Mental health articles

OF mental health care and mentally ill

Forms of depression

Most depressions have triggering life events, especially in a fi rst episode. Many patients present initially with physical symptoms (somatisation), and some may show multiple symptoms of depression in the apparent absence of low mood (‘masked’ depression). Less severe depression has been awarded many labels, including neurotic depression, minor depression and reactive depression (not depression […]

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Diagnostic features of depression

Core features Pervasive low mood Loss of interest and enjoyment (anhedonia) Reduced energy (anergia), diminished activity Other features Poor concentration and attention Poor self-esteem and self-confidence Ideas of guilt and unworthiness Bleak, pessimistic views of the future Ideas or acts of self-harm or suicide Disturbed sleep Diminished appetite. For diagnosis of a depressive episode, at […]

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The manifestation of depression

Depression has a range of meanings – from a description of normal unhappiness, through persistent and pervasive ways of feeling and thinking, to psychosis. According to World Health Organization data, depression affects about 50 million people and causes about 10% of the global burden of disease worldwide, with women and economically impoverished people being affected […]

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What is Obsessive–compulsive disorder

Obsessions are intrusive thoughts, images or urges that are recognised by the individual to be irrational and unwanted and are usually resisted (the resistance diminishes with chronicity). They may be fears that the person might harm someone or might inadvertently contaminate or infect someone. Although everyone experiences intrusions, the person with OCD tends to assume […]

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Application of theory in a lifespan approach to mental health promotion

It is not possible to make categorical statements about mental health promotion theory and any distinctiveness it may have from general health promotion. All disciplines continue to develop their theoretical foundations and this is particularly the case with relatively new ones such as mental health promotion. We can tentatively suggest that psychological theory maintains a […]

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Theory in mental health promotion practice

Caplan and Holland have stated that ‘effective practice in mental health promotion depends on good theory’. Awareness of the wide range of theories is needed, they said, together with a critical attitude to them since theories contain contradictions and may lead users into unforeseen and unwanted implications. What is theory and why is its use […]

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Policy and mental health

Building healthy public policy is, as discussed earlier, integral to health promotion. Links can be established between all major policy areas and mental health although these are of differing strengths and some are more direct than others. A few policy areas may apply more directly to certain periods of the lifespan but most have relevance […]

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Health of the individual versus the community

Whether the main emphasis of mental health promotion should be on the health of the individual or that of the community can be debated. Within the WHO documents outlined earlier there is strong support for community level approaches and for measuring the success of actions in terms of community rather than individual level indicators. Working […]

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How does mental health promotion work?

Strengthening individuals: increasing emotional resilience through interventions designed to promote self-esteem, life and coping skills, such as communicating, negotiating, relationship and parenting skills. Strengthening communities: this involves increasing social inclusion and participation, improving neighbourhood environments, developing health and social services which support mental health, anti-bullying strategies in schools, workplace health, community safety, childcare and self-help […]

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Foundations and principles of health promotion

A report on the health of the Canadian population (Lalonde 1974) and the Alma Ata Conference (WHO 1978) are widely cited as key contributions in setting the early agenda for health promotion. Certainly it is from this time that the term ‘health promotion’, although not a new term, began to be widely used. The foundations […]

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