Hardly a family in America has been untouched by mental illness. As many as one third of American adults will suffer a diagnosable mental disorder sometime in their life, and 20 percent have a mental disorder at any given time. Although research on the causes and treatment of mental disorders remains vitally important—and indeed major advances are leading to better lives for increasing numbers of people—much greater effort than ever before needs to be directed to prevention. The Senate Appropriations Committee of the U.S. Congress believed that a strategic approach to the prevention of mental disorders was warranted. The Congress mandated the National Institute of Mental Health to enter into an agreement with the Institute of Medicine (IOM) to prepare an integrated report of current research with policy-oriented and detailed long-term recommendations for a prevention research agenda. The specific tasks of the IOM committee, as negotiated with NIMH and the co-funding agencies, were as follows: • Review the status of current research on the prevention of mental illness and problem behaviors and on the promotion of mental health throughout the life span. This should include an understanding of available research knowledge, research priorities, and research opportunities in the prevention research area. • Review the existing federal presence in the prevention of mental disorders and the promotion of mental health, spanning the continuum from research to policy and services. • Provide recommendations on federal policies and programs of ABSTRACT xi Ab ou t th is P D F fil e: T hi s ne w d ig ita l r ep re se nt at io n of t he o rig in al w or k ha s be en r ec om po se d fro m X M L fil es c re at ed f ro m t he o rig in al p ap er b oo k, n ot f ro m t he or ig in al ty pe se tti ng fi le s. P ag e br ea ks a re tr ue to th e or ig in al ; l in e le ng th s, w or d br ea ks , h ea di ng s ty le s, a nd o th er t y pe se tti ng -s pe ci fic fo rm at tin g, h ow ev er , c an no t b e re ta in ed , a nd s om e ty po gr ap hi c er ro rs m ay h av e be en a cc id en t a lly in se rte d. P le as e us e th e pr in t v er si on o f t hi s pu bl ic at io n as th e au th or ita tiv e ve rs io n fo r a ttr ib ut io n.

Reducing Risks for Mental Disorders: Frontiers for Preventive Intervention Research

It was a search for understanding the nature and origins of schizophrenia that brought Norman Garmezy to the study of children at risk for psychopathology, a pursuit that eventually led to the Project Competence studies of competence, adversity, and resilience (Garmezy, 1973). During the 1940s and 1950s, Garmezy developed an interest in the significance of competence in the history and prognosis of patients with serious mental disorders, with a particular focus on premorbid functioning in patients with schizophrenia (Garmezy & Rodnick, 1959). Eventually, the search for antecedents of psychopathology led Garmezy and others to study children of mentally ill parents because of their elevated risk of developing disorders. After hismove to theUniversity ofMinnesota in 1961, Garmezy began to focus his work on children, and subsequently played a leading

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A Resilience Framework for Research, Policy, and Practice

Contributions of the Project Competence Longitudinal Study (PCLS) to resilience science and developmental psychopathology are highlighted in this article. Initiated by Norman Garmezy, the PCLS contributed models, measures, and methods, as well as working definitions of concepts like competence, developmental tasks, protective factors, and resilience. Findings from the study corroborated the feasibility of studying adaptation in a normative group of school children, identifying patterns of resilience, competence without major adversity, and maladaptive paths through life. Competence was multidimensional, showing continuity and change over time. Cascading effects across domains indicated that competence and problems spread over time. Thus, adult achievements in developmental tasks were rooted in childhood and adolescence. Young people who showed resilience had much in common with similarly successful peers who experienced less adversity over time, including high-quality relationships with parents and other adults, and good cognitive, as well as social-emotional, skills. Maladaptive youth in the study often faced high adversity with little adaptive capacity (internal or external) and tended to generate stressful experiences. Resilience often emerged in childhood and endured, but there also were late bloomers whose lives turned around in the transition to adulthood. The role of collaboration and mentorship in the PCLS is also discussed.

https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S095457941200003X

Resilience in developmental psychopathology: Contributions of the Project Competence Longitudinal Study.

The problem of attention in research and theory in schizophrenia.

Premorbid asocial adjustment and prognosis in schizophrenia.

Premorbid adjustment and performance in schizoprenia: implications for interpreting heterogeneity in schizophrenia.

Direct study of childparent interactions. Workshop, 1959. 1. The structured situational test: a method for studying family interaction in schizophrenia.

Eliot H. Rodnick

Papers

Premorbid adjustment and performance in schizoprenia: implications for interpreting heterogeneity in schizophrenia.

Direct study of childparent interactions. Workshop, 1959. 1. The structured situational test: a method for studying family interaction in schizophrenia.

Some problems of research in clinical psychology.