness is anxiety disorders, the rise in which is characteristic of social upheaval periods. This paper analyzes the problem of anxiety, reviews information on the epidemiology of anxiety, on the factors and mechanisms of its development. It unveils the association of anxiety with addictive disorders, lifestyle factors, and traumatic childhood experience and highlights the problem of increased anxiety in the context of the novel coronavirus COVID-19 pandemics in Russia.


2021 ◽  
Vol 5 (2) ◽  
pp. 20-31
Author(s):  
Kevin J. Rivera ◽  
Jenny Y. Zhang ◽  
David C. Mohr ◽  
Annie B. Wescott ◽  
Aderonke Bamgbose Pederson

Among African Americans, the chronicity and severity of mental illness correlates with worse health outcomes and widens health disparities. Stigma related to mental illness compounds mental health disparities by creating barriers to help-seeking behavior. We examine the current tools designed to reduce mental illness stigma and promote improved mental health outcomes among African Americans. The authors reviewed the current evidence in the literature for such stigma reduction interventions. The review team developed a focused search across four databases: PubMed, Embase, Scopus, and APA PsycINFO. Initial searches identified 120 articles, from which six studies were included as reporting on mental illness stigma reduction interventions among African Americans. We describe these four quantitative and two qualitative studies. There have been various interventions used among African Americans to reduce mental illness stigma, and the level of efficacy and effectiveness is not well studied. Our review demonstrated a need for more robust studies to yield strong evidence on effectiveness among stigma reduction interventions in this target population. The evidence does support tailoring intervention studies to this population. Effectively engaging and partnering with key stakeholders, including schools, community organizations, and faith-based institutions enhances the acceptance and delivery of stigma reduction interventions.


Author(s):  
Alan E. Kazdin

This chapter considers topics that can assist in reducing the burdens of mental illness beyond the novel models of delivery discussed previously. The topics include the utility of expanding our interventions to include “weak” interventions that are low cost but highly scalable, providing special attention to those whose burdens are particularly great, promoting interventions that can affect both physical and mental health, targeting transmechanisms and early pathways leading to multiple disorders, and improving the base level of health in society. Stepped care is discussed in relation to sequencing interventions as well as models of delivery.


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