Explanations Of Mental Illness Research Articles

Understanding the public stigma of mental illness: a mixed-methods, multi-level, exploratory triangulation study

BackgroundThis study examines the role of themata in understanding mental health-related stigma. It is motivated by the need for alternative theoretical-methodological approaches beyond the dominant frameworks in education and contact-based anti-stigma public health efforts, which have shown mixed effects. Specifically, it addresses the need for a more nuanced framework in stigma research, one that is sensitive to the dialogues through which people relate themselves to mental health and stigma in context.MethodsThe research employs an exploratory mixed-methods approach, including the analysis of 529 news reports, 20 focus group discussions, and 19 one-to-one interviews, all concerning representations of shared living arrangements with someone perceived to have experiences of mental illness. Thematic analysis and natural language processing are used within a convergent triangulation design to analyze the data.ResultsWe found that mental health and illness were communicated through an overarching Self/Other thema and five subordinate themata: normal/abnormal, harm/non-harm, bounded/non-bounded, and moral/immoral. Despite familiarity with psychological distress and ‘modern’ explanations of mental illness, concerns about social identity motivated representations of mental illness as a predominantly permanent, negative form of personhood marked by abnormality, harm, distance, and immorality. Additionally, concerns about personal vulnerability, including historically rooted fears of contagion, motivated distancing representations of mental illness, rather than neutral portrayals.ConclusionsThemata have under-developed theoretical and methodological potential for addressing mental health-related stigma, particularly in their ability to describe the dynamic ways in which culture motivates people to both resist and reproduce stigma, partly through ambivalences, absences, tensions, and ambiguities in representation. A critical discussion is provided on how themata may support ecological strategies in mental health campaigns over generic models, emphasizing the need to understand group knowledge and contact dynamics to mitigate adverse effects. Themata Public Health Unintended Consequences Mixed Methods Behaviour Change Natural Language Processing.

Exploring mental illness attributions and treatment-seeking beliefs in a diverse Muslim-Australian sample

ABSTRACT Background and Purpose: Prior research has shown that Muslim individuals attribute cultural beliefs in explaining mental illness aetiology, which may impact help-seeking behaviours. However, little research has been conducted with Muslim-Australians, nor across different cultural groups within Muslim minority populations. This research explored relationships between ethnocultural identity, cultural attributions of mental illness, and treatment-seeking beliefs in a sample of 182 Muslim-Australians. Method: A multiple regression analysis was performed to assess the relationship between ethnocultural identity and cultural belief use, as measured by the Cultural Beliefs about Mental Health Problems (CBMHP) scale. Analyses examined differences in endorsement of specific beliefs across ethnocultural groups.Results: Muslim-Australians from culturally and linguistically diverse (CALD) backgrounds (Middle Eastern, European, Asian, and others) endorsed cultural beliefs more strongly than those from non-CALD, Anglo/Caucasian backgrounds. Both groups endorsed environmental and biological attributions for mental illness; however, supernatural explanations and both traditional/cultural treatments and Qur’anic recitation as effective psychological treatment methods were more strongly endorsed by CALD ethnocultural groups. Moreover, CALD Muslim-Australian respondents less strongly endorsed psychological counselling as effective. Findings also revealed differences in belief endorsement between ethnocultural groups. These findings provide insight into the intersection of culture with mental illness attributions and treatment-seeking behaviour. KEY POINTS Muslim-Australians appear to endorse biological and environmental explanations of mental illness to a similar extent, despite their ethnocultural identity; Muslim-Australians often employ cultural, religious, spiritual, and traditional attributions to explain mental illness aetiology; however, the extent to which Muslim-Australians use such attributions appears to differ depending on their ethnocultural background; Muslim-Australians from culturally and linguistically diverse (CALD) backgrounds appear to more strongly adhere to cultural and religious-based explanations of mental illness (including supernatural phenomena) and more strongly endorse the effectiveness of traditional/religious treatment methods for mental ill-health than Muslim-Australians with non-CALD, Anglo-Caucasian ethnocultural backgrounds. Therefore, clinicians should be aware of such beliefs and should provide culturally appropriate and safe treatment interventions when working with Muslim-Australians from CALD backgrounds.

Mental illness among NHS health care workers: a survey

The literature suggests that mental illness among UK health care staff is common. This study reports health care workers' knowledge and experience of mental illness. Medical staff, administration staff and other staff members employed in four NHS Trusts (n=2073) responded to a questionnaire survey. A proportion of health care workers in the NHS reported having personal (colleagues, family and self) experience of mental illness. Some health care workers held causal explanations of mental illness that are not evidence based. This study found that almost half of health care workers reported experiencing a mental illness, which could have significant implications for service delivery. Some health care workers held causal explanations of mental illness that were not evidence based; for example, some respondents reported that demonic possession or possession by evil spirits was a very good explanation for mental illness.

Madness (Eemwengu) and Its Sources

Integrating indigenous cultural knowledge into conceptualizing mental illness offers fruitful avenues to better contextualize mental health. What is abnormal and indicative of psychological distress varies in the meaning given to symptoms and the actual identification of disorders. This is no less true in Ovambo culture in Namibia, Southern Africa. The Namibian government, however, has noted that little is known about the mental health needs throughout the country. Although some researchers have identified symptoms of psychological distress in Namibian men and women, cultural tradition and belief systems are typically missing. The purpose of this study was to use ethnographic data to develop an understanding of what Ovambo men and women living in a rural area of Northern Namibia believe about mental illness. Informal discussions and formal interviews served as data. Participants ( N = 14) were all Ovambo men or women who were sampled after ongoing engagement in a rural community in northern Namibia. Data from field observations and interviews were analyzed using grounded theory open coding, resulting in two key categories: (a) Eemwengu (madness) and Omunanamwengu (the mad one) and (b) Where Madness Comes From: Explanations of Mental Illness. The first category offers insight into a culturally embedded way of identifying mental illness in Ovambo culture. The second category includes several subcategories oriented to the etiology of mental illness in Ovambo culture. Etiological beliefs about mental illness, eemwengu as a culturally embedded construct, and social control in the beliefs about psychological distress in Ovambo culture are discussed.

Epistemological issues in the history of Italian psychiatry: the contribution of Gaetano Perusini (1879-1915).

In the late nineteenth and early twentieth centuries, Italian psychiatry was characterized by its emphasis on an organic explanation of mental illness. 'Cerebral mythology' was a major influence in Italy, at least until the second half of the twentieth century, often at the expense of the development of psychology. In this context, a few psychiatrists adopted a different epistemological perspective, based on a more 'integrative' view of their discipline. In particular, Gaetano Perusini stands out. He promoted the concept of psychiatry as a science which embraced many different fields, thus emphasizing the theme of pluralism, which is still debated today in the philosophy of science and psychiatric practice.

Tamas Pataki's (2014) “Wish-fulfillment in philosophy and psychoanalysis”

Tamas Pataki's (2014) “Wish-fulfillment in philosophy and psychoanalysis”

Consumer-Operated Service Program Members’ Explanatory Models of Mental Illness and Recovery

Incorporating individuals' understandings and explanations of mental illness into service delivery offers benefits relating to increased service relevance and meaning. Existing research delineates explanatory models of mental illness held by individuals in home, outpatient, and hospital-based contexts; research on models held by those in peer-support contexts is notably absent. In this article, I describe themes identified within and across explanatory models of mental illness and recovery held by mental health consumers (N = 24) at one peer center, referred to as a consumer-operated service center (COSP). Participants held explanatory models inclusive of both developmental stressors and biomedical causes, consistent with a stress-diathesis model (although no participant explicitly referenced such). Explicit incorporation of stress-diathesis constructs into programming at this COSP offers the potential of increasing service meaning and relevance. Identifying and incorporating shared meanings across individuals' understandings of mental illness likewise can increase relevance and meaning for particular subgroups of service users.

Public stigma against family members of people with mental illness: findings from the Gilgel Gibe Field Research Center (GGFRC), Southwest Ethiopia

BackgroundPublic stigma against family members of people with mental illness is a negative attitude by the public which blame family members for the mental illness of their relatives. Family stigma can result in self social restrictions, delay in treatment seeking and poor quality of life. This study aimed at investigating the degree and correlates of family stigma.MethodsA quantitative cross-sectional house to house survey was conducted among 845 randomly selected urban and rural community members in the Gilgel Gibe Field Research Center, Southwest Ethiopia. An interviewer administered and pre-tested questionnaire adapted from other studies was used to measure the degree of family stigma and to determine its correlates. Data entry was done by using EPI-DATA and the analysis was performed using STATA software. Unadjusted and adjusted linear regression analysis was done to identify the correlates of family stigma.ResultsAmong the total 845 respondents, 81.18% were female. On a range of 1 to 5 score, the mean family stigma score was 2.16 (±0.49). In a multivariate analysis, rural residents had significantly higher stigma scores (std. β = 0.43, P < 0.001) than urban residents. As the number of perceived signs (std. β = -0.07, P < 0.05), perceived supernatural (std. β = -0.12, P < 0.01) and psychosocial and biological (std. β = -0.11, P < 0.01) explanations of mental illness increased, the stigma scores decreased significantly. High supernatural explanation of mental illness was significantly correlated with lower stigma among individuals with lower level of exposure to people with mental illness (PWMI). On the other hand, high exposure to PWMI was significantly associated with lower stigma among respondents who had high education. Stigma scores increased with increasing income among respondents who had lower educational status.ConclusionsOur findings revealed moderate level of family stigma. Place of residence, perceived signs and explanations of mental illness were independent correlates of public stigma against family members of people with mental illness. Therefore, mental health communication programs to inform explanations and signs of mental illness need to be implemented.

Portrayal of Schizophrenia in a Prestigious Newspaper in Brazil

Portrayal of Schizophrenia in a Prestigious Newspaper in Brazil

Percepción de la enfermedad mental materna por los niños

IntroductionTo have a parent with a mental illness is considered a chronic adversity and a risk factor with diverse outcomes. Research on the experiences of living day to day with a parent with mental illness is extremely rare. ObjectiveTo explore how children understand the mental illness of their mothers and aspects that are related with their comprehension. MethodAn interpretative qualitative model was used (Grounded Theory) to analyze data from 13 semi-structured interviews conducted among children between the ages of 8 and 16 years living with their mothers who have diagnoses of schizophrenia, major depression or bipolar disorder. ResultsWe developed a theoretical model regarding the factors that are related to the experiences and understanding of having and living with a mentally-ill mother. The model is composed of four concepts: (1) Characteristics of the disease, (2) information about mental illness, (3) explanations of mental illness, and (4) consequences. ConclusionsThis study showed the main factors that help the child explain the mental illness. It also indicated that the family is not ready or open to talk with the child about the mental illness, and how the child feels that the mental health network is not a source of information or support.

Psychiatry in the Scientific Image

In Psychiatry in the Scientific Image, Dominic Murphy looks at psychiatry from the viewpoint of analytic philosophy of science, considering three issues: how we should conceive of, classify, and explain mental illness. If someone is said to have a mental illness, what about it is mental? What makes it an illness? How might we explain and classify it? A system of psychiatric classification settles these questions by distinguishing the mental illnesses and showing how they stand in relation to one another. This book explores the philosophical issues raised by the project of explaining and classifying mental illness. Murphy argues that the current literature on mental illness -- exemplified by the Diagnostic and Statistical Manual of Mental Disorders -- is an impediment to research; it lacks a coherent concept of the mental and a satisfactory account of disorder, and yields too much authority to commonsense thought about the mind. He argues that the explanation of mental illness should meet the standards of good explanatory practice in the cognitive neurosciences, and that the classification of mental disorders should group symptoms into conditions based on the causal structure of the normal mind.

Mental disorders are not a homogeneous construct

The only commonality between the various psychiatric disorders is that they reflect contemporary problematic behaviors. Some psychiatric disorders have a substantial genetic component, whereas others are essentially shaped by prevailing environmental factors. Because psychiatric ailments are so heterogeneous, any universal explanation of mental illness is not likely to have any clinical or theoretical utility.

Meaning and Explanations of Mental Illness

The notion of mental illness may be closely related to the social values pertinent in any social context. The meaning of mental illness rooted in everyday social psychological processes may be different from scientific and clinical understanding. In order to examine the common meaning of mental illness, the relationship between individual knowledge and implicit social knowledge needs to be explored. This can be achieved by studying the social representation of mental illness. This paper provides an understanding of the content of social representation of mental illness among a group of engineering students, and extends the findings to the broader social context of educated urban middle class youth. A qualitative study was conducted within the theoretical context of the social representations framework. The findings revealed that social representation of mental illness was structured in terms of social understanding of the causes and consequences of mental illness. Further, mental illness derived its meaning from the expectations and norms of society. Mental illness was generally labelled as a form of social deviance and viewed as including an element of volition. The social definition of mental illness appeared to be rooted in the social value that non–normative behaviours that are not in line with the expectations of society are related to mental illness. An interesting feature that was observed was the use of narratives to explain the meaning of mental illness.

The Modernization of Tradition: Thinking about Madness in Patna, India

Thirty-nine educated middle-class residents of Patna, India, were interviewed about a vignette describing the behaviour of a seemingly mad man or woman. The interview explored their representations of traditional healing methods and of modern psychiatric notions. Besides explanations for mental illness and madness, the interviews also covered the reaction of families and neighbours to such phenomena. Respondents thought of different causes depending on the context, ranging from frustrated desires, shock and heredity to spirit possession. The majority’s spontaneous preference for modern psychiatric treatment often co-exists with a faith in traditional healing. This faith is strengthened by their family’s traditional preference. The results are discussed as an example of a process of modernization of common sense in which popularized scientific notions become anchored in the traditional setting of social structure and family life. The newly acquired knowledge forms a loosely organized social representation confronting a strongly objectified cultural representation of traditional thinking.

Local knowledge and rural mental health reform.

Rural mental health care reform has failed to recognize that service utilization and access is guided by the meanings and explanations that rural dwellers ascribe to symptoms and treatments for mental illness. These meanings and explanations are described here as local knowledge. It is argued that planning for reform in rural mental health service delivery must take into account the local knowledge and explanations for mental illness and its treatment in order to improve rural mental health.

Minding the Need for Specialists in Brain Diseases

A recent call for a new speciality in biologically based brain diseases is questioned on historical, empirical, and theoretical grounds. Psychiatry has oscillated between biological and psychosocial explanations for mental illness since its inception. Training in the biological basis of mental illness is and should be incorporated into psychiatric training, along with a balanced appreciation of the utility of psychotherapeutic and social intervention. Emphasis on only one aspect resurrects Cartesian dualism. Any disease, however biological in origin, is best treated by a clinician adept at multiple levels of understanding and intervention.

La pathologie mentale dans l'Encyclopédie : définitions et distribution nosologique

Roselyne Rey : Mental Pathology in the Encyclopédie : Definitions and Classification. The Encyclopédie articles on mental illness are compared to those in contemporary reference works, from Chambers' Cyclopœdia in 1742 to the edition of 1781-6. On the one hand greater medicalisation was accompagnied by a limitation of vocabulary. At the same time, the Encyclopédie simplifies and introduces greater coherence in the classification of diseases. Particularly interesting is the greater importance placed on the explanation of mental illness by reference to the nervous system after vol. VIII ; this corresponds to the replacement of Arnulphe D'Aumont by the vitalist Ménuret de Chambaud as author of the articles.

The Labeling Versus the Psychiatric Explanation of Mental Illness: A Debate That Has Become Substantively Irrelevant: Reply

The Labeling Versus the Psychiatric Explanation of Mental Illness: A Debate That Has Become Substantively Irrelevant: Reply

"Folk" explanations of mental illness in rural laos

To obtain "folk" explanations of specific cases of mental illness the authors interviewed 35 baa(insane) Laotian individuals and their relatives and neighbors. They obtained 54 explanations; 15 focused on supernatural causes, 15 on physical causes, 14 on social problems, and 10 on psychological states. Although 31 theories (57%) focused on etiologic factors familiar to clinical psychiatrists, many self-evident factors (such as familial prevalence) were not mentioned. Except for 3 cases, responsibility for the illness was attributed to factors outside the subject's control. This view of mental illness absolves the baa person from blame and ensures support from the social group.

Explanations of mental illness.

Department of Sociology, University of Wisconsin, 1180 Observatory Drive, Madison, Wisconsin, 53706.