Archive for November, 2009

Alternatives In Mental Health

Thursday, November 5th, 2009

Some people believe that our brain becomes inactive when we sleep. If that were so then we should not have any dreams. Dreams are evidence that our mind remains active, even when we are asleep. This simply means that our mind is active 24 hours a day without any rest at all. Just imagine how our bodies would behave if we were to go through 24 hours of physical activity.

Although research may show that 30% of mental illness may occur without a trigger of stress, it also shows that a majority – 70% – of mental illnesses occur with stress. The research may have failed to look at the other 30%, mentally ill who may not be ‘acknowledging’ stress at a given moment. This gives us a pessimistic view of mental illnesses. We are made to believe that we can do nothing about them. We are also told that mental illnesses occur because of our genes, our upbringing, our personality, our temperament, our lifestyle and we can do nothing about them. Stress or no stress, we are told, if we have all these factors loaded in our personal history, we are prone to have a mental illness. Some psychiatrists adhere to this belief strongly. This belief is then put across authoritatively as the “gospel truth” of science. Naturally, this brings up a sense of low self-esteem and helplessness in the person who is suffering with the illness. We are then made to believe that medications are man-made answers to mental illness, which is a curse of nature.

Prayer, which was until recently considered unscientific, has now been shown to have beneficial effects on patients.1 Similarly, the current belief in psychiatry is that mental illnesses can be treated by medical professionals only and the person who is mentally ill has no control over their lives. The medical system works in a way in which the doctors themselves have limited choices other than prescribing drugs. The patient has no choices worth mentioning. From the legal perspective, a person who is mentally ill is considered not capable of taking any responsibility for their actions. This is one of the most unfortunate aspects of mental illnesses. People who are mentally ill also have a sense of responsibility in many areas of their lives.

The role of emotions in mental illnesses has been totally ignored by scientists. Yet researches do show that separation from mother,2 losses3 – including deaths,4 traumatic events, especially when they occur over the previous three months5 can trigger mental illnesses. What has been looked at is the history of such events in a person’s life. What is ignored is the emotional upheaval it causes in a person’s body and mind. Emotional expression ameliorates the effects of trauma.6 Repetitive upheavals in the body are simply not forgotten. Release of emotions by emotional expression explains the role of counselling and confession. We tend to believe, erroneously, that everything will settle with time. Things do settle with time – but not everything. It is these issues and their emotional effects, that cause mental illnesses and psychosomatic illnesses. It is obvious that whenever we undergo any emotional experience, our nervous and hormonal systems are shaken-up. The nervous system and the hormones together control the activities of various parts of the body. If the neurohormonal expression is allowed to go through completion, a physiological calmness occurs in the body. This has a scientific basis.7

For people who attend church regularly, a common experience is the sense of calmness on entering a church. Coupled with music, incense and sermons spoken in a low, soft tone, a sense of calmness dwells on the person. There is scientific evidence to suggest that going to church helps a person remain healthy.8 More interesting is the fact that there is little research to state that music or aromatherapy help to bring about mental health. Yet experience shows that they have a calming effect. Only recently have papers started to be published in scientific journals bridging the gap between spirituality and science.9 It has now been researched that people who are religious in orientation have a lower rate of strokes than those who are not religious.10

The whole area of mental illness is about losing a sense of freedom. When we find ourselves bound to emotional issues of our life, that we cannot rid ourselves of, we lose our freedom of thinking. This creates stress in our mind and our body bears the brunt of it. This loss of freedom brings up a sense of fear or a sense of helplessness. Both such feelings bring up a sense of insecurity. A person loses confidence in their own worth. Self-esteem becomes low. With lack of confidence and low self-esteem, comes poor decision-making. A person suffers with all these conditions when suffering with a mental illness. This changes the behaviour of the person. The behaviour is affected by the way the person feels and thinks. If the person feels fear for a long time, the chances of becoming phobic and paranoid increase. Withdrawal from social situations occurs. The family members observe the person to be unwell. Such a person is then asked to see a doctor. With the person’s self-esteem low, vulnerability increases. This does not mean however, that the person becomes totally irresponsible towards their own well-being. Many times the person wants to do ‘something’ to get better, but the health system has limited resources to offer much in terms of growth of the person, except medication. When a mentally ill person goes to seek help – confidence, self-esteem and sense of freedom are already lost. Instead of helping the person become independent, there is a tendency to make the person dependent on medication.

Medication plays its role in controlling the condition or state of illness. It does nothing to improve the quality of life permanently. To improve their quality of life, the person needs to take responsibility for their own well-being. This is encouraged in some of the organisations, which are being run by the sufferers themselves. GROW is an example of such an organisation. Are there any alternatives to medication in mental conditions? A doctor can only prescribe drugs to “control” the mental condition. The current trend in some other parts of the world is to encourage people suffering with mental illnesses to take responsibility for their own well-being, along with medication. Psychotherapy11 and self-help is encouraged. The usage of medication in such situations is minimised or eliminated.

In psychiatry, we know that the suicide rate among physicians is higher than in the general population and psychiatrists are at a greater risk among physicians, than other specialists.12 Research shows that psychotherapy is more economical than medication alone in treating mental illness.13 Conditions like schizophrenia are also being treated without medication in some parts of the world.14 It is also a known fact that the more positive the attitude we have, the more balanced are the chemicals in our body.15 This would be more acceptable for those who see the positive role of religion on mental health. Some authors have suggested that the medicine of the future is going to be “prayer and Prozac.”16 Mental health is a preventative activity. Do we need to suffer first before we take steps to deal with it? If we could only assume responsibility for our own mental health, we may not have to suffer. The best medicine in this case is certainly prevention.

We live in a free society. The freedom to suffer is also one kind of freedom. We also have the freedom to look for answers to minimise our suffering.

REFERENCES

  1. ASTIN, J.A., (2000) Prayer, Other Forms of ‘Distant Healing’ seem to have Positive Effects. Medscape. Annals of Internal Medicine 132: P.903-910.
  2. HARRIS T., BROWN G. W., BIFULCO A., (1986) Loss of Parent in Childhood and Adult Psychiatric Disorder: The Role of Lack of Adequate Parental Care. Psychological Medicine 16: P.641-659.
  3. BROWN G. W., HARRIS T., (1978) Social Origins of Depression. Tavistock, London.
  4. BIRTCHNELL J., (1970) Depression in Relation to Early and Recent Parent Death. British Journal of Psychiatry 116: P.299-306.
  5. BROWN G. W., BIRLEY J. L. T., (1968) Crises and Life Changes and the onset of Schizophrenia. Journal of Health and Social Behaviour 9: P.203-214.
  6. KELLER, S.E., SHIFLETT, S.C., SCHLIEFER, S.J. & BARTLETT, J.A. (1994) Stress, Immunity and Health. Handbook of Human Stress & Immunity. San Diego: Academic. P.217-244.
  7. CHADHA, P. K., (2000) Drugless Psychiatry – Physiological Basis of Clinical Experiences. Paper presented in 6th Conference – Innovations in Psychiatry, London, April 2000.
  8. COMSTOCK, G.W., PARTIDGE, K.B., (1972) Church Attendance and Health. Journal of Chronic Diseases 225: P.665-72.
  9. SLOAN, R.P., BAGIELLA E., POWELL T., (1999) Religion, Spirituality and Medicine. Lancet 353: P.664-67.
  10. KOENIG, H.G., (1997) Is Religion Good for your Health? Haworth Pastoral Press, N.Y.
  11. POMERANTZ, J.M. (1999). Focused Psychotherapy as an Alternative to Long Term Medication. Drug Benefit Trends 11 (7) : P.2, 5.
  12. KAPLAN, H.I., SADOCK., B.J., (1998) Synopsis of Psychiatry – 8th Edition – B.I. Waverly Pvt. Ltd., New Delhi. P.865.
  13. TALLEY P. F., STRUPP, H. H., BUTLER S. S., (1994) Psychotherapy Research and Practice, Harper Collins: London.
  14. McKENZIE, C.D., & WRIGHT, L.S., (1996) Delayed Post-Traumatic Stress Disorders from Infancy – The Two Trauma Mechanism. Harwood Academic.
  15. MOON, A. M., (2000) Positive Psychology Halved Depression in Kids. Clinical Psychiatry News. 28 (5): P.29.
  16. MATTHEWS, D.A., LARSON, D.B., (1997) Faith and Medicine: Reconciling the Twin Traditions of Healing. Mind/Body Medicine : 2: P.3-6.

Positive Organizational Psychology

Sunday, November 1st, 2009

Since the early 90s, a charged-up group of writers, researchers and educators has been deconstructing the psychological profession’s focus on pathology and rebuilding it with the study of what can go right with people and institutions. They call themselves positive psychologists. These thinkers don’t claim to have invented anything new or created a new profession. They distinguish themselves by their perspective. The value of positive psychology”lies in its uniting of what had been scattered and disparate lines of theory and research about what makes life most worth living,” writes Martin Seligman, a leading “positive” psychologist.

Leading Lights in Positive Psychology: Dr. Martin Seligman, University of Pennsylvania, is one of the most visible thought leaders on positivepsychology. Seligman’s work on depression, “learned pessimism” and “learned optimism” earned him a solid reputation long before he became a proponent of positive psychology. Since the early 1990s, he has focused on the study of positive subjective experience, positive individual traits, and positive institutions. During his term as president of the American Psychological Association Seligman promoted the study of positive psychology. Seligman’s Authentic Happiness Web site (http://www.authentichappiness.org) is a treasure trove of resources and news on the topic. Dr. Mikhail Csikszentmihalyi, Claremont Graduate University, is another keythought leader. Csikszentmihalyi is the author of the best selling “Flow: The Psychology of Optimal Experience,” as well as numerous scholarly and popularbooks and articles. He led the establishment of the first positive organizational psychology degree programs at Claremont Graduate Universityand runs the university’s Quality of Life Institute. The refreshing perspective offered by this field has a great deal of appeal and we expect that its messages will make continuous inroads in the practices of our profession. Books to Read: For a general introduction to positive psychology, “A Primer in Positive Psychology” by Christopher Peterson is an excellent general introduction written in conversational style. Peterson and Seligman coauthored “Character Strengths and Virtues: A Handbook and Classification,” offering the positive psychologist’ s answer to the Diagnostic andStatistical Manual (a.k.a. DSMIII), a book widely used by psychologists and psychiatrists to classify mental pathologies. “Positive Psychological Assessment: A Handbook of Models and Measures” by C. R. Snyder and Shane J. Lopez addresses the subject of testing and metrics that assess positive psychological characteristics.

Since 2000, authors and researchers have placed quite a bit of emphasis on positive organizational psychology as an application of this new perspective. University of Michigan professor Kim S. Cameron, a major voice on positive psychology in the workplace, predicts that “…positive organizational scholarship will become embedded in the questions asked and the approaches used in a wide variety of organizational studies…” There are institutes, degree programs, conferences, blogs, journals, and Web sites developing around this topic. For anyone with an interest in human resources assessment and development, this list is worth review:

Books on Positive Organizational Psychology: Perhaps the most widely cited book on this topic in academic literature is “Positive Organizational Scholarship: Foundations of a New Discipline” by Kim S. Cameron. Another work that promotes this perspective is titled “Positive Organizational Behavior,” which is edited by Debra Nelson and Cary Cooper. Other titles that develop this perspective include “Positive Psychology In Business Ethics And Corporate Responsibility,” which focuses on positive environmental ethics in business. The “Handbook of Positive Psychology” by C. R. Snyder and Shane J. Lopez has a chapter on organizational behavior.

“Psychological Capital: Developing the Human Competitive Edge” by Luthans, Youssef, and Avolio explores the concept of an organization’s psychological capital, as distinguished from the more widely known idea of human capital. Fred Luthans is one of the most prolific authors on this topic. “Work, Happiness and Unhappiness” by Peter Warr examines the problems of measuring happiness at work. In addition to the books mentioned above, other resources are shown below: Videos on Positive Psychology: If video is your information M. O., no problem. Visit the University of Pennsylvania Web site for a current listing. (http:// www.ppc.sas.upenn.edu/publications.htm) Online Assessments: Visit Martin Seligman’s Authentic Happiness site to chose from almost 20 free online assessments that relate to positive psychology.

Perhaps the most famous of these for organizational applications is the Values in Action Signature Strengths, which measures 24 character strengths in action. The Work-Life Questionnaire on the site measures Work-Life Satisfaction. Please note: you must create a log-in to use any of the surveys, but they are all free of charge. Degree Programs: Claremont Graduate University has just launched degree programs in positive organizational scholarship in the School of Behavioral and Organizational Sciences. (http://www.cgu.edu/pages/4573.asp) In addition, the Master of Applied Positive Psychology is offered at the University of Pennsylvania and the MSc in Applied Positive Psychology is offered at the University of East London, UK. Institutes: The Drucker School of Management at the Claremont Graduate University started the Quality of Life Research Center in 1999 under the direction of Mihaly Csikszentmihalyi. The Values in Action (VIA) Institute provides information on positive psychology, as well as the classification system and measurement tools of character strengths that serve as the backbone of this developing scientific discipline.

The Centre for Applied Positive Psychology is an independent, not-for-profit organization affiliated with the University of East London and located at the University of Warwick campus in the UK. The European Network for Positive Psychology is a collective of European researchers and practitioners with shared interests in the science and practice of positive psychology. The Center for Positive Organizational Scholarship is located at the Stephen M. Ross School of Business, University of Michigan. The American Psychological Association has a Psychologically Healthy Workplace Practice and award program. There is a great deal of energy in this burgeoning field, and we expect its influence on the world of industrial psychology to be very … positive!

Author: Kathleen Groll Connolly writes on a variety of human resources topics and is a partner in Performance Programs, Inc., an organization specializing in human resources surveys and measurement. For more information call 1-800- 565-4223. http://www.performanceprograms.com