Community Psychology Flashcards
define community psychology
An emerging branch of applied psychology concerned with understanding people in the context of their communities, using a variety of interventions, to facilitate change and improved mental health and social conditions for individuals, groups, organisations and communities.
in community psychology what is regarded as a community
Communities aren’t always geographic: simply refer to groups who have something in common e.g. a religion, economic status, mental disorder etc.
what is the main aim of CP
to facilitate change. Addressing associated social and political factors.
“Two central goals of community psychology are (a) the elimination of oppressive social conditions conducive to problems in living and (b) the promotion of wellness
name the 3 reasons for the origins of CP
As a reaction to mainstream psychology
2.Also as a contextual response in the USA
3.As a contextual response in SA
explain the origins of CP as a reaction to mainstream psychology
CP arose due to a disenchantment with mainstream psychology. May were dissatisfied with its progress.
Particularly critical of the medical model and its decontextualized view of mental illness
Recognition of the limitations of traditional approaches. “community psychologists began to question the value of helping individuals when so many societal structures were inimical to
human welfare. This realization led to calls for social change
Illness is seen as within the individual, who is seen as disordered or deviant in some
way.
- Social, political, and economic factors not taken into account.
- Individuals are instead hospitalised for long periods of time and given invasive
treatments.
- Wanted to improve the well being not only of individuals, but of society as a whole.
Influenced by the success in the field of Public Health. E.g. addressing the cause of Cholera (providing safe drinking water) instead of just treating the symptoms
-Thus saw the importance of addressing the causes and preventing the onset of mental
problems rather than just focusing on treatments
Need to move away from the over-emphasis on individualized therapies and treatments. Aren’t suggesting that such treatments should be completely replaced.
Also a move away from institutionalization towards community-based mental healthcare
-Community Mental Health Act of 1963 = first federal law to encourage community-based mental health care.
- But such programs still used clinical approaches linked to the medical model.
explain the origins as a contextual response in the usa
_Rise of community psychology (CP) as a sub-discipline in the 1960s in North America was linked to broader socio-political context of that time – anti-psychiatry movement and socio-political changes.
-An era of social reform. Saw the rise of the civil rights movement, the war on poverty, gender rights etc. Foregrounded value principles such as equality, social action and social justice.
-There was a call for service providers to become political or social activists, rather than remaining silent on issues effecting mental health.
-Empirical studies emerged providing evidence of the relationship between environmental variables and mental health.
-Led to an increasingly critical view of the utility, efficacy and relevance of individual therapeutic modalities.
-Influence and emergence of public health as a discipline gave rise to greater focus on
preventative interventions rather than curative or ameliorative ones
explain the origins of CP as a contextual response in SA
CP developed as part of a broad social resistance to the oppressive social engineeringassociated with apartheid.
Early 1980s: academic psychologists first publicly opposed racial disparities in SA society and psychology’s failure to acknowledge or respond to these social conditions.
Also criticised the field of psychology for being complicit in apartheid. Used biased research to support racial regimes, among other things.
Mainstream psychology was also criticised for its exclusive focus on the individual as source of pathology and the object of psychological intervention, in line with the anti-psychiatry movement
OASSSA established in 1983 – aimed to make psychology more accessible and relevant to the needs of the community; recognises the link between politics and mental health; emphasised
the negative impact of apartheid on mental health.
Several groups of psychologists started providing services to victims of political violence and torture.
NGOs also played a crucial role in the development of CP in SA.
Transition to a democratic regime in 1994 brought major changes to SA psychology.
- Upsurge of community interventions and research projects aimed at social
transformation and improving service delivery.
Universities began offering courses on CP. Newly trained psychologists had to complete 1 year of community service.
Psychologists began applying themselves to pressing social and mental health issues such as violence, trauma, child development and substance abuse.
There’s still a need to focus on training psychologists, critically reflecting on psychology’s complicitous role in apartheid, adapting theories, and finding alternative ways of thinking about arelevant psychology for SA.
explain what the mental health model (MHM) is
One of the earliest models on which CP interventions were based.
Differs from mainstream psychological models which focus on the individual or family unit. CP instead focuses on the broader community or population.
Many psychosocial problems are distributed across large segments of the population. These problems frequently emerge from similar contexts and are considered to be primed by similar
risk or ‘causative’ factors.
Focus on prevention (averting the development of psychological problems) – in contrast to mainstream approaches which only intervene afterwards.
Need to use our understanding of these contexts and risk factors to help larger groups of people.
Based on Caplan’s types of prevention
according to Caplan 1964 what are the 3 types of intervention
primary
Secondary
tertiary
explain Caplan’s (1964) primary intervention
Primary
>Aimed at preventing the occurrence of an event Identify risk factors and develop interventions for the entire population (before the disorder appears)
>Aims to reduce the incidence of disorders
Usually targets the whole population.
explain Caplan’s (1964) secondary intervention
Aims to identify disorders in the early stages to reduce the severity or influence the outcome of a disorder
Prevent the disorder from developing further
Usually selective: target high risk groups or those showing early signs of a disorder
explain Caplan’s (1964) tertiary intervention
Aims to identify existing disorders to limit the impact and its recurrence
Not easily distinguishable from treatment
Usually also target high risk groups who are displaying symptoms
name 4 limitations to the MHM
●Diagnoses can pathologise, stigmatise and lead to victim blaming
● The ‘root’ cause (e.g. social inequity, unemployment) isn’t addressed.
● Prevention doesn’t foreground social justice and social action that aims to transform social conditions that create and perpetuate oppression
how did the social ecological model (sem) emerge
The social-ecological model emerged due to criticisms of MHM
explain the social-ecological model
-Concept of ecology is used to understand interactions in social systems.
- Ecology = study of living organisms and their particular environment; understanding connections between environment, plants and animals.
-Similarly, SEM focuses on the interaction between the person and the environment.
-Assumes behavior is the result of the interaction between individuals and the contexts they are exposed to.
-According to Tricket (1996, p.213): “human activity does not develop in a social vacuum, but rather it is rigorously situated within a socio-historical and cultural context of meanings and relationships.”
-Changes in one part of the environment can lead to changes within individuals.
-Behaviour can be better understood if the context in which it takes place is understood.
-Psychological interventions should not only focus on individual behaviour but should also be introduced at broader levels of the social organisation e.g. changing norms, laws, policies, values.