The arts and mental wellbeing : opportunities and challenges

Strategies to combat the many effects of mental illness on individuals and families need to go beyond psychopharmacology and institutional care. Evidence has been mounting for the healing and treatment role of art in clinical and health care settings. Art, in its many forms, has also been suggested as one valuable tool in addressing social exclusion in people with many forms of disability including mental illness.
This paper draws on Masters Research findings to present a discussion of the historical and the current landscape of Art for Health Programs with special emphasis on art programs targeting people with chronic mental illness. Recent studies in the UK and Scotland indicate that participation in the arts can enhance recovery, social connectedness and cultural inclusivity.

Post-disaster coping in Aceh : sociocultural factors and emotional response

This chapter describes how disaster survivors in the Indonesian province of Aceh responded to the unprecedented level of international aid following the Indian Ocean tsunami of 2004. It is based on research conducted by Ismet fanany, as part of an Outside Studies program supported by Deakin University, and centers on the conceptualization of disasterr of the survivors, the role religion and traditional culture played in their ability to cope, and their emotional state in relation to their perception of the cause of the event.

The politics of gendered emotions : disrupting men's emotional investment in privilege

This paper explores the implications of the neglect of emotions in critical masculinity studies and profeminist masculinity politics. This neglect in part results from feminist and profeminist critiques of the literature on emotional inexpressiveness as a tragedy for men that ignores male privilege and men's social power. To focus on men's emotions is seen by some profeminist commentators as psychologising men at the expense of sociological understandings of men's social power. However, in neglecting the place of emotions in men's lives, critical masculinity studies has overlooked the ways in which men's emotional attachment to privilege can perpetuate oppressive gender relations and male violence against women. By exploring men's emotional investment in unequal gender relations, the article outlines ways in which emotions can also be used as a catalyst to disrupt men's attachment to male privilege.

The contribution of job and partner satisfaction to the homeostatic defense of subjective wellbeing

Two studies investigate subjective wellbeing (SWB) homeostasis. The first investigates the contribution of job satisfaction (JS) and partner satisfaction (PS) to the homeostatic defense of SWB. The extant model of homeostasis does not include either variable. The second study investigates the relationship between Homeostatically Protected Mood (HPMood) and other factors involved in the homeostatic model. It has been proposed that HPMood is the basic, biologically determined, positive mood that saturates SWB and other related variables, and forms the basis of the SWB set-point. Thus, if HPMood is an individual difference and it perfuses other homeostatic variables, then HPMood should be responsible for much of the shared variance between such variables. Two comparative samples are involved. One is a group of 171 Hong Kong Chinese recruited through convenience sampling. The other is a group of 343 Australians recruited via a general population survey. Results indicate that both JS and PS predict significant variance in Global Life Satisfaction beyond the existing factors in the homeostatic model. It is also found that, after controlling for the effect of HPMood, the strength of correlations between SWB and other homeostatic variables is significantly diminished. The implications of these findings are discussed.

Evaluation of the YWCA NSW Aboriginal women's wellbeing education program 2010-2011

An evaluation of the effectiveness of the YWCA NSW Aboriginal Women's Wellbeing Program which sought to collaborate with and support local communities to further develop the knowledge, skills and practical strategies of Aboriginal women in establishing healthier living practices for themselves and their families.

Effect of type and severity of intimate partner violence on women's health and service use : findings from a primary care trial of women afraid of their partners

Intimate partner violence (IPV) has major affects on women’s wellbeing. There has been limited investigation of the association between type and severity of IPV and health outcomes. This article describes socio-demographic characteristics, experiences of abuse, health, safety, and use of services in women enrolled in the Women’s Evaluation of Abuse and Violence Care (WEAVE) project. We explored associations between type and severity of abuse and women’s health, quality of life, and help seeking. Women (aged 16–50 years) attending 52 Australian general practices, reporting fear of partners in last 12 months were mailed a survey between June 2008 and May 2010. Response rate was 70.5% (272/386). In the last 12 months, one third (33.0%) experienced Severe Combined Abuse, 26.2% Physical and Emotional Abuse, 26.6% Emotional Abuse and/or Harassment only, 2.7% Physical Abuse only and 12.4% scored negative on the Composite Abuse Scale. A total of 31.6% of participants reported poor or fair health and 67.9% poor social support. In the last year, one third had seen a psychologist (36.6%) or had 5 or more general practitioner visits (34.3%); 14.7% contacted IPV services; and 24.4% had made a safety plan. Compared to other abuse groups, women with Severe Combined Abuse had poor quality of life and mental health, despite using more medications, counseling, and IPV services and were more likely to have days out of role because of emotional issues. In summary, women who were fearful of partners in the last year, have poor mental health and quality of life, attend health care services frequently, and domestic violence services infrequently. Those women experiencing severe combined physical, emotional, and sexual abuse have poorer quality of life and mental health than women experiencing other abuse types. Health practitioners should take a history of type and severity of abuse for women with mental health issues to assist access to appropriate specialist support.

Integrating the hedonic and eudaimonic perspectives to more comprehensively understand wellbeing and pathways to wellbeing

Recently, the disagreement that separates hedonic from eudaimonic philosophers has spread to the science of wellbeing. This has resulted in two opposing perspectives regarding both wellbeing concepts and proposed pathways to wellbeing. Whilst contention continues, most contemporary psychologists now agree that hedonic and eudaimonic approaches each denote important aspects of wellbeing. This has led to integrated wellbeing conceptualisations, in which the combined presence of hedonic and eudaimonic wellbeing components is referred to as ‘flourishing’. In regard to the attainment of wellbeing, research simultaneously investigating hedonic and eudaimonic pathways suggests that a life rich in both types of pursuits is associated with the highest degree of wellbeing. Despite this assertion, previously underemphasised methodological limitations question the validity of such claims. To further progress this important area of investigation, future research directions to ameliorate said limitations are explored. It is recommended that the past tendency to contrast and compare hedonia and eudaimonia be abandoned, and instead that the inherent value of both be recognised. Time-use research methods are needed to cross-validate past findings obtained from cross-sectional research, which will make it possible to transition from purely descriptive conclusions to applied conclusions.

The impact of statins on psychological wellbeing : a systematic review and meta-analysis

Background : Cholesterol-lowering medications such as statins have anti-inflammatory and antioxidant properties, which may be beneficial for treating depression and improving mood. However, evidence regarding their effects remains inconsistent, with some studies reporting links to mood disturbances. We aimed to conduct a meta-analysis to determine the impact of statins on psychological wellbeing of individuals with or without hypercholesterolemia.

Methods : Articles were identified using medical, health, psychiatric and social science databases, evaluated for quality, and data were synthesized and analyzed in RevMan-5 software using a random effects model.

Results : The 7 randomized controlled trials included in the analysis represented 2,105 participants. A test for overall effect demonstrated no statistically significant differences in psychological wellbeing between participants receiving statins or a placebo (standardized mean difference (SMD) = -0.08, 95% CI -0.29 to 0.12; P = 0.42). Sensitivity analyses were conducted to separately analyze depression (n = 5) and mood (n = 2) outcomes; statins were associated with statistically significant improvements in mood scores (SMD = -0.43, 95% CI -0.61 to -0.24).

Conclusions : Our findings refute evidence of negative effects of statins on psychological outcomes, providing some support for mood-related benefits. Future studies could examine the effects of statins in depressed populations.

Emotional invalidation and borderline personality disorder: a test of theory

Borderline Personality Disorder is a severe and debilitating mental health condition. The research conducted for this thesis demonstrated how invalidation in past and current meaningful relationships is associated with symptoms of the disorder in adulthood, and thereby advances our understanding of the disorder’s aetiology and targets for treatment.