Concept Creep and Psychiatrization

Haslam, Nick; Tse, Jesse S Y; Deyne, Simon De

doi:10.3389/fsoc.2021.806147

Cited by 15 publications

(8 citation statements)

References 19 publications

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“…This is consistent with recent research on UK adoptees in which less than a fifth of children had clinical or borderline clinical post-traumatic stress symptoms (Anthony et al, 2022). Again, we know very little about how adopters understand trauma, nor indeed how practitioners conceptualise trauma in relation to adoption or care experienced children, but it seems likely that a similar issue of notable variations in understanding apply here as for attachment (e.g., McGuire et al, 2022), and there has been concern that ‘concept creep’ has applied especially to the construct of trauma (Baes et al, 2023) and that has led to a psychiatrization of everyday experiences (Haslam et al, 2021). In the absence of epidemiological data on mental health issues, nor knowing how the various stakeholders, including families and young people, conceptualise these issues, then high levels of dissatisfaction with shared understanding and collaborative goals are likely to persist.…”

Section: Discussionmentioning

confidence: 99%

Adoptive parents’ satisfaction with child and adolescent mental services and their mental health concerns over time: A question of fit?

Woolgar,

Pinto,

González

2023

Developmental Child Welfare

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Little is known about adoptive parents’ experiences of and satisfaction with statutory child and adolescent mental services (CAMHS) in the UK, nor of parental concerns about their adopted children’s mental health and well-being. Ninety-eight adoptive parents completed an online survey about their satisfaction with services as well as their mental health concerns for their child currently and retrospectively at the point of adoption. Parental concerns were diverse, and many overlapped with issues that CAMHS could normally help with. Attachment was the primary concern initially, but this decreased over time in placement; while challenging behaviour was the highest rated current concern, along with aspects of general functioning such as peer relations, social skills and education. Unexpectedly, trauma was a relatively low concern at both timepoints. There were very high levels of dissatisfaction with CAMHS, evident across questions of access, engagement and quality of services, all at levels much higher than typically reported by general samples. Adoptive parents’ substantial dissatisfaction with CAMHS occurred despite an apparent fit between many parental concerns and the kinds of services typically offered in CAMHS. There remains a significant challenge to develop a shared understanding between parents and services of adopted children’s needs, especially given the absence of data about adopted children’s mental health and wellbeing problems.

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Section: Discussionmentioning

confidence: 99%

Adoptive parents’ satisfaction with child and adolescent mental services and their mental health concerns over time: A question of fit?

Woolgar,

Pinto,

González

2023

Developmental Child Welfare

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“…It is unknown whether some PTEs identified and described in this study are population‐level risk factors for traumatic experiences or effects in nursing students. Although participants were asked to describe perceived sources of trauma exposure as defined by the Substance Abuse and Mental Health Services Administration 2 for their peers and themselves during nursing school in this study, the understanding of the concept of trauma by students may warrant further follow‐up in light of its potential use to an increasingly wide range of PTEs 41 . Given these findings were collected at the beginning of the pandemic, further follow‐up and assessment of COVID‐19‐related potential exposures for students during nursing school are indicated based on recent studies revealing nursing student distress 42 …”

Section: Discussionmentioning

confidence: 99%

“…Although participants were asked to describe perceived sources of trauma exposure as defined by the Substance Abuse and Mental Health Services Administration 2 for their peers and themselves during nursing school in this study, the understanding of the concept of trauma by students may warrant further follow-up in light of its potential use to an increasingly wide range of PTEs. 41 Given these findings were collected at the beginning of the pandemic, further follow-up and assessment of COVID-19-related potential exposures for students during nursing school are indicated based on recent studies revealing nursing student distress. 42 Despite these limitations, the use of focus groups in this study captured information on the little-known topic of nursing student potential trauma exposures at one institution of higher learning.…”

Section: Discussionmentioning

confidence: 99%

Student perspectives on potential sources of trauma exposure during nursing school

2022

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Adverse effects of events experienced by nursing students as harmful during nursing school have included moral distress, prolonged grief reactions, secondary traumatic stress, and anxiety and depression during nursing school. Nursing student perceptions of potential sources of trauma exposure also known as potentially traumatic events (PTEs) during nursing school are lacking in the literature. The purpose of this study was to describe nursing students' perceptions of potential sources of trauma exposure during nursing school at one private school of nursing. Four online, synchronous focus groups with undergraduate nursing students were conducted in April 2020. Four themes emerged from analysis of focus group transcripts related to potential sources of trauma exposure: Individual‐oriented interpersonal sources, nursing student‐oriented interpersonal sources, nursing student‐oriented institutional and organizational sources, and individual‐oriented community sources. Participants focused on nursing student‐oriented, interpersonal, and institutional and organizational potential sources of trauma exposure, while minimizing individual‐oriented, community, and macro‐level potential sources of student trauma exposure during nursing school. Findings advance discussions of organizational, systems, and community PTEs in nursing education. Trauma‐informed educational and healthcare systems that promote the academic and career success of nursing students should be considered in PTE prevention efforts.

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“…Concept creep relates to the extension of meaning of socially important harm-related concepts (Haslam 2016; Haslam et al . 2021). Expansive concepts of harm problematize previously tolerated behaviour and reflect a growing sensitivity to suffering and injustice.…”

Section: Truth 20mentioning

confidence: 99%

The Notion of Truth in Sciences and Medicine, Why it Matters and Why We Must Defend It

Bikfalvi

2023

European Review

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Philosophers have described several approaches for scientific research, including causal inference and induction, the hypothetico-deductive method, inference of the best explanation, Bayesianism or causal network analysis. Prescriptive truth is dependent upon the values that one brings into scientific inquiry. One may oppose the writings of Bertrand Russell and Helen Longino. The former argues that values may negatively impact inquiry, while Longino argues that value-free research does not exist, and we must cope with it. However, Longino proposes a very stringent value-system which does not allow certain research to be conducted. The problem arises when prescriptive truth becomes hypertrophic, self-righteous, rigid, and unconnected to reality, which is the transformation into ideology. Ideological intrusion into science and medicine, such as with Social Justice Ideology (SJI), is indeed a problem in Western democracies. It derived from scholarship originating in the humanities (law, social sciences, branches of philosophy, etc.) and then transferred to Science, Technology, Engineering, Mathematics and Medicine (STEMM). The STEMM field was thought to be immune to SJI because of its rigorous methodology, but the hyper-specialization and absence of training in the humanities made it vulnerable to SJI. These intrusions into STEMM and the amplification in the last 2–3 years are potentially due to ‘concept creep,’ psychogenic contamination, herd behaviour and, for activists, strategical equivocation (motte-and-bailey fallacy).By denying truth and reality, science is reduced to a pointless, if entertaining game; a meaningless, if exacting exercise; and a destinationless, if enjoyable journey. (Theocharis and Psimopoulos 1987)Now the characteristic doctrine of modern irrationalists, as we have seen, are: emphasis on will as opposed to thought and feeling; glorification of power, belief in intuition ‘positing’ of propositions as opposed to observational and inductive testing. (Russell 1936)

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Concept Creep and Psychiatrization

Cited by 15 publications

References 19 publications

Adoptive parents’ satisfaction with child and adolescent mental services and their mental health concerns over time: A question of fit?

Adoptive parents’ satisfaction with child and adolescent mental services and their mental health concerns over time: A question of fit?

Student perspectives on potential sources of trauma exposure during nursing school

The Notion of Truth in Sciences and Medicine, Why it Matters and Why We Must Defend It

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