To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Chapter 5 assesses harms that people with mental illness experience that are related to how their self is constituted. These include harms of de-individuation and mis-identification, but also, as this chapter focuses on, harms of social exclusion and dehumanization that result from status loss and moral distancing. Dehumanization occurs through both being reduced to a stereotyped trait and being viewed as lesser compared to others. Having a sense of belonging and being accepted as an equal member of a moral/epistemic/social community are important parts of being viewed as and viewing oneself as a full human being; these are also critical for developing and exercising autonomous agency as well as for well-being and flourishing. People with mental illness are often excluded from these communities as a result of public stigma, diminishing their autonomy and well-being. This chapter shows how dehumanization, social exclusion, and belonging uncertainty threaten belongingness and autonomy.
This chapter explores ecopsychology’s potential to examine the psychological roots of environmental destruction and promote sustainable alternatives. Tracing connections between ecopsychology, positive psychology and economics, it critiques mainstream psychology’s individualistic focus and its neglect of sociopolitical and ecological contexts. Through concepts like the ‘empty self’ and ‘revolt of nature’, the chapter foregrounds systemic dysfunction in capitalist societies, arguing that well-being and reconnection with nature must replace growth imperatives. Key alternatives include degrowth strategies, well-being-oriented policy frameworks and transcultural initiatives such as Joanna Macy’s ‘Work That Reconnects’ and Aboriginal-led equine-assisted learning. The chapter concludes that genuine environmental and social transformation requires interdisciplinary ecological paradigms that disrupt resourcification, technosalvationism and nationalist tribalism – while fostering empathetic relationships between humans and non-human life.
More than 17 million people volunteer and work in the Red Cross Red Crescent (RCRC) Movement.1 With more than 130 active armed conflicts in at least fifty countries, it can be estimated that at least 4 million RCRC volunteers and staff live and work in armed conflict settings;2 most volunteers and staff work in their own countries, delivering essential humanitarian assistance to their communities. In 2025, twenty-seven RCRC volunteers and staff lost their lives in the line of duty, with additional fatalities occurring off-duty.3 Extreme working conditions and constant exposure to suffering often cause long-term psychological consequences, and the mental health and psychosocial impacts occur in a wider context that can lead staff and volunteers to question their fundamental moral values.
This qualitative study seeks to explore the mental health and psychosocial4 experiences of national volunteers and staff by amplifying their voices and acknowledging the hardships that they go through. Through a lens of moral injury and trauma-informed approaches, the findings of the study shed light on the lived experiences of national staff and volunteers working and living in armed conflict contexts. Key themes that emerged from the study include a strong commitment to the RCRC Movement, exposure to harm, mental health impacts, and the need for support systems for staff and volunteers. These insights underscore the urgency of embedding trauma-informed approaches in Movement-wide policies and support systems to strengthen protection and well-being for staff and volunteers.
This Element outlines the foundational concepts and key applications of humanistic management and leadership. It focuses on the key concepts of protecting dignity and promoting well-being. It provides a humanistically grounded, scientifically backed paradigm for better organizing at the level of individual, relation, team, organization, society and nature. It provides real world examples of organizations and companies that practice humanistic management and leadership and create outstanding value for all stakeholders.
Attention-deficit hyperactivity disorder (ADHD) is increasingly recognised as a social identity as well as a medical diagnosis. Social identity theory suggests that group identification can benefit self-esteem, well-being and mental health, but little is known about ADHD social identification or preferred terminology in English.
Aims
We aimed to measure ADHD social identification and preferred terminology in a sample of adults with ADHD in the UK and to understand whether ADHD social identification is related to improved self-esteem, well-being and mental health.
Method
Three hundred and nineteen adults with ADHD in the UK participated. They were aged between 18 and 73 years and 59% were female. Participants completed self-report measures of ADHD social identification, self-esteem, well-being, anxiety, depression, terminology preferences, medication use and sources of learning about ADHD. Descriptive statistics were used to identify the percentage of participants who preferred ADHD-first versus person-first terminology. Pre-registered serial mediation models tested hypothesised pathways from ADHD identification to mental health via self-esteem and well-being. Further analyses examined associations between terminology preferences, medication use and sources of learning about ADHD.
Results
ADHD identification was not significantly correlated with self-esteem, anxiety or depression. Most participants (77%) preferred person-first terminology (‘person with ADHD’). Higher ADHD identification was associated with identity-first language preference and medication use. Social media was the only source of learning about ADHD related to higher ADHD identification. In mediation models, ADHD identification was not associated with self-esteem or well-being; however, a subcomponent of ADHD social identification – satisfaction – was indirectly related to better mental health via self-esteem and well-being.
Conclusions
These cross-sectional findings indicated that ADHD identification did not show the hypothesised protective associations with mental health. Preferences for person-first terminology suggest ADHD is not always central to identity. Longitudinal and qualitative studies are needed to clarify causal relationships and clinical implications.
This paper develops and defends a non-utilitarian interpretation of John Harsanyi’s social aggregation theorem and sum of vNM utilities approach. On this interpretation, vNM utilities transform an independently available cardinal measure of fully comparable individual well-being. The resulting proposal for ranking well-being distributions – the Risk-Priority View – is not welfare-anonymous and can favour a smaller increase in well-being for one individual rather than a larger increase in well-being for another, equally well-off individual. I argue here that such counterintuitive implications can be defended, and that impartiality can still be secured through the imposition of an alternative, interprofile anonymity axiom.
This study provides evidence supporting the validity of the Psychologically Rich Life Questionnaire (PRLQ) in a large Spanish sample, comparing its 17-item and 12-item versions and various measures of well-being and distress. Both versions show high internal consistency and adequate fit, although some elements could be interpreted as favoring the 12-item version. Analyses revealed significant associations between PRLQ scores and sociodemographic factors, with higher scores observed among older individuals, those with higher levels of education, and those with higher incomes, although effect sizes were small. We found a consistent pattern of positive correlations with well-being variables (e.g., resilience and meaning in life) and negative correlations with distress measures (e.g., depression, anxiety, and loneliness). This study, for the first time in Spanish, presents information on a questionnaire that addresses a novel concept complementary to traditional views of hedonic and eudaimonic well-being. Limitations, including digital literacy disparities and potential cultural or age-related biases, are discussed. Future research should explore the cross-cultural equivalence of the PRLQ and its utility in longitudinal and predictive contexts.
South Asia has a unique geographical profile, with the mighty Himalayas in the north and a long coastline in the south along its eastern and western borders. In the past few decades, with human population growth, and increasing urbanisation and industrialisation, the climate has been a casualty, with an adverse impact on physical health and well-being and on mental health. There have been certain initiatives on the part of local governments in the form of action plans on climate change, but the effects of these initiatives are yet to be seen. Research from South Asia on the impact of climate change on mental health is still at preliminary level.
There is compelling evidence that humanitarian staff and volunteers face an increased risk of adverse mental health conditions due to their work, including anxiety, depression, post-traumatic stress disorder, and burn-out. This article first outlines the mental health consequences associated with working in the humanitarian sector, linking these outcomes to contextual, operational and organizational psychosocial risk factors. Building on both the evidence available and the theoretical models in mental health at the workplace, and going beyond solely offering psychosocial support interventions, we propose an evidence-based framework to guide protective actions at the individual, group, leader, organizational and overarching contextual levels (the IGLOO model), tailored to the specific challenges of humanitarian contexts. Based on our experience with the International Committee of the Red Cross, we present two examples of utilizing this framework within two interventions: (1) training managers to strengthen practices that promote and protect well-being, address psychosocial risk factors, identify individuals showing signs of distress and facilitate safe access to psychological support, and (2) applying a psychosocial response framework to support staff following critical incidents. Finally, we discuss the advantages and challenges of adopting an integrated psychosocial approach to staff care, drawing implications for policy and practice from our interventions and broader experience within the sector. We conclude that humanitarian organizations should adopt an integrated approach to duty of care, prioritizing not only treatment but also the prevention and mitigation of psychological harm among staff and volunteers operating in conflict zones, extending beyond immediate crisis support to ensure sustainable protection of mental health.
Edited by
Liz McDonald, East London NHS Foundation Trust,Roch Cantwell, Perinatal Mental Health Service and West of Scotland Mother & Baby Unit,Ian Jones, Cardiff University
The transition to parenthood brings much joy but also challenges and strains to all families. Where mothers are experiencing perinatal mental health disorders, this is an additional challenge which impacts the wider family system. Partners and other family members may have to take on additional responsibilities, manage worries about the mother’s mental health, and potentially deal with their own mental health difficulties. Indeed, partners – including fathers, co-mothers and step-parents – may be particularly vulnerable to poor mental health at this time.
The partners’ mental health is a crucial aspect of family functioning in the perinatal period that can impact on the whole family. Paternal depression and anxiety disorders have implications for family relationships, including the couple relationship, the co-parenting relationship and the relationship with the baby – with potential adverse consequences for child and family outcomes.
Practitioners have a role in supporting prevention of paternal mental health disorders and working to reduce barriers to help-seeking and uptake of support where needed. These practices not only serve to improve the well-being of fathers and partners; well-supported family members who feel included and have their own mental health needs met will also have a significant positive impact on maternal recovery and well-being.
Edited by
Liz McDonald, East London NHS Foundation Trust,Roch Cantwell, Perinatal Mental Health Service and West of Scotland Mother & Baby Unit,Ian Jones, Cardiff University
Postpartum psychosis is a condition of great clinical and public health importance. Severe episodes of mental illness in the perinatal period can result in significant distress, may disrupt the developing relationship between mother and child, and have long-term implications for the well-being of the woman, her baby, family and wider society.
In this chapter we will discuss what we know about this condition and its relationship to bipolar disorder, how it might best be defined, what we still need to find out, and consider how it should be managed.
This systematic review examines the relationship between psychological contract breach (PCB)/fulfilment (PCF) and employee well-being, with a specific focus on mediating and moderating mechanisms. A systematic search in four databases yielded 59 empirical studies published between 1990 and 2024. The findings indicate that PCB hinders employee well-being, whereas PCF supports a range of well-being outcomes, and there is no consensus on whether PCB or PCF has a greater impact on employee well-being. Evidence also suggests that PCB and PCF are related but distinct constructs. Synthesising mediators and moderators, the review advances a contingent and process-based understanding of how psychological contract evaluations shape employee well-being. The evidence further indicates that the relative impact of PCB or PCF on employee well-being is conditional rather than universal. These findings extend conservation of resources and social exchange theories, and highlight the need for more theoretically rigorous and causally robust future research.
Compulsive buying behaviour (CBB) is a growing concern with detrimental impacts on mental health. Females’ mental health, compared with males, is reported to be increasingly affected by CBB. Despite existing research on CBB, the mental health factors influencing it remain understudied, especially among this demographic in urban settings.
Aims
To explore differences in mental health between females with high and low CBB; to evaluate the effects of stress, anxiety and depression on CBB in female urban office workers, and whether mental well-being mediates these relationships.
Method
A cross-sectional study was conducted with 369 female office workers, aged 20–50 years, living and working in Ho Chi Minh City, Vietnam. Data were collected using online surveys distributed via social media platforms. The study used the Compulsive-Buying Index (CBI), the Depression, Anxiety and Stress Scale (DASS-21) and the World Health Organization-Five Well-being Index (WHO-5). Data were analysed using SPSS 25.0 and SmartPLS 4 to assess the relationships among variables and the mediating effect of well-being.
Results
Stress and anxiety were significantly higher among those with higher CBB. Additionally, significant findings revealed that stress and well-being both positively predicted CBB (β = 0.43, p < 0.001 and β = 0.15, p = 0.010 respectively). Well-being was found to mediate the indirect relationship between depression and CBB (β = −0.08, p = 0.018), whereas anxiety had no significant effect. Stress and well-being explained 23.3% and 12.9% of the variance in well-being and CBB respectively.
Conclusions
The study shows that both stress and well-being directly influence CBB, whereas depression has an indirect effect via well-being, highlighting multifaceted relationships between mental health and CBB.
To decolonize social institutions (i.e. political, criminal justice, educational, and economic systems) a more profound commitment to inclusion and well-being will require a reimagining of the embedment of anti-racist and anti-oppressive paradigms. Various social institutions either inherited or created to meet the needs and aspirations of the former colonized, have faltered and failed under the pressures of Neo-Colonialism and structural racism, and have manifested in their various forms as structural adjustment programs, outsourcing, privatization of human services, and the rise of Non-Governmental Organizations (NGO’s). There is an urgent need for new and innovative research on the subject of producing a brave and adaptable generation of leaders who understand the value of servant leadership principles coupled with the principles of the Afrocentric Perspective as a framework to create social policies and engage in leadership practices that are sensitive to the needs of Black, Indigenous, and People of Color (BIPOC) and other oppressed groups in general as a conceptualization of a praxis of decoloniality. This chapter will address how these two approaches can contribute to the reinvigoration of upcoming leaders committed to serving BIPOC and other oppressed and marginalized groups.
Entry to higher education coincides with a period of accelerated psychosocial and brain development. Student need for acceptable and accessible well-being and mental health support is straining university resources.
Aims
To evaluate the acceptability and impact of a digital mental health literacy course tailored for undergraduates and delivered as an accredited interdisciplinary elective.
Method
Analyses included pre–post course survey data from enrolled students and longitudinal U-Flourish Well-Being Survey data from a comparison sample of non-course takers over the same period (2021–2024). Linear mixed-effects models examined associations between course participation and 12-week changes in mental health literacy, psychosocial risk factors, well-being and common mental health concerns.
Results
Pre–post course survey data (N = 2884) supported high acceptability, improvements in resilience (+0.06; 95% CI 0.03–0.08, p < 0.001) and self-compassion (+0.65; 95% CI 0.46–0.84, p < 0.001), and a reduction in brooding (−0.31; 95% CI −0.44 to−0.18, p < 0.001). Taking the course was associated with a reduction in anxiety (β = −0.41; 95% CI −0.55 to −0.27, p < 0.001) and cannabis use (proportional odds ratio 0.82; 95% CI 0.75–0.90, p < 0.001), improvement in sleep quality (β = 0.79; 95% CI 0.61–0.97, p < 0.001) and evidence of a protective effect on well-being (β = 0.24; 95% CI 0.11–0.36, p < 0.001) and depressive symptoms (β = −0.37; 95% CI −0.52 to −0.21, p < 0.001), compared with non-course takers. Effects differed by gender, with women benefitting most, but were comparable across minoritised student subgroups.
Conclusions
Mental health literacy delivered as an accredited undergraduate interdisciplinary course is highly acceptable and associated with improvement in psychological coping and positive effects on student mental health and well-being. Future research should focus on more diverse student samples, underlying mechanisms and sustained effects.
Remote working – strongly widespread during the covid-19 pandemic –is today one of the main forms of innovation in the world of work. As always, within innovation phenomena we have static elements, from the past, and dynamic elements, looking to change the status quo. Consequently, the evaluation of remote work may be either conservative or innovative. Remote work can be considered as a simple re-proposition of the Fordist-Taylorist Enterprise that does not actually change the characteristics of employment as a not democratic relationship involving the worker submission to the employer managerial, control and disciplinary power. On the other hand, remote work can be recognized as the symptom of a broader cultural, organizational and process change in the firm, allowing the worker to conquer new spaces of freedom and autonomy, which not only allow for a new balance in the relationship between work and life, but also redefine both the factual and juridical connotations of subordination. This chapter analyzes this second perspective and, on the basis of legislation and collective bargaining, tries to define the elements of change in the concept and morphology of subordination within the employment relationship.
Recent legislation in the UK has placed an expectation on social purpose organisations (SPOs) to consider, monitor and evaluate the societal value they generate. However, meaningful engagement with the Social Value Act by the third sector is relatively low, which reflects both conceptual and methodological shortcomings. This paper describes a programme of action research which has developed a user-friendly tool to assist smaller SPOs to explore, evidence and value the benefits that they produce for society. Conceptualising social value through the lens of the localism, personalisation, deliberative democracy and social innovation agendas, the paper describes the process and experience of applying a Social Return Assessment tool and the lessons learnt for the three SPOs involved, the third sector, and for commissioning bodies. Recommendations reflect the need for a standardised monitoring and evaluation framework tailored to specific third sector interest groups and networks.
This paper, based on Survey of Health, Ageing and Retirement in Europe (SHARE) data, analyzes the relation between volunteering and well-being among 30,023 Europeans aged 50 and above in 12 countries. There is an overall positive correlation between volunteering and perceived health, life satisfaction, and self-life expectancy and a negative correlation to depression. However, in some countries the correlation is much stronger than in others.
This study examines the subjective quality of life of globally expanding senior citizens post-retirement, from a volunteering perspective. Formal volunteering is one way to engage retired seniors, providing social connectedness and enhanced well-being while potentially reducing their support service needs. It also provides a valuable resource to nonprofits. Thus, it is a win–win for both these individuals and their societies. This study has empirically examined associations between regular formal volunteering and seniors’ personal outlook, in the context of enhanced subjective quality of life. Past research has overlooked this important perspective, which often influences relationships between volunteering and subjective quality of life. Surveying 207 seniors, this study found that voluntary work perceptions are often associated with regular formal volunteering, which in turn is associated with the individual’s personal outlook, which in turn is positively associated with the aspects of subjective quality of life, particularly mental and emotional well-being. These results will guide policymakers on improving the quality of life of seniors through their extended involvement as volunteers, including for nonprofits, ways to recruit, train and manage their volunteer workforce and take action in further increasing the profile and the availability of formal volunteering.
The monetary value of informal eldercare in the family and voluntary sector has drawn much attention as it concerns a resource of welfare governments and nonprofit organizations try to activate via cash benefits. Studies addressing the issue in order to assess the economic impact of non-market activities and the willingness to accept financial rewards have largely ignored differences in the utility function of caregivers. Applying a behavioral-economic approach, we report a profound and formerly unobserved distinction between care in the household and non-household care for a family member or in a voluntary framework: whereas caregivers within the household perceive care as a burden and a positive shadow price arises, in the non-household context—and particularly in the volunteering case–care extends well-being and leads to negative shadow prices. The results show that non-market activities can only be measured in monetary terms to a limited extent and contribute to explaining the boundaries of monetary incentive policies.