What is Flow (Psychology)?

Introduction

In positive psychology, a flow state, also known colloquially as being in the zone, is the mental state in which a person performing some activity is fully immersed in a feeling of energised focus, full involvement, and enjoyment in the process of the activity. In essence, flow is characterised by the complete absorption in what one does, and a resulting transformation in one’s sense of time.

Named by the psychologist Mihály Csíkszentmihályi in 1975, the concept has been widely referred to across a variety of fields (and is particularly well recognised in occupational therapy), though the concept has been claimed to have existed for thousands of years under other names.

The flow state shares many characteristics with hyperfocus. However, hyperfocus is not always described in a positive light. Some examples include spending “too much” time playing video games or becoming pleasurably absorbed by one aspect of an assignment or task to the detriment of the overall assignment. In some cases, hyperfocus can “capture” a person, perhaps causing them to appear unfocused or to start several projects, but complete few. Hyperfocus is often mentioned “in the context of autism, schizophrenia, and attention deficit hyperactivity disorder – conditions that have consequences on attentional abilities.”

Components

Jeanne Nakamura and Csíkszentmihályi identify the following six factors as encompassing an experience of flow:

  • Intense and focused concentration on the present moment.
  • Merging of action and awareness.
  • A loss of reflective self-consciousness.
  • A sense of personal control or agency over the situation or activity.
  • A distortion of temporal experience, as one’s subjective experience of time is altered.
  • Experience of the activity as intrinsically rewarding, also referred to as autotelic experience.

Those aspects can appear independently of each other, but only in combination do they constitute a so-called flow experience. Additionally, psychology writer Kendra Cherry has mentioned three other components that Csíkszentmihályi lists as being a part of the flow experience:

  • Immediate feedback.
  • Feeling the potential to succeed.
  • Feeling so engrossed in the experience, that other needs become negligible.

Just as with the conditions listed above, these conditions can be independent of one another.

Etymology

Flow is so named because, during Csíkszentmihályi’s 1975 interviews, several people described their “flow” experiences using the metaphor of a water current carrying them along: “‘It was like floating,’ ‘I was carried on by the flow.'”

Brief History

Mihaly Csikszentmihályi and others began researching flow after Csikszentmihályi became fascinated by artists who would essentially get lost in their work. Artists, especially painters, got so immersed in their work that they would disregard their need for food, water and even sleep. The theory of flow came about when Csikszentmihályi tried to understand the phenomenon experienced by these artists. Flow research became prevalent in the 1980s and 1990s, with Csikszentmihályi and his colleagues in Italy still at the forefront. Researchers interested in optimal experiences and emphasizing positive experiences, especially in places such as schools and the business world, also began studying the theory of flow at this time.

The cognitive science of flow has been studied under the rubric of effortless attention.

Mechanism

In any given moment, there is a great deal of information made available to each individual. Psychologists have found that one’s mind can attend to only a certain amount of information at a time. According to Csikszentmihályi’s 2004 TED talk, that number is about “110 bits of information per second.” That may seem like a lot of information, but simple daily tasks take quite a lot of information. Just decoding speech takes about 40-60 bits of information per second, which is why when having a conversation, one cannot focus as much attention on other things.

For the most part (except for basic bodily feelings like hunger and pain, which are innate), people are able to decide what they want to focus their attention on. However, when one is in the flow state, they are completely engrossed with the one task at hand and, without making the conscious decision to do so, lose awareness of all other things: time, people, distractions, and even basic bodily needs. According to Csikszentmihályi, this event occurs because all of the attention of the person in the flow state is on the task at hand; there is no more attention to be allocated.

The flow state has been described by Csikszentmihályi as the “optimal experience” in that one gets to a level of high gratification from the experience. Achieving this experience is considered to be personal and “depends on the ability” of the individual. One’s capacity and desire to overcome challenges in order to achieve their ultimate goals leads not only to the optimal experience but also to a sense of life satisfaction overall.

Measurement

There are three common ways to measure flow experiences: the flow questionnaire (FQ), the experience sampling method (ESM), and the “standardised scales of the componential approach.”

Flow Questionnaire

The FQ requires individuals to identify definitions of flow and situations in which they believe that they have experienced flow, followed by a section that asks them to evaluate their personal experiences in these flow-inducing situations. The FQ identifies flow as multiple constructs, therefore allowing the results to be used to estimate differences in the likelihood of experiencing flow across a variety of factors. Another strength of the FQ is that it does not assume that everyone’s flow experiences are the same. Because of this, the FQ is the ideal measure for estimating the prevalence of flow. However, the FQ has some weaknesses that more recent methods have set out to address. The FQ does not allow for a measurement of the intensity of flow during specific activities. This method also does not measure the influence of the ratio of challenge to skill on the flow state.

Experience Sampling Method

The ESM requires individuals to fill out the experience sampling form (ESF) at eight randomly chosen time intervals throughout the day. The purpose of this is to understand subjective experiences by estimating the time intervals that individuals spend in specific states during everyday life. The ESF is made up of 13 categorical items and 29 scaled items. The purpose of the categorical items is to determine the context and motivational aspects of the current actions (these items include: time, location, companionship/desire for companionship, activity being performed, reason for performing activity). Because these questions are open-ended, the answers need to be coded by researchers. This needs to be done carefully so as to avoid any biases in the statistical analysis. The scaled items are intended to measure the levels of a variety of subjective feelings that the individual may be experiencing. The ESM is more complex than the FQ and contributes to the understanding of how flow plays out in a variety of situations, however the possible biases make it a risky choice.

Standardised Scales

Some researchers are not satisfied with the methods mentioned above and have set out to create their own scales. The scales developed by Jackson and Eklund are the most commonly used in research, mainly because they are still consistent with Csíkszentmihályi’s definition of flow and consider flow as being both a state and a trait. Jackson and Eklund created two scales that have been proven to be psychometrically valid and reliable:

  • The flow state scale-2 (which measures flow as a state); and
  • The dispositional flow scale-2 (designed to measure flow as either a general trait or domain-specific trait).

The statistical analysis of the individual results from these scales gives a much more complete understanding of flow than the ESM and the FQ.

Characteristics

The flow state can be entered while performing any activity, although it is more likely to occur when the task or activity is wholeheartedly engaged for intrinsic purposes. Passive activities such as taking a bath or even watching TV, usually do not elicit a flow experience because active engagement is prerequisite to entering the flow state. While the activities that induce flow vary and may perhaps be multifaceted, Csikszentmihályi asserts that the experience of flow is similar whatever the activity.

Flow theory postulates that three conditions must be met to achieve flow:

  • The activity must have clear goals and progress. This establishes structure and direction.
  • The task must provide clear and immediate feedback. This helps to negotiate any changing demands and allows adjusting performance to maintain the flow state.
  • Good balance is required between the perceived challenges of the task and one’s perceived skills. Confidence in the ability to complete the task is required.

It has been argued that the antecedent factors of flow are interrelated, and as such, a perceived balance between challenges and skills requires that the goals are clear, and feedback is effective. Thus, the coordination of perceived demands and task skills can be identified as the central precondition of flow experience.

In 1987, Massimini, Csíkszentmihályi and Carli published the eight-channel model of flow. Antonella Delle Fave, who worked with Fausto Massimini at the University of Milan, calls this graph the Experience Fluctuation Model. The model depicts the channels of experience that result from different levels of perceived challenges and perceived skills. The graph illustrates another aspect of flow: it is more likely to occur when the activity is a higher-than-average challenge (above the centre point) and the individual has above-average skills (to the right of the centre point). The centre of the graph where the sectors meet represents the average level of challenge and skill across all individual daily activities. The further from the centre an experience is, the greater the intensity of that state of being, whether it is flow or anxiety or boredom or relaxation.

Several problems of the model have been discussed in literature. One is that it does not ensure the perceived balance between challenges and skills which is said to be the central precondition of flow experience. Individuals with a low average level of skills and a high average level of challenges (or the converse) do not necessarily experience a match between skills and challenges when both are above their individual average. Another study found that low challenge situations which were surpassed by skill were associated with enjoyment, relaxation, and happiness, which, they claim, is contrary to flow theory.

Schaffer (2013) proposed seven flow conditions:

  • Knowing what to do.
  • Knowing how to do it.
  • Knowing how well one is doing.
  • Knowing where to go (if navigation is involved).
  • High perceived challenges.
  • High perceived skills.
  • Freedom from distractions.

Schaffer published a flow condition questionnaire (FCQ), to measure each of these seven flow conditions for any given task or activity.

Challenges to Maintaining Flow

Some of the challenges to staying in flow include states of apathy, boredom, and anxiety. The state of apathy is characterized by easy challenges and low skill level requirements, resulting in a general lack of interest in the activity. Boredom is a slightly different state that occurs when challenges are few, but one’s skill level exceeds those challenges causing one to seek higher challenges. A state of anxiety occurs when challenges are high enough to exceed perceived skill level, causing distress and uneasiness. These states in general prevent achieving the balance necessary for flow. Csíkszentmihályi has said, “If challenges are too low, one gets back to flow by increasing them. If challenges are too great, one can return to the flow state by learning new skills.”

The Autotelic Personality

Csíkszentmihályi hypothesized that people with certain personality traits may be better able to achieve flow than the average person. These traits include curiosity, persistence, low egotism, and a high propensity to perform activities for intrinsic reasons. People with most of these personality traits are said to have an autotelic personality. The term “autotelic” derives from two Greek words, auto, meaning self, and telos meaning goal. Being autotelic means having a self-contained activity, without the expectation of future benefit, but simply to be experienced.

There is scant research on the autotelic personality, but results of the few studies that have been conducted suggest that indeed some people are more likely to experience flow than others. One researcher (Abuhamdeh, 2000) found that people with an autotelic personality have a greater preference for “high-action-opportunity, high-skills situations that stimulate them and encourage growth” compared to those without an autotelic personality. It is in such high-challenge, high-skills situations that people are most likely to experience flow.

Experimental evidence shows that a balance between individual skills, and demands of the task (compared to boredom and overload) only elicits the flow experience in individuals having an internal locus of control or a habitual action orientation. Several correlational studies found need for achievement to be a personal characteristic that fosters flow experiences.

Autotelic Personality also has been shown in studies to correlate and show overlapping of flow in personal life and the Big Five Personality Traits of Extraversion, Agreeableness, Conscientiousness, Neuroticism, and Openness to Experience. More particularly the traits of agreeableness and extraversion. Study of Autotelic Personality is difficult as most studies are performed through self-evaluation as observation of an Autotelic Personality is difficult to observe.

Group

Group flow (or team flow) is notably different from independent flow as it is inherently mutual. Group flow is attainable when the performance unit is a group, such as a team or musical group. When groups cooperate to agree on goals and patterns, social flow, commonly known as group cohesion, is much more likely to occur. If a group still has not entered flow, a team-level challenge may stimulate the group to harmonise.

Applications

Applications Suggested by Csíkszentmihályi versus Other Practitioners

Only Csíkszentmihályi seems to have published suggestions for extrinsic applications of the flow concept, such as design methods for playgrounds to elicit the flow experience. Other practitioners of Csíkszentmihályi’s flow concept focus on intrinsic applications, such as spirituality, performance improvement, or self-help. His work has also informed the measurement of donor momentum by The New Science of Philanthropy.

Education

In education, the concept of overlearning plays a role in a student’s ability to achieve flow. Csíkszentmihályi states that overlearning enables the mind to concentrate on visualising the desired performance as a singular, integrated action instead of a set of actions. Challenging assignments that (slightly) stretch one’s skills lead to flow.

In the 1950s British cybernetician Gordon Pask designed an adaptive teaching machine called SAKI, an early example of “e-learning”. The machine is discussed in some detail in Stafford Beer’s book “Cybernetics and Management”. In the patent application for SAKI (1956), Pask’s comments (some of which are included below) indicate an awareness of the pedagogical importance of balancing student competence with didactic challenge, which is quite consistent with flow theory:

If the operator is receiving data at too slow a rate, he is likely to become bored and attend to other irrelevant data.

If the data given indicates too precisely what responses the operator is required to make, the skill becomes too easy to perform and the operator again tends to become bored.

If the data given is too complicated or is given at too great a rate, the operator is unable to deal with it. He is then liable to become discouraged and lose interest in performing or learning the skill.

Ideally, for an operator to perform a skill efficiently, the data presented to him should always be of sufficient complexity to maintain his interest and maintain a competitive situation, but not so complex as to discourage the operator. Similarly these conditions should obtain at each stage of a learning process if it is to be efficient. A tutor teaching one pupil seeks to maintain just these conditions.

Around 2000, it came to the attention of Csíkszentmihályi that the principles and practices of the Montessori Method of education seemed to purposefully set up continuous flow opportunities and experiences for students. Csíkszentmihályi and psychologist Kevin Rathunde embarked on a multi-year study of student experiences in Montessori settings and traditional educational settings. The research supported observations that students achieved flow experiences more frequently in Montessori settings.

Music

Musicians, especially improvisational soloists, may experience a state of flow while playing their instrument. Research has shown that performers in a flow state have a heightened quality of performance as opposed to when they are not in a flow state. In a study performed with professional classical pianists who played piano pieces several times to induce a flow state, a significant relationship was found between the flow state of the pianist and the pianist’s heart rate, blood pressure, and major facial muscles. As the pianist entered the flow state, heart rate and blood pressure decreased, and the major facial muscles relaxed. This study further emphasized that flow is a state of effortless attention. In spite of the effortless attention and overall relaxation of the body, the performance of the pianist during the flow state improved.

Groups of drummers go through a state of flow when they sense a collective energy that drives the beat, something they refer to as getting into the groove or entrainment. Likewise, drummers and bass guitarists often describe a state of flow when they are feeling the downbeat together as being in the pocket. Researchers have measured flow through subscales; challenge-skill balance, merging of action and awareness, clear goals, unambiguous feedback, total concentration, sense of control, loss of self-consciousness, transformation of time and autotelic experience.

Sports

The concept of being in the zone during an athletic performance fit within Csíkszentmihályi’s description of the flow experience, and theories and applications of being in the zone and its relationship with an athletic competitive advantage are topics studied in the field of sport psychology.

Timothy Gallwey’s influential works on the “inner game” of sports such as golf and tennis described the mental coaching and attitudes required to “get in the zone” and fully internalise mastery of the sport.

Roy Palmer suggests that “being in the zone” may also influence movement patterns as better integration of the conscious and subconscious reflex functions improves coordination. Many athletes describe the effortless nature of their performance while achieving personal bests.

In many martial arts, the term Budō is used to describe psychological flow. Mixed martial arts champion and Karate master Lyoto Machida uses meditation techniques before fights to attain mushin, a concept that, by his description, is in all respects equal to flow.

The Formula One driver Ayrton Senna, during qualifying for the 1988 Monaco Grand Prix, explained:

“I was already on pole, […] and I just kept going. Suddenly I was nearly two seconds faster than anybody else, including my team mate with the same car. And suddenly I realised that I was no longer driving the car consciously. I was driving it by a kind of instinct, only I was in a different dimension. It was like I was in a tunnel.”

Former 500 GP rider Wayne Gardner talking about his victory at the 1990 Australian Grand Prix on The Unrideables 2 documentary said: “During these last five laps I had this sort of above body experience where actually raised up above and I could see myself racing. It was kind of a remote control and it’s the weirdest thing I’ve ever had in my life. […]” After the race Mick [Doohan] and in fact Wayne Rainey said: “How the hell did you do that?” and I said: “I have no idea.”

Religion and Spirituality

In yogic traditions such as Raja Yoga, reference is made to a state of flow in the practice of Samyama, a psychological absorption in the object of meditation.

Games and Gaming

Flow in games and gaming has been linked to the laws of learning as a part of the explanation for why learning-games (the use of games to introduce material, improve understanding, or increase retention) have the potential to be effective. In particular, flow is intrinsically motivating, which is a part of the law of readiness. The condition of feedback, required for flow, is associated with the feedback aspects of the law of exercise. This is exhibited in well designed games, in particular, where players perform at the edge of their competency as they are guided by clear goals and feedback. The positive emotions associated with flow are associated with the law of effect. The intense experiences of being in a state of flow are directly associated with the law of intensity. Thus, the experience of gaming can be so engaging and motivating as it meets many of the laws of learning, which are inextricably connected to creating flow.

In games often much can be achieved thematically through an imbalance between challenge level and skill level. Horror games often keep challenges significantly above the player’s level of competency in order to foster a continual feeling of anxiety. Conversely, so called “relaxation games” keep the level of challenges significantly below the player’s competency level, in order to achieve an opposite effect. The video game Flow was designed as part of Jenova Chen’s master’s thesis for exploring the design decisions that allow players to achieve the flow state, by adjusting the difficulty dynamically during play.

It improves performance; calling the phenomenon “TV trance,” a 1981 BYTE article discussed how “the best seem to enter a trance where they play but don’t pay attention to the details of the game.” The primary goal of games is to create entertainment through intrinsic motivation, which is related to flow; that is, without intrinsic motivation it is virtually impossible to establish flow. Through the balance of skill and challenge, the player’s brain is aroused, with attention engaged and motivation high. Thus, the use of flow in games helps foster an enjoyable experience, which in turn increases motivation and draws players to continue playing. As such, game designers strive to integrate flow principles into their projects. Overall, the experience of play is fluid and is intrinsically psychologically rewarding independent of scores or in-game successes in the flow state.

Design of Intrinsically Motivated Computer Systems

A simplified modification to flow has been combined with the technology acceptance model (TAM) to help guide the design of and explain the adoption of intrinsically motivated computer systems. This model, the hedonic-motivation system adoption model (HMSAM) is modelled to improve the understanding of hedonic-motivation systems (HMS) adoption. HMS are systems used primarily to fulfil users’ intrinsic motivations, such for online gaming, virtual worlds, online shopping, learning/education, online dating, digital music repositories, social networking, online pornography, gamified systems, and for general gamification. Instead of a minor, TAM extension, HMSAM is an HMS-specific system acceptance model based on an alternative theoretical perspective, which is in turn grounded in flow-based concept of cognitive absorption (CA). The HMSAM further builds on van der Heijden’s (2004) model of hedonic system adoption by including CA as a key mediator of perceived ease of use (PEOU) and of behavioural intentions to use (BIU) hedonic-motivation systems. Typically, models simplistically represent “intrinsic motivations” by mere perceived enjoyed. Instead, HMSAM uses the more complex, rich construct of CA, which includes joy, control, curiosity, focused immersion, and temporal dissociation. CA is construct that is grounded in the seminal flow literature, yet CA has traditionally been used as a static construct, as if all five of its subconstructs occur at the same time – in direct contradiction to the flow literature. Thus, part of HMSAM’s contribution is to return CA closer to its flow roots by re-ordering these CA subconstructs into more natural process-variance order as predicted by flow. Empirical data collection along with mediation tests further support this modelling approach.

Professions and Work

Developers of computer software reference getting into a flow state as “wired in”, or sometimes as The Zone, hack mode, or operating on software time when developing in an undistracted state. Stock market operators often use the term “in the pipe” to describe the psychological state of flow when trading during high volume days and market corrections. Professional poker players use the term “playing the A-game” when referring to the state of highest concentration and strategical awareness, while pool players often call the state being in “dead stroke”.

In the Workplace

Conditions of flow, defined as a state in which challenges and skills are equally matched, play an extremely important role in the workplace. Because flow is associated with achievement, its development may have specific implications for increased workplace satisfaction and achievement. Flow researchers, such as Csikszentmihályi, believe that certain interventions may be performed to enhance and increase flow in the workplace, through which people would gain ‘intrinsic rewards that encourage persistence” and provide benefits. In his consultation work, Csikszentmihályi emphasizes finding activities and environments that are conducive to flow, and then identifying and developing personal characteristics to increase experiences of flow. Applying these methods in the workplace can improve morale by fostering a sense of greater happiness and accomplishment, which may be correlated with increased performance. In his review of Mihály Csikszentmihályi’s book “Good Business: Leadership, Flow, and the Making of Meaning,” Coert Visser introduces the ideas presented by Csikszentmihályi, including “good work” in which one “enjoys doing your best while at the same time contributing to something beyond yourself.” He then provides tools by which managers and employees can create an atmosphere that encourages good work. Some consultants suggest that the experience sampling form (EMS) method be used for individuals and teams in the workplace in order to identify how time is currently being spent, and where focus should be redirected to in order to maximise flow experiences.

In order to achieve flow, Csikszentmihályi lays out the following three conditions:

  • Goals are clear.
  • Feedback is immediate.
  • A balance exists between opportunity and capacity.

Csikszentmihályi argues that with increased experiences of flow, people experience “growth towards complexity”. People flourish as their achievements grow and with that comes development of increasing “emotional, cognitive, and social complexity.” Creating a workplace atmosphere that allows for flow and growth, Csikszentmihályi argues, can increase the happiness and achievement of employees. An increasingly popular way of promoting greater flow in the workplace is using the “serious play” facilitation methods. Some commercial organisations have used the concept of flow in building corporate branding and identity, for example, The Floow Limited, which created its company brand from the concept.

Barriers

There are, however, barriers to achieving flow in the workplace. In his chapter “Why Flow Doesn’t Happen on the Job,” Csikszentmihályi argues the first reason that flow does not occur is that the goals of one’s job are not clear. He explains that while some tasks at work may fit into a larger, organization plan, the individual worker may not see where their individual task fits it. Second, limited feedback about one’s work can reduce motivation and leaves the employee unaware of whether or not they did a good job. When there is little communication of feedback, an employee may not be assigned tasks that challenge them or seem important, which could potentially prevent an opportunity for flow.

In the study “Predicting flow at work: Investigating the activities and job characteristics that predict flow states at work”, Karina Nielsen and Bryan Cleal used a 9-item flow scale to examine predictors of flow at two levels: activity level (such as brainstorming, problem solving, and evaluation) and at a more stable level (such as role clarity, influence, and cognitive demands). They found that activities such as planning, problem solving, and evaluation predicted transient flow states, but that more stable job characteristics were not found to predict flow at work. This study can help us identify which task at work can be cultivated and emphasized in order to help employees experience flow on the job. In her article in Positive Psychology News Daily, Kathryn Britton examines the importance of experiencing flow in the workplace beyond the individual benefits it creates. She writes:

“Flow isn’t just valuable to individuals; it also contributes to organizational goals. For example, frequent experiences of flow at work lead to higher productivity, innovation, and employee development (Csikszentmihályi, 1991, 2004). So finding ways to increase the frequency of flow experiences can be one way for people to work together to increase the effectiveness of their workplaces.”

Outcomes

Positive Experiences

Books by Csikszentmihályi suggest that enhancing the time spent in flow makes our lives more happy and successful. Flow experiences are predicted to lead to positive affect as well as to better performance. For example, delinquent behaviour was reduced in adolescents after two years of enhancing flow through activities.

People who have experienced flow, describe the following feelings:

  1. Completely involved in what we are doing – focused, concentrated.
  2. A sense of ecstasy – of being outside everyday reality.
  3. Great inner clarity – knowing what needs to be done, and how well we are doing.
  4. Knowing that the activity is doable – that our skills are adequate to the task.
  5. A sense of serenity – no worries about oneself, and a feeling of growing beyond the boundaries of the ego.
  6. Timelessness – thoroughly focused on the present, hours seem to pass by the minute.
  7. Intrinsic motivation – whatever produces flow becomes its own reward.

However, further empirical evidence is required to substantiate these preliminary indications, as flow researchers continue to explore the problem of how to directly investigate causal consequences of flow experiences using modern scientific instrumentation to observe the neuro-physiological correlates of the flow state.

Positive Affect and Life Satisfaction

Flow is an innately positive experience; it is known to “produce intense feelings of enjoyment”. An experience that is so enjoyable should lead to positive affect and happiness in the long run. Also, Csikszentmihályi stated that happiness is derived from personal development and growth – and flow situations permit the experience of personal development.

Several studies found that flow experiences and positive affect go hand in hand, and that challenges and skills above the individual’s average foster positive affect. However, the causal processes underlying those relationships remain unclear at present.

Performance and Learning

Flow experiences imply a growth principle. When one is in a flow state, they are working to master the activity at hand. To maintain that flow state, one must seek increasingly greater challenges. Attempting these new, difficult challenges stretches one’s skills. One emerges from such a flow experience with a bit of personal growth and great “feelings of competence and efficacy”. By increasing time spent in flow, intrinsic motivation and self-directed learning also increases.

Flow has a documented correlation with high performance in the fields of artistic and scientific creativity, teaching, learning, and sports.

Flow has been linked to persistence and achievement in activities while also helping to lower anxiety during various activities and raise self-esteem.

However, evidence regarding better performance in flow situations is mixed. For sure, the association between the two is a reciprocal one. That is, flow experiences may foster better performance but, on the other hand, good performance makes flow experiences more likely. Results of a longitudinal study in the academic context indicate that the causal effect of flow on performance is only of small magnitude and the strong relationship between the two is driven by an effect of performance on flow. In the long run, flow experiences in a specific activity may lead to higher performance in that activity as flow is positively correlated with a higher subsequent motivation to perform and to perform well.

Criticism

Csikszentmihályi writes about the dangers of flow himself:

…enjoyable activities that produce flow have a potentially negative effect: while they are capable of improving the quality of existence by creating order in the mind, they can become addictive, at which point the self becomes captive of a certain kind of order, and is then unwilling to cope with the ambiguities of life.

Further, he writes:

The flow experience, like everything else, is not “good” in an absolute sense. It is good only in that it has the potential to make life more rich, intense, and meaningful; it is good because it increases the strengths and complexity of the self. But whether the consequence of any particular instance of flow is good in a larger sense needs to be discussed and evaluated in terms of more inclusive social criteria.

Keller and Landhäußer (2012, p.56) advocate for a flow intensity model because many models of flow have trouble predicting the intensity of flow experiences that can occur under various circumstances where skill and task demands fit together to produce flow.

Cowley et al. found that because self-reported flow happens after-the-fact, it does not really capture the aspect of flow that happens in the moment. Furthermore, that aspect of flow is prone to change, so the self-reported experience of flow cannot be trusted as much.

Cameron et al. found that there is not a lot of information on group flow, and this may be hindering development in managerial and theoretical contributions.

Future Directions

Cameron et al. proposed a research program that focuses on how group flow is different from individual flow, and how group flow affects group performance. These ideas will address some of the issues in group flow research such as poor data collection and interpretation.

Sridhar & Lyngdoh suggested that research should investigate how mobility affects the ethical performance of sales professionals. Furthermore, there should be longitudinal studies done in various fields to understand the ethical implications of flow in sales.

From their study, Chen et al. found that there needs to be more research done on how competition affects game-based learning.

Linden et al. suggest that a neuroscientific model of flow would lead to new research questions that would guide future discoveries, experiments, and less obvious questions.

Thissen et al. propose that more research is recommended in 2020 to understand how traffic affects fiction reading for all types of readers.

This page is based on the copyrighted Wikipedia article < https://en.wikipedia.org/wiki/Flow_(psychology) >; it is used under the Creative Commons Attribution-ShareAlike 3.0 Unported License (CC-BY-SA). You may redistribute it, verbatim or modified, providing that you comply with the terms of the CC-BY-SA.

What is Emotional Self-Regulation?

Introduction

Emotional self-regulation or emotion regulation is the ability to respond to the ongoing demands of experience with the range of emotions in a manner that is socially tolerable and sufficiently flexible to permit spontaneous reactions as well as the ability to delay spontaneous reactions as needed. It can also be defined as extrinsic and intrinsic processes responsible for monitoring, evaluating, and modifying emotional reactions. Emotional self-regulation belongs to the broader set of emotion regulation processes, which includes both the regulation of one’s own feelings and the regulation of other people’s feelings.

Emotion regulation is a complex process that involves initiating, inhibiting, or modulating one’s state or behaviour in a given situation – for example, the subjective experience (feelings), cognitive responses (thoughts), emotion-related physiological responses (for example heart rate or hormonal activity), and emotion-related behaviour (bodily actions or expressions). Functionally, emotion regulation can also refer to processes such as the tendency to focus one’s attention to a task and the ability to suppress inappropriate behaviour under instruction. Emotion regulation is a highly significant function in human life.

Every day, people are continually exposed to a wide variety of potentially arousing stimuli. Inappropriate, extreme or unchecked emotional reactions to such stimuli could impede functional fit within society; therefore, people must engage in some form of emotion regulation almost all of the time. Generally speaking, emotion dysregulation has been defined as difficulties in controlling the influence of emotional arousal on the organisation and quality of thoughts, actions, and interactions. Individuals who are emotionally dysregulated exhibit patterns of responding in which there is a mismatch between their goals, responses, and/or modes of expression, and the demands of the social environment. For example, there is a significant association between emotion dysregulation and symptoms of depression, anxiety, eating pathology, and substance abuse. Higher levels of emotion regulation are likely to be related to both high levels of social competence and the expression of socially appropriate emotions.

Theory

Process Model

The process model of emotion regulation is based upon the modal model of emotion. The modal model of emotion suggests that the emotion generation process occurs in a particular sequence over time. This sequence occurs as follows:

  • Situation: the sequence begins with a situation (real or imagined) that is emotionally relevant.
  • Attention: attention is directed towards the emotional situation.
  • Appraisal: the emotional situation is evaluated and interpreted.
  • Response: an emotional response is generated, giving rise to loosely coordinated changes in experiential, behavioural, and physiological response systems.

Because an emotional response (4.) can cause changes to a situation (1.), this model involves a feedback loop from (4.) Response to (1.) Situation. This feedback loop suggests that the emotion generation process can occur recursively, is ongoing, and dynamic.

The process model contends that each of these four points in the emotion generation process can be subjected to regulation. From this conceptualisation, the process model posits five different families of emotion regulation that correspond to the regulation of a particular point in the emotion generation process. They occur in the following order:

  • Situation selection.
  • Situation modification.
  • Attentional deployment.
  • Cognitive change.
  • Response modulation.

The process model also divides these emotion regulation strategies into two categories:

  • Antecedent-focused strategies (i.e. situation selection, situation modification, attentional deployment, and cognitive change) occur before an emotional response is fully generated.
  • Response-focused strategies (i.e. response modulation) occur after an emotional response is fully generated.

Strategies

Situation Selection

Situation selection involves choosing to avoid or approach an emotionally relevant situation. If a person selects to avoid or disengage from an emotionally relevant situation, he or she is decreasing the likelihood of experiencing an emotion. Alternatively, if a person selects to approach or engage with an emotionally relevant situation, he or she is increasing the likelihood of experiencing an emotion.

Typical examples of situation selection may be seen interpersonally, such as when a parent removes his or her child from an emotionally unpleasant situation. Use of situation selection may also be seen in psychopathology. For example, avoidance of social situations to regulate emotions is particularly pronounced for those with social anxiety disorder and avoidant personality disorder.

Effective situation selection is not always an easy task. For instance, humans display difficulties predicting their emotional responses to future events. Therefore, they may have trouble making accurate and appropriate decisions about which emotionally relevant situations to approach or to avoid.

Situation Modification

Situation modification involves efforts to modify a situation so as to change its emotional impact. Situation modification refers specifically to altering one’s external, physical environment. Altering one’s “internal” environment to regulate emotion is called cognitive change.

Examples of situation modification may include injecting humour into a speech to elicit laughter or extending the physical distance between oneself and another person.

Attentional Deployment

Attentional deployment involves directing one’s attention towards or away from an emotional situation.

Distraction

Distraction, an example of attentional deployment, is an early selection strategy, which involves diverting one’s attention away from an emotional stimulus and towards other content. Distraction has been shown to reduce the intensity of painful and emotional experiences, to decrease facial responding and neural activation in the amygdala associated with emotion, as well as to alleviate emotional distress. As opposed to reappraisal, individuals show a relative preference to engage in distraction when facing stimuli of high negative emotional intensity. This is because distraction easily filters out high-intensity emotional content, which would otherwise be relatively difficult to appraise and process.

Rumination

Rumination, an example of attentional deployment, is defined as the passive and repetitive focusing of one’s attention on one’s symptoms of distress and the causes and consequences of these symptoms. Rumination is generally considered a maladaptive emotion regulation strategy, as it tends to exacerbate emotional distress. It has also been implicated in a host of disorders including major depression.

Worry

Worry, an example of attentional deployment, involves directing attention to thoughts and images concerned with potentially negative events in the future. By focusing on these events, worrying serves to aid in the down-regulation of intense negative emotion and physiological activity. While worry may sometimes involve problem solving, incessant worry is generally considered maladaptive, being a common feature of anxiety disorders, particularly generalised anxiety disorder.

Thought Suppression

Thought suppression, an example of attentional deployment, involves efforts to redirect one’s attention from specific thoughts and mental images to other content so as to modify one’s emotional state. Although thought suppression may provide temporary relief from undesirable thoughts, it may ironically end up spurring the production of even more unwanted thoughts. This strategy is generally considered maladaptive, being most associated with obsessive-compulsive disorder.

Cognitive Change

Cognitive change involves changing how one appraises a situation so as to alter its emotional meaning.

Reappraisal

Reappraisal, an example of cognitive change, is a late selection strategy, which involves a change of the meaning of an event that alters its emotional impact. It encompasses different sub-strategies, such as:

  • Positive reappraisal (creating and focusing on a positive aspect of the stimulus);
  • Decentring (reinterpreting an event by broadening one’s perspective to see “the bigger picture”); or
  • Fictional reappraisal (adopting or emphasizing the belief that event is not real, that it is for instance “just a movie” or “just my imagination”).

Reappraisal has been shown to effectively reduce physiological, subjective, and neural emotional responding. As opposed to distraction, individuals show a relative preference to engage in reappraisal when facing stimuli of low negative emotional intensity because these stimuli are relatively easy to appraise and process.

Reappraisal is generally considered to be an adaptive emotion regulation strategy. Compared to suppression (including both thought suppression and expressive suppression), which is positively correlated with many psychological disorders, reappraisal can be associated with better interpersonal outcomes, and can be positively related to well-being. However, some researchers argue that context is important when evaluating the adaptiveness of a strategy, suggesting that in some contexts reappraisal may be maladaptive. Furthermore, some research has shown reappraisal does not influence affect or physiological responses to recurrent stress.

Distancing

Distancing, an example of cognitive change, involves taking on an independent, third-person perspective when evaluating an emotional event. Distancing has been shown to be an adaptive form of self-reflection, facilitating the emotional processing of negatively valenced stimuli, reducing emotional and cardiovascular reactivity to negative stimuli, and increasing problem-solving behaviour.

Humour

Humour, an example of cognitive change, has been shown to be an effective emotion regulation strategy. Specifically, positive, good-natured humour has been shown to effectively up-regulate positive emotion and down-regulate negative emotion. On the other hand, negative, mean-spirited humour is less effective in this regard.

Response Modulation

Response modulation involves attempts to directly influence experiential, behavioural, and physiological response systems.

Expressive Suppression

Refer to Expressive Suppression.

Expressive suppression, an example of response modulation, involves inhibiting emotional expressions. It has been shown to effectively reduce facial expressivity, subjective feelings of positive emotion, heart rate, and sympathetic activation. However, the research findings are mixed regarding whether this strategy is effective for down-regulating negative emotion. Research has also shown that expressive suppression may have negative social consequences, correlating with reduced personal connections and greater difficulties forming relationships.

Expressive suppression is generally considered to be a maladaptive emotion regulation strategy. Compared to reappraisal, it is positively correlated with many psychological disorders, associated with worse interpersonal outcomes, is negatively related to well-being, and requires the mobilisation of a relatively substantial amount of cognitive resources. However, some researchers argue that context is important when evaluating the adaptiveness of a strategy, suggesting that in some contexts suppression may be adaptive.

Drug Use

Drug use, an example of response modulation, can be used to alter emotion-associated physiological responses. For example, alcohol can produce sedative and anxiolytic effects and beta blockers can affect sympathetic activation.

Exercise

Exercise, an example of response modulation, can be used to down-regulate the physiological and experiential effects of negative emotions. Regular physical activity has also been shown to reduce emotional distress and improve emotional control.

Sleep

Sleep plays a role in emotion regulation, although stress and worry can also interfere with sleep. Studies have shown that sleep, specifically rapid eye movement ((REM) sleep, down-regulates reactivity of the amygdala, a brain structure known to be involved in the processing of emotions, in response to previous emotional experiences. On the flip side, sleep deprivation is associated with greater emotional reactivity or overreaction to negative and stressful stimuli. This is a result of both increased amygdala activity and a disconnect between the amygdala and the prefrontal cortex, which regulates the amygdala through inhibition, together resulting in an overactive emotional brain. Due to the subsequent lack of emotional control, sleep deprivation may be associated with depression, impulsivity, and mood swings. Additionally, there is some evidence that sleep deprivation may reduce emotional reactivity to positive stimuli and events and impair emotion recognition in others.

In Psychotherapy

Emotion regulation strategies are taught, and emotion regulation problems are treated, in a variety of counselling and psychotherapy approaches, including Cognitive Behavioural Therapy (CBT), Dialectical Behaviour Therapy (DBT), Emotion-Focused Therapy (EFT), and Mindfulness-Based Cognitive Therapy (MBCT).

For example, a relevant mnemonic formulated in DBT is “ABC PLEASE”:

  • Accumulate positive experiences.
  • Build mastery by being active in activities that make one feel competent and effective to combat helplessness.
  • Cope ahead, preparing an action plan, researching, and rehearsing (with a skilled helper if necessary).
  • Physical illness treatment and prevention through check-ups.
  • Low vulnerability to diseases, managed with health care professionals.
  • Eating healthy.
  • Avoiding (non-prescribed) mood-altering drugs.
  • Sleep healthy.
  • Exercise regularly.

Developmental Process

Infancy

Intrinsic emotion regulation efforts during infancy are believed to be guided primarily by innate physiological response systems. These systems usually manifest as an approach towards and an avoidance of pleasant or unpleasant stimuli. At three months, infants can engage in self-soothing behaviours like sucking and can reflexively respond to and signal feelings of distress. For instance, infants have been observed attempting to suppress anger or sadness by knitting their brow or compressing their lips. Between three and six months, basic motor functioning and attentional mechanisms begin to play a role in emotion regulation, allowing infants to more effectively approach or avoid emotionally relevant situations. Infants may also engage in self-distraction and help-seeking behaviours for regulatory purposes. At one year, infants are able to navigate their surroundings more actively and respond to emotional stimuli with greater flexibility due to improved motor skills. They also begin to appreciate their caregivers’ abilities to provide them regulatory support. For instance, infants generally have difficulties regulating fear. As a result, they often find ways to express fear in ways that attract the comfort and attention of caregivers.

Extrinsic emotion regulation efforts by caregivers, including situation selection, modification, and distraction, are particularly important for infants. The emotion regulation strategies employed by caregivers to attenuate distress or to up-regulate positive affect in infants can impact the infants’ emotional and behavioural development, teaching them particular strategies and methods of regulation. The type of attachment style between caregiver and infant can therefore play a meaningful role in the regulatory strategies infants may learn to use.

Recent evidence supports the idea that maternal singing has a positive effect on affect regulation in infants. Singing play-songs, such as “The Wheels on the Bus” or “She’ll Be Coming ‘Round the Mountain” have a visible affect-regulatory consequence of prolonged positive affect and even alleviation of distress. In addition to proven facilitation of social bonding, when combined with movement and/or rhythmic touch, maternal singing for affect regulation has possible applications for infants in the NICU and for adult caregivers with serious personality or adjustment difficulties.

Toddler-Hood

By the end of the first year, toddlers begin to adopt new strategies to decrease negative arousal. These strategies can include rocking themselves, chewing on objects, or moving away from things that upset them. At two years, toddlers become more capable of actively employing emotion regulation strategies. They can apply certain emotion regulation tactics to influence various emotional states. Additionally, maturation of brain functioning and language and motor skills permits toddlers to manage their emotional responses and levels of arousal more effectively.

Extrinsic emotion regulation remains important to emotional development in toddlerhood. Toddlers can learn ways from their caregivers to control their emotions and behaviours. For example, caregivers help teach self-regulation methods by distracting children from unpleasant events (like a vaccination shot) or helping them understand frightening events.

Childhood

Emotion regulation knowledge becomes more substantial during childhood. For example, children aged six to ten begin to understand display rules. They come to appreciate the contexts in which certain emotional expressions are socially most appropriate and therefore ought to be regulated. For example, children may understand that upon receiving a gift they should display a smile, irrespective of their actual feelings about the gift. During childhood, there is also a trend towards the use of more cognitive emotion regulation strategies, taking the place of more basic distraction, approach, and avoidance tactics.

Regarding the development of emotion dysregulation in children, one robust finding suggests that children who are frequently exposed to negative emotion at home will be more likely to display, and have difficulties regulating, high levels of negative emotion.

Adolescence

Adolescents show a marked increase in their capacities to regulate their emotions, and emotion regulation decision making becomes more complex, depending on multiple factors. In particular, the significance of interpersonal outcomes increases for adolescents. When regulating their emotions, adolescents are therefore likely to take into account their social context. For instance, adolescents show a tendency to display more emotion if they expect a sympathetic response from their peers.

Additionally, spontaneous use of cognitive emotion regulation strategies increases during adolescence, which is evidenced both by self-report data and neural markers.

Adulthood

Social losses increase and health tends to decrease as people age. As people get older their motivation to seek emotional meaning in life through social ties tends to increase. Autonomic responsiveness decreases with age, and emotion regulation skill tends to increase.

Emotional regulation in adulthood can also be examined in terms of positive and negative affectivity. Positive and negative affectivity refers to the types of emotions felt by an individual as well as the way those emotions are expressed. With adulthood comes an increased ability to maintain both high positive affectivity and low negative affectivity “more rapidly than adolescents.” This response to life’s challenges seems to become “automatised” as people progress throughout adulthood. Thus, as individuals age, their capability of self-regulating emotions and responding to their emotions in healthy ways improves.

Additionally, emotional regulation may vary between young adults and older adults. Younger adults have been found to be more successful than older adults in practicing “cognitive reappraisal” to decrease negative internal emotions. On the other hand, older adults have been found to be more successful in the following emotional regulation areas:

  • Predicting the level of “emotional arousal” in possible situations.
  • Having a higher focus on positive information rather than negative.
  • Maintaining healthy levels of “hedonic well-being” (subjective well-being based on increased pleasure and decreased pain).

Overview of Perspectives

Neuropsychological Perspective

Affective

As people age, their affect – the way they react to emotions – changes, either positively or negatively. Studies show that positive affect increases as a person grows from adolescence to their mid 70s. Negative affect, on the other hand, decreases until the mid 70s. Studies also show that emotions differ in adulthood, particularly affect (positive or negative). Although some studies found that individuals experience less affect as they grow older, other studies have concluded that adults in their middle age experience more positive affect and less negative affect than younger adults. Positive affect was also higher for men than women while the negative affect was higher for women than it was for men and also for single people. A reason that older people – middle adulthood – might have less negative affect is because they have overcome, “the trials and vicissitudes of youth, they may increasingly experience a more pleasant balance of affect, at least up until their mid-70s”. Positive affect might rise during middle age but towards the later years of life – the 70s – it begins to decline while negative affect also does the same. This might be due to failing health, reaching the end of their lives and the death of friends and relatives.

In addition to baseline levels of positive and negative affect, studies have found individual differences in the time-course of emotional responses to stimuli. The temporal dynamics of emotion regulation, also known as affective chronometry, include two key variables in the emotional response process: rise time to peak emotional response, and recovery time to baseline levels of emotion. Studies of affective chronometry typically separate positive and negative affect into distinct categories, as previous research has shown (despite some correlation) the ability of humans to experience changes in these categories independently of one another. Affective chronometry research has been conducted on clinical populations with anxiety, mood, and personality disorders, but is also utilised as a measurement to test the effectiveness of different therapeutic techniques (including mindfulness training) on emotional dysregulation.

Neurological

The development of functional magnetic resonance imaging has allowed for the study of emotion regulation on a biological level. Specifically, research over the last decade strongly suggests that there is a neural basis. Sufficient evidence has correlated emotion regulation to particular patterns of prefrontal activation. These regions include the orbital prefrontal cortex, the ventromedial prefrontal cortex, and the dorsolateral prefrontal cortex. Two additional brain structures that have been found to contribute are the amygdala and the anterior cingulate cortex. Each of these structures are involved in various facets of emotion regulation and irregularities in one or more regions and/or interconnections among them are affiliated with failures of emotion regulation. An implication to these findings is that individual differences in prefrontal activation predict the ability to perform various tasks in aspects of emotion regulation.

Sociological

People intuitively mimic facial expressions; it is a fundamental part of healthy functioning. Similarities across cultures in regards to nonverbal communication has prompted the debate that it is in fact a universal language. It can be argued that emotion regulation plays a key role in the ability to generate the correct responses in social situations. Humans have control over facial expressions both consciously and unconsciously: an intrinsic emotion programme is generated as the result of a transaction with the world, which immediately results in an emotional response and usually a facial reaction. It is a well documented phenomenon that emotions have an effect on facial expression, but recent research has provided evidence that the opposite may also be true.

This notion would give rise to the belief that a person may not only control his emotion but in fact influence them as well. Emotion regulation focuses on providing the appropriate emotion in the appropriate circumstances. Some theories allude to the thought that each emotion serves a specific purpose in coordinating organismic needs with environmental demands. This skill, although apparent throughout all nationalities, has been shown to vary in successful application at different age groups. In experiments done comparing younger and older adults to the same unpleasant stimuli, older adults were able to regulate their emotional reactions in a way that seemed to avoid negative confrontation. These findings support the theory that with time people develop a better ability to regulate their emotions. This ability found in adults seems to better allow individuals to react in what would be considered a more appropriate manner in some social situations, permitting them to avoid adverse situations that could be seen as detrimental.

Expressive Regulation (in Solitary Conditions)

In solitary conditions, emotion regulation can include a minimisation-miniaturisation effect, in which common outward expressive patterns are replaced with toned down versions of expression. Unlike other situations, in which physical expression (and its regulation) serve a social purpose (i.e. conforming to display rules or revealing emotion to outsiders), solitary conditions require no reason for emotions to be outwardly expressed (although intense levels of emotion can bring out noticeable expression anyway). The idea behind this is that as people get older, they learn that the purpose of outward expression (to appeal to other people), is not necessary in situations in which there is no one to appeal to. As a result, the level of emotional expression can be lower in these solitary situations.

Stress

The way an individual reacts to stress can directly overlap with their ability to regulate emotion. Although the two concepts differ in a multitude of ways, “both coping [with stress] and emotion regulation involve affect modulation and appraisal processes” that are necessary for healthy relationships and self-identity.

According to Yu. V. Shcherbatykh, emotional stress in situations like school examinations can be reduced by engaging in self-regulating activities prior to the task being performed. To study the influence of self-regulation on mental and physiological processes under exam stress, Shcherbatykh conducted a test with an experimental group of 28 students (of both sexes) and a control group of 102 students (also of both sexes).

In the moments before the examination, situational stress levels were raised in both groups from what they were in quiet states. In the experimental group, participants engaged in three self-regulating techniques (concentration on respiration, general body relaxation, and the creation of a mental image of successfully passing the examination). During the examination, the anxiety levels of the experimental group were lower than that of the control group. Also, the percent of unsatisfactory marks in the experimental group was 1.7 times less than in the control group. From this data, Shcherbatykh concluded that the application of self-regulating actions before examinations helps to significantly reduce levels of emotional strain, which can help lead to better performance results.

Emotion regulation has also been associated with physiological responses to stress during laboratory stress paradigms.

Decision Making

Identification of our emotional self-regulating process can facilitate in the decision making process. Current literature on emotion regulation identifies that humans characteristically make efforts in controlling emotion experiences. There is then a possibility that our present state emotions can be altered by emotion regulation strategies resulting in the possibility that different regulation strategies could have different decision implications.

Effects of Low Self-Regulation

With a failure in emotion regulation, there is a rise in psychosocial and emotional dysfunctions caused by traumatic experiences due to an inability to regulate emotions. These traumatic experiences typically happen in grade school and are sometimes associated with bullying. Children who can not properly self-regulate express their volatile emotions in a variety of ways, including screaming if they don’t have their way, lashing out with their fists, throwing objects (such as chairs), or bullying other children. Such behaviours often elicit negative reactions from the social environment, which, in turn, can exacerbate or maintain the original regulation problems over time, a process termed cumulative continuity. These children are more likely to have conflict-based relationships with their teachers and other children. This can lead to more severe problems such as an impaired ability to adjust to school and predicts school dropout many years later. Children who fail to properly self-regulate grow as teenagers with more emerging problems. Their peers begin to notice this “immaturity”, and these children are often excluded from social groups and teased and harassed by their peers. This “immaturity” certainly causes some teenagers to become social outcasts in their respective social groups, causing them to lash out in angry and potentially violent ways. Being teased or being an outcast in childhood is especially damaging because it could lead to psychological symptoms such as depression and anxiety (in which dysregulated emotions play a central role), which, in turn, could lead to more peer victimisation. This is why it is recommended to foster emotional self-regulation in children as early as possible.

This page is based on the copyrighted Wikipedia article < https://en.wikipedia.org/wiki/Emotional_self-regulation >; it is used under the Creative Commons Attribution-ShareAlike 3.0 Unported License (CC-BY-SA). You may redistribute it, verbatim or modified, providing that you comply with the terms of the CC-BY-SA.

What is the United Kingdom Council for Psychotherapy?

Introduction

The United Kingdom Council for Psychotherapy (UKCP) is a professional association of psychotherapy organisations and practitioners in the United Kingdom. It is restricted to registered clinical psychotherapists and psychotherapeutic counsellors (similar, but with shorter training).

Refer to Centre for Freudian Analysis and Research.

Constitution

The UKCP exists to “promote and maintain the profession of psychotherapy and the highest standards in the practice of psychotherapy throughout the United Kingdom, for the benefit of the public.” Only psychotherapists or psycho-therapeutic counsellors who meet UKCP’s training requirements and abide by its ethical guidelines are included in its online “Register of Psychotherapists”.

The UKCP was initially founded in the 1980s as the United Kingdom Standing Conference for Psychotherapy following the Foster Report (1971) and the Sieghart Report (1978), which recommended regulation of the psychotherapy field. It was formally inaugurated as a council in 1993.

The UKCP has since evolved into a national umbrella organisation for most major psychotherapeutic modalities. As of 2012, there are more than 70 member organisations representing all the main traditions in the practice of psychotherapy.

The council is run by a board of trustees which is elected by the council’s members. A number of subcommittees, including the ethics committee, report directly to the board of trustees.

UKCP also represents the United Kingdom in the European Association for Psychotherapy (EAP) – a Vienna-based umbrella organisation which sets standards for equivalence of training and practice throughout Europe – and is part of the National Awarding Organisation (NAO) overseeing the European Certificate of Psychotherapy (ECP) award in the UK.

Objectives

  • To promote the art and science of psychotherapy and psychotherapeutic counselling for the public benefit.
  • To promote research in psychotherapy and psychotherapeutic counselling, and to disseminate the results of any such research.
  • To promote high standards of education, training and practice in psychotherapy and psychotherapeutic counselling.
  • To promote the wider provision of psychotherapy and psychotherapeutic counselling for all sections of the public.

Campaigns

The UKCP’s campaign work has included collaboration with NICE and the Health Professions Council. Campaigns have included:

  • NICE under scrutiny.
  • NICE consultations.
  • Reparative therapy.
  • Services under threat.
  • Skills for Health.

Regulatory Role

The UKCP regards the regulation of psychotherapists and the public accountability of their practice as important means to safeguard the interests of patients, clients, and the reputation of registered practitioners. The present Register is voluntary – it is not required by any Act of Parliament – but the UKCP is campaigning with other related organisations for the statutory regulation of the “talking therapy” professions.

The UKCP delegates the accreditation and re-accreditation of members to UKCP organisational members. Organisational members may be designated as “training”, “accrediting” or both. Individual psychotherapists can join the UKCP register only following accreditation by one of these organisations. At present there is no way of registering directly with UKCP.

The UKCP does not run courses leading to UKCP accreditation; courses are provided by its organisational members. Some training organisations also accredit and will award Accreditation of Prior Learning (APL) or give credit for previous training experience.

Candidates for registration who trained on a course that does not lead directly to membership need to seek accreditation by an accrediting organisation member.

Despite the UKCP stating that “We exist to promote and maintain high standards of practice of psychotherapy and psychotherapeutic counselling for the benefit of the public throughout the United Kingdom”, there have been numerous complaints and instances of UKCP registered therapists violating the rights of their clients, harming them psychologically, emotionally and sexually. Some of these instances have resulted in therapists escaping any concrete punishments for their actions and being allowed to continue practicing. One case involved the sexual abuse of a mentally ill client by a therapist registered with the Guild of Analytical Psychologists, a member organisation of the UKCP, with the therapist receiving a suspension only. A report carried out by unsafespaces.com found that one in four therapists continue to practice despite being struck off by member institutions.

Structure

  • Board of Trustees.
  • UKCP colleges.
  • UKCP committees.
  • Faculties and groups.
  • Members’ Forum.
  • Special interest groups.

UKCP Colleges

There are 11 UKCP colleges:

  • Cognitive Psychotherapies College (CPC).
  • College of Child and Adolescent Psychotherapies (C-CAP).
  • College for Family, Couple and Systemic Therapy (CFCST).
  • College of Hypno-psychotherapists (CH-P).
  • College of Medical Psychotherapists (CMP).
  • College for Sexual and Relationship Psychotherapy (CSRP).
  • Constructivist and Existential College (CEC).
  • Council for Psychoanalysis and Jungian Analysis College (CPJAC).
  • Humanistic and Integrative Psychotherapy College (HIPC).
  • Psychotherapeutic Counselling and Intersubjective Psychotherapy College (PCIPC).
  • Universities Training College (UTC).

This page is based on the copyrighted Wikipedia article < https://en.wikipedia.org/wiki/United_Kingdom_Council_for_Psychotherapy >; it is used under the Creative Commons Attribution-ShareAlike 3.0 Unported License (CC-BY-SA). You may redistribute it, verbatim or modified, providing that you comply with the terms of the CC-BY-SA.

What is the Centre for Freudian Analysis and Research?

Introduction

Centre for Freudian Analysis and Research (CFAR) is a psychoanalysis research, training and low-cost treatment centre located in London, United Kingdom.

CFAR is a member organisation of the United Kingdom Council for Psychotherapy (UKCP). CFAR operates within the psychoanalytic tradition of Sigmund Freud and Jacques Lacan.

Brief History

The centre was founded in 1985 by Bice Benvenuto, Professor Bernard Burgoyne, Richard Klein and Darian Leader. It was established as a charity with the purpose of advancing education for the benefit of the public in particular by the provision of training and seminars in psychoanalysis.

Courses

CFAR offers introductory and advanced courses in psychoanalysis, and trains psychoanalysts within the context of its clinical training programme. Seminars are given by visiting Lacanian analysts from France, Belgium, Spain and Australia.

Publications

The Centre publishes a Journal JCFAR which contains articles on psychoanalytic themes from a Freudian and Lacanian perspective. In association with Karnac Books CFAR has published The Centre for Freudian Analysis and Research Library which aims to make classic Lacanian texts available in English for the first time, as well as publishing original research in the Lacanian field:

  • Sexual Ambiguities by Geneviève Morel.
  • The Trainings of the Psychoanalyst by Annie Tardits.
  • Freud and the Desire of the Psychoanalyst by Serge Cottet.
  • Lacan and Levi-Strauss or The Return to Freud (1951-1957) by Markos Zafiropoulos.

Challenge to Health Professions Council

In February 2007 the UK Government published a white paper (‘Trust, Assurance and Safety – The Regulation of Health Professionals in the 21st Century’) which stated that “The government is planning to introduce statutory regulation for…psychotherapists and counsellors…” and that “…psychotherapists and counsellors will be regulated by the Health Professions Council, following that Council’s rigorous process of assessing their regulatory needs and ensuring that its system is capable of accommodating them”.

As a response to this proposed regulation by the Health Professions Council (HPC), CFAR was one of the organisations that contributed to the Maresfield report which opposed the suitability of the HPC as a regulating body for the professions of counselling and psychotherapy in the UK.

Following on from this report, CFAR was one of six organisations that called for a judicial review of whether or not the HPC had, in fact, fully assessed the regulatory needs of the professions or properly determined if it was the most appropriate body to provide such regulation. On Friday 10 December 2010, a Judicial Review Permission Hearing under The Hon. Mr Justice Burton at the Royal Courts of Justice found against the Health Professions Council and granted permission to proceed towards a Judicial Review of the proposals for regulation under the HPC. On 16 February 2011 the UK government – in its command paper ‘Enabling Excellence’ – halted the project to regulate counselling, psychotherapy and other talking treatments via the HPC.

This page is based on the copyrighted Wikipedia article < https://en.wikipedia.org/wiki/Centre_for_Freudian_Analysis_and_Research >; it is used under the Creative Commons Attribution-ShareAlike 3.0 Unported License (CC-BY-SA). You may redistribute it, verbatim or modified, providing that you comply with the terms of the CC-BY-SA.

What is BPDFamily.com?

Introduction

BPDFamily.com is an online support group for the family members of individuals with borderline personality disorder (BPD).

The group is one of the first “cyber” support groups to be recognised by the medical providers and receive professional referrals.

Outline

BPDFamily.com provides articles and message boards for family members to learn and share their experiences. The articles explain borderline personality disorder in understandable terms, and the discussion groups help to normalise the experiences of family members. The site appeals to family members who care about someone with BPD, but are frustrated with the relationship demands and conflict.

The site educates its members on concepts developed by Shari Manning PhD, Margalis Fjelstad PhD, Robert O. Friedel MD, and the NEA-BPD Family Connections Programme and reached out to academia for collaborations. The site has an interactive web program that teaches the basic principles of cognitive behavioural therapy (CBT).

The website and support group are certified as a reputable health information resource by the Health On the Net Foundation.

Funding has come from benefactors and member donations.

Use by Healthcare Professionals

BPDFamily.com is a listed reference site of the National Health Service (England), the National Alliance on Mental Illness, the National Education Alliance for Borderline Personality Disorder, and the Personality Disorders Awareness Network.

The group’s services and programmes are recommended in Primer on Borderline Personality Disorder, Abnormal and Clinical Psychology: An Introductory Textbook, Resources to Improve Emotional Health and Strengthen Relationships, I Hate You–Don’t Leave Me: Understanding the Borderline Personality, The Essential Family Guide to Borderline Personality Disorder, Stop Walking on Eggshells, and Discovering Your Inner Child: Transforming Toxic Patterns and Finding Your Joy. The site has been recommended by about.com expert Kristalyn Salters-Pedneault, PhD, Salon advice columnist Cary Tennis, PsychCentral columnist Kate Thieda, and by Randi Kreger at BPDCentral.

The organisation has been involved and referenced in clinical research studies conducted by: Columbia University, University of Wollongong (Australia), California State University, Sacramento, University of Toronto (Canada), University of Nevada, Bowling Green State University, Wright Institute (California), Colorado School of Professional Psychology, Long Island University, Alliant International University (California), Macquarie University (Australia), Middle Tennessee State University, Simon Fraser University (Canada) and Walden University. The organisation also supports industry research studies conducted by the Treatment and Research Advancements Association for Personality Disorder (TARA-APD).

In a January 2013 column, Kristalyn Salters-Pedneault at Boston University School of Medicine says that although she highly recommends this group for family members, readers with borderline personality disorder should keep in mind that some people have been hurt by their family member with BPD and are speaking from this perspective

This page is based on the copyrighted Wikipedia article < https://en.wikipedia.org/wiki/BPDFamily.com >; it is used under the Creative Commons Attribution-ShareAlike 3.0 Unported License (CC-BY-SA). You may redistribute it, verbatim or modified, providing that you comply with the terms of the CC-BY-SA.

A Brief Overview of Advocacy in Fife (Scotland)?

Introduction

This short article aims to introduce key concepts about advocacy in Fife, Scotland, including:

  • The importance of advocacy;
  • The principles and standards;
  • Types of advocacy; and
  • The services available for children, younger people, adults and older people in Fife.

Read in conjunction with What is Advocacy?.

What is Advocacy?

Advocacy IS:

  • Supporting people to speak about issues important to them;
  • A safeguarding role;
  • Supporting people to make their own choices and decisions;
  • Supporting people to have their views heard and increase their self-confidence; and
  • Representing the views of people when they are unable to do so for themselves.

Advocacy IS NOT:

  • Counselling;
  • Mediation;
  • Care/support;
  • Telling somebody what to do; or
  • Befriending.

What are the Two Types of Advocate?

  • Citizen Advocates:
    • Are volunteers from all walks of life who want to help others in their community.
    • They are a friend, an ally and a spokesperson and they take time out of their busy lives to support people who may not otherwise be able to put their own interests forward.
    • Advocates may help their partner with practical support and advice, or just be someone to turn to for moral support.
  • Advocacy Partners:
    • Are vulnerable adults looking for support and someone to speak up for them.
    • Partners are generally people with learning disabilities or other issues that mean they may risk isolation, social exclusion or unfair treatment.
    • Partners may also have a mental health need, physical disability or long-term (chronic) health condition that means they are at risk of being unable to safeguard their rights.
    • Partners may be people living independently, in long-term care or in supported housing.

What is an Advocacy Relationship?

  • An advocacy relationship is a mutual partnership in which the advocate’s sole loyalty is to their partner.
  • It is not a service provided to the person with a disability but a relationship of friendship and support between two individuals.

What is the Importance of Advocacy?

Independent advocacy services are critical to safeguarding and empowering those people who are most vulnerable and at risk be enabling them to express their views and to have their voice heard.

Advocacy has to main themes:

  • Safeguarding people who are in situations where they are vulnerable; and
  • Speaking up for and with people who are not being heard, helping them to express their views and make their own decisions and contributions.

What are the Principles and Standards of Independent Advocacy?

Independent advocacy should be provided by an organisation whose sole role is independent advocacy, or whose other tasks either compliment or do not conflict with the provision of independent advocacy. If the service or advocate has a conflict of interest, they should withdraw from acting for the person.

  • Listening:
    • Ensures people are listened to and their views are taken into account.
    • Recognises and safeguards everyone’s right to be heard.
    • Reduces the barriers people face in having their voice head because of communication, capacity, the political, social, economic and personal interests.
  • Loyalty:
    • Is loyal to the people it supports, and stands by their views and wishes.
    • Provides no others services, has no other interests, ties or links other than delivery, promotion, support and defence of independent advocacy.
    • Must be able to evidence and demonstrate its structural, financial, and psychological independence from others.
    • Follows the agenda of the people supported, regardless of the views, interest and agendas of others.
  • Upholding Rights:
    • Stands up to injustice, discrimination and disempowerment.
    • Enables people to have greater control and influence.
    • Challenges discrimination and promotes equality and human rights.
    • Recognises power imbalances, or the barriers people face, and takes steps to address these.

What are the Types of Independent Advocacy?

Below are some of the most common types of independent advocacy services:

  • Individual Advocacy:
    • Professional, or issue-based advocacy, involves a professional advocate providing expert and specialist knowledge to help resolve a particular issue. The relationship is normally short-term.
    • Citizen advocacy is a person-based service that usually, but not always, takes place on a longer-term basis The advocate is usually an unpaid volunteer, who builds a trusting relationship with a person, and supports them to resolve any issues they have. This ensures that individuals have an active life within the community.
  • Non-Instructed Advocacy:
    • Can be provided by professional or citizen advocates. It happens when a person cannot tell an advocate what they want. This may be because the person has complex needs, and/or limited communication, which prevent them from clearly stating their wished and desires.
    • The advocate observes the person, tries different ways of communicating with them, and will speak to significant others in the person’s life.
  • Group Advocacy:
    • Group advocacy, or collective self-advocacy, is designed to allow people with the same concerns, issues or experiences to provide support to each other and highlight issues or campaign for improvement. The groups are run by members, for members, and are supported by a development worker.
  • Peer Advocacy:
    • This is provided by an individual who has gone through similar experiences. This arrangement can help to reassure the person, who is be advocated for, that the individual providing the advocacy understands them and their situation.
  • Children’s Rights Services:
    • The nature of Children’s Right Services is very similar to professional advocacy. It aims to ensure that a child’s rights are fully taken into account when decisions are made about them. Generally, this service is focussed on providing support for children and young people who have been in the care system, or who are subject to a child protection case conference.
    • The service supports the child or young person at reviews and other complex meetings, helping them to express their views and wishes in all decisions affecting them. This advocacy allows children and young people to contribute to statutory child’s plans.

What are the Adult Eligibility Criteria?

Within Fife, Scotland, the eligibility criteria for adults and older people includes:

  • People in Fife aged 16 or over;
  • People affected by disability;
  • People affected by chronic illness;
  • People with dementia or mental disorder (including mental illness, learning disability or personality disorder); and
  • Individuals who are unable to safeguard their own well-being, rights, care, or other interests.

What are the Professional Advocacy Services for Available for Adults and Older People in Fife?

  • Fife Women’s Aid (FWA):
  • Fife Forum:
    • A voluntary sector advice and information agency.
    • Established in 1990 as the Fife Elderly Forum Executive.
    • Provides advocacy for people over 65 who are in community hospitals, residential homes, or nursing care homes.
    • http://www.fifeforum.org.uk.
  • Fife Carers Centre:
  • Kindred:
  • Circles Network:
  • Fife Advocacy Forum (FVA):
    • Provides professional advocacy to children subject to compulsory measures under the Mental Health (Care and Treatment) (Scotland) Act 2003.
    • http://www.fifeadvocacyforum.org.uk.

What are the Citizen Advocacy Services for Adults and Older People in Fife?

  • Citizen advocates are unpaid and independent of service providers and families.
  • They are members of the local community.
  • Fife has three (3) citizen advocacy organisations who provide support on a longer term basis for people aged 16-65.
  • Shorter term advocacy is also available when someone would benefit from a citizen advocacy relationship to resolve a specific issue.

Organisations include:

What are the Group/Peer Advocacy Services for Adults and Older People in Fife?

  • People First (Scotland) work to support people with learning difficulties to have more choice and control over their lives.
  • Peer advocacy refers to one-to-one support provided by advocates with a similar disability or experience to a person using the service(s).
  • Trained and supported volunteers often provide peer advocacy as part of a coordinated project.
  • They facilitate seventeen (17) local advocacy groups in Fife, including two (2) women only groups and two (2) men only groups.
  • People First workers will support individuals to find a suitable local group for their needs.
  • http://peoplefirstscotland.org/.

What are the Advocacy Services for Children and Young People in Fife?

  • Who Cares? Scotland:
    • Provides professional advocacy for young people up to the age of 25.
    • These young people will either have been, or will be, resident in Fife’s residential homes.
    • http://www.whocaresscotland.org/.
  • Kindred:
  • Fife Young Carers:
  • Circles Network:
    • Provides professional advocacy to children subject to compulsory measures under the Mental Health (Care and Treatment) Act 2003.
    • http://circlesnetwork.org.uk/.
  • Believe in Children (Barnardo’s):
    • Provides a children’s rights and advocacy service to children and young people in secure or purchased residential placements.
    • Children looked after at home, in kinship care, foster care, or children and young people who are subject to multi-agency statutory child’s plans can also access advocacy through Barnardo’s.
    • http://www.barnardos.org.uk/fifeservices/.

Further Reading

  • Fife Advocacy Strategy 2018-2021.
  • Carers Strategy for Fife 2018-2021.
  • Advocacy in Fife (Information Leaflet).
  • Fife Adult Support and Protection (webpage).
  • Fife Health and Social Care Strategic Plan 2016-2019.

What is the Minister of State for Care and Mental Health (UK)?

Introduction

The Minister of State for Care and Mental Health is a mid-level position in the Department of Health and Social Care in the British government.

It is currently held by Gillian Keegan MP who took the office on 16 September 2021. The minister often deputises for the Secretary of State for Health and Social Care alongside the Minister of State for Health. The minister is in charge of social care in England.

Brief History

The position was created in 2006, with Ivan Lewis being made Minister of State for Care Services.

After the Conservative victory in the 2015 United Kingdom general election Alistair Burt returned to Government as Minister of State for Care and Support in the Department of Health. In July 2016, Burt announced that he would be resigning from his Ministerial position, “Twenty-four years and one month ago, I answered my first question as a junior minister in oral questions and I’ve just completed my last oral questions,” Burt said. It was made clear that his resignation was not related to Brexit.

The position was given to David Mowat and renamed as Parliamentary Under-Secretary of State for Care and Support. David Mowat lost his Warrington South seat in the snap 2017 general election. He was not replaced until 2018 when Prime Minister Theresa May appointed Caroline Dinenage as the new Minister of Care. Dinenage stayed in her role when Boris Johnson became Prime Minister and served in the First Johnson ministry and into the Second Johnson ministry.

As part of the 2020 British cabinet reshuffle, a number of junior ministers were moved around. Dinenage was made the new Minister of State for Digital and Culture. Helen Whately was her replacement. Helen Whatley has been in charge of government response to social care during the COVID-19 pandemic in the UK, particularly in reference to vaccination deployment.

On World Mental Health Day 2018, Prime Minister Theresa May appointed Jackie Doyle-Price as the UK’s first suicide prevention minister. This occurred while the UK government hosted the first ever global mental health summit. In July 2019, Backbench MP and former nurse Nadine Dorries was appointed as Minister of State for Mental Health, Suicide Prevention and Patient Safety by the incoming Johnson ministry. In March 2020, the Department of Health revealed that Dorries had tested positive for COVID-19. She has since recovered. As minister, Dorries has been in charge of mental health during the COVID-19 pandemic in the United Kingdom. In October 2020, the minister addressed mental health concerns around the suicide risks of women with Anorexia. In January 2021, the minister told Parliament the government’s response to the Independent Medicines and Medical Devices Safety Review. In February 2021, the minister committed to an increase in government spending on mental health as a result of the lockdowns during the COVID-19 pandemic.

Gillian Keegan became the new minister, holding a combined portfolio of care and mental health, at the 2021 British cabinet reshuffle.

Responsibilities

The Minister of State for Care and Mental Health leads on the following:

  • Adult social care.
  • Health and care integration.
  • Dementia, disabilities and long-term conditions.
  • NHS Continuing Healthcare.
  • Mental health.
  • Suicide prevention and crisis prevention.
  • Offender health.
  • Vulnerable groups.
  • Women’s health strategy.
  • Bereavement.

Titles

Social Care Ministers

  • Minister of State for Care Services: 15 May 2006 to 04 September 2012.
  • Minister of State for Care and Support: 04 September 2012 to 08 May 2015.
  • Minister of State for Community and Social Care: 11 may 2015 to 15 July 2016.
  • Parliamentary Under-Secretary of State for Care and Support: 14 July 2016 to 09 June 2017.
  • Minister of State for Social Care: 09 January 2018 to 16 September 2021.

Mental Health Ministers

  • Parliamentary Under-Secretary of State for Mental Health, Suicide Prevention and Patient Safety: 14 June 2017 to 11 May 2020.
  • Minister of State for Mental Health, Suicide Prevention and Patient Safety: 11 May 2020 to 15 September 2021.

Minister of State for Care and Mental Health

  • Minister of State for Care and Mental Health: 16 September 2021 to Present.

This page is based on the copyrighted Wikipedia article < https://en.wikipedia.org/wiki/Minister_of_State_for_Care_and_Mental_Health >; it is used under the Creative Commons Attribution-ShareAlike 3.0 Unported License (CC-BY-SA). You may redistribute it, verbatim or modified, providing that you comply with the terms of the CC-BY-SA.

What is the Minister of Mental Health and Addictions (Canada)?

Introduction

The minister of mental health and addictions (French: ministre de la santé mentale et des dépendances) is a minister of the Crown and a member of the Canadian Cabinet.

Outline

The office is associated with the Department of Health.

Dr. Carolyn Bennett was the first minister of mental health and addictions, being appointed on 26 October 2021. The minister of mental health and addictions concurrently serves as the associate minister of health.

This page is based on the copyrighted Wikipedia article < https://en.wikipedia.org/wiki/Minister_of_Mental_Health_and_Addictions >; it is used under the Creative Commons Attribution-ShareAlike 3.0 Unported License (CC-BY-SA). You may redistribute it, verbatim or modified, providing that you comply with the terms of the CC-BY-SA.

What is the Cabinet Secretary for Health and Social Care (Scotland)?

Introduction

The Cabinet Secretary for Health and Social Care, commonly referred to as the Health Secretary, is a cabinet position in the Scottish Government. The Cabinet Secretary is responsible for the Health and Social Care Directorates and NHS Scotland.

The Cabinet Secretary is assisted by the Minister for Public Health, Women’s Health and Sport, Maree Todd and Minister for Mental Wellbeing and Social Care, Kevin Stewart.

The current Cabinet Secretary is Humza Yousaf, who was appointed in May 2021.

Brief History

The position was created in 1999 as the Minister for Health and Community Care, with the advent of devolution and the institution of the Scottish Parliament, taking over some of the roles and functions of the former Scottish Office that existed prior to 1999. After the 2007 election the Ministerial position was renamed to the Cabinet Secretary for Health and Wellbeing.

After the 2011 election the full Ministerial title was Cabinet Secretary for Health, Wellbeing and Cities Strategy with the portfolio being expanded to include Cities Strategy which was part of the SNP manifesto to have a dedicated “Minister for Cities”; at the same time the responsibility for housing was removed and transferred to the new Cabinet Secretary for Infrastructure and Capital Investment. Responsibilities for the cities strategy and the delivery of the 2014 Commonwealth Games in Glasgow were later transferred to other members of the cabinet.

After the 2016 election, the name of the post was changed to simply Cabinet Secretary for Health and Sport. In the 2021 cabinet reshuffle, the post was retitled to Cabinet Secretary for Health and Social Care.

Overview

Responsibilities

The responsibilities of the Cabinet Secretary for Health and Social Care include:

  • NHS Scotland and its performance, staff and pay.
  • Health care and social integration.
  • Patient services and patient safety.
  • Primary care.
  • Allied Healthcare services.
  • Carers, adult care and support.
  • Child and maternal health.
  • Medical records, health improvement and protection.

Public Bodies

The following public bodies report to the Cabinet Secretary for Health and Social Care:

Titles

  • Minister for Health and Community Care: 19 May 1999 to 17 May 2007.
  • Cabinet Secretary for Health and Wellbeing: 17 May 2007 to 19 May 2011.
  • Cabinet Secretary for Health, Wellbeing and Cities Strategy: 19 May 2011 to 15 September 2012.
  • Cabinet Secretary for Health and Wellbeing: 05 September 2012 to 21 November 2014.
  • Cabinet Secretary for Health, Wellbeing and Sport: 21 November 2014 to 18 May 2016.
  • Cabinet Secretary for Health and Sport: 18 May 2016 to 19 May 2021.
  • Cabinet Secretary for Health and Social Care: 20 May 2021 to Present.

This page is based on the copyrighted Wikipedia article < https://en.wikipedia.org/wiki/Cabinet_Secretary_for_Health_and_Social_Care >; it is used under the Creative Commons Attribution-ShareAlike 3.0 Unported License (CC-BY-SA). You may redistribute it, verbatim or modified, providing that you comply with the terms of the CC-BY-SA.

What is the Minister for Mental Wellbeing and Social Care (Scotland)?

Introduction

The Minister for Mental Wellbeing and Social Care is a member of the Scottish Government.

The Minister reports to the Cabinet Secretary for Health and Sport, who has overall responsibility for the portfolio, and is a member of cabinet. As a Junior Minister the post holder is not a member of the Scottish Government Cabinet.

Overview

Responsibilities include:

  • Mental health.
  • Child and Adolescent Mental Health.
  • Adult support and protection.
  • Autism, sensory impairment and learning difficulties.
  • Dementia
  • Mental Welfare Commission for Scotland (safeguards the rights of people with mental health problems, learning disabilities, dementia and related conditions).
  • Survivors of childhood abuse.
  • The State Hospital at Carstairs.

Brief History

The Minister for Mental Health is the second Scottish Government ministerial post to include mental health in the title. The post had been announced on 21 November 2014 as the Minister for Sport and Health Improvement and similar ministerial posts had also existed in the very recent past under different titles. Mental health was added to the title so that the post became Minister for Sport, Health Improvement and Mental Health.

The Sport portfolio was the responsibility of Deputy Minister for Communities and Sport from 2000 to 2001 in the Dewar Government (which was not a cabinet position). From 2000 to 2001 the Minister for the Environment, Sport and Culture was the Cabinet Minister with whose responsibilities included sport. From 2001 to 2003 these roles were combined in the Minister for Communities and Sport, which was renamed the Minister for Tourism, Culture and Sport after the addition of the tourism portfolio, following the 2003 election.

The Salmond Government, elected following the Scottish Parliament election in 2007, created the junior post of Minister for Communities and Sport held by Stewart Maxwell MSP, combining the Sport and Communities portfolios. The Minister assisted the new Cabinet Secretary for Health and Wellbeing. In 2009, the Sport portfolio was given to the Minister for Public Health under the new title Minister for Public Health and Sport. This post was held by Shona Robison. After the 2011 Scottish election, sport was separated from the portfolio and given to a new Ministerial creation, the Minister for Commonwealth Games and Sport (this remained Shona Robison).

Finally, this was promoted to a Cabinet Secretary position from 22 April to 21 November 2014 under the title of Cabinet Secretary for Commonwealth Games, Sport, Equalities and Pensioners’ Rights (still Shona Robison), until the reshuffle of 21 November 2014 when Nicola Sturgeon announced her first Cabinet. Sport returned to its original position as a junior Ministerial post.

The current Minister for Mental Health post was created in the Second Sturgeon government in the reshuffle that followed the 2016 Scottish Parliament election.

Titles

  • Minister for Sport, Health Improvement and Mental Health: 21 November 2014 to 18 May 2016.
  • Minister for Mental Health: 18 May 2016 to 20 May 2021.
  • Minister for Mental Wellbeing and Social Care: 20 May 2021 to Present.

This page is based on the copyrighted Wikipedia article < https://en.wikipedia.org/wiki/Minister_for_Mental_Wellbeing_and_Social_Care >; it is used under the Creative Commons Attribution-ShareAlike 3.0 Unported License (CC-BY-SA). You may redistribute it, verbatim or modified, providing that you comply with the terms of the CC-BY-SA.