Self-control and Mental Health? Exploring Perceptions of Control from the Experiences of Black and Minority Communities

Stephen Joseph; Frank Keating

doi:10.21467/ajss.8.1.145-163

Authors

Stephen Joseph Royal Holloway University of London https://orcid.org/0000-0002-5160-1442
Frank Keating Royal Holloway University of London https://orcid.org/0000-0002-5630-7437

DOI:

https://doi.org/10.21467/ajss.8.1.145-163

Abstract

Although the disparities in mental health outcomes for ethnic minorities are well-documented, very little is known regarding service user perspectives and experiences from locus of control ambit. The aim of this qualitative study was to investigate the experiences of African and Caribbean service users, from the context of their Locus of Control (LOC). Informed by an Interpretivist approach, this study was conducted via in-depth interviews (N=10) and two focus groups (N=14). Purposive sampling methods were used to recruit mental health service users from a South London Borough to participate in the study. Data was collected through a semi-structured interview schedule and a focus group guide. Data analysis was informed by an Interpretive Phenomenology Analysis approach in the examination of the LOC profiles and service user perspectives. The study found that the drivers of LOC for the respondents were: perceived racism; perceived loss of control due to challenges pertaining to accessing employment, work stressors, lack of career advancement, socio-economic challenges; discrimination at work, identity challenges and entry to and exit pathways from mental health services, all of which promotes LOC externality. The findings suggest that mental health services need to take an active interest in factors that constitute externality in the LOC in assessment of the needs of A & C groups in clinical and community interventions. A holistic approach to psycho-social and socio-cultural issues are highly needed to improve the mental health outcomes for members of African and Caribbean communities with experience of mental health challenges.

Keywords:

Mental health, Ethnicity, Locus of Control

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References

Aguiar de Sousa, L. (2017) Merleau-Ponty on Temporality and Subjectivity in the Phenomenology of Perception. Available at: https://www.academia.edu/Documents/in/Phenomenology_of_Temporality

Arain, M., Campbell, M.J., Cooper, C.L., & Lancaster, G. A. (2010) ‘What is a pilot or feasibility study? A review of current practice and editorial policy’ BMC Medical Research Methodology 10 (67): 1-7

Borrell-Carrió, F., Suchman, A. L., and Epstein, R. M. (2004) 'The Biopsychosocial Model 25 Years Later: Principles, Practice, and Scientific Inquiry'. The Annals of Family Medicine 2 (6), 576-582

Brocki, J. M. and Wearden, A. J. (2006) 'A Critical Evaluation of the use of Interpretative Phenomenological Analysis (IPA) in Health Psychology'. Psychology & Health 21 (1), 87-108

Care Quality Commission, 2014; Care Quality Commission (2014) Monitoring the Mental Health Act in 2012/13.: Care Quality Commission. Available from: http://www.cqc.org.uk/sites/default/files/documents/cqc_mentalhealth_2012_13_07_update.pdf.

Chauhan, A., Walton, M., Manias, E. et al (2020). The safety of health care for ethnic minority patients: a systematic review. Int J Equity Health 19, 118

Cheng, C., Cheung, S., Chio, J. H., and Chan, M. S. (2013) 'Cultural Meaning of Perceived Control: A Meta-Analysis of Locus of Control and Psychological Symptoms Across 18 Cultural Regions'. Psychological Bulletin 139 (1), 152-188

Clarke, C. (2009) ‘An introduction to interpretative phenomenological analysis: a useful approach for occupational therapy research’ British Journal of Occupational Therapy, 72, (1): 37-39

Crisp, N., Smith, G. and Nicholson, K. (2016) Old Problems, New Solutions: Improving Acute Psychiatric Care for Adults in England: The Commission on Acute Adult Psychiatric Care] available from http://media.wix.com/ugd/0e662e_aaca63ae4737410e9e2873dfde849841.pdf

Darawsheh, W (2014) ‘Reflexivity in research: Promoting rigour, reliability and validity in qualitative research’ International Journal of Therapy and Rehabilitation 21 (12), 560-568

Department of Health (2013) Annual Report of the Chief Medical Officer 2013, Public Mental Health Priorities: Investing in the Evidence.: Department of Health Available from https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/413196/CMO_web_doc.pdf

Edge, D. (2011) ‘It’s leaflet, leaflet, leaflet then, “see you later”’: black Caribbean women’s. Perceptions of perinatal mental health care’ British Journal of General Practice, 61: 256–262.

Elder, R., Evans, K., Nizette, D. (2009) Psychiatric and Mental Health Nursing. 2nd edn. Australia.: Elsevier

Engel, G. L. (2004) The need for a new medical model: A challenge for Biomedicine, in Caplan, A.L., McCartney, J.J., & Sisti, D.A (2004) Health, Disease and Illness, Concepts in Medicine Georgetown University Press, U.S.A. Chapter 7, Pages 51-64.

Fearon, P., Kirkbride, J. B., Morgan, C., Dazzan, P., Morgan, K., Lloyd, T., Hutchinson, G., Tarrant, J., Fung, W. L. A., Holloway, J., Mallett, R., Harrison, G., Leff, J., Jones, P. B., and Murray, R. M. (2006) 'Incidence of Schizophrenia and Other Psychoses in Ethnic Minority Groups: Results from the MRC AESOP Study'. Psychological Medicine 36 (11), 1541-1550

Fernando, S. (1998). Studies into issues of ‘race’ and culture in psychiatry. Psychological Medicine 28: 496–497

Fernando, S., & Keating, F. (2009) Mental Health in a Multi-Ethnic Society: A Multidisciplinary Handbook. Hove: Routledge

Frankham, C., Richardson, T. & Maguire, N (2020). Do Locus of Control, Self-esteem, Hope and Shame Mediate the Relationship Between Financial Hardship and Mental Health?. Community Ment Health, 56, 404–415.

Garcia-Toro, M. & Aguirre, I. (2007) ’Biopsychosocial model in Depression revisited. Medical Hypotheses 68: 683–691

Hill, D.J. & Bale, R.M. (1980) ‘Development of the Mental Health Locus of Control and Mental Health Locus of Origin Scales’ Journal of Personality Assessment 44 (2), 148-156

Iqbal, Neelam. (2021 Minority Mental Health: Intersections between Faith and Ethnicity). http://dx.doi.org/10.2139/ssrn.3767398

Joseph, S. (2018) Exploring the relationship between Locus of Control and the perception of the quality of mental health care experienced by African & Caribbean service users. Thesis or dissertation. Available at: pure.royalholloway.ac.uk

Keating, F, Robertson, D., McCulloch, A., Francis, E. (2002) Breaking the Circles of Fear: A Review of the Relationship between Mental Health Services and African and Caribbean Communities. London: The Sainsbury Centre for Mental Health

Keating, F. (2016) ‘Racialised Communities, Producing Madness and Dangerousness’. Intersectionalities: A Global Journal of Social Work Analysis, Research, Polity, and Practice 5 (3), 1-13

Kesavayuth, D.; Poyago-Theotoky, J.; Zikos, V. (2020), Locus of control, health and healthcare utilization. Econ. Model. 86, 227–238

Kitzinger, J. (1995) ‘Qualitative Research - Introducing Focus Groups’ British Medical Journal 311: 299-302.

Knight, M.T.D., Wykes, T., and Hayward, P. (2003) ‘Groups don’t understand’: an investigation of stigma in schizophrenia using interpretative phenomenological analysis (IPA)’. Journal of Mental Health 12 (3), 209-22

Lambert , S. D, and Loiselle, C. G, (2008) ‘Combining individual interviews and focus groups to enhance data richness’ Journal of Advanced Nursing 62 (2), 228-237

Mantovani, N., Pizzolati, M., and Edge, D. (2017) 'Exploring the Relationship between Stigma and Help-Seeking for Mental Illness in African-Descended Faith Communities in the UK'. Health Expectations: An International Journal of Public Participation in Health Care and Health Policy 20 (3), 373-384

Morling, B., & Kitayama, S. (2008) Culture and motivation. In J.Y. Shah & W. L. Gardner (Eds.), Handbook of motivation science (pp. 417–433). New York, NY: Guilford Press.

Mulveen, R. and Hepworth, J. (2006) 'An Interpretative Phenomenological Analysis of Participation in a Pro-Anorexia Internet Site and its Relationship with Disordered Eating'. Journal of Health Psychology 11 (2), 283-296

National Health Services, NHS (2013) The Six Caldicott Principles. Available at:

www.connectingforhealth.nhs.uk/systemsandservices/infogov/caldicott

Papadopoulos, C. (2009). Stigma towards groups with mental health problems: an individualism-collectivism cross-cultural comparison. A thesis submitted in partial fulfilment of the requirements of Middlesex University for the degree of Doctor of Philosophy. Accessed 4th February 2014 from: British Library Electronic Theses Online Service- EThOS.

Prince, M., Stewart, R., Ford, T. & Hoptopf, M. (2003) Practical psychiatric epidemiology. Oxford.

Proto, E & Quintana-Domeque, C. (2020). COVID-19 and Mental Health Deterioration among BAME Groups in the UK. Available at: https://www.cesifo.org/en/publikationen/2020/working-paper/covid-19-and-mental-health-deterioration-among-bame-groups-uk

Redsell, S.A., & Cheater, F.M. (2001) ‘The Data Protection Act (1998): implications for health researchers. In Methodological Issues in Nursing Research’ Journal of Advanced Nursing 35 (4): 508-513.

Ruiz-Casares, M. (2014) ‘Tailor informed consent processes’ Nature (513): 304

Smith, J. & Osborne, M. (2003). Interpretive phenomenological analysis. In J.A. Smith (Ed.) Qualitative psychology: A practical guide to research methods (pp.51-80). London: Sage.

Smith, J.A., Flowers, P., & Larkin, M. (2012) Interpretative Phenomenological Analysis: Theory, Method and Research. London: SAGE Publications

Smith K, Bhui K, Cipriani A. COVID-19, mental health and ethnic minorities. Evidence-Based Mental Health. 2020 Aug 1; 23(3):89–90.

Smyth, G., Harries, P., & Dorer, G. (2011) ‘Exploring mental health service users’ experiences of social inclusion in their community occupations’ British Journal of Occupational Therapy 74 (7): 323-331

Starks and Trinidad, 2007 Starks, H. and Trinidad, S.B. (2007) ‘Choose your method: A comparison of phenomenology, discourse analysis, and grounded theory'. Qualitative health research, 17 (10): 1372-1380

Stewart and Shamdasani, 1990 Stewart, D.W. & Shamdasami, P. N. (1990) Focus Groups: Theory and Practice. London: Sage

Teijlingen, E V., & Hundley, V. (2002). The importance of pilot studies. Nursing Standard. 16, (40):33-36.

Thabane, L., Ma, J., Chu, R., Cheng, J., Ismaila, A., Rios, L. P., Robson, R., Thabane, M., & Goldsmith, C. H. (2010): A tutorial on pilot studies: The what, why and How. BMC Medical Research Methodology 10 1. Available at: https://doi.org/10.1186/1471-2288-10-1

Treacy, S., Reidy, H., & Webber, M. (2015) Evaluation of the Croydon Reablement Service. International Centre for Mental Health Social Research, Department of Social Policy and Social Work, University of York. Available at: https://www.york.ac.uk/media/spsw/documents/cmhsr/CroydonReablementEvaluation2015.pdf

Williams, A., & Katz, L. (2001) ‘The Use of Focus Group Methodology in Education: Some Theoretical and Practical Considerations’ International Electronic Journal for Leadership in Learning 5: (3)

Willig, C. (2003) Introducing qualitative research in psychology: adventures in theory and method. Open University Press.