GENDER AND MENTAL ILLNESSComputing Services for 性别与心理疾病的计算服务精选文档.ppt

I.TRADITIONAL VIEW,MARRIAGE IS GOOD FOR MENTAL HEALTH(FROM DURKHEIM)SOCIAL EXPECTATIONSINTERPERSONAL-SOCIAL SUPPORT,EMOTIONAL SECURITY,INTIMACYSOCIAL INTEGRATION-TIES TO COMMUNITY,BENEFITS OF MARRIAGE,ECONOMIC WELL-BEING-MARRIED EARN MORE(WOMEN+$12,000;MEN+$7,000)HEALTH BEHAVIOR-MARRIED FEWER RISKIER BEHAVIORS,MORE HEALTH PROMOTIVE BEHAVIORS,RECENT CHANGES,1950 MARRIED COUPLES 80%OF ALL HOUSEHOLDS;2000 50%PEOPLE DELAYING MARRIAGE UNTIL LATE 20SHUGE GROWTH OF PEOPLE LIVING ALONE NOW 26%OF TOTAL,RECENT TRENDS,10X GROWTH OF COHABITATION SINCE 1970MORE CHILDREN OUT-OF-WEDLOCK-34%IN U.S.(VS.5%IN 1960);50%IN SCANDANAVIAHUGE GROWTH OF DIVORCE IN 1960s-1970s,STABLE SINCE THENMARRIAGE WEAKENING?,II.BENEFITS OF MARRIAGE DATED,CHANGES IN SOCIAL NORMSSTAYING SINGLE AND GETTING DIVORCED NOT STIGMATIZEDRISE OF COHABITATIONFREEDOM AND AUTONOMY,III.FEMINIST VIEW,ADVANTAGES ONLY FOR MENMARRIAGE SOURCE OF OPPRESSION FOR WOMENROLE OVERLOADCONFLICT AND VIOLENCE,THREE QUESTIONS,HOW IS MARRIAGE RELATED TO MENTAL HEALTH?HOW IS DIVORCE RELATED TO MENTAL HEALTH?ARE MARRIAGE AND DIVORCE DIFFERENT FOR MEN AND WOMEN?,EVIDENCE,MARRIAGE AND DISTRESS,BOTH MEN AND WOMEN BENEFITMEN BENEFIT MORESELECTION?,RUTGERS HHDP STUDY(HORWITZ AND WHITE),LONGITUDINAL STUDY OF 1300 REPRESENTATIVE NEW JERSEY ADOLESCENTS AND YOUNG ADULTSFIVE SURVEYS IN 1980,1983,1986,1993,1998STARTED AT AGES 12,15,AND 18NOW ARE AGES 36-42,FINDINGS(RUTGERS STUDY),FINDINGS,MARRIED BETTER MENTAL HEALTH LESS DEPRESSION FOR BOTH MARRIED MEN AND WOMENMARRIED HAVE FAR FEWER ALC PROBLEMS ESPECIALLY WOMENSINGLE WOMEN MOST DEPRESSEDSINGLE MEN MOST ALCOHOL PROB.,CONCLUSIONS,MARRIAGE STILL GOOD FOR MENTAL HEALTHGOOD FOR BOTH SEXESNOT SELECTIONMOST SUPPORT FOR TRADITIONAL VIEW,MARITAL DISSOLUTION,MARITAL DISSOLUTION,SEP/DIV HAVE HIGHEST RATE OF ALL MENTAL DISORDERS,SUICIDE,ALCOHOL AND DRUG PROBLEMS,MENTAL HEALTH TREATMENTSEPARATION MORE DISTRESSING THAN DIVORCEDIVORCE OFTEN STRESS RELIEF,WHY IS DISSOLUTION SO HARMFUL?,CONFLICT AND TURMOILSELF-CONCEPTIONSOCIAL RELATIONSHIPS/SUPPORTECONOMIC DETERIORATIONCHANGE IN LIVING CONDITIONSCHILDRENALL HAPPENING AT SAME TIME,SELECTION,DOES DISSOLUTION LEAD TO MENTAL HEALTH PROBLEMS CAUSATION?OR DOES SELECTION OF WORST MENTAL HEALTH LEAD TO DISSOLUTION?,IMPACT OF DISSOLUTION(RUTGERS HHDP),FINDINGS,DISSOLUTION LEADS TO MORE DEPRESSION AND ALC.PROBLEMSMORE DEPRESSION AND ALCOHOL PROBLEMS FOR BOTH WOMEN AND MEN HARMFUL IMPACT OF DISSOLUTION SAME FOR MEN AND WOMENNOT SELECTION,CONCLUSIONS FOR MARITAL DISSOLUTION,DISSOLUTION VERY BAD FOR MENTAL HEALTHWORSE THAN STAYING IN BAD MARRIAGE?,CONCLUSIONS,MENTALLY HEALTHY TO GET AND STAY MARRIED FOR BOTH SEXESMARITAL DISSOLUTION ESPECIALLY BAD FOR BOTH SEXESIMPLICATIONS BAD-MORE PEOPLE REMAINING UNMARRIED,MARRY LATER,GET DIVORCED,