Issue 30, Summer 2013/2014 The Creativity Issue How does producing or consuming creative works impact our health and wellbeing? PAGE 6 A new online art showcase for artists with CPTSD PAGE 12 Young Adult Fiction and ‘Sick Lit’ PAGE 22 Willpower: Are new years resolutions even possible? MESSAGE FROM THE CEO Dear Readers, Welcome to the first edition of Mental Health Matters for Issue 30, Summer 2013/2014 2014. I hope you had a break over the Christmas period, Mental Health Matters magazine is published quarterly by MHA (the Mental Health Association of NSW). Membership with the MHA includes a subscription to the magazine. Membership can be renewed by contacting MHA directly. Mental Health Association NSW and that you’re feeling refreshed and eager for the year ahead. Sadly, though, I am writing this after listening to the sad story behind the tragic death of Luke Batty, the 11 year old boy killed by his father - who is reported to have had a mental illness. I am thinking how we as a community, despite all our best intentions, let down many of those Phone: (02) 9339 6000 Fax: (02) 9339 6066 people with severe and complex mental health problems Email: [email protected] are unable to access appropriate services. It is rare for the most in need. It is obviously a complex issue; one where Address:Level 5, 80 William St, East Sydney 2011 consequences to be so dire, but complex cases are too often put in the too hard basket and services are either unable or unwilling to deal with cases where there is Website: www.mentalhealth.asn.au this level of complexity and where a coordinated, across Twitter: @mentalhealthnsw government, across services approach is needed. Facebook: www.facebook.com/mentalhealthnsw This means we end up being reactive rather than proactive. Advertising Rates We do not anticipate the possible consequences of our One off: the worst scenario occurs. Full page $70.00 Quarter page $20.00 current system, but rather provide a band aid if and when Half page $35.00 Insert $50.00 All four editions annually: Full page $250.00 Half page $110.00 Quarter page $70.00 Advertising contact: Phone (02) 9339 6007 Email [email protected] It is time that the Council of Australian Governments (COAG) takes action and set a clear national direction for mental health reform. There is an important draft reform agenda on their desks. It has been put together with the input of consumers, carers, service providers, NGOS, and other experts; it is backed up by evidence. It just needs a commitment to action by those with the authority to make a positive difference. Everything is in place for 2014 to be one of those years that Editor: Ci’an Kemp Readers are invited to submit article proposals and suggestions. Contact the editor at [email protected] All articles are reproduced with permission. The views expressed are not necessarily those of the Mental Health Association NSW. Copyright Mental Health Association NSW. All rights reserved. 2 | mental health matters we celebrate as a significant milestone in mental health reform. It is now up to our elected politicians at a State and National level to make that happen. Liz Priestley Chief Executive Officer Mental Health Association NSW Contents Spotlight on: Active Memory ........ 4 Spotlight on: Light f rom the darkness of CPTSD .................. 6 Personal Story: Why I Find Acting Intriguing ............................... 7 MHA Calendar of News and Events ... 10 Young Adult Fiction and SickLit ......................................... 12 Book Review: The Shadow Girl ..... 14 Personal Story: The Good Boss ... 16 The Appeal of Violent Vide o Games to Teenagers with Low Levels of Empathy .................... 19 Willpower and Making Changes: New Years Resolutions ............... 22 Spotlight on: Walk Your Blues Away, a community walking group ......... 26 Mental Health Association NSW ...who we are and what we do We play a vital role in the development of mental health initiatives which result in increased community awareness and knowledge of mental health issues. With the support of our Board, staff, members, volunteers and students, we work towards a society free from prejudice and discrimination against people living with mental illness. We strive towards a community that embraces and maintains mental, social and emotional wellbeing for all people. We are a communit y-based organisation and registered charity. In 2013 we celebrated our 80th birthday. MHA’s programs are funded by NSW Health and other agencies, plus private donations and bequests To make a donation please go to our website www.mentalhealth.asn.au or phone (02) 9339 6000. All donations over $2 are tax deductible. mental health matters |3 Spotlight on: Active Memory We speak with Professor Robert Wood from the Florey Institute of Neuroscience and Mental Health at Melbourne University about the new Active Memory brain training program. What is Active Memory? In late 2013 the ABC launched Active Memory, a new website that provides users with a scientifically structured and personally tailored brain training experience online. The program has been developed in partnership with the Florey Institute of Neuroscience and Mental Health, and exercises four functions in our brain that are critical to everyday living: memory, flexibility, attention, and knowledge. Active Memory is programmed to continually measure a user ’s performance with a statistical model that adapts to best meet their current mental ability, motivation, and confidence. “With a lot of traditional brain and memory training the focus is on a specific cognitive function such as attention,” says Professor Wood. “However, if you strengthen just an isolated cognitive function, it needs to be fitted back into the broader complex of skills people use every day.” Active Memory doesn’t just focus on strengthening specific cognitive abilities in isolation, but runs them in combination. One task might require a mixture of attention and working memory, while another uses attention and flexibility, or flexibility and numerical reasoning. Professor Wood likens this to the difference between learning to hit a tennis ball, and learning to hit the ball while simultaneously moving around the tennis court. How w i ll A c t i v e Memory lead to further research? The Florey Institute will also be using the brain training program to conduct further research into the impacts and benefits for users, what works for different populations, and whether there are noticeable changes in the processing of the players brains. The Active Memory website can be viewed at www.activememory.com, free 14 day trials are available 4 | mental health matters “We’re looking at what the ecological impact is. Does it change people’s behaviour, and if you improve someone’s attention does it also improve everyday tasks where they use that attention?” Initially the research will be focusing on people 50 years and older, exploring different stages in cognitive development and decline to see whether brain training can make a difference to ageing related loss of brain function. However, the website does not exclude younger people from registering for the program. Over time Professor Woods hopes the research will be expanded to other population groups. How can Active Memory impact mental health and wellbeing? Rather than over-challenging and causing stress in the player, Active Memory challenges them at a level that the individual feels is achievable. Based on a person’s initial performance in the program, an algorithm will begin to allocate tasks in incremental degrees of difficulty. If the player reaches a point where they begin to fail, the program will reassign them another set of tasks where they are more likely to succeed. In addition to improving task performance, Professor Wood says that brain training can have a flow on effect for wellbeing. This could take the form of increasing someone’s likelihood to remember to take medication, stay focused on exercise, or capability to accomplish tasks that require them to switch their attention. Are these games suitable for people experiencing depression, anxiety, stress, or other impacts on their wellbeing? “I think the answer to that is yes,” says Professor Wood. “It requires minimal engagement and attention processes initially. That’s the way it’s built.” “It does depend on the nature of an illness. If a person is so lethargic they can’t engage with anything, then it probably isn’t suitable, but you might assist them in a clinical setting to get started with the game and see if they respond well to it. If you can shrink the world to something small and enable them to demonstrate some success, it may have a short term beneficial effect. “The progressive mastery is designed to build people’s confidence, and it’s a low cost option that doesn’t seem to have any adverse side effects.” How can people get involved? Visit www.activememory.com for more information about the program. Anyone interested in the research can contact Professor Robert Wood or Dr Damien Birney at the Florey Institute via the Active Memory website. Written by Ci’an Kemp. Professor Robert Wood is a professor of psychology at Melbourne University and researches the cognitive and motivational dynamics of learning and problem solving on complex tasks. Ci’an is the Senior Project Officer for Communications and staff representative on the board at MHA. She is completing her studies at Macquarie University and has an interest in the use of creative media to combat stigma. mental health matters |5 Spotlight on: Light from the darkness of Complex PTSD We speak with Jacqueline King, a contemporary glass artist and sculptor who has launched an online showcase at CPTSDLight.com of artwork made by people who have experienced CPTSD. Jacqueline King is a glass artist and sculptor, mother, speaker and advocate living and working in regional northern NSW. She also lives with Complex Post Traumatic Stress Disorder (CPTSD). Her journey with creativity began in 2006 after a trauma injury and CPTSD diagnosis. How does your creative process assist with your mental health? I once heard an interview with a leading UK Trauma Psychiatrist who described CPTSD something like this... Imagine you are a beautiful hand blown glass vase with exquisite colour and form sitting on a sideboard and much admired. When major trauma happens the beautiful glass vase that you are gets knocked off the table and smashes on the floor splintering into thousands of pieces. Most rush quickly to gather the pieces and try valiantly to hold it all together, to appear like they used to be by holding all the pieces together with anything they can. But there is no way to do this of course. Some, with good therapeutic support coupled with the support of loving family and community, will slowly learn that there is no becoming what they were...but they just might become a beautiful mosaic instead! I like t h a t met a ph o r, especially as I now find myself a practising glass artist and sculptor. I came to glass as a form of therapy without having shown any meaningful creative talent in the past. It taught me to breathe, to be still, to develop patience, and to see beauty in and around One of Jacqueline’s artworks displayed in the online showcase. 6 | mental health matters Personal Story: Why I Find Acting Intriguing Having arrived late to the ADD table (yes I’m taking my dexies), this writer didn’t realise just how important creativity was. Don’t get me wrong, I’ve loved the arts since primary school, but mainly from the perspective of the passive consumer. Cinema, art galleries, books. I’ve easily surpassed Malcom Gladwell’s ten thousand hour rule of immersing yourself in your passion. But, like misplacing your glasses, only to realise they’ve been on your head the whole time, the thought of creating art never occurred to me until about two years ago. Having dabbled in painting and writing, it was amateur theatre that I found to be the most psychologically intriguing. Once you get over the initial jitters, acting can help the ADD/ADHD sufferer. Not only can it be an outlet for energy and tension and a means of experiencing the feeling of ‘being in the zone’, but it can help you to reinforce positive emotions. For instance, if you are someone who is afraid of snakes, acting gives you the opportunity to play a role where the character is brave about snakes. Fake it till you make it. Peter Sellars is one of my favourite actors, and having read his biographies and seen his films me. It also offered me peace and meditation, and a sense of the power of the present moment. It was a voice when I had no other way to express myself, and it ultimately became my obsession and my salvation. Time and again it has provided me a reason to live and abated the voice of self-harm. It also helped build new brain synapse connections necessary for healing after a brain injury… and I can assure you chronic CPTSD is a brain injury in every way. The building of these new neural pathways was exhausting, (watch The Party, it’s hilarious)- one thing is a certainty. When he was not playing a role Sellars was a different person. Different, in fact, from his own self-reflection. Unfortunately, having read anecdotes from people around Sellers, he may have been experiencing ADD/ ADHD and depression before science knew what it was. From my layman’s POV, what separates this acting great from your run-of-the-mill thespian was that he used acting as therapy first, and fun second; a dangerous, unconscious means of dealing with reality, instead of playing with and enjoying the company of others for its own healthy sake. If you do it for fun first it is more than likely you’ll receive the therapeutic benefits later. Sellers’ purpose for acting came from a place of dark pain instead of joy. If you’d like to try acting, but feel anxious, bring along a friend who’ll hold your hand. Tell them you need their company while you do something anxiety-provoking. Even borrowing a play from your library and acting it out at home with that friend or a relative can work. I’ve tried it. Because you never know, you might entertain yourself and have some fun. Written by Hugh Widjaya. as they are for newborns learning to interact with the world and use their bodies, or those with acquired brain injuries such as those traditionally attributed to a physical cause like an accident, injury or stroke. CPTSDLight.com is an amazing online collective, why did you reach out to others? On my journey to understanding CPTSD and learning ways to live with it I became driven to advocate for public education on mental health mental health matters |7 issues, particularly CPTSD. I have been fortunate to deliver many presentations to varied audiences from medical staff, to community groups, to the Arts sector, and to artists with disabilities. This road has brought me into contact with many o t h e r s w h o h ave utilised creativity to help them cope with various challenging life circumstances. Given my own life experience, I was particularly captivated with those who identified as living with CPTSD and so a tiny seed began to germinate around what it might mean to me and to others if the lighter side of CPTSD was showcased, if others could see the amazing creative voices who can courageously shout out the beauty in their souls through all the darkness. The concept grew towards a ‘coming out and coming together’ of those living with CPTSD to serve as a source of inspiration and courage to those managing their lives with similar experiences, and to shed some much needed light on what it is to have CPTSD. I belong to various online support platforms for those with CPTSD and so I put out the call for expressions of interest and was able to launch the site in August 2013 with six collaborators. What is CPTSDLight.com? Now the site includes fourteen artists from all parts of the world: Norway, Alaska, New Zealand, UK, Australia, USA, and Germany. Mediums vary from short film to poetry, glass to paint, to digital art, and photography. Some are self-taught, others formally trained, some emerging, and others are mid-career, but all are willing to publically identify as living with CPTSD. They all want to help break down the A photograph by Joe Losinski (left), a painting by Rhonda Baker (above), and another glass artwork by Jacqueline (right), are also displayed in the online showcase. All artwork is copyright to their respective creators. 8 | mental health matters social stigma, and have provided images or files of their work, and importantly a short biography about their experiences including how creativity helps them manage their lives with CPTSD. The decision to include some health information on the site was reached as we all also believe it is critical to improve understanding within our communities and who better to speak and provide insight than those who live with CPTSD. What has the response been like since you launched last August? The response has been overwhelming for all involved. I have received emails and phone calls from all around the world with heartfelt thanks for helping people feel they are not alone and for putting into words, images, and experiences, what they cannot voice themselves. Tears have been shed in intimate phone calls of profound and humbling appreciation for the site. We have a closed group on Facebook for those artists who are involved or interested in becoming involved, which also serves to benefit our creatives. Whilst it is not at all a support group in a traditional therapeutic sense, it is a safe place to share creative concepts and what we are all up to in our creative endeavours. It serves as a more immediate reminder to the artists involved as to the difference they are making in the world by bravely shining their own light. Why did you decide to create a website, rather than put together an exhibition event? I decided on a website for its accessibility, permanence, and adaptability, as I can add artists and update information as required. An exhibition event would only serve a small area, while the website serves the world...or at least the online world. Having said that, it is also a goal for me to obtain funding for a physical exhibition. It could potentially become a touring exhibition, so that we can showcase the stories and the creativity in a much more tangible way across many locations. What’s next for CPTSDLight.com? The more exposure we have of the site and its artists the further the message is sent and the more people will hopefully join until our collective voice is strong and understanding is achieved. Written by Ci’an Kemp Find out more about the CPTSD Light Showcase project by visiting www.cptsdlight.com, or you can also find out more about Jacqueline King at www.jacquelineking.com.au mental health matters |9 MHA Calendar of News and Upcoming Events New Self-Help Groups New Anxiety Support Groups Our self-help groups are free to attend and are based on an effective, 12 week, self-treatment behaviour therapy program. Our monthly Anxiety Support Groups are currently held in a wide range of locations, across NSW, including: New self-help groups will start in a range of areas during March across the greater Sydney area. Suburbs include: • Bondi Junction • Bega Valley • Epping • Clovelly • Bankstown • Crows Nest • Moss Vale • Glebe New groups are also starting in: • Leichhardt • Dapto • Merrylands • Springwood. • Mt Druitt For more information contact Rachel on 1300 794 991 or visit our website for updated dates and times of the next meeting in each location. • Parramatta • Surry Hills • Waverley. For more information contact Linda on (02) 9339 6093 or via email at [email protected] or visit our website for an updated list of upcoming groups. Want to find out more about any of our news and events items or sign up for our eNews? Check out our website www.mentalhealth.asn.au 10 | mental health matters Volunteer with MHA! Staff for our WayAhead Directory are looking for fundraising and marketing volunteers to assist us with sourcing funding for launching WayAhead online. Duties will include researching, calling, and sourcing opportunities to find funders for our very popular and vital directory. Find out more by visiting our website at www.mentalhealth.asn.au/get-involved/ volunteer.html 1 New Workplace Health Resources Sec tion l a u nc h e d f o r W H P N members! In the last edition of our magazine, we mentioned that our Workplace Health Promotion Network (WHPN) would be launching an online directory of resources, available to members of the network. We’re pleased to announce that the resource section has launched! Jump to page 17 to find out more. Upcoming Anxiety Forum MHA will be holding a free public forum about anxiety in Port Macquarie on the 17 March 2014. The forum will be hosted at Charles Sturt University and will commence at 7pm in Room 115 at 27 Grant St. Find out more by visiting our website. Attend the Happiness & Its Causes Conference in May! MHA has partnered with the Happiness & Its Causes conferences again in 2013. Members and stakeholders are entitled to a discount off their registration fees. In addition to your membership discount, there is an earlybird discount if you register by or beforethe 28 March 2014. Jump to page 25 to find out more on the discount and how to redeem it! MHA Staff Profile: Rachel Flint MHA has been pleased to start the new year by welcoming Rachel Flint as part of the team here in our Sydney based office. Rachel is the new Support Group Co-ordinator, and will be running our anxiety groups program as well as answering the phones for our Mental Health and Anxiety Information services. First starting out with MHA as by attending one of our anxiety groups, Rachel was inspired by seeing the great things that happened within the group and became a volunteer facilitator. She is passionate about seeing people recover from anxiety, and her positive experience as a facilitator led her to apply for our coordinator role late last year. Rachel’s hobbies include gardening, reading, meditation, and yoga, and she says that she’s been really impressed to see the work that goes on at MHA and the lovely approach staff have towards each other and our clients. To f i n d o u t more about the anxiety groups, visit our website or call 1300 794 991. Ke ep a n eye on this space for future staff profiles and to learn a little bit more about the people behind MHA! Rachel hard at work at her new desk in the office at MHA! mental health matters | 11 Young Adult Fiction and Sick-Lit A new troubling phenomenon, or educational and honest fiction? to gender, sexuality, able-bodiedness and In today’s contemporary society, there is emotional management. British novelist and continual debate regarding the potentially reviewer Amanda Craig has been incredibly negative influences that are readily accessible vocal about her stance on this genre, stating to younger generations. Although the impact that the rise in popularity of these books is of visual media and social networking partly a trend wherein the previously popular platforms have been thoroughly evaluated tales of vampires and werewolves have been in recent years, the emergence of a genre of replaced by contemporary stories of hospitals young adult fiction known as ‘sick-lit’ now and suicide pacts (Smith 2013). seems to have taken centre stage. Portraying dark yet realistic stories within the context of In an interview with CBC’s radio show The adolescent mental illness and Current, Craig stated that there physical sickness, these novels “young readers are are ‘a lot of very depressed detail youth experiences with at a greater risk young people, very aware of self harm, depression, disease of experiencing the hopelessness awaiting and terminal illness (Nagy negative emotions them’ (Tremonti 2013). Having 2013). and sitting with them in solitude” refused to review the many sicklit novels sent to her, she Fiction addressing such issues believes that there are highly has always existed, growing vulnerable individuals barely out of childhood substantially in prominence during the 1980s who would be adversely affected in very (Elman 2012). These novels merged illness significant ways by the consumption of such and romance, and largely reinforced the material. Although dark themes surrounding interdependence of societal customs relating sickness and mental illness are present in many different forms of media, she says that readers are ‘more introverted, more vulnerable and more private’ by nature (Tremonti 2013). Whilst films are commonly a communal experience, young readers are at a greater risk of experiencing negative emotions and sitting with them in solitude, rather than seeking out support from others in making sense of their emotions. In finding solace within a novel in which teenagers experience similar issues regarding relationships, 12 | mental health matters sexuality, as well as their physical and psychological wellbeing, adolescents may isolate themselves further, feeling as though they have found something to validate their negative emotions. In doing so, Craig believes that sicklit novels encourage teens to wallow in feelings of depression and suicidality, rather than offering sensible advice in regards to help-seeking behaviours. The novelist said that she first became acutely aware of the dangers inherent within these books after Red Tears by Joanna Kendricks circled through her young daughter’s high school year (Tremonti 2013). Although Craig believes that it triggered a wave of self harm amongst the youth reading it, this is not her only grievance with the genre that has been criticised in the media for trivialising serious issues in a ‘mawkish’ and ‘exploitative’ fashion (Whitby 2013). With the overwhelming majority of protagonists in these novels being young women, and many of the plots centering on the need to find romance or lose one’s virginity before death, sicklit appears to have deeply concerning thematic undercurrents in multiple regards. A researcher at the University of MissouriColumbia recently published an article reviewing and deconstructing many of the problematic elements within teen sicklit, with a focus on critiquing the ‘ableist and sexist visions of disability and sexuality’ within these novels (Elman 2012). In her article, Julie Elman points out that in addition to the morbidity of the subject matter within many of these novels, they often reaffirm hetero-normative gender roles and highly conservative political and sexual agendas. In the work of famous sicklit novelists such as Lurlene McDaniel, damaging cultural stereotypes surrounding the unattractiveness of disabled bodies are clearly present. Within books such as Dawn Rochelle, protagonists who eventually reach remission from their illness customarily trade partners for individuals who are also ablebodied, promoting a highly negative and derogatory presentation of individuals with either physical or psychological issues. With this said, contemporary books such as The Fault in Our Stars by John Green have been received very positively by readers and critics alike for their realistic and complex portrayal of illness and disability. Within such novels, the disabilities of the characters have little impact upon the interpersonal relationships depicted. In The Current’s interview, seventeen-year-old Massachusetts blog writer Robby Auld said that most sicklit novels aren’t completely about sickness, stating that ‘teenagers can find hope at the end of the book and take that into their own lives and own struggles’ (Tremonti 2013). In this sense, these novels may provide a platform for isolated young people to not only gain a greater understanding of the issues they themselves are encountering within their lives, but to also translate the values and positive philosophies within these texts to their own situation. With this said, concern has been expressed mental health matters | 13 Book Review: The Shadow Girl We spoke with John Larkin about his young adult novel “The Shadow Girl”, categorised as ‘sick-lit’, about his experience writing and speaking about the novel with young people. John Larkin, winner of the 2012 Victorian Premier’s Literary award for Writing for Young Adults for his novel “The Shadow Girl” is one of many novelists who has recently found their work falling into a growing subgenre of young adult fiction referred to as ‘sicklit’. This relatively new categorisation of fiction often follows children or teenage protagonists that are experiencing mental or physical illnesses, exploring the influence that these adversities have on their life and coming of age narrative. When MHA sat down with Larkin to discuss his latest published title, the Australian novelist confessed to never having heard of ‘sicklit’ before writing “The Shadow Girl”. The reality is, however, that this growing genre of literature that follows unwell teens, which includes well known and critically acclaimed titles such as John Green’s New York Times Bestseller “The Fault In Our Stars” and locally grown authors such as Doug MacLoed with “The Shiny Guys” may have arisen to fill a very real need in the lives of young adult readers. As somebody who has been affected by symptoms of Depression throughout his life, Larkin is familiar with the destructive and devastating effects that mental illness can have on a person if left untreated. “The biggest mistake I made was not reaching out,” Larkin said when describing the recent difficulties he has been through. Although he has unintentionally found himself a part of the sicklit movement, Larkin, who is a frequent guest speaker at local schools, agrees that using fiction to talk about mental health 14 | mental health matters issues is helping to demystify the subject with young readers. “I can go to the roughest high school, and when I talk about Shadow Girl’s backstory you can literally hear a pin drop.” Speaking with school children about the issues in his novels is a rewarding part of the job for “The Shadow Girl” author. With his ability to openly talk about his experience of mental illness he has found that students are equally as keen to share their own experiences, “and it’s not just the girls,” he says, “it’s the boys as well who are quite happy to open up about what they’re going through.” It was during one of these visits to a high school where Larkin met the person who inspired him to later write the award winning novel - a 13 year old girl, homeless and living on a train, who Larkin now recalls as being an incredibly intelligent and articulate young lady. The novel itself is a sad and suspenseful story that deals with issues of abuse and suicide, and chronicles the young girl’s efforts to succeed against the odds. However, Larkin’s choice to inject humour and light into his writing, focusing on the protagonist’s intelligence and spirit, is at the core of Shadow Girl’s story. Written by Matthew Keighery and Isabel de Vroom. Matthew and Isabel were media and communications interns with MHA during 2013 with interests in literature and written depictions of lived experience. that young adults with existing mental health consensus suggests that cautions should be taken problems might be triggered by particularly in regards to the degree of parental involvement. If graphic and detailed descriptions of similar these books can be used as a forum for discussion problems. Novels such as Wintergirls by Laurie between parents and their children, they may in Halse Anderson (2009) says pose such a risk, fact help open lines of communication in relation depicting the disturbing downward spiral of a to sensitive and potentially isolating personal young girl suffering from anorexia. The book issues. features protagonist Lia in a constant cycle of starvation and over-exercising, chanting the References: mantra ‘I must not eat’ to herself • Anderson, L. H. (2009). Wintergirls. New York, NY: “teenagers can on a daily basis and at one point Penguin Group (USA). find hope at reflecting upon whether she ‘wants • Elman, J. P. (2012). ‘Nothing Feels as Real’: Teen Sickthe end of the to die from the inside out or the Lit, Sadness, and the Condition of Adolescence. Journal of book and take outside in’. Lia’s best friend of ten Literary and Cultural Disability Studies, 6(2): 175-191. that into their years, Cassie, also passed away as • Kamouni, S. (n.d.). Don’t speak for us! Why sick-lit is own lives” a result of severe bulimia. Although actually a good thing for young people. Whippersnap. the novel offers insight into a Retrieved from http://www.whippersnap.co.uk/dontserious psychiatric disorder and associated speak-for-us-why-sick-lit-is-actually-a-good-thing-for-youngsymptomatology, there are concerns over people/ whether such material is appropriate for • Nagy, M, R. (2013, March 22). ‘Sick-lit’ popular among youth, young adult readers. raising alarms in literary circles. CTV News. Retrieved from http:// Although those who defend sicklit have often stated that the majority of these novels aren’t entirely about the illness or disability, and that they frequently tell stories culminating in hopeful and positive conclusions (Kamouni), it is well documented that children between the ages of eleven and thirteen are particularly vulnerable and impressionable (Smith 2013). Despite individuals such as Sarah Foster, publisher of Walter Books Australia, believing that not much can shock young adults in today’s modern society (Williams 2013), not everyone shares her opinion. Although literature may appear to be one of the safest places to explore the darker aspects of relationships, illness and disability, there are still concerns surrounding the degree of appropriateness of such material in relation to young children and teenagers. Such novels may serve an important purpose in raising awareness and educating young readers on important life issues, but the www.ctvnews.ca/entertainment/sick-lit-popular-among-youthraising-alarms-in-literary-circles-1.1208032 • Smith, R. (2013, February 13). Sick-lit: A symptom of publishing’s decline. The Global and Mail. Retrieved from http://www. theglobeandmail.com/arts/books-and-media/sick-lit-a-symptomof-publishings-decline/article8632529/ • Tremonti, A. M. (2013, January 15). Vampires make way for sick-lit in young adult books. The Current @ CBC Books. Podcast retrieved from http://www.cbc.ca/books/2013/01/vampires-makeway-for-sick-lit-in-young-adult-books.html • Whitby, J. (2013, June 5). So-called ‘sick-lit’ only idolises reality. The Under Age. Retrieved from http://theunderage.com. au/2013/06/05/so-called-sick-lit-only-idolises-the-reality/#sthash. onqamgnD.dpbs • Williams, S. (2013, November 30). Art of darkness. The Sydney Morning Herald. Retrieved from http://www.smh.com.au/ entertainment/books/art-of-darkness-20131128-2yavn.html Written by Natalie Ippolito. Natalie is a film reviewer for the Australian Council on Children and the Media, works at the Schizophrenia Fellowship as a Telephone Referral Information Support Worker, and is a medical assistant at the Northside Clinic. mental health matters | 15 Personal Story: The Good Boss Christopher Banks talks about his experience with successful mental health management in the workplace. Having been in employment situations before where my mental illness has been used against me, I’d be lying if I said I wasn’t concerned about how I might be treated in a new job in a strange land. We’ve recently been through a period of intense work for a very small team, and in the middle of this period my aunt was dying of cancer back in New Zealand. When I returned from the funeral last week, my coping skills were getting pretty low. Management at my workplace are aware of my mental illness – I disclosed it at interview – and knew what had been happening family-wise. This week has been a textbook example of how to manage mental health in the workplace. Firstly, there was a card signed by everyone 16 | mental health matters in the office – a small gesture that meant a great deal, particularly when the two company directors signed off “we hope you adopt us as your Aussie family”. Secondly, my line manager sat down with me to go over my current workload and asked me to provide him with a list of all the current and pending jobs that are on my plate. In order to avoid me becoming overloaded in what is often a busy workplace, he said he wanted to help plan me a work schedule for the next month, something that I said would really assist me to remain stable and focused. He asked if I wanted to draw up the schedule, or if I would prefer him to do it. I asked if he would mind doing it, and after providing him with a list of jobs and the estimated number of hours, he returned a short time later with a Launch of new Workplace Health Resources Section The Workplace Health Promotion Network (WHPN) is proud to announce the launch of a new online resources section available exclusively to network members. The new section has been developed based on feedback from WHPN members, and was created to provide members with information and tools to do their best possible work in workplace health and wellbeing. Up until now the WHPN members only section had included all past speaker presentations going back to 2006. This interesting library of speaker presentations included both Sydney and Brisbane network speakers and covers a variety of workplace health topics. In addition to the past presentations, the new resources section already has over 700 items and continues to grow. Readers will be able to browse selections of articles, blogs, case studies, ebooks, workplace health tools and evaluations, reports and research, as well as varied online, audio, and visual resources. All resources are tagged by subject matter for easy browsing. In the next few months a workplace health conference calendar and a yearly event days calendar will be added to the resources section, and WHPN Co-ordinator Sharon Leadbetter will be continuing to grow and expand the section based on members needs and feedback. If you are interested in finding out more about the WHPN project or want to sign up to our free eNews, please visit our website www.whpn.org. Membership to WHPN also includes attendance at our quarterly events in your closest network city, and our annual Sydney Forum. For more information or ito find out more about membership, contact Sharon on 9339 6008 or email her at [email protected] neatly planned calendar of work (with built-in contingency timing) as we had discussed. happy with the plan, and thirdly whether there was any extra support I needed. I could already feel the stress starting to lift. If I was questioned at any time about what I was doing, I would easily be able to refer to the schedule without becoming flustered. Also, if extra jobs came in that had to take priority, he told me to adjust the list accordingly and move tasks downwards to ensure that I didn’t exceed my regular working hours. At no point was I made to feel that I was under pressure to perform, in fact the opposite: I was told that if I were to need time off that work would be taken care of. This in itself was enough to ensure that I was supported, that communication was open and I could trust that I wouldn’t be pushed too far. Finally, the director touched base with me to see firstly how I was feeling, secondly if I was In a test of the new system, a new priority job came up the following day which required a decent half-day’s work. It had a deadline mental health matters | 17 clash with another job. I informed my line manager about the clash, and the schedule was re-adjusted within the space of fifteen minutes – no mess, no fuss, no tears. After hearing so many h o r r o r s t o rie s about workplace bullying, it’s great to be able to share a positive experience, and I hope that some of these ideas will assist you to negotiate with your employer during times of stress about managing your workload. 18 | mental health matters Christopher Banks is a filmmaker, journalist and musician with experience of bipolar disorder. He blogs at bipolarbear.com. au and is host of the weekly podcast That’s Mental, available on iTunes. The Good Boss was originally published online in November 2012, and is republished here with permission from Christopher. The Appeal of Violent Video Games To Teenagers with Low Empathy In 2011-2012, 95% of Australian homes used video game devices (SMH, 2012), with Australian consumer spending $1.1 billion in 2012 on gaming devices alone (IGEA, 2013). This growing popularity of video games in Australia has meant a growth in the debate concerning the negative effects that video games can have on consumer’s mental health. Gratification has been shown to affect the choice of video game play (Chory & Goodboy, 2011) and 43% of all video sales are violent video games (Entertainment Software Association website, 2013), so whether this is good for humanity or not was part of a controversial debate between policy makers, parents, researchers and video game producers about the effects being both harmful and beneficial, especially as 90% of children and teens reportedly play them in the US (Anderson, Prot, McDonald & Gentile, 2012) and six of the top ten include violent content (ESA, 2008). Moreover fuelled the motivation behind the large body of 250 correlational and experimental studies carried out over the past twenty years to find out if exposure to violent video games is positive or negative (King & Delfabbro, 2010), however the effects are complex and be better understood as multiple dimensions rather than simply ‘good or bad’ (Anderson et. al, 2012). These studies provided causal relationships between violent video game exposure and increased aggression, cognition and behaviour of game players, especially adolescents and shows exposure to violent video games lowers empathy levels (King & Delfabbro, 2010). This evidence is highly contested however, mostly by the methodological limitations questioning the validity of this link (King & Delfabbro, 2010), more frequently by those with a conflicting interest such as the Entertainment Software Association and researchers funded by video game companies such as Texas University where a leading researcher on the subject works, Ferguson et al (2010) who are in partnership with a television station which sells videos, (Texas University website, 2013). Additionally Lemmens & Bushman (2006) found boys who scored low in empathy were more likely to play violent video games. The c or relation bet we en behaviour factors and violent video games Multiple theories have tried to establish the complex relationship between the effect of violent video games and aggression in young generation. One theory states that the choice to play violent video games is dependent on the consumer’s personality (Chory & Goodboy, 2011). Factors such as increased aggressive behaviour, cognition and effect, reduced empathy, and pro-social behaviour play a role in aggravating the effects of violent video games (Anderson et.al, 2012). However, the evidence is contested due to methodological limitations (King & Delfabbro, 2010) as can be seen from the work of another group of researchers who identified those who have a family history and psychological predisposition to violence, that influences their behaviour and reaction to playing these games researchers mental health matters | 19 identifying those who have a family history and psychological predisposition to violence, would influence their behaviour and reaction to playing these games (McLean & Griffiths, 2013, Markey & Markey, 2010, Ferguson & Kilburn, 2008,) which places less importance of violent media in influencing violent behaviour (Ferguson et.al 2010, 2013). We can however hypothesis that the violent media may set off a person’s predisposition to violence either genetically or developmentally. In summary, a number of theories and variables affect the choices and attraction of a person to consume violent media (Weaver, 2011), which explains why so many people play violent video games and only a small amount carr y out violent behaviours as a result. Media Gratification The media gratification theory proposes that gratification seeking in humans leads to consumption of different types of media which is impacted by a person’s personality traits i.e. excitement, and this media exposure then impacts the person’s cognitive behaviours such as a rise in aggression for example (Chory & Goodboy, 2011) whose research showed extroversion trait correlated to a need to consume violent media content in order to gratify their need for sensation and sociableness. This theory is used by software and game developers and is exploited in gamification, which is thought to encompass addictive properties causing a desire to repeat the experience, and is also found in social media platforms (Fang & Zhao, 2010). Conflicting evidence however was reported by Collins & Freeman (2013) that personality traits were not a factor of any game preferences. Role of Empathy Empathy is defined as the drive to detect emotions and thoughts in other people and respond 20 | mental health matters appropriately and plays an important role in social relationships (Prot et. al, 2012). Based on the above theories, one of the parallel consequences of violent video games, besides aggressive behaviour, is the decreasing of empathy towards the victims (King & Delfabbro, 2010). Additionally, Lemmens & Bushman (2006) found that boys with low empathy were inclined to play more violent video games resulting in high aggression, and this cyclical effect may contribute to the addictive nature of video games. In fact a new study has shown psychopaths switch off empathy in the brain as it is not spontaneous like most people and has severe violence disinhibiting consequences (Meffert, Gazzola, Boer, Bartels & Keysers, 2013). Yet, the proponents and beneficiaries of video games have highly contested the inverse relationship between empathy and exposure to violent video games (King & Delfabbro, 2010). Insufficient strong correlations between violent media and empathy have yet been established due to lack of complete control on media conditions (Ramos et. al, 2013). More research to study the effects of empathy in the video gaming context is becoming a higher priority with the growing depiction of violence and could show significant influences on the usage of violent video gaming. In conclusion, scientific literature on social personality traits and video game preferences is to date lacking evidence in providing insight into what makes people choose certain types of video games in order to determine if the games cause a change in their personality character (Fang & Zhao, 2010), especially as many causal and correlational studies focus on the outcome of exposure to these games, one being lower levels of empathy. This might be because those who play violent video games are low in empathy trait as a starting point (Collins & Freeman, 2013), as suggested by Lemmens & Bushman (2006) who discuss the implications of boys low in empathy and high in aggression seeking out violent media which increases their aggression and lowers empathy further and this increasing use suggests violence may contribute to the addictive nature of video games. References: • Anderson, CA., Prot S, McDonald KA, Gentile DA (2012): Video games: good, bad, or other?, Pediatric Clinic North America., Vol. 59, No. 3 • Chory, R.M. & Goodboy, A.K. (2011): Is Basic Personality Related to Violent and NonViolent Video Game Play and Preferences? , Cyber psychology, Behaviour and Social Networking Journal, Vol 14, no.4 • Collins, E. & Freeman, J. (2013: Do Problematic and Non-Problematic Video Game Players Differ in Extroversion, Trait Empathy, Social Capital & Prosocial Tendencies?, Computers in Human Behavior, Vol. 29, No. 5, pages 1933–1940 • Fang, X. & Zhao, F. (2010): Personality and Enjoyment of Computer Game Play, Computers in Industry Journal, Vol 61, No. 4, Pages 342-349 • Ferguson, C.J. & Kilburn, J. (2010) Much Ado About Nothing: The Misestimation and Overinterpretation of Violent video Game Effects in Eastern and Western Nations: Comment on Anderson et.al. (2010). Psychological Bulletin, Vol. 136, No.2, 174-178 • Ferguson, C.J. & Kilburn, J. (2008) The Public Health Risks of Media Violence: A MetaAnalytic Review. Journal of Pediatrics Vol. 154, No.5, May 2009, 759–763 Written by Karyn Krawford. • King, D. & Delfabbro, P. (2010), Should Australia Have an R18+ Classification for Video Games? Youth Studies Australia, Vol. 29, No. 1 Kar yn has appeared a number of times in the Australian media. She is completing her degree in Social Sciences with a specialisation in Counselling and 3 years postgraduate studies in Coaching. She delivers regular learning events to the public on the ef f ec t s of digital technologies on humans and is the founder of a new Australian Cyber Addiction Recovery Center providing treatments for those with cyber addictions. • Lemmens, J.S. & Bushman, B.J. (2006), The Appeal of Violent Video Games to Lower Educated Aggressive Adolescent Boys from Two Countries. Cyber Psychology & Behaviour Journal, Vol 9, No. 5 • Markey, P., M., & Markey, C., N. (2010). Vulnerability to Violent Video Games: A Review & Integration of Personality Research. Review of General Psychology, 2010. Vol. 14, No.2, 82-91. • McLean, M. & Griffiths, M. (2013) The Psychological Effects of Videogames on Young People: A Review. Aloma Journal, 2013. Vol. 31, No.1, 119-133 • Meffert, H., Gazzola, V., den Boer, J.A, Bartels, A.A.J. & Keysers, C. (2013) Reduced Spontaneous but Relatively Normal Deliberate Vicarious Representations in Psychotherapy. Journal of Neurology: Brain. Oxford University Press. • Ramos, R.A., Ferguson, C.J., Failing, K, & Romero-Ramirez, M., (2013) Comfortably Numb or Just Yet another Movie? Media Violence Exposure Does Not Reduce Viewer Empathy for Victims of Real violence Among Primarily Hispanic Viewers. Psychology of Popular Media Culture, Vol 2, No.1, 2-10 • Weaver, A. J. (2011). A Meta-Analytical Review of Selective Exposure to and the Enjoyment of Media Violence. Journal Of Broadcasting & Electronic Media,55(2), 232-250 • Interactive Games & Entertainment Assoication http://www.igea.net/2013/02/australian-video-games-industry-records-1-161billion-sales-in-2012/ • The Entertainment Software Association. http://www.theesa.com/facts/pdfs/ESA_EF_2013.pdf • The Entertainment Software Association http://www.theesa.com/facts/ • The Sydney Morning Herald http://www.smh.com.au/digital-life/games/blogs/screenplay/new-statistics-reveal-the-face-ofaustralian-gaming-20120802-23g49.html • The Huffington Post http://www.huffingtonpost.com/common-sense-media/10-most-violent-video- games_b_3480497.html • Texas International University http://www.tamiu.edu/newsinfo/1-18-07/article3.shtml mental health matters | 21 Willpower and Making Changes With the new year and its accompanying resolutions just behind us, we speak with Professor Roy Baumeister about willpower and how you might actually be able to make a resolution that sticks. Why doesn’t willpower always work? The first thing Roy Baumeister says is that willpower works like a muscle: when you use it, it gets tired, and then you have to allow time for it to recover. He is also quick to explain that the widely held belief that it takes ‘30 days to make a habit’ is a misconception. “I’ve talked to the experts who do research on habits and they say no, that’s silly. Some habits are installed much more rapidly than others, and some you might struggle to do,” says Professor Baumeister. Generally, Professor Baumeister says, failures in willpower and engaging in self-defeating behaviour tend to occur when there are both good things (such as the pleasure from eating junk food or smoking a cigarette or putting off a chore) and the negative consequences from doing the same thing – especially if the good thing is immediate and the harm is delayed. “People who (struggle with maintaining their willpower) tend to not think about the future as much. Another reason is people know what they should do, but don’t follow through and do it properly,” says Professor Baumeister They might also make a wrong assessment of what will bring about success, continuing to strive for a goal in the same way even if their chosen method hasn’t been working. How many of us might maintain a gym membership we’re not 22 | mental health matters using, or tell ourselves that we will start something later? So are resolutions doomed? Like any form of habit change, New Year Resolutions (or resolutions at any time of the year) often involve self-control, and therefore willpower. Professor Baumeister suggests that January may not necessarily be the best time to make a big change in your life, especially if you are not used to starting new habits or you have a lot of other demands that are already draining your willpower reserves. The energy we use to exert our willpower to create change is the same energy that we use for lots of things on an everyday basis – like making decisions, managing our relationships, and getting our work done. Even being sick can have a profound impact on your ability to use your willpower, as your immune system uses that same energy to fight off illnesses. “If people make five resolutions, each resolution they make will detract from their ability to do others since they all draw on the same energy,” says Professor Baumeister. “One of the reasons New Year Resolutions have such a dismal reputation is because trying to change yourself in several different ways at once is counterproductive. What would seem to be a better strategy based on the research would be to do them in sequence rather than all at once.” So put off some or all of your resolutions, at least for a little while. Instead, you might want to start with something that is small and easy and then work your way up. The easier your first resolution is to do, the more likely you are to succeed. The sense of accomplishment you gain from this first experience can then be used to buoy your next change. As you work on the easier habit, you’ll also be building up your willpower ‘muscle’ to make your next challenge easier to tackle. Can strengthening willpower ‘muscles’ help our mental health? Professor Baumeister has recently been researching ‘test anxiety’ for a paper that will be published in the next few months. The paper will explore the fear felt by a person that a test they are taking will not go well. “There are many studies about this but they are quite inconsistent. A lot of them show mental health matters | 23 that if you have text anxiety you actually do worse on the test, but there are also a lot of studies that find no difference,” he says. “We showed that when people had their self-control – their willpower – intact, then it doesn’t matter if they have anxiety or not because they are still able to perform well.” “Presumably they can push aside their fears and concerns and they can concentrate on doing the test. But we also showed that when people’s willpower is depleted… then the more anxiety they have on the test, the worse they do.” So, Professor Baumeister says, while willpower doesn’t prevent you from experiencing anxiety, it can help you prevent the anxiety from interfering with your life or your work. Which change is the right change? “People have the impression that willpower is mostly about eating and dieting,” says Professor Baumeister. He goes on to explain that given the influence of genetic factors, the process of weight loss is often only partly under our control, and is therefore not an area that generates the biggest rewards from stronger willpower. People are much more successful applying willpower to work or school, or picking out a smaller and more easily controlled component of such a broad goal like weight loss. “Developing an exercise program is probably at least as good for you as losing weight… and it’s something that is much more controllable,” Professor Baumeister says, recommending committing to a short walk every other day instead of dieting. “It makes 24 | mental health matters you feel better, makes you healthier, and it also in turn builds up your willpower to tackle other challenges that might be more difficult.” “The key point is that using your will power to establish habits is an important key to success. Once something is a habit, then it doesn’t take as much energy to do.” So pick any single change that you feel positive about, and make sure it’s small and easily manageable. It doesn’t matter so much what it is, whether it would be easy or hard for someone else, or even whether it is exercise based. Once you’ve succeeded at your first small change, pick another that’s a little bit harder, and watch your willpower grow! Written by Ci’an Kemp Professor Roy F. Baumeister is currently the Eppes Eminent Scholar and Professor of Psychology at Florida State University. He has over 500 publications and 31 books including the New York Times bestseller Willpower: Rediscovering the greatest human strength (with John Tierney). In 2013 he received the William James award for lifetime achievement in psychological science. In May 2014, Professor Baumeister will be speaking in Sydney at the Happiness & Its Causes conference. MHA members receive a discount when attending the conference, use the code on the page opposite when registering online at the website www.happinessanditscauses.com.au to obtain your discount. Book before 28 March & save $500+. Use promo code DPCL. What makes a goodlife? The world’s leading happiness event is celebrating its 9th year! And to mark the occasion we’re including some new, interactive and fun elements – a drinks party, HAPFEST powered by Pecha Kucha, the Young Minds forum, an ethics debate, more live performers plus lots of other goodies! Professor Mihaly Csikszentmihalyi, USA, one of the greatest psychologists of our time, pioneering researcher into optimal experience or ‘flow’ on a rare visit to Australia Matthieu Ricard, Nepal, inspiring humanitarian monk and best-selling author Happiness: A Guide to Developing Life’s Most Important Skill Dr Jane Goodal, DBE, UK, legendary primatologist, environmentalist and UN Messenger of Peace Professor Jean Twenge, USA, psychologist and leading researcher into narcissism and youth mental health Professor Roy Baumeister, USA, respected social psychologist exploring self-control, self-regulation, meaning and happiness Professor Felicia A. Huppert, UK, international expert in wellbeing and author of The Science of Wellbeing AND 25+ AMAZING LOCAL MINDS TOO! This action packed program is designed to suit individuals and professionals in psychology, nursing, education, health care, business ... in fact, anyone! Incorporating: Endorsed by: mental health matters | 25 Walk Your Blues Away Being healthy is about so much more than the absence of disease. We all want to feel physically strong and fit, but our emotional and mental health is also vital for maintaining an overall sense of wellbeing. Cassia Community Centre at Pendle Hill is an organization that strives to improve the quality of life for the people who live, work and study in the Holroyd local government area by addressing all these elements of health and wellbeing. With the belief that ‘Healthy Communities make Healthy Families’, Kerrie Denton introduced a walking group to promote good mental health as part of the centre’s term program. The mothers were given information packages regarding the benefits of physical exercise in relation to mental health and I encouraged them to do further research on their own to learn more about the mental and emotional benefits of exercise, in order to empower them during the experience. So did the exercise really make a difference? In starting the walking group I targeted mums with young children, who were feeling socially isolated, depressed, and lonely, in the hopes that it would get them out of their lounge rooms and into the fresh air. It would give them an opportunity for physical exercise while increasing their self-worth and confidence. All the mothers who participated were initially interviewed in order to establish their suitability for the program and their reasons for joining the walking group. 26 | mental health matters On the first week of the eight-week program, ten mothers and their children set off for a one hour walk. I made it perfectly clear that this was not a race to the finish, but a steady pace so we could all remain together, and that we could stop whenever a child needed attention. The mothers were all in agreement, and so the walk began. The very first week I noticed that most of the women appeared to be extremely downcast, and some even expressed that they were feeling an overwhelming sense of sadness. They said they all felt as if they could not be bothered with anything at all and that they literally had to force themselves to attend the first walking session. I pointed out to them that they should all feel very proud of themselves for taking the first step. Joining the walking group was an indication that they were open to self-improvement and that they wanted to experience first-hand whether exercise may actually help them emotionally as well as physically. Needless to say, it was a very solemn, silent walk that first week. However, the ten participants returned on the second session, much to my joy. We began by discussing how they felt after they went home the first week. All of the mothers said that they did not feel physically any difference, but did admit to feeling a little brighter and said it was much easier returning the second week. I expressed my delight that every one of them had decided to commit to the group for the eight week term. Slowly over time, I began to notice truly remarkable changes in the group. All the mothers said that they felt more relaxed and a lot calmer. They slept better, their concentration had improved, their spirits were lifted, and they felt more motivated to do other things as well. Even their diet had become healthier. In allowing the mothers the chance to breath in the fresh air, chat with friends, and support each other, the walking group became something that was just for them. It was their time out, even though we had children with us. By being a member of the group it gave each person a sense of belonging to something that was worthwhile. Most participants also said that they had begun incorporating daily walks in to their routine when the weather and circumstances permitted. This was something that they never would have considered prior to joining the walking group. I was very proud of each and every one of them and I always say, why not try to it. You may just feel a little better. You be the judge. Written by Kerrie Denton. Kerrie is the manager of the Cassia Community Centre at Pendle Hill. mental health matters | 27 PSYCHOLOGIST REGISTRATION PROGRAM Do you have four years of study in psychology? Do you want to become a registered psychologist? Do you want a practical, supportive, and flexible program with structured coursework? ASK US ABOUT ENROLMENTS TODAY! Applications are now invited for our Psychologist Registration Program from graduates who have an approved four year sequence of psychology study. 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