The fine line between the cure and the illness: the risks of prescriptive emotionality and sociality for youth mental health

School-based initiatives are increasingly promoted as solutions to the youth mental health crisis, with Social Emotional Learning (SEL) among the most widely adopted frameworks worldwide. While designed to foster healthy socio-emotional development, evidence for SEL's long-term mental health benefits remains mixed. Concerns are also growing that universal, non-targeted SEL programs may inadvertently pathologize normal developmental experiences, reinforce self-monitoring, or generate cultural mismatches that undermine resilience. In this personal view, we examine key challenges associated with universal (i.e., non-targeted and intended for all students regardless of baseline risk) school-based programs modeled on SEL. While acknowledging their potential to promote youth well-being, we argue that prescriptive approaches to emotions and sociality can foster confusion among families, resistance among youth, and unintended distress. We highlight risks stemming from conceptual ambiguities and variability in implementation. Rather than abandoning universal programs, we call for rigorous evaluation, cultural adaptation, and integration within broader ecosocial-strategies to foster authentic, context-sensitive resilience in youth.

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Publication Details

Journal
The Lancet Regional Health - Americas
Published
2025-11-29
DOI
https://doi.org/10.1016/j.lana.2025.101310
Primary Topic
Child and Adolescent Psychosocial and Emotional Development
Type
article
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article

The fine line between the cure and the illness: the risks of prescriptive emotionality and sociality for youth mental health

Ana Gómez-Carrillo, Cécile Rousseau, Aurélie Montagne
The Lancet Regional Health - Americas
Child and Adolescent Psychosocial and Emotional Development
article

The fine line between the cure and the illness: the risks of prescriptive emotionality and sociality for youth mental health

Ana Gómez-Carrillo, Cécile Rousseau, Aurélie Montagne
article en

Abstract

School-based initiatives are increasingly promoted as solutions to the youth mental health crisis, with Social Emotional Learning (SEL) among the most widely adopted frameworks worldwide. While designed to foster healthy socio-emotional development, evidence for SEL's long-term mental health benefits remains mixed. Concerns are also growing that universal, non-targeted SEL programs may inadvertently pathologize normal developmental experiences, reinforce self-monitoring, or generate cultural mismatches that undermine resilience. In this personal view, we examine key challenges associated with universal (i.e., non-targeted and intended for all students regardless of baseline risk) school-based programs modeled on SEL. While acknowledging their potential to promote youth well-being, we argue that prescriptive approaches to emotions and sociality can foster confusion among families, resistance among youth, and unintended distress. We highlight risks stemming from conceptual ambiguities and variability in implementation. Rather than abandoning universal programs, we call for rigorous evaluation, cultural adaptation, and integration within broader ecosocial-strategies to foster authentic, context-sensitive resilience in youth.

The Lancet Regional Health - AmericasVol. 53
McGill University Health Centre (CA), McGill University (CA), Stanford University (US)
Openalex Percentile: Top 47%
Child and Adolescent Psychosocial and Emotional Development
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