What Are Mental Health Theories

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What are mental health theories?

(Includes
list)
 Kori D. Miller

 18-02-2020

Have you ever met with a counselor or therapist and thought, “ This is not a good
option?” "It might have had something to do with the theories they use to inform
their practice.

Counselors and therapists around the world receive training in the theoretical
foundations of mental health. They learn to use those theories to support their work
with clients. These professionals use diagnostic tools based on old and new theories
of well-being.

What are these theories and who created them? That's what you'll learn as you
continue reading.

This article contains:


 What are mental health theories?
 A look at models and methods
 Mental Health Counseling Theories
 A list of popular mental health theories
 Popular mental health theories about well-being
 A message to take home
 References

What are mental health theories?


In the sciences, a theory is more than a simple assumption. It is a "coherent group
of propositions formulated to explain a group of facts or phenomena in the natural
world and confirmed repeatedly through experiments or observations"
(Dictionary.com, n.d.).

Theories could be created about almost anything, but it is rigorous testing that
distinguishes simple theories from scientific ones. Not all theories will survive
these types of tests. In fact, acceptance or rejection of parts of theories is not
unusual.
Theories developed 50-100 years ago fall into six broad categories. They still
influence us today. You may recognize them as:

 Analytical/developmental (Freud, Jung, Erickson, Kohlberg)


 Behavior (Watson, Skinner, Pavlov)
 Cognitive (Tolman, Piaget, Chomsky)
 Social (Bandura, Lewin, Festinger)
 Humanist (Rogers and Maslow)
 Personality (Erickson's theory of psychosocial development)

From these, many contemporary theories followed. Some are specific to a domain
such as development. Others use neuroimaging to explain why we do the things we
do.

Mental health theories strive to explain human behavioral, psychological, and


social development. For many years, researchers focused on alleviating pain or
suffering. The focus was on what was wrong with a person and how to fix it. A
person was not supposed to be able to strengthen his well-being.

A look at models and methods


Mental health and wellness experts draw on other areas to inform their perspective.
They also review a person's mental health within context. An act may be
psychopathological in one cultural context but not in another.

The main areas from which counselors, psychologists and psychiatrists acquire
knowledge about mental health are (Dasgupta, 2013):

 Spiritual – This approach explains who we are in the world and how we should
act. It also tells us what we can expect after death based on our actions. The
spiritual perspective discusses good and evil in relation to suffering.
 Moral character : This perspective states that there are certain virtues that a
person needs to learn. Doing so allows the individual to live a better life free of
mental illness.
 Statistics – based on mathematics, seeks to define what is “normal” or
“average” for populations. Anyone who falls outside the norm is abnormal.
 Disease/medical/biological (genetics, neuroimaging, neurobiology): This
approach explains mental health in relation to changes in the brain. The well-
known case of Phineas Gage is an example. A bar pierced his left frontal lobe.
This affected his personality and behavior. Before the accident, people enjoyed
his company and thought he was trustworthy. Afterwards, they described him
as moody, disgusting and untrustworthy.
 Psychological (psychodynamic, behavioral, cognitive-behavioral,
existential/humanistic): Mental health develops along an expected path. People
try to adapt to their environment to survive within it. Problems arise when a
person learns maladaptive strategies in response to new situations.
 Social – Biology, psychology, and society affect a person's mental health. The
influence of social norms is important for the adaptive or maladaptive behavior
of the individual.
 Psychosocial (social learning model): Researchers in this area study the
relationship between a person's (psychological) thoughts and their social
behavior. This includes the meaning that a person gives to their psychological
processes. According to Bandura, people learn through observing and modeling
other people's behavior (McLeod, 2016).
 Biopsychosocial : the interaction of biological, psychological and social factors
explains mental illness. This depends on the person and their environment.

Methods

Diagnosis and treatment of mental illnesses vary, but many therapists use the
Diagnostic and Statistical Manual of Mental Disorders (DSM-5). This tool provides
clear definitions and criteria for more than 265 disorders. Diagnosis usually
includes a physical examination, including laboratory tests, and a psychological
evaluation (Mayo Clinic, n.d.).

There are approximately 20 classes of mental illnesses, covering everything from


neurodevelopmental disorders to paraphilic disorders.

Some treatment methods include medications, psychotherapy, brain stimulation,


inpatient and residential treatment programs, and substance abuse treatment.

There are three ways to experience therapeutic intervention. Sometimes therapists


use a combination of these. Each environment emphasizes confidentiality and
creates a safe space for people to share.

 Individual Counseling – This is a one-on-one session with a trained counselor.


Depending on the type of therapy used, these sessions can continue for months
or years.
 Group Counseling – People with similar challenges work together with a
trained counselor. The objectives are to talk about problems, share knowledge
and solutions.
 Family therapy – This method involves helping a family improve their
communication. Through the guidance of a licensed therapist, they learn
conflict resolution techniques. Not all family members necessarily participate,
and it is often short-term.
Mental health counseling theories
There are five schools of thought that attempt to explain mental health. Many
therapists and counselors operate from one or two of these.

Theories guide the services and interactions that therapists have with their clients.
This is important to know because it can affect how well you and your therapist
"click."

The five schools of thought are:

1. Behaviorism : Behavior is the result of life experiences, not the unconscious


mind. We learn through our experiences with our environment. This approach
is all about conditioning. It is focused on the present.
2. Biological – This is a medical model for treating mental disorders. The idea is
that something physical is the cause of mental illness. Symptoms are “external
signs of internal physical disorder” (McLeod, 2018).
3. Psychodynamics : Like behaviorism, psychodynamic therapists view behavior
as a result of experiences. However, one of the differences is that they focus on
past experiences. They claim that unconscious forces drive people's behavior.
The client and therapist review the terrain explored to achieve greater
understanding. This therapeutic process can take many years.
4. Cognitive : The emphasis of this theory is on thinking, not doing. A feedback
loop exists between the person's assumptions and attitudes, their resulting
perceptions, and the conclusions drawn from them (Grace, n.d.). These
therapists work to help a person change their thoughts. Doing this leads to a
change in feelings and behavior.
5. Humanistic – Three different therapies can help people reach their full
potential. Client-centered therapy, developed by Carl Rogers, allows the client
to investigate who they are at their core. The therapist creates an environment
of empathy, acceptance and authenticity. This encourages the client in their
self-exploration. Gestalt Therapy, created by Frederick Perls, focuses on the
present and involves role-playing. Existential therapy is about ownership of
life, including all its mishaps. The responsibility for life is one's own.

It is easy to understand how a therapist influenced by one of these theories might


interact with a client. Positive psychology practitioners , for example, primarily
follow humanistic theories. One would expect this therapist to be empathetic and
emphasize ownership and responsibility. Sessions would include a healthy dose of
self-exploration, especially related to developing strengths.
A list of popular mental health theories
Every theory of mental health comes from one of the five areas above or a
combination of them. Here is a brief overview of the theories derived from those
broader categories.

Network theory explains that “mental disorders arise from direct interactions
between symptoms” (Borsboom, 2017). Biological, psychological and social
influences facilitate the connection between psychopathological symptoms.

Cognitive behavioral therapy (CBT) focuses on helping a person change destructive


thoughts and behaviors. It is a type of psychotherapy that helps a client identify and
manage problems quickly. The approach is goal-oriented and often involves
homework. Homework helps reinforce in-person sessions. It is the “gold standard
in the field of psychotherapy” (David, Cristea, & Hofmann, 2018).

Operational conditioning remains a popular approach. Whether used by therapists


or fitness trainers, it involves identifying the cue-routine-reward pattern. The goal
is to change the person's behavior by changing the routine and sometimes the
reward. It is often used in the treatment of OCD through exposure therapy.

Exposure therapy allows the person to engage with the source of their anxiety in a
safe space. The goal is to slowly and gradually increase the person's exposure to
their fear. There are several variations of exposure therapy (APA, n.d.).

It is useful in the treatment of:

 Phobias
 panic disorder
 Social anxiety disorder
 Obsessive compulsive disorder
 Post-traumatic stress disorder
 Generalized anxiety disorder

Classical conditioning also remains a popular treatment for phobias through the use
of systematic desensitization. This is a variant of exposure therapy (Grace College,
2016).

Popular mental health theories about well-being


Self-Determination Theory of Motivation (SDT) and, more specifically, Basic
Psychological Needs Theory (BPNT) posit that autonomy, competence, and
relatedness are the primary supports for well-being and optimal functioning (SDT,
nd). these are defective, then the person's well-being decreases. Intrinsic motivation
increases through the satisfaction of meeting these needs (read more about intrinsic
training here ).

The theory of broadening and building positive emotions (Fredrickson, 1998, 2000)
changed the discussion about emotions. Much of the psychological theories and
research before this dealt with negative affect. These are emotions such as anger,
fear, sadness, guilt, and shame (Stringer, 2013).

Fredrickson argued that negative emotions create a kind of tunnel vision. Positive
affect broadens one's perspective. Positive emotions such as awe, joy, and gratitude
expand the experience within the environment. The theory does not advocate
ignoring negative emotions. Instead, consider the ramifications of continuing to
ignore the positive ones.

The focus of PERMA Wellbeing Theory (Seligman, 2011) is to help people thrive.
Promotes the creation of skills that allow you to flourish (Center for Positive
Psychology, sf). Many contemporary theories attempt to help a person reduce
suffering. PERMA's theory of well-being states that well-being consists of five
elements:

1. Positive emotion: These emotions increase our hedonic happiness.


2. Commitment: this is the flow that Mihaly Csikszentmihalyi analyzes. Being
absorbed in the search is the reward.
3. Relationships: Support is essential for our survival and emotional well-being.
4. Meaning: Serving or working in a capacity that contributes to something larger
than ourselves gives us a sense of purpose and meaning.
5. Achievement: We like to pursue achievements for the sake of it.

Each of these contributes to varying degrees to a person's ability to thrive. Positive


psychology therapists and coaches often use this as a backdrop for their sessions.

A message to take home


There are several theories about mental health, but they all come from one of the
five schools of thought. They are behaviorism, biological, psychodynamic,
cognitive and humanistic.

In recent years, there has been a movement toward studying how people flourish.
This is positive psychology. Unlike previous years, this field of research explores
what humans already do well. Doing this type of research helps others increase
their chances of thriving.
If you seek help from a therapist or counselor, it is important to know the basis of
their approach. You don't want to see a behavioral psychologist to develop how you
can find meaning in your life. They are best suited to help you change, develop or
extinguish a habit.

The continued study of mental health, including the more positive aspects, is
essential for the well-being of each person.

What are you doing today to flourish in your life?

If you enjoyed reading about mental health theories, why not visit mental health
books for even more reading material?

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