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

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:''This article is about mental health or well-being. For mental illness see [[Mental disorder]]''.
 
:''This article is about mental health or well-being. For mental illness see [[Mental disorder]]''.
  
[[File:Mental.png|thumb|300px|Mental health and disorders]]
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[[File:Mental.png|thumb|400px|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. Mental health is distinguished from [[mental disorder|mental disorders]], which are disorders or diseases that affect an individual's mood, thinking, and behavior.  
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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. Mental health is distinguished from [[mental disorder|mental disorders]], which are disorders or diseases that affect an individual's mood, thinking, and behavior.  
 
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From the perspective of [[positive psychology]], mental health includes the ability to enjoy life. Mental wellness is affected by a variety of factors, some of which increase well-being while others act as threats and may lead to inability to function in society. Promotion of mental health, therefore, involves not only avoidance of risks but also pursuit of activities and an environment that sustain and enhance mental and emotional well-being.
 
From the perspective of [[positive psychology]], mental health includes the ability to enjoy life. Mental wellness is affected by a variety of factors, some of which increase well-being while others act as threats and may lead to inability to function in society. Promotion of mental health, therefore, involves not only avoidance of risks but also pursuit of activities and an environment that sustain and enhance mental and emotional well-being.
  
 
== Definitions==
 
== 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]] ([[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."<ref name=WHO>[https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response Mental health: strengthening our response] ''World Health Organization'', March 30, 2018. Retrieved May 31, 2021.</ref> 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."<ref name=WHO/>  
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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]] ([[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."<ref name=WHO>[https://www.who.int/news-room/fact-sheets/detail/mental-health-strengthening-our-response Mental health: strengthening our response] ''World Health Organization'', March 30, 2018. Retrieved October 12, 2022.</ref> 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."<ref name=WHO/>  
  
 
Cultural differences, subjective assessments, and competing professional theories all affect how one defines mental health:
 
Cultural differences, subjective assessments, and competing professional theories all affect how one defines mental health:
<blockquote>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.<ref>[https://www.who.int/whr/2001/en/whr01_en.pdf?ua=1  The World Health Report: 2001 - Mental Health: New Understanding, New Hope] ''World Health Organization''. Retrieved May 31, 2021.</ref></blockquote>  
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<blockquote>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.<ref>[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2566704/pdf/0042_9686_79_11_1085.pdf The World Health Report: 2001 - Mental Health: New Understanding, New Hope] ''World Health Organization''. Retrieved October 12, 2022.</ref></blockquote>  
  
 
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'',<ref>Marie Jahoda, ''Current Concepts of Positive Mental Health'' (Isha Books, 2013, ISBN 978-9333154550).</ref> these are:
 
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'',<ref>Marie Jahoda, ''Current Concepts of Positive Mental Health'' (Isha Books, 2013, ISBN 978-9333154550).</ref> these are:
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* Sustaining relationships and giving affection
 
* Sustaining relationships and giving affection
 
* Self-direction and productivity
 
* Self-direction and productivity
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{{readout||right|250px|Mental health is more than the absence of [[mental disorder]]s; it is a state of well-being including the ability to enjoy life}}
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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 [[everyday life|life]] and to create a balance between life activities and efforts to achieve [[psychological resilience]].<ref>Shane J. Lopez, Jennifer Teramoto Pedrotti, and Charles Richard Snyder, ''Positive Psychology: The Scientific and Practical Explorations of Human Strengths'' (SAGE Publications, 2018, ISBN 1506389899).</ref> This definition of mental health highlights [[emotion]]al well-being, the capacity to live a full and [[creativity|creative]] life, and the flexibility to deal with life's inevitable challenges. Some discussions are formulated in terms of contentment or [[happiness]].<ref>Michael C. Graham, ''Facts of Life: Ten Issues of Contentment'' (Outskirts Press, 2014, ISBN 978-1478722595).</ref>
  
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 [[everyday life|life]] and to create a balance between life activities and efforts to achieve [[psychological resilience]].<ref>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).</ref> This definition of mental health highlights [[emotion]]al well-being, the capacity to live a full and [[creativity|creative]] life, and the flexibility to deal with life's inevitable challenges. Some discussions are formulated in terms of contentment or happiness.<ref>Michael C. Graham, ''Facts of Life: Ten Issues of Contentment'' (Outskirts Press, 2014, ISBN 978-1478722595).</ref>
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A [[holistic]] model of mental health generally includes concepts based upon [[anthropological]], [[education]]al, [[psychological]], [[religious]], and [[sociological]] perspectives. There are also models as theoretical perspectives from [[personality psychology|personality]], [[social psychology|social]], [[clinical psychology|clinical]], [[health psychology|health]] and [[developmental psychology]].<ref>J. Melvin Witmer and Thomas J. Sweeney, [https://psycnet.apa.org/record/1993-10912-001 A holistic model for wellness and prevention over the lifespan] ''Journal of Counseling and Development'' 71(2) (1992):140–148. Retrieved October 12, 2022.</ref><ref>John A. Hattie, Jane E. Myers, and Thomas J. Sweeney, [https://onlinelibrary.wiley.com/doi/abs/10.1002/j.1556-6678.2004.tb00321.x A factor structure of wellness: Theory, assessment, analysis and practice] ''Journal of Counseling and Development'' 82(3) (2004):354–364. Retrieved October 12, 2022.</ref>
  
A [[holistic]] model of mental health generally includes concepts based upon [[anthropological]], [[education]]al, [[psychological]], [[religious]], and [[sociological]] perspectives. There are also models as theoretical perspectives from [[personality psychology|personality]], [[social psychology|social]], [[clinical psychology|clinical]], [[health psychology|health]] and [[developmental psychology]].<ref>J. Melvin Witmer and Thomas J. Sweeney, [https://psycnet.apa.org/record/1993-10912-001 A holistic model for wellness and prevention over the lifespan] ''Journal of Counseling and Development'' 71(2) (1992):140–148. Retrieved May 31, 2021.</ref>
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Mental health can be seen as an unstable [[continuum (theory)|continuum]], where an individual's mental health may have many different possible [[Value (ethics)|values]].<ref name=Keyes2002>Corey L.M. Keyes, [https://pubmed.ncbi.nlm.nih.gov/12096700/ The mental health continuum: from languishing to flourishing in life] ''Journal of Health and Social Behavior'' 43(2) (2002):207–222. Retrieved October 12, 2022.</ref>
<ref>John A. Hattie, Jane E. Myers, and Thomas J. Sweeney, [https://onlinelibrary.wiley.com/doi/abs/10.1002/j.1556-6678.2004.tb00321.x A factor structure of wellness: Theory, assessment, analysis and practice] ''Journal of Counseling and Development'' 82(3) (2004):354–364. Retrieved May 31, 2021.</ref>
 
  
Mental health can be seen as an unstable [[continuum (theory)|continuum]], where an individual's mental health may have many different possible [[Value (ethics)|values]].<ref name=Keyes2002>Corey L.M. Keyes, [https://pubmed.ncbi.nlm.nih.gov/12096700/ 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.</ref>
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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]].<ref name=Keyes2002/> 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.<ref>Matthew W. Gallagher, Shane J. Lopez, and Kristopher J. Preacher. [https://pubmed.ncbi.nlm.nih.gov/19558444/ The Hierarchical Structure of Well-Being] ''Journal of Personality'' 77(4) (2009):1025–1050. Retrieved October 12, 2022.</ref>
  
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]].<ref name=Keyes2002/> 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.<ref>Matthew W. Gallagher, Shane J. Lopez, and Kristopher J. Preacher. [https://pubmed.ncbi.nlm.nih.gov/19558444/ The Hierarchical Structure of Well-Being] ''Journal of Personality'' 77(4) (2009):1025–1050. Retrieved May 31, 2021.</ref>
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== Mental health vs mental illness==
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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."<ref>[https://www.mayoclinic.org/diseases-conditions/mental-illness/symptoms-causes/syc-20374968 Mental illness] ''Mayo Clinic''. Retrieved October 12, 2022.</ref> Mental disorders include [[Clinical depression|depression]], [[anxiety disorder]]s, [[psychosis|psychotic disorder]]s, [[eating disorder]]s, [[personality disorder]]s, [[Post-traumatic stress disorder]] (PTSD), and [[addiction|addictive behaviors]].<ref>[https://medlineplus.gov/mentaldisorders.html Mental Disorders] ''MedLine Plus''. Retrieved October 12, 2022. </ref>
  
== Distinguishing mental health from mental illness==
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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.<ref name = "two continuum">Gerben J. Westerhof and Corey L. M. Keyes, [https://pubmed.ncbi.nlm.nih.gov/20502508/ Mental Illness and Mental Health: The Two Continua Model Across the Lifespan] ''Adult Development'' 17(2) (2010):110-119. Retrieved October 12, 2022.</ref>  
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."<ref>[https://www.mayoclinic.org/diseases-conditions/mental-illness/symptoms-causes/syc-20374968 Mental illness] ''Mayo Clinic''. Retrieved May 31, 2021.</ref> Mental disorders include [[Clinical depression|depression]], [[anxiety|anxiety disorders]], [[psychosis|psychotic disorder]]s, [[eating disorder]]s, [[personality disorder]]s, [[Post-traumatic stress disorder]] (PTSD), and [[addiction|addictive behaviors]].<ref>[https://medlineplus.gov/mentaldisorders.html Mental Disorders] ''MedLine Plus''. Retrieved May 31, 2021. </ref>
 
  
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.<ref name = "two continuum">Gerben J. Westerhof and Corey L. M. Keyes, [https://pubmed.ncbi.nlm.nih.gov/20502508/ Mental Illness and Mental Health: The Two Continua Model Across the Lifespan] ''Adult Development'' 17(2) (2010):110-119. Retrieved May 31, 2021.</ref>  
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In many cases, there appears to be a continuum between mental health and mental illness, making diagnosis complex.<ref>Office of the Surgeon General, ''Mental Health: A Report of the Surgeon General'' (Department of Health and Human Services, 1999, ISBN 1083113267).</ref>  
  
In many cases, there appears to be a continuum between mental health and mental illness, making diagnosis complex.<ref>Office of the Surgeon General, ''Mental Health: A Report of the Surgeon General'' (Department of Health and Human Services, 1999, ISBN 978-0160503009).</ref>
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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.<ref name = "two continuum" /> 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. As noted above, the [[World Health Organization]] regards mental health as having attributes other than the absence of mental illness, supporting the idea of two distinct dimensions.
 
 
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.<ref name = "two continuum" /> 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.<ref>[http://wmhp.cmhaontario.ca/workplace-mental-health-core-concepts-issues/what-is-mental-health-and-mental-illness What is Mental Health and Mental Illness?] ''Workplace Mental Health Promotion''. Retrieved May 31, 2021.</ref> As noted above, the [[World Health Organization]] regards mental health as having attributes other than the absence of mental illness, supporting the idea of two distinct dimensions.
 
  
 
==History==
 
==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 of mental disorders|classification]].
 
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 of mental disorders|classification]].
  
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.<ref name=unite>[http://www.uniteforsight.org/mental-health/module2 A Brief History of Mental Illness and the U.S. Mental Health Care System] ''Unite for Sight''. Retrieved June 1, 2021.</ref>  
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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.<ref name=unite>[http://www.uniteforsight.org/mental-health/module2 A Brief History of Mental Illness and the U.S. Mental Health Care System] ''Unite for Sight''. Retrieved October 12, 2022.</ref>  
  
In the mid-nineteenth 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.<ref>John R. Shook (ed.), ''Dictionary of Early American Philosophers'' (Continuum, 2012, ISBN 978-1843711827).</ref> [[Isaac Ray]], the fourth president 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."<ref>Wallace Mandell, [https://www.jhsph.edu/departments/mental-health/about-us/origins-of-mental-health.html Origins of Mental Health] ''Johns Hopkins Bloomberg School of Public Health'', 1995. Retrieved June 1, 2021.</ref>
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In the mid-nineteenth 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.<ref>John R. Shook (ed.), ''Dictionary of Early American Philosophers'' (Continuum, 2012, ISBN 978-1843711827).</ref> [[Isaac Ray]], the fourth president 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."<ref>Wallace Mandell, [https://www.jhsph.edu/departments/mental-health/about-us/origins-of-mental-health.html Origins of Mental Health] ''Johns Hopkins Bloomberg School of Public Health'', 1995. Retrieved October 12, 2022.</ref>
  
 
[[Dorothea Dix]] (1802–1887) was an important figure in the development of the "mental hygiene" movement. 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. 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. This became known as the "mental hygiene movement."<ref> David H. Barlow, Vincent Mark Durand, and Stefan G. Hofmann, ''Abnormal Psychology: An integrative approach'' (Cengage Learning, 2017, ISBN 978-1305950443). </ref> From 1840-1880, Dix 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]].<ref name=unite/>
 
[[Dorothea Dix]] (1802–1887) was an important figure in the development of the "mental hygiene" movement. 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. 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. This became known as the "mental hygiene movement."<ref> David H. Barlow, Vincent Mark Durand, and Stefan G. Hofmann, ''Abnormal Psychology: An integrative approach'' (Cengage Learning, 2017, ISBN 978-1305950443). </ref> From 1840-1880, Dix 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]].<ref name=unite/>
  
In 1896, [[Emil Kraepelin]] developed the [[taxonomy (general)|taxonomy]] of mental disorders which dominated the field for nearly 80 years.<ref>Andreas Ebert and Karl-Jürgen Bär, [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2927892/ Emil Kraepelin: A pioneer of scientific understanding of psychiatry and psychopharmacology] ''Indian Journal of Psychiatry'' 52(2) (2010): 191–192. Retrieved June 1, 2021. </ref>
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In 1896, [[Emil Kraepelin]] developed the [[taxonomy (general)|taxonomy]] of mental disorders which dominated the field for nearly 80 years.<ref>Andreas Ebert and Karl-Jürgen Bär, [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2927892/ Emil Kraepelin: A pioneer of scientific understanding of psychiatry and psychopharmacology] ''Indian Journal of Psychiatry'' 52(2) (2010): 191–192. Retrieved October 12, 2022.</ref>
  
At the beginning of the twentieth century, [[Clifford Whittingham Beers|Clifford Beers]] founded "Mental Health America – National Committee for Mental Hygiene," after the 1908 publication of his account as a patient in several [[lunatic asylums]].<ref> Clifford Whittingham Beers, ''A Mind That Found Itself'' (Kessinger Publishing, LLC, 2010, ISBN 978-1169262980).</ref> His experiences led him to work to change the treatment of the mentally ill, and he opened the first outpatient mental health [[clinic]] in the United States.<ref>[https://socialwelfare.library.vcu.edu/organizations/mental-health-america-origins/ Mental Health America – Origins] ''VCU Libraries Social Welfare History Project''. Retrieved June 1, 2021.</ref>  
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At the beginning of the twentieth century, [[Clifford Whittingham Beers|Clifford Beers]] founded "Mental Health America – National Committee for Mental Hygiene," after the 1908 publication of his account as a patient in several [[lunatic asylums]].<ref> Clifford Whittingham Beers, ''A Mind That Found Itself'' (Kessinger Publishing, LLC, 2010, ISBN 978-1169262980).</ref> His experiences led him to work to change the treatment of the mentally ill, and he opened the first outpatient mental health [[clinic]] in the United States.<ref>[https://socialwelfare.library.vcu.edu/organizations/mental-health-america-origins/ Mental Health America – Origins] ''VCU Libraries Social Welfare History Project''. Retrieved October 12, 2022.</ref>  
  
In the post-[[World War II]] years, references to mental hygiene were gradually replaced by the term "mental health," reflected in the 1949 founding of the National Institute of Mental Health in the United States.<ref>José Bertolote, [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2408392/ The roots of the concept of mental health] ''World Psychiatry'' 7(2) (2008): 113–116. Retrieved June 1, 2021.</ref>
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In the post-[[World War II]] years, references to mental hygiene were gradually replaced by the term "mental health," reflected in the 1949 founding of the National Institute of Mental Health in the United States.<ref>José Bertolote, [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2408392/ The roots of the concept of mental health] ''World Psychiatry'' 7(2) (2008): 113–116. Retrieved October 12, 2022.</ref>
  
==Promoting and improving mental health==
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==Improving mental health==
[[Marie Jahoda]] identified five categories which she said were vital to feelings of well-being: time structure, social contact, collective effort or purpose, social identity or status, and regular activity.<ref name=Jahoda1982>Marie Jahoda, ''Employment and Unemployment: A Social-Psychological Analysis'' (Cambridge University Press, 1982, ISBN 978-0521242943).</ref> Activities and an environment which sustain these facets of life, therefore, enhance mental health.
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[[Marie Jahoda]] identified five categories which she said were vital to feelings of well-being: time structure, social contact, collective effort or purpose, social identity or status, and regular activity.<ref name=Jahoda1982>Marie Jahoda, ''Employment and Unemployment: A Social-Psychological Analysis'' (Cambridge University Press, 1982, ISBN 0521285860).</ref> Activities and an environment which sustain these facets of life, therefore, enhance mental health.
  
 
=== Physical activity ===
 
=== 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 triggers the production of various [[hormone]]s, including [[endorphins]], which can elevate a person's mood.<ref>Ione Avila-Palencia et al., [https://pubmed.ncbi.nlm.nih.gov/30098553/ The effects of transport mode use on self-perceived health, mental health, and social contact measures: A cross-sectional and longitudinal study] ''Environment International'' 120 (2018):199–206. Retrieved June 1, 2021.</ref>
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For some people, [[physical exercise]] can improve mental as well as physical health. Playing sports, walking, cycling, or doing any form of physical activity triggers the production of various [[hormone]]s, including [[endorphins]], which can elevate a person's mood.<ref>Ione Avila-Palencia et al., [https://pubmed.ncbi.nlm.nih.gov/30098553/ The effects of transport mode use on self-perceived health, mental health, and social contact measures: A cross-sectional and longitudinal study] ''Environment International'' 120 (2018):199–206. Retrieved October 12, 2022.</ref>
  
Studies have shown that in some cases physical activity can have the same impact as antidepressants when treating [[Clinical depression|depression]] and [[anxiety]].<ref>Amanda L Rebar et al/., [https://pubmed.ncbi.nlm.nih.gov/25739893/ A meta-meta-analysis of the effect of physical activity on depression and anxiety in non-clinical adult populations] ''Health Psychology Review'' 9(3) (July 2015):366–378. Retrieved June 1, 2021.</ref> 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.<ref>Ali A. Weinstein, Christine Koehmstedt, and Willem J. Kop, [https://pubmed.ncbi.nlm.nih.gov/28625704/ Mental health consequences of exercise withdrawal: A systematic review] ''General Hospital Psychiatry'' 49 (November 2017):11–18. Retrieved June 1, 2021.</ref>
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Studies have shown that in some cases physical activity can have the same impact as antidepressants when treating [[Clinical depression|depression]] and [[anxiety]].<ref>Amanda L Rebar et al., [https://pubmed.ncbi.nlm.nih.gov/25739893/ A meta-meta-analysis of the effect of physical activity on depression and anxiety in non-clinical adult populations] ''Health Psychology Review'' 9(3) (July 2015):366–378. Retrieved October 12, 2022.</ref> 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.<ref>Ali A. Weinstein, Christine Koehmstedt, and Willem J. Kop, [https://pubmed.ncbi.nlm.nih.gov/28625704/ Mental health consequences of exercise withdrawal: A systematic review] ''General Hospital Psychiatry'' 49 (November 2017):11–18. Retrieved October 12, 2022.</ref>
  
 
===Activity therapies===
 
===Activity therapies===
 
Activity therapies, also called recreation therapy and occupational therapy, promote wellness and healing through active engagement. Each of these therapies have proven to improve mental health and have resulted in healthier, happier individuals.  
 
Activity therapies, also called recreation therapy and occupational therapy, promote wellness and healing through active engagement. Each of these therapies have proven to improve mental health and have resulted in healthier, happier individuals.  
  
Occupational therapies involve promoting an activity that improves daily life, such as self-care or improving hobbies. Similarly, recreational therapy focuses on movement, such as walking, [[yoga]], or riding a [[bike]]. Play is a powerful tool for increasing both physical and mental wellness.<ref>[https://www.healthline.com/health/recreational-therapy The Benefits of Recreational Therapy] ''Healthline''. Retrieved June 1, 2021.</ref>
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Occupational therapies involve promoting an activity that improves daily life, such as self-care or improving hobbies. Similarly, recreational therapy focuses on movement, such as walking, [[yoga]], or riding a [[bike]]. Play is a powerful tool for increasing both physical and mental wellness.<ref>[https://www.healthline.com/health/recreational-therapy The Benefits of Recreational Therapy] ''Healthline''. Retrieved October 12, 2022.</ref>
  
 
===Expressive therapies===
 
===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.  
 
[[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.  
  
In recent years, coloring has been recognized as an activity that has been proven not only to significantly lower the levels of depressive symptoms and anxiety, but also may provide an effective, inexpensive, and highly accessible self-help tool for nonclinical samples.<ref>Jayde A.M. Flett, Celia Lie, Benjamin C. Riordan, Laura M. Thompson, Tamlin S. Conner, and Harlene Hayne, [https://www.tandfonline.com/doi/abs/10.1080/10400419.2017.1376505 Sharpen Your Pencils: Preliminary Evidence that Adult Coloring Reduces Depressive Symptoms and Anxiety] Sharpen Your Pencils: Preliminary Evidence that Adult Coloring Reduces Depressive Symptoms and Anxiety | journal = ''Creativity Research Journal'' 29(4) (2017):409–416. Retrieved June 1, 2021. </ref>
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In recent years, coloring has been recognized as an activity that has been proven not only to significantly lower the levels of depressive symptoms and anxiety, but also may provide an effective, inexpensive, and highly accessible self-help tool for nonclinical samples.<ref>Jayde A.M. Flett, Celia Lie, Benjamin C. Riordan, Laura M. Thompson, Tamlin S. Conner, and Harlene Hayne, [https://www.tandfonline.com/doi/abs/10.1080/10400419.2017.1376505 Sharpen Your Pencils: Preliminary Evidence that Adult Coloring Reduces Depressive Symptoms and Anxiety] ''Creativity Research Journal'' 29(4) (2017):409–416. Retrieved October 12, 2022.</ref>
  
 
===Psychotherapy===
 
===Psychotherapy===
 
{{main|Psychotherapy}}  
 
{{main|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 behavior therapy|dialectical behavioral therapy]].  
 
[[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 behavior therapy|dialectical behavioral therapy]].  
[[Group therapy]] involves any type of therapy that takes place in a setting involving multiple people.  It can include [[Psychodynamic psychotherapy|psychodynamic]] groups, [[expressive therapy]] groups, [[support groups]] (including the [[Twelve-step program]]), problem-solving and [[psychoeducation]] groups.
+
[[Group therapy]] involves any type of therapy that takes place in a setting involving multiple people.  It can include [[Psychodynamic psychotherapy|psychodynamic]] groups, [[expressive therapy]] groups, [[support groups]] (including the [[Twelve-step program]] of [[Alcoholics Anonymous]]), problem-solving and [[psychoeducation]] groups.
  
 
===Self-compassion===
 
===Self-compassion===
 
{{main|Self-compassion}}
 
{{main|Self-compassion}}
Compassion can be defined as experiencing kindness, a sense of common humanity, mindfulness, and lessened indifference toward the suffering of others. Self-compassion then consists of three main positive components and their negative counterparts: Self-Kindness versus Self-Judgement, Common Humanity versus Isolation and Mindfulness versus Over-Identification.<ref>Elizabeth Pommier, Kristin D. Neff, and István Tóth-Király, [https://journals.sagepub.com/doi/10.1177/1073191119874108 The Development and Validation of the Compassion Scale] ''Assessment'' 27(1) (2019}:21–39. Retrieved June 1, 2021.</ref> Furthermore, specific components of self-compassion can predict specific dimensions of positive mental health (emotional, social, and psychological well-being).<ref>Na Young Shin and Young-Jin Lim, [https://pubmed.ncbi.nlm.nih.gov/30206928/ Contribution of self-compassion to positive mental health among Korean university students] ''International Journal of Psychology'' 54(6) (2019):800–806. Retrieved June 1, 2021.</ref>
+
Compassion can be defined as experiencing kindness, a sense of common humanity, mindfulness, and lessened indifference toward the suffering of others. Self-compassion then consists of three main positive components and their negative counterparts: Self-Kindness versus Self-Judgement, Common Humanity versus Isolation and Mindfulness versus Over-Identification.<ref>Elizabeth Pommier, Kristin D. Neff, and István Tóth-Király, [https://journals.sagepub.com/doi/10.1177/1073191119874108 The Development and Validation of the Compassion Scale] ''Assessment'' 27(1) (2019}:21–39. Retrieved October 12, 2022.</ref> Furthermore, specific components of self-compassion can predict specific dimensions of positive mental health (emotional, social, and psychological well-being).<ref>Na Young Shin and Young-Jin Lim, [https://pubmed.ncbi.nlm.nih.gov/30206928/ Contribution of self-compassion to positive mental health among Korean university students] ''International Journal of Psychology'' 54(6) (2019):800–806. Retrieved October 12, 2022.</ref>
  
 
===Meditation===
 
===Meditation===
 
{{main|Meditation}}
 
{{main|Meditation}}
[[Mindfulness]] is the practice of purposely bringing one's attention in the present moment without judgment, a skill one develops through [[meditation]] or other training. Mindfulness relaxation uses breathing methods, guided imagery, and other practices to relax the body and mind and help reduce stress. Mental health is improved by participating in activities that can allow relaxation and taking time for oneself: "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."<ref>Kelly C. Richards, C. Campenni, and Janet L. Estelle Muse-Burke, [https://psycnet.apa.org/record/2010-16210-005 Self-care and well-being in mental health professionals: The mediating effects of self-awareness and mindfulness] ''Journal of Mental Health Counseling'' 32(3) (2010): 247–264. Retrieved June 1, 2021.</ref>
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[[File:GRATEFUL.jpg|thumb|400px|A woman meditating]]
 +
[[Mindfulness]] is the practice of purposely bringing one's attention in the present moment without judgment, a skill one develops through [[meditation]] or other training. Mindfulness relaxation uses breathing methods, guided imagery, and other practices to relax the body and mind and help reduce stress. Mental health is improved by participating in activities that can allow relaxation and taking time for oneself: "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."<ref>Kelly C. Richards, C. Campenni, and Janet L. Estelle Muse-Burke, [https://psycnet.apa.org/record/2010-16210-005 Self-care and well-being in mental health professionals: The mediating effects of self-awareness and mindfulness] ''Journal of Mental Health Counseling'' 32(3) (2010): 247–264. Retrieved October 12, 2022.</ref>
  
The practice of mindfulness meditation has several mental health benefits, such as bringing about reductions in [[depression (mood)|depression]], [[anxiety]], and [[Psychological stress|stress]].<ref>Manoj Sharma and Sarah E. Rush, [https://pubmed.ncbi.nlm.nih.gov/25053754/ Mindfulness-based stress reduction as a stress management intervention for healthy individuals: a systematic review] ''Journal of Evidence Based Complementary Alternative Medicine'' 19(4) (2014):271–286. Retrieved June 1, 2021.</ref><ref>Bassam Khoury et al., [https://pubmed.ncbi.nlm.nih.gov/23796855/ Mindfulness-based therapy: a comprehensive meta-analysis] ''Clinical Psychology Review'' 33(6) (2013):763–771. Retrieved June 1, 2021. |</ref>  
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The practice of mindfulness meditation has several mental health benefits, such as bringing about reductions in [[depression (mood)|depression]], [[anxiety]], and [[Psychological stress|stress]].<ref>Manoj Sharma and Sarah E. Rush, [https://pubmed.ncbi.nlm.nih.gov/25053754/ Mindfulness-based stress reduction as a stress management intervention for healthy individuals: a systematic review] ''Journal of Evidence Based Complementary Alternative Medicine'' 19(4) (2014):271–286. Retrieved October 12, 2022.</ref><ref>Bassam Khoury et al., [https://pubmed.ncbi.nlm.nih.gov/23796855/ Mindfulness-based therapy: a comprehensive meta-analysis] ''Clinical Psychology Review'' 33(6) (2013):763–771. Retrieved October 12, 2022.</ref>  
  
The Heartfulness meditation program has proven to show significant improvements in the state of mind of health-care professionals, benefiting them in aspects of burnouts and emotional wellness.<ref>Jayaram Thimmapuram, et al., [https://pubmed.ncbi.nlm.nih.gov/28634520/ Effect of heartfulness meditation on burnout, emotional wellness, and telomere length in health care professionals] ''Journal of Community Hospital Internal Medicine Perspectives'' 7(1) (2017):21–27. Retrieved June 1, 2021.</ref>
+
The Heartfulness meditation program has proven to show significant improvements in the state of mind of health-care professionals, benefiting them in aspects of burnouts and emotional wellness.<ref>Jayaram Thimmapuram, et al., [https://pubmed.ncbi.nlm.nih.gov/28634520/ Effect of heartfulness meditation on burnout, emotional wellness, and telomere length in health care professionals] ''Journal of Community Hospital Internal Medicine Perspectives'' 7(1) (2017):21–27. Retrieved October 12, 2022.</ref>
  
 
=== Mental fitness ===
 
=== Mental fitness ===
Mental fitness is a mental health movement that encourages people to intentionally regulate and maintain their emotional well-being 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.<ref>Chad Walkaden, [https://www.gotcha4life.org/blog/2020/5/14/mental-fitness-gamechanger Mental fitness - a gamechanger] ''Gotcha4Life'', June 22, 2020. Retrieved June 1, 2021. </ref>
+
Mental fitness is a mental health movement that encourages people to intentionally regulate and maintain their emotional well-being 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.<ref>Jackie Kinley, ''Mental Fitness: The Game Changer & The Key to Psychological Strength and Resilience'' (WindyWood Publishing, 2019, ISBN 1775358321).</ref>
  
 
===Healthy relationships===
 
===Healthy relationships===
Line 98: Line 98:
  
 
===Spiritual counseling===
 
===Spiritual counseling===
Spiritual counselors 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.<ref>David H. Rosmarin, et al., [https://pubmed.ncbi.nlm.nih.gov/21480226/ Incorporating spiritual beliefs into a cognitive model of worry] ''Journal of Clinical Psychology'' 67(7) (July 2011):691–700. Retrieved June 1, 2021.</ref>
+
Spiritual counselors 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.<ref>David H. Rosmarin, et al., [https://pubmed.ncbi.nlm.nih.gov/21480226/ Incorporating spiritual beliefs into a cognitive model of worry] ''Journal of Clinical Psychology'' 67(7) (July 2011):691–700. Retrieved October 12, 2022.</ref>
  
 
==Challenges to mental health==
 
==Challenges to mental health==
Line 104: Line 104:
  
 
===Unemployment===
 
===Unemployment===
[[Unemployment]] has been shown to hurt an individual's emotional well-being, [[self-esteem]], and more broadly their mental health. Marie Jahoda identified five categories which she said were vital to feelings of well-being and she maintained that the unemployed were deprived of all five, which accounts for much of the reported mental ill-health among unemployed people.<ref name=Jahoda1982/> Increasing unemployment has been shown to have a significant impact on mental health, predominantly depressive disorders.<ref>Natalio Extremera and Lourdes Rey, [https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0163656 Attenuating the Negative Impact of Unemployment: The Interactive Effects of Perceived Emotional Intelligence and Well-Being on Suicide Risk] ''PLOS ONE'' 11(9) (September 2016). Retrieved June 1, 2021.</ref>  
+
[[Unemployment]] has been shown to hurt an individual's emotional well-being, [[self-esteem]], and more broadly their mental health. Marie Jahoda identified five categories which she said were vital to feelings of well-being and she maintained that the unemployed were deprived of all five, which accounts for much of the reported mental ill-health among unemployed people.<ref name=Jahoda1982/> Increasing unemployment has been shown to have a significant impact on mental health, predominantly depressive disorders.<ref>Natalio Extremera and Lourdes Rey, [https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0163656 Attenuating the Negative Impact of Unemployment: The Interactive Effects of Perceived Emotional Intelligence and Well-Being on Suicide Risk] ''PLOS ONE'' 11(9) (September 2016). Retrieved October 12, 2022.</ref>  
  
 
===Emotional challenges===
 
===Emotional challenges===
Line 111: Line 111:
 
Prevention of emotional challenges to well-being include the avoidance of risk factors, which decrease an individual's self-esteem, mastery, well-being, and social inclusion.  
 
Prevention of emotional challenges to well-being include the avoidance of risk factors, which decrease an individual's self-esteem, mastery, well-being, and social inclusion.  
  
===Alienation and negative relationships===
+
===Negative relationships===
Human beings are social beings; alienation from other people, social isolation, leads to loneliness and despair. Also, negative interactions with others and toxic relationships damage our emotional mental health and well-being.  
+
Human beings are social beings; alienation from other people, social isolation, leads to loneliness and despair. Also, negative interactions with others and toxic relationships damage our emotional mental health and well-being.
  
 
=== Stress ===
 
=== Stress ===
A certain amount of stress is a normal part of daily life; however, too much stress over a prolonged time period is a threat to mental wellness:
+
{{Main|Psychological stress}}
<blockquote>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.<ref>[https://www.camh.ca/en/health-info/mental-illness-and-addiction-index/stress Stress] ''CAMH''. Retrieved June 1, 2021.</ref></blockquote>
+
A certain amount of [[Psychological stress|stress]] is a normal part of daily life; however, too much stress over a prolonged time period is a threat to mental wellness:
 +
<blockquote>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.<ref>[https://www.camh.ca/en/health-info/mental-illness-and-addiction-index/stress Stress] ''CAMH''. Retrieved October 12, 2022.</ref></blockquote>
  
 
===Mental health problems===
 
===Mental health problems===
 
{{Main|Mental disorder}}
 
{{Main|Mental disorder}}
Mental health problems may arise due to [[Psychological stress|stress]], [[loneliness]], [[Depression (mood)|depression]], [[anxiety]], relationship problems, [[death]] of a loved one, [[Suicide|suicidal]] thoughts, [[grief]], [[addiction]], [[ADHD]], [[self-harm]], various [[mood disorder]]s, or other mental illnesses of varying degrees.<ref>Mental Health First Aid Staff, ''Mental Health First Aid USA (Adult)'' (National Council for Behavioral Health, 2015, ISBN 978-0692607480). </ref> Therapists, psychiatrists, psychologists, social workers, nurse practitioners, or family physicians can help manage mental illness with treatments such as therapy, counseling, or medication.
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Mental health problems may arise due to [[Psychological stress|stress]], [[loneliness]], [[Clinical depression|depression]], [[anxiety disorder|anxiety]], relationship problems, [[death]] of a loved one, [[Suicide|suicidal]] thoughts, [[grief]], [[addiction]], [[ADHD]], [[self-harm]], various [[mood disorder]]s, or other mental illnesses of varying degrees.<ref>Mental Health First Aid Staff, ''Mental Health First Aid USA (Adult)'' (National Council for Behavioral Health, 2015, ISBN 978-0692607480). </ref> Therapists, psychiatrists, psychologists, social workers, nurse practitioners, or family physicians can help manage mental illness with treatments such as therapy, counseling, or medication.
  
 
==Notes==
 
==Notes==
Line 130: Line 131:
 
* Graham, Michael C. ''Facts of Life: Ten Issues of Contentment''. Outskirts Press, 2014. ISBN 978-1478722595
 
* 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
 
* Jahoda, Marie. ''Current Concepts of Positive Mental Health''. Isha Books, 2013. ISBN 978-9333154550
* Jahoda, Marie. ''Employment and Unemployment: A Social-Psychological Analysis''. Cambridge University Press, 1982. ISBN 978-0521242943
+
* Jahoda, Marie. ''Employment and Unemployment: A Social-Psychological Analysis''. Cambridge University Press, 1982. ISBN 0521285860
* 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
+
* Kinley, Jackie. ''Mental Fitness: The Game Changer & The Key to Psychological Strength and Resilience''. WindyWood Publishing, 2019. ISBN 1775358321
 +
* Lopez, Shane J., Jennifer Teramoto Pedrotti, and Charles Richard Snyder. ''Positive Psychology: The Scientific and Practical Explorations of Human Strengths''. SAGE Publications, 2018. ISBN 1506389899
 
* Mental Health First Aid Staff. ''Mental Health First Aid USA (Adult)''. National Council for Behavioral Health, 2015. ISBN 978-0692607480
 
* Mental Health First Aid Staff. ''Mental Health First Aid USA (Adult)''. National Council for Behavioral Health, 2015. ISBN 978-0692607480
* Office of the Surgeon General. ''Mental Health: A Report of the Surgeon General''. Department of Health and Human Services, 1999. ISBN 978-0160503009
+
* Office of the Surgeon General. ''Mental Health: A Report of the Surgeon General''. Department of Health and Human Services, 1999. ISBN 1083113267
 
* Shook, John R. (ed.). ''Dictionary of Early American Philosophers''. Continuum, 2012. ISBN 978-1843711827
 
* Shook, John R. (ed.). ''Dictionary of Early American Philosophers''. Continuum, 2012. ISBN 978-1843711827
  
 
==External links==
 
==External links==
All links retrieved June 1, 2021.
+
All links retrieved November 9, 2022.
  
 
* [https://www.who.int/health-topics/mental-health#tab=tab_1 Mental health] ''World Health Organization''
 
* [https://www.who.int/health-topics/mental-health#tab=tab_1 Mental health] ''World Health Organization''
Line 146: Line 148:
 
* [https://www.nih.gov/health-information/emotional-wellness-toolkit Emotional Wellness Toolkit] ''National Institutes of Health''
 
* [https://www.nih.gov/health-information/emotional-wellness-toolkit Emotional Wellness Toolkit] ''National Institutes of Health''
 
* [https://www.mhanational.org/31-tips-boost-your-mental-health 31 Tips To Boost Your Mental Health] ''Mental Health America''
 
* [https://www.mhanational.org/31-tips-boost-your-mental-health 31 Tips To Boost Your Mental Health] ''Mental Health America''
 +
* [https://www.cdc.gov/mentalhealth/learn/index.htm About Mental Health] ''CDC''
 +
* [https://braincentertms.com/10-tips-improving-mental-health/ 10 Mental Health Tips] ''Brain Center TMS''
 +
* [https://damorementalhealth.com/resources/protecting-your-mental-health/ Protecting Your Mental Health in Tumultuous Times] ''D’Amore Mental Health''
  
 
[[Category:Psychology]]
 
[[Category:Psychology]]

Latest revision as of 16:10, 9 November 2022

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. Mental health is distinguished from mental disorders, which are disorders or diseases that affect an individual's mood, thinking, and behavior.

From the perspective of positive psychology, mental health includes the ability to enjoy life. Mental wellness is affected by a variety of factors, some of which increase well-being while others act as threats and may lead to inability to function in society. Promotion of mental health, therefore, involves not only avoidance of risks but also pursuit of activities and an environment that sustain and enhance mental and emotional well-being.

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
Did you know?
Mental health is more than the absence of mental disorders; it is a state of well-being including the ability to enjoy life

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]

Mental health vs 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. As noted above, the World Health Organization regards mental health as having attributes other than the absence of mental illness, supporting the idea of two distinct dimensions.

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 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.[14]

In the mid-nineteenth 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] Isaac Ray, the fourth president 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]

Dorothea Dix (1802–1887) was an important figure in the development of the "mental hygiene" movement. 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. 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. This became known as the "mental hygiene movement."[17] From 1840-1880, Dix 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.[14]

In 1896, Emil Kraepelin developed the taxonomy of mental disorders which dominated the field for nearly 80 years.[18]

At the beginning of the twentieth century, Clifford Beers founded "Mental Health America – National Committee for Mental Hygiene," after the 1908 publication of his account as a patient in several lunatic asylums.[19] His experiences led him to work to change the treatment of the mentally ill, and he opened the first outpatient mental health clinic in the United States.[20]

In the post-World War II years, references to mental hygiene were gradually replaced by the term "mental health," reflected in the 1949 founding of the National Institute of Mental Health in the United States.[21]

Improving mental health

Marie Jahoda identified five categories which she said were vital to feelings of well-being: time structure, social contact, collective effort or purpose, social identity or status, and regular activity.[22] Activities and an environment which sustain these facets of life, therefore, enhance 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 triggers the production of various hormones, including endorphins, which can elevate a person's mood.[23]

Studies have shown that in some cases physical activity can have the same impact as antidepressants when treating depression and anxiety.[24] 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.[25]

Activity therapies

Activity therapies, also called recreation therapy and occupational therapy, promote wellness and healing through active engagement. Each of these therapies have proven to improve mental health and have resulted in healthier, happier individuals.

Occupational therapies involve promoting an activity that improves daily life, such as self-care or improving hobbies. Similarly, recreational therapy focuses on movement, such as walking, yoga, or riding a bike. Play is a powerful tool for increasing both physical and mental wellness.[26]

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.

In recent years, coloring has been recognized as an activity that has been proven not only to significantly lower the levels of depressive symptoms and anxiety, but also may provide an effective, inexpensive, and highly accessible self-help tool for nonclinical samples.[27]

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 of Alcoholics Anonymous), problem-solving and psychoeducation groups.

Self-compassion

Compassion can be defined as experiencing kindness, a sense of common humanity, mindfulness, and lessened indifference toward the suffering of others. Self-compassion then consists of three main positive components and their negative counterparts: Self-Kindness versus Self-Judgement, Common Humanity versus Isolation and Mindfulness versus Over-Identification.[28] Furthermore, specific components of self-compassion can predict specific dimensions of positive mental health (emotional, social, and psychological well-being).[29]

Meditation

Main article: Meditation
A woman meditating

Mindfulness is the practice of purposely bringing one's attention in the present moment without judgment, a skill one develops through meditation or other training. Mindfulness relaxation uses breathing methods, guided imagery, and other practices to relax the body and mind and help reduce stress. Mental health is improved by participating in activities that can allow relaxation and taking time for oneself: "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."[30]

The practice of mindfulness meditation has several mental health benefits, such as bringing about reductions in depression, anxiety, and stress.[31][32]

The Heartfulness meditation program has proven to show significant improvements in the state of mind of health-care professionals, benefiting them in aspects of burnouts and emotional wellness.[33]

Mental fitness

Mental fitness is a mental health movement that encourages people to intentionally regulate and maintain their emotional well-being 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.[34]

Healthy relationships

Human beings are social beings; positive interactions with others are fundamental to our mental wellness. Friendships with peers who provide support and inspiration, the love of one's family (parents, children, spouse, and extended family), and healthy interactions with colleagues at work and other members of one's community, are all important in sustaining mental health.

Spiritual counseling

Spiritual counselors 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.[35]

Challenges to mental health

Just as a variety of activities boost mental well-being, there are several factors that decrease wellness.

Unemployment

Unemployment has been shown to hurt an individual's emotional well-being, self-esteem, and more broadly their mental health. Marie Jahoda identified five categories which she said were vital to feelings of well-being and she maintained that the unemployed were deprived of all five, which accounts for much of the reported mental ill-health among unemployed people.[22] Increasing unemployment has been shown to have a significant impact on mental health, predominantly depressive disorders.[36]

Emotional challenges

Emotional well-being refers to the emotional quality an individual experiences, and is is influenced by a variety of demographic, economic, and situational factors. When serious emotional challenges affect one's emotional health, the root of the issue has to be resolved, which generally requires the help of a mental health practitioner.

Prevention of emotional challenges to well-being include the avoidance of risk factors, which decrease an individual's self-esteem, mastery, well-being, and social inclusion.

Negative relationships

Human beings are social beings; alienation from other people, social isolation, leads to loneliness and despair. Also, negative interactions with others and toxic relationships damage our emotional mental health and well-being.

Stress

Main article: Psychological stress

A certain amount of stress is a normal part of daily life; however, too much stress over a prolonged time period is a threat to mental wellness:

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.[37]

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.[38] Therapists, psychiatrists, psychologists, social workers, nurse practitioners, or family physicians can help manage mental illness with treatments such as therapy, counseling, or medication.

Notes

  1. 1.0 1.1 Mental health: strengthening our response World Health Organization, March 30, 2018. Retrieved October 12, 2022.
  2. The World Health Report: 2001 - Mental Health: New Understanding, New Hope World Health Organization. Retrieved October 12, 2022.
  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 1506389899).
  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 October 12, 2022.
  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 October 12, 2022.
  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 October 12, 2022.
  9. Matthew W. Gallagher, Shane J. Lopez, and Kristopher J. Preacher. The Hierarchical Structure of Well-Being Journal of Personality 77(4) (2009):1025–1050. Retrieved October 12, 2022.
  10. Mental illness Mayo Clinic. Retrieved October 12, 2022.
  11. Mental Disorders MedLine Plus. Retrieved October 12, 2022.
  12. 12.0 12.1 Gerben J. Westerhof and Corey L. M. Keyes, Mental Illness and Mental Health: The Two Continua Model Across the Lifespan Adult Development 17(2) (2010):110-119. Retrieved October 12, 2022.
  13. Office of the Surgeon General, Mental Health: A Report of the Surgeon General (Department of Health and Human Services, 1999, ISBN 1083113267).
  14. 14.0 14.1 A Brief History of Mental Illness and the U.S. Mental Health Care System Unite for Sight. Retrieved October 12, 2022.
  15. John R. Shook (ed.), Dictionary of Early American Philosophers (Continuum, 2012, ISBN 978-1843711827).
  16. Wallace Mandell, Origins of Mental Health Johns Hopkins Bloomberg School of Public Health, 1995. Retrieved October 12, 2022.
  17. David H. Barlow, Vincent Mark Durand, and Stefan G. Hofmann, Abnormal Psychology: An integrative approach (Cengage Learning, 2017, ISBN 978-1305950443).
  18. Andreas Ebert and Karl-Jürgen Bär, Emil Kraepelin: A pioneer of scientific understanding of psychiatry and psychopharmacology Indian Journal of Psychiatry 52(2) (2010): 191–192. Retrieved October 12, 2022.
  19. Clifford Whittingham Beers, A Mind That Found Itself (Kessinger Publishing, LLC, 2010, ISBN 978-1169262980).
  20. Mental Health America – Origins VCU Libraries Social Welfare History Project. Retrieved October 12, 2022.
  21. José Bertolote, The roots of the concept of mental health World Psychiatry 7(2) (2008): 113–116. Retrieved October 12, 2022.
  22. 22.0 22.1 Marie Jahoda, Employment and Unemployment: A Social-Psychological Analysis (Cambridge University Press, 1982, ISBN 0521285860).
  23. Ione Avila-Palencia et al., The effects of transport mode use on self-perceived health, mental health, and social contact measures: A cross-sectional and longitudinal study Environment International 120 (2018):199–206. Retrieved October 12, 2022.
  24. Amanda L Rebar et al., A meta-meta-analysis of the effect of physical activity on depression and anxiety in non-clinical adult populations Health Psychology Review 9(3) (July 2015):366–378. Retrieved October 12, 2022.
  25. Ali A. Weinstein, Christine Koehmstedt, and Willem J. Kop, Mental health consequences of exercise withdrawal: A systematic review General Hospital Psychiatry 49 (November 2017):11–18. Retrieved October 12, 2022.
  26. The Benefits of Recreational Therapy Healthline. Retrieved October 12, 2022.
  27. Jayde A.M. Flett, Celia Lie, Benjamin C. Riordan, Laura M. Thompson, Tamlin S. Conner, and Harlene Hayne, Sharpen Your Pencils: Preliminary Evidence that Adult Coloring Reduces Depressive Symptoms and Anxiety Creativity Research Journal 29(4) (2017):409–416. Retrieved October 12, 2022.
  28. Elizabeth Pommier, Kristin D. Neff, and István Tóth-Király, The Development and Validation of the Compassion Scale Assessment 27(1) (2019}:21–39. Retrieved October 12, 2022.
  29. Na Young Shin and Young-Jin Lim, Contribution of self-compassion to positive mental health among Korean university students International Journal of Psychology 54(6) (2019):800–806. Retrieved October 12, 2022.
  30. Kelly C. Richards, C. Campenni, and Janet L. Estelle Muse-Burke, Self-care and well-being in mental health professionals: The mediating effects of self-awareness and mindfulness Journal of Mental Health Counseling 32(3) (2010): 247–264. Retrieved October 12, 2022.
  31. Manoj Sharma and Sarah E. Rush, Mindfulness-based stress reduction as a stress management intervention for healthy individuals: a systematic review Journal of Evidence Based Complementary Alternative Medicine 19(4) (2014):271–286. Retrieved October 12, 2022.
  32. Bassam Khoury et al., Mindfulness-based therapy: a comprehensive meta-analysis Clinical Psychology Review 33(6) (2013):763–771. Retrieved October 12, 2022.
  33. Jayaram Thimmapuram, et al., Effect of heartfulness meditation on burnout, emotional wellness, and telomere length in health care professionals Journal of Community Hospital Internal Medicine Perspectives 7(1) (2017):21–27. Retrieved October 12, 2022.
  34. Jackie Kinley, Mental Fitness: The Game Changer & The Key to Psychological Strength and Resilience (WindyWood Publishing, 2019, ISBN 1775358321).
  35. David H. Rosmarin, et al., Incorporating spiritual beliefs into a cognitive model of worry Journal of Clinical Psychology 67(7) (July 2011):691–700. Retrieved October 12, 2022.
  36. Natalio Extremera and Lourdes Rey, Attenuating the Negative Impact of Unemployment: The Interactive Effects of Perceived Emotional Intelligence and Well-Being on Suicide Risk PLOS ONE 11(9) (September 2016). Retrieved October 12, 2022.
  37. Stress CAMH. Retrieved October 12, 2022.
  38. Mental Health First Aid Staff, Mental Health First Aid USA (Adult) (National Council for Behavioral Health, 2015, ISBN 978-0692607480).

References
ISBN links support NWE through referral fees

  • Barlow, David H., Vincent Mark Durand, and Stefan G. Hofmann. Abnormal Psychology: An integrative approach. Cengage Learning, 2017. ISBN 978-1305950443
  • Beers, Clifford Whittingham. A Mind That Found Itself. Kessinger Publishing, LLC, 2010. ISBN 978-1169262980
  • 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
  • Jahoda, Marie. Employment and Unemployment: A Social-Psychological Analysis. Cambridge University Press, 1982. ISBN 0521285860
  • Kinley, Jackie. Mental Fitness: The Game Changer & The Key to Psychological Strength and Resilience. WindyWood Publishing, 2019. ISBN 1775358321
  • Lopez, Shane J., Jennifer Teramoto Pedrotti, and Charles Richard Snyder. Positive Psychology: The Scientific and Practical Explorations of Human Strengths. SAGE Publications, 2018. ISBN 1506389899
  • Mental Health First Aid Staff. Mental Health First Aid USA (Adult). National Council for Behavioral Health, 2015. ISBN 978-0692607480
  • Office of the Surgeon General. Mental Health: A Report of the Surgeon General. Department of Health and Human Services, 1999. ISBN 1083113267
  • Shook, John R. (ed.). Dictionary of Early American Philosophers. Continuum, 2012. ISBN 978-1843711827

External links

All links retrieved November 9, 2022.

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