Difference between revisions of "Mental health" - New World Encyclopedia

From New World Encyclopedia
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* Jahoda, Marie. ''Current Concepts of Positive Mental Health''. Isha Books, 2013. ISBN 978-9333154550
 
* Jahoda, Marie. ''Current Concepts of Positive Mental Health''. Isha Books, 2013. ISBN 978-9333154550
 
* Lopez, Shane J., Jennifer Teramoto Pedrotti, and Charles Richard Snyder. ''Positive Psychology: The Scientific and Practical Explorations of Human Strengths''. SAGE Publications, 2018. ISBN 978-1506357355
 
* Lopez, Shane J., Jennifer Teramoto Pedrotti, and Charles Richard Snyder. ''Positive Psychology: The Scientific and Practical Explorations of Human Strengths''. SAGE Publications, 2018. ISBN 978-1506357355
 +
* Office of the Surgeon General. ''Mental Health: A Report of the Surgeon General''. Department of Health and Human Services, 1999. ISBN 978-0160503009
  
 
==External links==
 
==External links==

Revision as of 00:16, 1 June 2021

Currently working onJennifer Tanabe March 2021.

This article is about mental health or well-being. For mental illness see Mental disorder.
Mental health and disorders

The state of mental health is generally understood to be a state of well-being, with the ability to cope with the stresses of life, and function as a productive member of society. Cultural differences, subjective assessments, and competing professional theories all affect how one defines mental health. From the perspective of positive psychology, mental health includes the ability to enjoy life.

Definitions

In general terms, mental health, involves the successful performance of mental functions resulting in productive activities, fulfilling relationships with other people, and the ability to adapt to change and cope with adversity. As defined by the World Health Organization (WHO): "Mental health is a state of well-being in which an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and is able to make a contribution to his or her community."[1] The WHO emphasizes that mental health is not just the absence of mental disorders, noting that its constitution states that "Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity."[1]

Cultural differences, subjective assessments, and competing professional theories all affect how one defines mental health:

Views of mental health include a wide range of attributes derived from various academic fields: Concepts of mental health include subjective well-being, perceived self-efficacy, autonomy, competence, intergenerational dependence, and self-actualization of one’s intellectual and emotional potential, among others.[2]

In 1958, Marie Jahoda described six major, fundamental categories that can be used to categorize mentally healthy individuals. Known as the characteristics of Ideal Mental Health,[3] these are:

  • Efficient self perception
  • Realistic self esteem and acceptance
  • Voluntary control of behavior
  • True perception of the world
  • Sustaining relationships and giving affection
  • Self-direction and productivity

Mental wellness is generally viewed as a positive attribute. Many therapeutic systems and self-help books offer methods and philosophies espousing strategies and techniques vaunted as effective for further improving mental wellness. From the perspectives of positive psychology or of holism, mental health may include an individual's ability to enjoy life and to create a balance between life activities and efforts to achieve psychological resilience.[4] This definition of mental health highlights emotional well-being, the capacity to live a full and creative life, and the flexibility to deal with life's inevitable challenges. Some discussions are formulated in terms of contentment or happiness.[5]

A holistic model of mental health generally includes concepts based upon anthropological, educational, psychological, religious, and sociological perspectives. There are also models as theoretical perspectives from personality, social, clinical, health and developmental psychology.[6] [7]

Mental health can be seen as an unstable continuum, where an individual's mental health may have many different possible values.[8]

The tripartite model of mental well-being views mental well-being as encompassing three components of emotional well-being, social well-being, and psychological well-being.[8] Emotional well-being is defined as having high levels of positive emotions, whereas social and psychological well-being are defined as the presence of psychological and social skills and abilities that contribute to optimal functioning in daily life. The model has received empirical support across cultures.[9]

Distinguishing mental health from mental illness

The term "mental illness," mental disorders or psychiatric disorders, refers to a wide range of mental health conditions: "disorders that affect a person's mood, thinking, and behavior."[10] Mental disorders include depression, anxiety disorders, psychotic disorders, eating disorders, personality disorders, Post-traumatic stress disorder (PTSD), and addictive behaviors.[11]

Mental health has long been defined as the absence of psychopathologies, such as depression and anxiety. The absence of mental illness, however, is a minimal outcome from a psychological perspective on lifespan development.[12]

In many cases, there appears to be a continuum between mental health and mental illness, making diagnosis complex.[13]

The two continua model of mental illness and health holds that both are related, but on distinct dimensions: One continuum indicates the presence or absence of mental health, the other the presence or absence of mental illness.[12] For example, people with optimal mental health can also have a mental illness, and people who have no mental illness can also have poor mental health.[14] Indeed, as noted above, the World Health Organization distinguishes mental health from the absence of mental illness.

History

The recognition and understanding of mental health conditions have changed over time and across cultures and there are still variations in definition, assessment and classification.

In the mid-19th century, William Sweetser was the first to coin the term mental hygiene, which can be seen as the precursor to contemporary approaches to work on promoting positive mental health.[15][16] Isaac Ray, the fourth president[17] of the American Psychiatric Association and one of its founders, further defined mental hygiene as "the art of preserving the mind against all incidents and influences calculated to deteriorate its qualities, impair its energies, or derange its movements".[16]

In American history, mentally ill patients were thought to be religiously punished. This response persisted through the 1700s, along with inhumane confinement and stigmatization of such individuals.[18] Dorothea Dix (1802–1887) was an important figure in the development of the "mental hygiene" movement. Dix was a school teacher who endeavored to help people with mental disorders and to expose the sub-standard conditions into which they were put.[19] This became known as the "mental hygiene movement".[19] Before this movement, it was not uncommon that people affected by mental illness would be considerably neglected, often left alone in deplorable conditions without sufficient clothing.[19] From 1840-1880, she won over the support of the federal government to set up over 30 state psychiatric hospitals; however, they were understaffed, under-resourced, and were accused of violating human rights.[18]

Emil Kraepelin in 1896 developed the taxonomy of mental disorders which has dominated the field for nearly 80 years. Later, the proposed disease model of abnormality was subjected to analysis and considered normality to be relative to the physical, geographical and cultural aspects of the defining group.[20]

At the beginning of the 20th century, Clifford Beers founded "Mental Health America – National Committee for Mental Hygiene", after publication of his accounts as a patient in several lunatic asylums, A Mind That Found Itself, in 1908[21][22][23] and opened the first outpatient mental health clinic in the United States.[24]

The mental hygiene movement, similar to the social hygiene movement, had at times been associated with advocating eugenics and sterilisation of those considered too mentally deficient to be assisted into productive work and contented family life.[25][26] In the post-WWII years, references to mental hygiene were gradually replaced by the term 'mental health' due to its positive aspect that evolves from the treatment of illness to preventive and promotive areas of healthcare.[27]


Factors affecting mental health

Economic factors

Unemployment has been shown to hurt an individual's emotional well-being, self-esteem, and more broadly their mental health. Increasing unemployment has been shown to have a significant impact on mental health, predominantly depressive disorders.[28] This is an important consideration when reviewing the triggers for mental health disorders in any population survey.[29]

Emotional mental disorders are a leading cause of disabilities worldwide. Investigating the degree and severity of untreated emotional mental disorders throughout the world is a top priority of the World Mental Health (WMH) survey initiative,[30] which was created in 1998 by the World Health Organization (WHO).[31] "Neuropsychiatric disorders are the leading causes of disability worldwide, accounting for 37% of all healthy life years lost through disease.These disorders are most destructive to low and middle-income countries due to their inability to provide their citizens with proper aid. Despite modern treatment and rehabilitation for emotional mental health disorders, "even economically advantaged societies have competing priorities and budgetary constraints".

The World Mental Health survey initiative has suggested a plan for countries to redesign their mental health care systems to best allocate resources. "A first step is documentation of services being used and the extent and nature of unmet treatment needs. A second step could be to do a cross-national comparison of service use and unmet needs in countries with different mental health care systems. Such comparisons can help to uncover optimum financing, national policies, and delivery systems for mental health care."Template:Cite quote

Knowledge of how to provide effective emotional mental health care has become imperative worldwide. Unfortunately, most countries have insufficient data to guide decisions, absent or competing visions for resources, and near-constant pressures to cut insurance and entitlements. WMH surveys were done in Africa (Nigeria, South Africa), the Americas (Colombia, Mexico, United States), Asia and the Pacific (Japan, New Zealand, Beijing and Shanghai in the People's Republic of China), Europe (Belgium, France, Germany, Italy, Netherlands, Spain, Ukraine), and the middle east (Israel, Lebanon). Countries were classified with World Bank criteria as low-income (Nigeria), lower-middle-income (China, Colombia, South Africa, Ukraine), higher middle-income (Lebanon, Mexico), and high-income.

The coordinated surveys on emotional mental health disorders, their severity, and treatments were implemented in the aforementioned countries. These surveys assessed the frequency, types, and adequacy of mental health service use in 17 countries in which WMH surveys are complete. The WMH also examined unmet needs for treatment in strata defined by the seriousness of mental disorders. Their research showed that "the number of respondents using any 12-month mental health service was generally lower in developing than in developed countries, and the proportion receiving services tended to correspond to countries' percentages of gross domestic product spent on health care". "High levels of unmet need worldwide are not surprising, since WHO Project ATLAS' findings of much lower mental health expenditures than was suggested by the magnitude of burdens from mental illnesses. Generally, unmet needs in low-income and middle-income countries might be attributable to these nations spending reduced amounts (usually <1%) of already diminished health budgets on mental health care, and they rely heavily on out-of-pocket spending by citizens who are ill-equipped for it".

Stress

The Centre for Addiction and Mental Health discuss how a certain amount of stress is a normal part of daily life. Small doses of stress help people meet deadlines, be prepared for presentations, be productive and arrive on time for important events. However, long-term stress can become harmful. When stress becomes overwhelming and prolonged, the risks for mental health problems and medical problems increase."[32]

Mental health problems

Main article: Mental disorder

Mental health problems may arise due to stress, loneliness, depression, anxiety, relationship problems, death of a loved one, suicidal thoughts, grief, addiction, ADHD, self-harm, various mood disorders, or other mental illnesses of varying degrees, as well as learning disabilities.[33][34] Therapists, psychiatrists, psychologists, social workers, nurse practitioners, or family physicians can help manage mental illness with treatments such as therapy, counseling, or medication.

Mental health and occupations

Mental health in social work

Further information: Social work

Social work in mental health, also called psychiatric social work, is a process where an individual in a setting is helped to attain freedom from overlapping internal and external problems (social and economic situations, family and other relationships, the physical and organizational environment, psychiatric symptoms, etc.). It aims for harmony, quality of life, self-actualization and personal adaptation across all systems. Psychiatric social workers are mental health professionals that can assist patients and their family members in coping with both mental health issues and various economic or social problems caused by mental illness or psychiatric dysfunctions and to attain improved mental health and well-being. They are vital members of the treatment teams in Departments of Psychiatry and Behavioral Sciences in hospitals. They are employed in both outpatient and inpatient settings of a hospital, nursing homes, state and local governments, substance abuse clinics, correctional facilities, health care services...etc.[35]

In the United States, social workers provide most of the mental health services. According to government sources, 60 percent of mental health professionals are clinically trained social workers, 10 percent are psychiatrists, 23 percent are psychologists, and 5 percent are psychiatric nurses.[36]

Mental health social workers in Japan have professional knowledge of health and welfare and skills essential for person's well-being. Their social work training enables them as a professional to carry out Consultation assistance for mental disabilities and their social reintegration; Consultation regarding the rehabilitation of the victims; Advice and guidance for post-discharge residence and re-employment after hospitalized care, for major life events in regular life, money and self-management and other relevant matters to equip them to adapt in daily life. Social workers provide individual home visits for mentally ill and do welfare services available, with specialized training a range of procedural services are coordinated for home, workplace and school. In an administrative relationship, Psychiatric social workers provides consultation, leadership, conflict management and work direction. Psychiatric social workers who provides assessment and psychosocial interventions function as a clinician, counselor and municipal staff of the health centers.[37]

Mental health protection and promotion

"The terms mental health promotion and prevention have often been confused. Promotion is defined as intervening to optimize positive mental health by addressing determinants of positive mental health (i.e. protective factors) before a specific mental health problem has been identified, with the ultimate goal of improving the positive mental health of the population. Mental health prevention is defined as intervening to minimize mental health problems (i.e. risk factors) by addressing determinants of mental health problems before a specific mental health problem has been identified in the individual, group, or population of focus with the ultimate goal of reducing the number of future mental health problems in the population."[38][39]

In order to improve your emotional mental health, the root of the issue has to be resolved. "Prevention emphasizes the avoidance of risk factors; promotion aims to enhance an individual's ability to achieve a positive sense of self-esteem, mastery, well-being, and social inclusion."[40] Mental health promotion attempts to increase protective factors and healthy behaviors that can help prevent the onset of a diagnosable mental disorder and reduce risk factors that can lead to the development of a mental disorder.[38] It is very important to improve your emotional mental health by surrounding yourself with positive relationships. We as humans feed off companionships and interactions with other people. Another way to improve your emotional mental health is by participating in activities that can allow you to relax and take time for yourself. Yoga is a great example of an activity that calms your entire body and nerves. According to a study on well-being by Richards, Campania, and Muse-Burke, "mindfulness is considered to be a purposeful state, it may be that those who practice it belief in its importance and value being mindful, so that valuing of self-care activities may influence the intentional component of mindfulness."[41]

Mental health is conventionally defined as a hybrid of absence of a mental disorder and the presence of well-being. Focus is increasing on preventing mental disorders. Prevention is beginning to appear in mental health strategies, including the 2004 WHO report "Prevention of Mental Disorders", the 2008 EU "Pact for Mental Health" and the 2011 US National Prevention Strategy.[42]{{ safesubst:#invoke:Unsubst||date=__DATE__ |$B=

}} Some commentators have argued that a pragmatic and practical approach to mental disorder prevention at work would be to treat it the same way as physical injury prevention.[43]

Prevention of a disorder at a young age may significantly decrease the chances that a child will suffer from a disorder later in life, and shall be the most efficient and effective measure from a public health perspective.[44] Prevention may require the regular consultation of a physician for at least twice a year to detect any signs that reveal any mental health concerns. Similar to mandated health screenings, bills across the U.S. are being introduced to require mental health screenings for students attending public schools. Supporters of these bills hope to diagnose mental illnesses such as anxiety and depression to prevent self-harm and any harm induced on other students.[citation needed]

Additionally, social media is becoming a resource for prevention. In 2004, the Mental Health Services Act[45] began to fund marketing initiatives to educate the public on mental health. This California-based project is working to combat the negative perception with mental health and reduce the stigma associated with it. While social media can benefit mental health, it can also lead to deterioration if not managed properly.[46] Limiting social media intake is beneficial .[47]

Care navigation

Mental health care navigation helps to guide patients and families through the fragmented, often confusing mental health industries. Care navigators work closely with patients and families through discussion and collaboration to provide information on best therapies as well as referrals to practitioners and facilities specializing in particular forms of emotional improvement. The difference between therapy and care navigation is that the care navigation process provides information and directs patients to therapy rather than providing therapy. Still, care navigators may offer diagnosis and treatment planning. Though many care navigators are also trained therapists and doctors. Care navigation is the link between the patient and the below therapies. A clear recognition that mental health requires medical intervention was demonstrated in a study by Kessler et al. of the prevalence and treatment of mental disorders from 1990 to 2003 in the United States. Despite the prevalence of mental health disorders remaining unchanged during this period, the number of patients seeking treatment for mental disorders increased threefold.[48]

Promoting and improving mental health

Physical activity

For some people, physical exercise can improve mental as well as physical health. Playing sports, walking, cycling, or doing any form of physical activity trigger the production of various hormones, sometimes including endorphins, which can elevate a person's mood.[49]

Studies have shown that in some cases, physical activity can have the same impact as antidepressants when treating depression and anxiety.[50]

Moreover, cessation of physical exercise may have adverse effects on some mental health conditions, such as depression and anxiety. This could lead to many different negative outcomes such as obesity, skewed body image, lower levels of certain hormones, and many more health risks associated with mental illnesses.[51]

Activity therapies

Activity therapies also called recreation therapy and occupational therapy, promote healing through active engagement. An example of occupational therapy would be promoting an activity that improves daily life, such as self-care or improving hobbies.[52] Similarly, recreational therapy focuses on movement, such as walking, yoga, or riding a bike. [53]

Each of these therapies have proven to improve mental health and have resulted in healthier, happier individuals. In recent years, for example, coloring has been recognized as an activity that has been proven to significantly lower the levels of depressive symptoms and anxiety in many studies.[54]

Expressive therapies

Expressive therapies or creative arts therapies are a form of psychotherapy that involves the arts or art-making. These therapies include art therapy, music therapy, drama therapy, dance therapy, and poetry therapy. It has been proven that Music therapy is an effective way of helping people who suffer from a mental health disorder.[55] Dramatherapy is approved by NICE for the treatment of psychosis.[56]

Psychotherapy

Main article: Psychotherapy

Psychotherapy is the general term for the scientific based treatment of mental health issues based on modern medicine. It includes a number of schools, such as gestalt therapy, psychoanalysis, cognitive behavioral therapy, psychedelic therapy, transpersonal psychology/psychotherapy, and dialectical behavioral therapy. Group therapy involves any type of therapy that takes place in a setting involving multiple people. It can include psychodynamic groups, expressive therapy groups, support groups (including the Twelve-step program), problem-solving and psychoeducation groups.

Self-compassion

According to Neff, self-compassion consists of three main positive components and their negative counterparts: Self-Kindness versus Self-Judgement, Common Humanity versus Isolation and Mindfulness versus Over-Identification.[57] Furthermore, there is evidence from a study by Shin & Lin suggesting specific components of self-compassion can predict specific dimensions of positive mental health (emotional, social, & psychological well-being).[58]

Social-Emotional Learning

Further information: Social_emotional_development#Social_emotional_learning_&_development_in_schools

The Callaborative for academic, social, emotional learning (CASEL) addresses five broad and interrelated areas of competence and highlights examples for each: self-awareness, self-management, social awareness, relationship skills, and responsible decision-making.[59] A meta-analysis was done by Alexendru Boncu, Iuliana Costeau, & Mihaela Minulescu (2017) looking at Social-emotional learning (SEL) studies and the effects on emotional and behaviour outcomes. They found a small but significant effect size (across the studies looked into) for externalized problems and social-emotional skills.[60]

Meditation

Main articles: Meditation and Mindfulness-based cognitive therapy

The practice of mindfulness meditation has several mental health benefits, such as bringing about reductions in depression, anxiety and stress.[61][62][63][64] Mindfulness meditation may also be effective in treating substance use disorders.[65][66] Further, mindfulness meditation appears to bring about favorable structural changes in the brain.[67][68][69]

The Heartfulness meditation program has proven to show significant improvements in the state of mind of health-care professionals.[70] A study posted on the US National Library of Medicine showed that these professionals of varied stress levels were able to improve their conditions after this meditation program was conducted. They benefited in aspects of burnouts and emotional wellness.

People with anxiety disorders participated in a stress-reduction program conducted by researchers from the Mental Health Service Line at the W.G. Hefner Veterans Affairs Medical Center in Salisbury, North Carolina. The participants practiced mindfulness meditation. After the study was over, it was concluded that the "mindfulness meditation training program can effectively reduce symptoms of anxiety and panic and can help maintain these reductions in patients with generalized anxiety disorder, panic disorder, or panic disorder with agoraphobia."[71]

Mental fitness

Mental fitness is a mental health movement that encourages people to intentionally regulate and maintain their emotional wellbeing through friendship, regular human contact, and activities that include meditation, calming exercises, aerobic exercise, mindfulness, having a routine and maintaining adequate sleep. Mental fitness is intended to build resilience against every-day mental health challenges to prevent an escalation of anxiety, depression and suicidal ideation, and help them cope with the escalation of those feelings if they occur.[72]

Spiritual counseling

Spiritual counsellors meet with people in need to offer comfort and support and to help them gain a better understanding of their issues and develop a problem-solving relation with spirituality. These types of counselors deliver care based on spiritual, psychological and theological principles.[73]

Notes

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  3. Marie Jahoda, Current Concepts of Positive Mental Health (Isha Books, 2013, ISBN 978-9333154550).
  4. Shane J. Lopez, Jennifer Teramoto Pedrotti, and Charles Richard Snyder, Positive Psychology: The Scientific and Practical Explorations of Human Strengths (SAGE Publications, 2018, ISBN 978-1506357355).
  5. Michael C. Graham, Facts of Life: Ten Issues of Contentment (Outskirts Press, 2014, ISBN 978-1478722595).
  6. J. Melvin Witmer and Thomas J. Sweeney, A holistic model for wellness and prevention over the lifespan Journal of Counseling and Development 71(2) (1992):140–148. Retrieved May 31, 2021.
  7. John A. Hattie, Jane E. Myers, and Thomas J. Sweeney, A factor structure of wellness: Theory, assessment, analysis and practice Journal of Counseling and Development 82(3) (2004):354–364. Retrieved May 31, 2021.
  8. 8.0 8.1 Corey L.M. Keyes, The mental health continuum: from languishing to flourishing in life Journal of Health and Social Behavior 43(2) (2002):207–222. Retrieved May 31, 2021.
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References
ISBN links support NWE through referral fees

  • Graham, Michael C. Facts of Life: Ten Issues of Contentment. Outskirts Press, 2014. ISBN 978-1478722595
  • Jahoda, Marie. Current Concepts of Positive Mental Health. Isha Books, 2013. ISBN 978-9333154550
  • Lopez, Shane J., Jennifer Teramoto Pedrotti, and Charles Richard Snyder. Positive Psychology: The Scientific and Practical Explorations of Human Strengths. SAGE Publications, 2018. ISBN 978-1506357355
  • Office of the Surgeon General. Mental Health: A Report of the Surgeon General. Department of Health and Human Services, 1999. ISBN 978-0160503009

External links

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