Association between accuracy of weight perception and life satisfaction among adults with and without anxiety and mood disorders: a cross-sectional study of the 2015-2018 Canadian Community Health Survey.

BACKGROUND: Weight status and weight perception have a significant impact on life satisfaction. As overweight prevalence increases in Canada, it is important to understand how accuracy of weight perception (AWP) is associated with life satisfaction. This study explored the association between AWP and life satisfaction among Canadian adults with and without anxiety and/or mood disorders. METHODS: Using data from the 2015-2018 cycles of the Canadian Community Health Survey, an indicator of AWP was created to capture concordance between perceived weight and actual weight status. Univariate and multivariate Gaussian generalized linear models were assessed while stratifying by sex and presence of anxiety and/or mood disorders. RESULTS: Our sample included 88 814 males and 106 717 females. For both sexes, perceiving oneself as overweight or underweight, regardless of actual weight status, was associated with lower life satisfaction (ß = -0.93 to -0.30), compared to those who accurately perceived their weight as 'just about right'. Perceiving oneself as overweight or underweight was associated with more pronounced differences in life satisfaction scores in those with anxiety and/or mood disorders (ß = -1.49 to -0.26) than in those without these disorders (ß = -0.76 to -0.25). CONCLUSION: Weight perception is more indicative of life satisfaction than actual weight status, especially in those with anxiety and/or mood disorders.

"Learning how to deal with feelings differently": Psychotropic medications as vehicles of socialization in adolescence.

Drawing from ethnographic research among clinicians working with adolescents at a hospital psychiatric emergency department and outpatient clinic, and with interviews with adolescent psychiatric patients and their parents, we examine how psychiatric medicines function as socializing agents. Although psychiatric medications are thought to exert their main effects through direct biological action on neural circuitry, in fact, their use mobilizes specific kinds of moral discourse and social positioning that may have profound effects on sense of self, personhood, and psychological development. Specifically, our data reveal how clinical discourse around medications aims to enlist adolescents in becoming responsible, emotionally intelligent selves through learning to manage their medications. Among doctors, adolescents and their families, talk about psychiatric medications intertwines narratives of 'growing up' and 'getting well'. Our analysis of case studies from the clinic thus demonstrates that while psychiatric medications are explicitly designed to influence behavior by acting directly on the brain, they also act to structure adolescents' selves and social worlds through indirect, rather than direct causal pathways to the brain.

Consuming an edge: ADHD, stimulant use, and psy culture at the corporate university.

We examine "psy" on the college campus. Psy refers to ways of knowing and acting on ourselves that shape everyday life psychologically. We suggest that there is an "elective affinity" between psy and the neoliberal management strategies that now dominate the "corporate university." We describe ways that psy organizes college life by drawing on the history of college health services; interviews about mental health and services at a university in Canada; and historical, social, and media accounts of student mental health and pharmaceutical drug use-both prescribed and not-on campus in the US and Canada. By the 1990s, for the first time, many students were arriving at college as already experienced consumers of psy with diagnoses and prescriptions. We approach this and the increased use of medication as an aspect of the psy-campus. We focus on stimulants, using ADHD to illustrate the blurring line between treatment and enhancement. Students who use stimulants-with or without prescription-do so in the same way: instrumentally in relation to academic demands. The blurred line between academic stress and psychiatric distress is further illustrated by "clinic notes," an institutionalized practice that enables all students to act on academic pressure as a matter of mental health. We describe the links between psy and institutional branding and marketing to illustrate the role of mental health and wellness services in the corporate university.

Digital media, the developing brain and the interpretive plasticity of neuroplasticity.

The use and misuse of digital technologies among adolescents has been the focus of fiery debates among parents, educators, policy-makers and in the media. Recently, these debates have become shaped by emerging data from cognitive neuroscience on the development of the adolescent brain and cognition. "Neuroplasticity" has functioned as a powerful metaphor in arguments both for and against the pervasiveness of digital media cultures that increasingly characterize teenage life. In this paper, we propose that the debates concerning adolescents are the meeting point of two major social anxieties both of which are characterized by the threat of "abnormal" (social) behaviour: existing moral panics about adolescent behaviour in general and the growing alarm about intense, addictive, and widespread media consumption in modern societies. Neuroscience supports these fears but the same kinds of evidence are used to challenge these fears and reframe them in positive terms. Here, we analyze discourses about digital media, the Internet, and the adolescent brain in the scientific and lay literature. We argue that while the evidential basis is thin and ambiguous, it has immense social influence. We conclude by suggesting how we might move beyond the poles of neuro-alarmism and neuro-enthusiasm. By analyzing the neurological adolescent in the digital age as a socially extended mind, firstly, in the sense that adolescent cognition is distributed across the brain, body, and digital media tools and secondly, by viewing adolescent cognition as enabled and transformed by the institution of neuroscience, we aim to displace the normative terms of current debates.

Rebelling against the brain: public engagement with the 'neurological adolescent'.

The adolescent brain has become a flourishing project for cognitive neuroscience. In the mid 1990s, MRI studies mapped out extended neuro-development in several cortical regions beyond childhood, and during adolescence. In the last ten years, numerous functional MRI studies have suggested that functions associated with these brain regions, such as cognitive control and social cognition undergo a period of development. These changes have been anecdotally and clinically used to account for behavioural changes during adolescence. The interpretation of these data that the "teen brain" is different has gained increasing visibility outside the neuroscience community, among policy makers and in the media, resonating strongly with current cultural conceptions of teenagers in Western societies. In the last two years, a new impetus has been placed on public engagement activities in science and in the popular science genre of the media that specifically attempts to educate children and teenagers about emerging models of the developing brain. In this article, we draw on data from an adolescent focus group and a questionnaire completed by 85 teenage students at a UK school, to show how teens may hold ambivalent and sometimes resistant views of cognitive neuroscience's teen brain model in terms of their own self-understandings. Our findings indicate that new "neuro"-identity formations are more fractured, resisted and incomplete than some of the current social science literature on neuro-subjectivities seem to suggest and that the effects of public policy and popular education initiatives in this domain will be more uneven and complex than currently imagined.

Self-compliance at 'Prozac campus'.

This paper focuses on psychiatric medication experiences among a sample of North American university students to explore a new cultural and social landscape of medication 'compliance.' In this landscape, patients assume significant personal decision-making power in terms of dosages, when to discontinue use and even what medications to take. Patients carefully monitor and regulate their moods, and actively gather and circulate newly legitimated blends of expert and experiential knowledge about psychiatric medications among peers, family members and their physicians. The medications too, take a vital role in shaping this landscape, and help to create the spaces for meaning-making and interpretation described and explored in this article. In concluding the article, the authors claim that two popular academic discourses in medical anthropology, one of patient empowerment and shared decision-making and the other of technologies of self and governmentality, may fail to account for other orders of reality that this paper describes - orders shaped and influenced by unconscious, unexpressed and symbolic motivations.

Culture, power, and practice in a psychosocial program for survivors of torture and refugee trauma.

Based on a case study of anthropological fieldwork at a small program located in the north-eastern USA, this article critically examines the development of culturally sensitive psychosocial models of care for survivors of torture and refugee trauma in western countries of resettlement. Fieldwork identified several unresolved tensions in the bicultural model of counseling, psychosocial models of care, and the field of refugee mental health. Despite efforts to develop an innovative treatment model, the culturalization of care and the emphasis placed on meeting social needs in interventions resulted in maintaining conventional relations of power within the mental health professions.

Environmental transmission of SARS at Amoy Gardens.

Recent investigations into the March 2003 outbreak of SARS in Hong Kong have concluded that environmental factors played an important role in the transmission of the disease. These studies have focused on a particular outbreak event, the rapid spread of SARS throughout Amoy Gardens, a large, private apartment complex. They have demonstrated that, unlike a typical viral outbreak that is spread through person-to-person contact, the SARS virus in this case was spread primarily through the air. High concentrations of viral aerosols in building plumbing were drawn into apartment bathrooms through floor drains. The initial exposures occurred in these bathrooms. The virus-laden air was then transported by prevailing winds to adjacent buildings at Amoy Gardens, where additional exposures occurred. This article reviews the results of the investigations and provides recommendations for maintenance and other measures that building owners can take to help prevent environmental transmission of SARS and other flulike viruses in their buildings.