Changing Perceptions through Contact

Contact has long been the major vehicle for changing beliefs and perceptions of minority groups. However, few studies in the area of integration of people with mental retardation have examined underlying assumptions of contact situations. Contact between volunteers and people with mental retardation at a Special Olympics' state games was examined within a theoretical framework wherein mental retardation was viewed as social construct and contact conceptualized within five components of contact theory. Theoretical and empirical study indicated that instances of negative effect limit the extent of change in perceptions the general public hold of people with mental retardation. However, contact, as compared to no contact, does contribute to positive changes in perceptions.     

Mental Retardation: Social Construction or Clinical Reality?

In this paper issues relating to the social construction of mental retardation are raised. The writings of a group of six people, diagnosed as moderately mentally retarded, are used to highlight several areas of debate. It is argued that labelling people as mentally retarded, particularly those deemed mildly or moderately retarded, is not necessarily of benefit to those individuals. Furthermore, this process establishes and perpetuates the notion that people so-called are incapable of acting in their own best interests. The work of the six people used in this paper challenges these notions, and suggests that many people who are labelled as mentally retarded are aware of their needs and are able to express these coherently.     

Cognitive-behavioral therapy. Treating individuals with dual diagnoses

Because deinstitutionalization of individuals with mental retardation/developmental disability and mental illness has become the standard of practice, many practitioners are now faced with the challenge of serving the needs of this specialized population. The existence of mental illness in individuals with mental retardation has been well established in the literature, but there are relatively few studies involving therapeutic interventions in this client population. However, there is a theoretical framework that guides practice and measures the effectiveness of interventions with this specialized population. This article presents a case study exploring the application of cognitive-behavioral therapy to a client with mental retardation and mental illness. The theoretical framework, major concepts, and key assumptions of the theory will be reviewed, as well as treatment outcomes.     

Association between Depressive Symptoms,Perceived Partner Emotional Expression,and Marital Quality

Previous studies have explored the direct association between mental health and marital quality; however, the processes moderating that association are not yet well understood. The present study examined associations between depressive symptoms, perceived partner emotional expression, and marital quality among 462 married individuals. Findings suggest that (a) low commitment, low satisfaction, and marital instability may be symptomatic of mental well-being; (b) individuals experiencing depressive symptoms are more inclined to have negative views of their relationships; and (c) perceptions of their partners’ expressions of gratitude and understanding serve as a buffer against the negative association between depressive symptoms and marital quality. Thus, perceptions of positive emotional expressiveness may serve as a resource facilitating marital quality when individuals are experiencing depressive symptoms.     

Violent behavior: a measure of emotional upset?

Over the past ten years, sociologists have broadened their view of what counts as an appropriate measure of mental health. This reflects a growing recognition that individuals express emotional upset in various ways. For example, some individuals are more likely to become depressed in response to stress while others are more likely to drink heavily. Contemporary studies often include measures of "internalizing" (i.e., more feeling-based measures) and "externalizing" (i.e., more behavioral measures) styles of psychopathology, especially when studying group differences in mental health. Alcohol abuse is the classic measure of externalized distress in sociological research. In this paper, we present a theoretical argument and supporting empirical evidence to argue that violent behavior should be included as a measure of externalized distress in response to stress. Our study suggests that violent behavior is a more likely response to stress among individuals with particular coping and appraisal tendencies. Specifically, violent behavior may be a more likely response to stress among individuals who tend to appraise situations as threatening while also repressing any emotional response to stress. We contend that, since some groups may be more likely than others to respond to stress with violence, it is particularly important to include measures of violent behavior when studying group difference in distress.     

The Transition from Public Residential Schools for Retarded People to Custodial Facilities: An Economic Explanation

Conventional histories of residential services for mentally retarded persons in the United States explain the development of custodial care as the result of the failure of early residential schools to achieve their educational goals. Review of the historical evidence indicates that the conventional explanation is inadequate. An alternative explanation is suggested based on an economic model of the structure of the residential services industry. The economic model explains the decline of education and transition to low-quality custodial care in terms of economic incentives. Particularly important is the role of the mental retardation profession as monopolists of expertise regarding mentally retarded people and in rationing residential services to parents of retarded people. It is argued that the profession used its expertise monopoly to generate demand for residential services by portraying retarded persons first as in need of protection and later as a 'menace' to society.     

Nations, national identities and human agency: putting people back into nations

This article stresses the necessity of more detailed considerations of social action and human agency in sociological theorising on national identity. It argues that, as much as other sociological categories such as 'class', 'gender', 'race', categories of 'nation' and 'national identity' are of important practical use in giving order to the social world. The article is primarily intended as a critique of a good deal of the sociological work in this area, and suggests the need to more systematically consider how individuals actively organise and account for ideas of nation and national identity. There is now a growing corpus of qualitative studies of national identity; what is needed now is to begin to work towards a general sociological theory of national identity.     

Examining the Relationship Between Level of Participation in Community Gardens and their Multiple Functions

Participation in community gardens improves health and well-being; however, few studies examine how often individuals need to participate to achieve these outcomes. This study examined the relationship between levels of participation in community gardens and health behaviors, psychological well-being, and perceptions of the community by surveying regular, occasional, and noncommunity garden participants in a disadvantage neighborhood (N = 115). Regular and occasional participates reported better mental health; occasional participants reported more vegetable intake, and regular participants reported more sense of community. Therefore, community practitioners may need to consider level of participation in gardening activities for some outcomes and not others.     

A Factor Analytic Comparison of Ecological and Individual Correlations: Some Methodological Implications

Comparisons of factor analytic results based on a matrix of total (individual) correlations and three matrices of between-groups (ecological) correlations revealed fundamental differences in factor patterns when the unit of analysis shifted from individuals to aggregates. The major difference involved the marked tendency for a highly individualistic General Ability Factor derived from the matrix of total correlations to become more and more sociological in content as individuals were aggregated. Results are discussed in terms of their bearing on the problem of determining the "appropriateness" of a given unit of analysis, individuals vs. aggregates, for certain levels of inquiry, i.e., psychological vs. sociological. It is concluded that whether the researcher should heed the traditional warning about the use of aggregate data relationships as a basis for making inferences concerning individuals ought to depend in part on whether his interest is in psychological or sociological propositions about indivduals.     

Conceptions of Work Among Adolescents and Young Adults With Mental Retardation

Semistructured interviews were conducted with 16 Israeli adolescents and young adults with mild mental retardation to examine their perceptions of the world of work. A consensual qualitative strategy of analysis (C. E. Hill, B. J. Thompson, & E. N. Williams, 1997) yielded 4 domains (Definitions of Work, Reasons for Working, Self‐Awareness, Knowledge About the World of Work) and 12 categories. Although respondents showed strong willingness to participate in the world of work, they had little information regarding this realm. Implications are discussed for career development programs targeting young persons with mental retardation and community and family involvement in such programs.     

Socioeconomic status and health: a micro-level analysis of exposure and vulnerability to daily stressors

This study examines the interconnections among education--as a proxy for socioeconomic status--stress, and physical and mental healthy by specifying differential exposure and vulnerability models using data from The National Study of Daily Experiences (N = 1,031). These daily diary data allowed assessment of the social distribution of a qualitatively different type of stressor than has previously been examined in sociological stress research--daily stressors, or hassles. Moreover, these data allowed a less biased assessment of stress exposure and a more micro-level examination of the connections between stress and healthy by socioeconomic status. Consistent with the broad literature describing socioeconomic inequalities in physical and mental health, the results of this study indicated that, on any given day, better-educated adults reported fewer physical symptoms and less psychological distress. Although better educated individuals reported more daily stressors, stressors reported by those with less education were more severe. Finally, neither exposure nor vulnerability explained socioeconomic differentials in daily health, but the results clearly indicate that the stressor-health association cannot be considered independent of socioeconomic status.     

Providing nursing leadership in a community residential mental health setting

The worldwide burden of mental illness is increasing. Strong leadership is increasingly emerging as a core component of good mental health nursing. The aim of this article is to demonstrate the ways in which nurses can provide strong and consistent leadership in a values-based practice environment that embodies respect for individuals' dignity and self-determination within a community residential mental health service, which provides a structural foundation for effective action. This is accomplished through the presentation of two vignettes, which highlight how the seemingly impossible becomes possible when an economic paradigm such as agency theory is exchanged for a sociological and psychological paradigm found in leadership as stewardship at the point of service. It is through stronger nursing leadership in mental health that stigma and discrimination can be reduced and better access to treatments and services can be gained by those with mental illness. Nurse leadership in mental health services is not new, but it is still relatively uncommon to see residential services for "high needs" individuals being led by nurses. How nurses meet the challenges faced by mental health services are often at the heart of effective leadership skills and strategies.     

A Sociological Alternative to the Psychiatric Conceptualization of Mental Suffering

Uncovering both the structural causes and experiences of suffering is a central sociological endeavor. Sociologists study many different kinds of suffering; after all, strife is experienced both physically and emotionally, because of internal factors such as illness, due to external factors such as trauma, and as a result of economic, political or natural environments. In this paper, I address one form of suffering: mental suffering. In particular, I describe the medicalization of mental suffering in biological psychiatry, which focuses on the genetic factors of illness and equates mental suffering with mental illness. The psychiatric concept of mental illness highlights the continuing, crucial role for sociology in both understanding the experience and identifying the structural roots of suffering. Since the dominant conceptualization of mental suffering is as a medical concept, it is vital for sociology to offer alternative explanations and contribute to a multidimensional analysis. The roots of mental suffering are much more than biological; social comparison, social inequality, and other social stressors are equally important etiological considerations. Therefore, a true understanding of mental suffering requires multiple perspectives, and sociological constructs guard against a total medicalization of mental suffering.     

Coping with the COVID‐19 crisis: force majeure and gender performativity

This article examines the coping strategies of individuals during the confinement in France using a sensemaking lens. We draw on two studies consisting of 85 qualitative surveys followed by a diary in which 20 individuals wrote about their experiences during the first three weeks of the confinement. We employ an interpretative phenomenological approach to analyse the data. The findings reveal two patterns in the ways men and women cope with their experiences during the COVID‐19 pandemic. The first pattern shows intensification of gender performativity manifested in the reproduction of ‘masculine’ and ‘feminine’ reactions to the crisis. The second pattern detects a tendency towards a gradual deflection from gender performances through mental improvisations that foster new awareness of the crisis presenting an opportunity to transcend traditional gender roles. Our study highlights some potential emancipatory implications the COVID‐19 crisis may have for the practices of ‘doing gender’ and perceptions of work–life balance therefore instigating a transition towards more egalitarian households.     

The effect of sex role differences on the societal reaction to mental retardation

This paper investigates the thesis that sex role definitions in the U.S. support a double standard in societal reactions to mental incompetence. Role expectations for women are such that females are generally expected to be less competent than males in a variety of instrumental tasks, although perhaps more expressive. Males in turn are expected to be more active and aggressive than females in their exercise of the greater power and responsibility ascribed to them. In light of these generalized expectations we suggest that incompetence in instrumental fields is more disturbing when demonstrated by males, and we hypothesize that societal reactions to the mental deficiencies of males are more prompt and severe. The paper supports this hypothesis with data suggesting that mentally retarded males are more likely to be institutionalized than retarded females, and that males tend to be institutionalized at earlier ages and for milder disorders. It is noted that these data are consistent with previously reported data on mental illness.     

Outcomes in the sociology of mental health and illness: where have we been and where are we going?

Sociologists of mental health and illness have traditionally used outcome measures that they have obtained from other disciplines, especially psychiatry and psychology. These include official statistics, symptom scales, and diagnostic measures. Answers to the central sociological question of how social arrangements affect mental health might require the development of explicitly sociological outcome measures. This introduction provides an overview of several issues that arise in grappling with this question. These include whether symptom scales or diagnoses best capture the mental health consequences of social arrangements; when single or multiple outcomes are necessary to compare the consequences of social arrangements across different groups; if sociologists should explore the positive as well as the negative consequences of social forces; and when sociological attention should be directed toward social-level as well as individual-level outcomes. The papers in this symposium that follow provide more detailed analyses of each of these issues.     

Playing It Straight: Framing Strategies Among Reparative Therapists

Reparative therapy, a form of counseling that seeks to help individuals get rid of their homosexual desires, has been an important component of the ex‐gay movement, but the controversy surrounding the practice has been growing since the 1990s. As a result, the therapy has been effectively relegated to a deviant status by both mainstream society and the mental health profession. Nevertheless, a number of reparative therapists continue to offer their services. This article uses the sociological concepts of deviance and framing to identify both the factors that constitute the deviant status of reparative therapy and the frames practitioners use to legitimate the therapy within an increasingly hostile social environment. A content analysis of reparative therapy Web sites highlights differences between two types of reparative therapists: professional therapists who emphasize the client's right to pursue change and religious counselors who prioritize biblical teachings prohibiting homosexual acts. The results contribute to the sparse sociological literature on reparative therapy and the use of frames by individuals who have experienced marginalization.     

PRAGMATISM AND GRIEVING: INCORPORATING MEAD AND DEWEY TO UNDERSTAND THE GRIEVING OF PEOPLE WITH MENTAL RETARDATION

Although the philosophy of pragmatism influenced American sociology, specifically that of symbolic interactionism, its use as a tool for explanation of everyday life has been underutilized throughout sociology. In this article, pragmatism, specifically the ideas of George Herbert Mead and John Dewey provide a framework for the understanding of grieving, specifically as it relates to people with mental retardation. Both Mead and Dewey's use and inclusion of physics into their philosophies proved paramount in their assertions regarding Cartesian or ontological dualism. They then demonstrated through the inclusion of quantum physics how to avoid positivism, thereby creating the necessary link of science with human perception and human action. Mead's use of the Theory of Relativity, as well as Sociality; and Dewey's incorporation of the Uncertainty Principle, and addressing the sum of possibilities, provides a context where the grieving process of people with mental retardation will be much more pronounced. People with mental retardation, by definition, through their neural networks have an inability to perceive existence in a manner that is functionally the same as the rest of the population. Their abilities influence how people with mental retardation relate to themselves or environment, thereby creating either fewer realities or systems from which to interact, or creating ones that are functionally dissimilar from the typical population, hence the label “mental retardation;” therefore, the loss of someone or something creates a greater hole or emptiness for people with mental retardation than the rest of society.     

Environmental stressors: the mental health impacts of living near industrial activity

A growing literature examines whether the poor, the working class, and people of color are disproportionately likely to live in environmentally hazardous neighborhoods. This literature assumes that environmental characteristics such as industrial pollution and hazardous waste are detrimental to human health, an assumption that has not been well tested. Drawing upon the sociology of mental health and environmental inequality studies, we ask whether industrial activity has an impact on psychological well-being. We link individual-level survey data with data from the US. Census and the Toxic Release Inventory and find that residential proximity to industrial activity has a negative impact on mental health. This impact is both direct and mediated by individuals' perceptions of neighborhood disorder and personal powerlessness, and the impact is greater for minorities and the poor than it is for whites and wealthier individuals. These results suggest that public health officials need to take seriously the mental health impacts of living near industrial facilities.     

Judgments about Risk and Perceived Invulnerability in Adolescents and Young Adults

This study examined age differences in risk judgments and perceptions of invulnerability, by surveying 577 adolescents (grades 5, 7, and 9) and young adults (ages 20 to 30 years) for their judgments concerning natural hazards and behavior–linked risks. Adolescents were less likely than were young adults to see themselves as invulnerable, and only a small minority of adolescents evidenced such perceptions. Moreover, individuals’ perceptions about the magnitude of their personal risk for experiencing negative outcomes showed an inverse relation to age. Most participants were inaccurate and significantly overestimated risks; this was especially true of adolescents. These patterns of age differences were consistent across different types of risks and sociodemographic configurations. The results pose a challenge to conventional wisdom concerning adolescents’ perceptions of risk and have important implications for theory, programs, and policies related to adolescents.