2. Stigma & Recovery of Mental Health Disorders

Question 1

who ordered treatment of people with mental health disorders be more humane and by a physician

Answer 1

Philippe Pinel

Question 2

raised funds to host mental health retreats where patients received sympathetic care in pleasant surroundings

Answer 2

William Tuke

Question 3

opened mental health asylums that had humane and supportive rehab

Answer 3

Quakers in the US

Question 4

stated that the insane are wards of the state and the state governments should assume financial responsibility of their care

Answer 4

Horace Mann

Question 5

promoted humane treatment and responsible for foundation of state hospitals for mental disorders

Answer 5

Dorothea Dix

Question 6

primary treatment of mental health between 1900-1950

Answer 6

institutionalized (did not receive care but were removed from society)

Question 7

formed national committee for mental hygiene

Answer 7

Clifford Beers

Question 8

what changed the view of mental illness and stated that it can affect anyone

Answer 8

World War II

Question 9

emotional and psychological balance in the pursuit of wellness and a meaningful quality of life

Answer 9

mental health

Question 10

T/F: it is impossible to be healthy without being “mentally healthy”

Answer 10

True

Question 11

How can someone with a chronic mental disorder be mentally healthy

Answer 11

• person adapts and makes changes to their life
• good insight into their disorder
• know they have to take their meds
• know their limitations
• aware what will happen if they get stressed and able to use healthy coping skills
• utilize resources

Question 12

conditions involving altered thinking, mood, or behavior; associated w/ distress or impaired functioning

Answer 12

mental disorders

Question 13

When do mental disorders become a problem?

Answer 13

when they impair a person’s everyday functioning

Question 14

stereotypes leading to prejudice and discrimination about mental health disorders

Answer 14

• dangerous
• unpredictable
• unable to function independently
• weak
• immoral

Question 15

when someone begins believing what they hear and internalize it in themselves

Answer 15

self-stigma

Question 16

person avoids treatment in order to prevent being labeled what they hear the public refer to them as

Answer 16

label avoidance

Question 17

How do we change stigma of mental health disorders?

Answer 17

by interacting with people with mental disorders; learning about them and how to communicate with them

Question 18

What is used to diagnose people with mental disorders

Answer 18

criteria in the diagnostic and statistical manual of mental disorders-5 (DSM-5)

Question 19

How does culture affect mental health diagnostics

Answer 19

a person may be labeled as having signs of a mental disorder when their behavior is normal to their culture

Question 20

5 axis of DSM diagnostic system

Answer 20

• axis I: clinical disorder
• axis II: personality disorders and mental retardation
• axis III: general medical conditions
• axis IV: psychosocial or environmental problems
• axis V: overall functioning; global assessment functioning (GAF) scale

Question 21

a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential; single most important goal

Answer 21

recovery

Question 22

components of recovery

Answer 22

• hope
• responsibility
• respect
• peer support
• strength based
• non-linear
• holistic
• empowerment
• individualized
• self-direction

Question 23

cultural beliefs of Hispanic Americans

Answer 23

• use all other resources before seeking help from mental health professionals
• may believe mental health facilities don’t accommodate their cultural needs
• seek help through supportive home care and counseling from the church

Question 24

cultural beliefs of African Americans

Answer 24

• extensive family networks relied on
• older adult members treated w/ great respect
• double stigma: from cultural group and longtime racial discrimination
• diagnosis and tx often racially biased -> less access to care due to lack of health insurance

Question 25

cultural beliefs of Asian Americans

Answer 25

- denial or disguise of existence of mental illness - embarrassment in family member is treated - neurasthenia: symptoms of fatigue, weakness, poor concentration, memory loss, and sleep disturbances - hwabyung ("suppressed anger syndrome"): subjective and expressed anger, feelings of heat and hate

Question 26

cultural beliefs of Native Americans

Answer 26

- emphasis on respect and reverence for earth and nature - healers and healing treatments (herbal medicines, healing ceremonies, and feasts) - varying views of mental illness (supernatural possession, stigma degree varies)

Question 27

mental illness culture and poverty

Answer 27

- widespread among cultural groups - financial and emotional stress trigger or exacerbate mental problems - homeless population most at risk for being unable to escape poverty

Question 28

mental illness and rural cultures

Answer 28

- limited access to health care - problematic for children and older adults who have specialized needs - firearms most common method of suicide

Question 29

connection to life and a way of interpreting life events; source of hope, joy, comfort, and guidance

Answer 29

spirituality

Question 30

participation in a community of people gathering around common ways of worshiping; often defines one's relationship w/ a family and community

Answer 30

religiousness

Question 31

disorder influenced by cultural factors that represents a specific pattern of symptoms that occur within a specific cultural group/community

Answer 31

cultural syndromes

Question 32

How does a person's culture affect their DSM-5 diagnosis?

Answer 32

If a behavior is considered normal in a specific cultural, it is not viewed as a psych sx and would not meet criteria for a psych diagnosis