Chapter 12 Flashcards

1
Q
Numerous critiques of Western biomedical models of psychiatry, mental health, and mental illness have been advanced since the \_\_\_\_\_\_\_\_
A) 1930s
B) 1940s
C) 1950s
D) 1960s
A

D

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2
Q

Define biomedical model
A) The notion that mental health problems are essentially brain diseases necessitating treatment by medical professionals
B) Generally speaking, the notion that mental health issues are the result of a disequilibrium of neurotransmitters in the brain, such as serotonin and dopamine
C) The tendency to assume holistic or general truths on the basis of very limited information
D) Generally, the “systematic subjugation of people who have received ‘mental health’ diagnoses or treatment”

A

A

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3
Q

Define chemical imbalance theory
A) The notion that mental health problems are essentially brain diseases necessitating treatment by medical professionals
B) Generally speaking, the notion that mental health issues are the result of a disequilibrium of neurotransmitters in the brain, such as serotonin and dopamine
C) The tendency to assume holistic or general truths on the basis of very limited information
D) Generally, the “systematic subjugation of people who have received ‘mental health’ diagnoses or treatment”

A

B

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4
Q

Define essentialization
A) The notion that mental health problems are essentially brain diseases necessitating treatment by medical professionals
B) Generally speaking, the notion that mental health issues are the result of a disequilibrium of neurotransmitters in the brain, such as serotonin and dopamine
C) The tendency to assume holistic or general truths on the basis of very limited information
D) Generally, the “systematic subjugation of people who have received ‘mental health’ diagnoses or treatment”

A

C

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5
Q

Define sanism
A) The notion that mental health problems are essentially brain diseases necessitating treatment by medical professionals
B) Generally speaking, the notion that mental health issues are the result of a disequilibrium of neurotransmitters in the brain, such as serotonin and dopamine
C) The tendency to assume holistic or general truths on the basis of very limited information
D) Generally, the “systematic subjugation of people who have received ‘mental health’ diagnoses or treatment”

A

D

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6
Q
Which of the following is described by the notion that if a person refuses medication, for example, it must be the result of their mental illness rather than any rational decision making
A) Biomedical model 
B) Chemical imbalance theory 
C) Essentialization
D) Sanism
A

D

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7
Q

True or False?

Western biomedical psychiatric models remain dominant in mental health and wellness systems and services

A

True

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8
Q

True or False?

Humanity has always approached madness with a diversity of perspectives

A

True

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9
Q
As Roy Porter describes, excavated skulls from as far back as \_\_\_\_\_\_\_\_\_ have been found with evidence of trephining(or trepanning)
A) 2000 BCE
B) the 19th century 
C) 5000 BCE
D) the 21st century
A

C

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10
Q
Porter describes that “Hinduism has a special demon, \_\_\_\_\_\_\_\_\_ (‘she who seizes’)”
A) Grahi
B) Morgana
C) Medusa
D) Delphi
A

A

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11
Q
Historically, madness was still generally thought of as something tied to the gods. In contrast to this prevailing opinion, \_\_\_\_\_\_\_\_\_\_ argued for ailments having a “natural” origin, including epilepsy, mania, and melancholia
A) Zeus
B) Hippocrates
C) people in general
D) Zenocrates
A

B

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12
Q

True or False?
Hippocrates taught that the healthy body had a balance of our basic humours: black bile from the liver, yellow bile from the spleen, blood, and phlegm

A

True

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13
Q

True or False?
Historically, Hippocrates articulated a view that mental phenomena were largely biological in nature and that consequently, treatment for imbalances in the 4 humours should correspond to their respective “cause.”

A

True

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14
Q
Which of the following is not one of Hippocrates’ 4 humours?
A) blue urine from the kidneys
B) black bile from the liver
C) yellow bile from the spleen
D) blood
E) phlegm
A

A

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15
Q
Which of the following elements was linked to the humour of black bile?
A) Earth
B) Air
C) Fire
D) Water
A

A

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16
Q
Which of the following elements was linked to the humour of yellow bile?
A) Earth
B) Air
C) Fire
D) Water
A

C

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17
Q
Which of the following elements was linked to the humour of blood?
A) Earth
B) Air
C) Fire
D) Water
A

B

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18
Q
Which of the following elements was linked to the humour of phlegm?
A) Earth
B) Air
C) Fire
D) Water
A

D

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19
Q
The theory of the 4 humours remained a major influence in understanding the working of the bodyuntil well into the \_\_\_\_\_\_\_\_\_\_\_.
A) 15th century 
B) 17th century 
C) 19th century 
D) It’s still a major influence, today
A

C

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20
Q

True or False?

Madness was always thought to be spiritual

A

False (Theologians, lawyers, and physicians maintained that there was a distinction between madness of “natural origin” and demonic possession. In other words, understandings of madness could simultaneously include somatic (bodily) explanations as well as spiritual ones.)

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21
Q
By the \_\_\_\_\_\_\_\_\_\_, new laws granted the state additional powers to confine individuals deemed mad
A) 16th century 
B) 17th century 
C) 18th century 
D) 19th century
A

C

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22
Q
Firsthand historical accounts from figures such as \_\_\_\_\_\_\_\_ in 1863 provide early examples of the experience of incarceration within the mental health system
A) Judith Marion
B) Elizabeth Packard
C) Robert Dickinson 
D) Daniel Markson
A

B

23
Q

True or False?
The popular belief that mental illness is due to a chemical imbalance in the brain, for example, is a myth like humoral theory

A

True

24
Q
When he was the first president of the Royal College of Psychiatrists, \_\_\_\_\_\_\_\_\_\_ identified an international movement against psychiatry that he regarded as “anti-medical, anti-therapeutic, anti-institutional, and anti-scientific.”
A) R. D. Laing 
B) Thomas Szasz 
C) Sir Martin Roth
D) Michel Foucault
A

C

25
Q
Mainstream psychiatry felt defensive about the critiques put forward by people like \_\_\_\_\_\_\_\_ and \_\_\_\_\_\_\_\_, who were collectively coming to be known as representatives of “anti-psychiatry”, although they never accepted this designation of themselves
A) Martin Roth, Thomas Szasz
B) R. D. Laing,  Thomas Szasz
C) R. D. Laing, Matin Roth
D) Erik Erikson, Mark Markson
A

B

26
Q

How did Bonnie Burstow try to salvage the term “anti-psychiatry”?
A) By renaming it “anti-psychology”
B) By renaming it “pro-psychiatry”
C) By renaming it “antipsychiatry”
D) She tried to get rid of the term, altogether

A

C

27
Q

True or False?
Over recent years, critical psychiatry has become established as an important movement dedicated to analyzing the role and central ideas of the profession, and in many ways, it seeks to avoid the polarization created by anti-psychiatry

A

True

28
Q
\_\_\_\_\_\_\_\_\_\_\_ was formed in Bradford, England, in 1999 to develop a critique of the current psychiatric system, especially the “technological paradigm” of understanding mental disorder
A) The anti-psychiatry movement 
B) The antipsychiatry movement 
C) The anti-mental-health movement
D) The Critical Psychiatry Network
A

D

29
Q

A critical tenet of the critical psychiatry movement is the need to:
A) recognize that minds are enabled by, but not reducible to, brains
B) recognize that minds are reducible to brains
C) recognize psychiatry as a legitimate profession
D) recognize people with mental illnesses as real people

A

A

30
Q

True or False?

Psychiatry is a controversial area that creates emotionally charged conflict

A

True

31
Q

True or False?
The difference between active and placebo treatment is so small it has even been suggested it could be an artifact, the result of flaws in the trial itself

A

True

32
Q

True or False?

Clinical trials are always as double-blind as is commonly assumed

A

False (Clinical trials are not always as double-blind as is commonly assumed)

33
Q

True or False?

Some people fail to respond to treatment for depression, andsome relapse after responding

A

True

34
Q
Over the long term, recurrence of depression is \_\_\_\_\_\_\_\_: Figures in studies vary from \_\_\_\_\_\_\_\_\_ %.
A) low, 40-85
B) high, 40-85
C) low, 10-20
D) high, 10-20
A

B

35
Q

True or False?

Outcomes for non-drug-treated samples for depression are not necessarily any worse over the long term

A

True

36
Q

True or False?
Doctors generally tell patients about the small effect size and substantial non-response rate of antidepressants for fear of undermining the effectiveness of medication

A

False (Doctors do NOT generally tell patients about the small effect size and substantial non-response rate of antidepressants for fear of undermining the effectiveness of medication)

37
Q

True or False?

The chemical imbalance theory has been proven

A

False

38
Q
\_\_\_\_\_\_\_\_\_ argues that psychiatry itself possesses an institutionally racist culture
A) Suman Fernando 
B) Victor Francis 
C) Leonardo Dickinson 
D) Thomas DiCaprio
A

A

39
Q

Which of the following covers the most important legislation around mental health and illness?
A) The Mental Health Act in Washington
B) The regional Institute of Mental Health and Illness
C) The Mental Health Act in England and Wales
D) The National Institute of Mental Health

A

C

40
Q

True or False?

Recently, the Mental Health Act in England and Wales has been put under review

A

True

41
Q

True or False?

People from black and minority ethnic populations are disproportionately affected by the Mental Health Act

A

True

42
Q
Black people, in particular, are almost \_\_\_\_\_\_\_\_\_\_ times more likely than white people to be involuntarily detained in psychiatric hospitals
A) 2
B) 4
C) 12
D) 10
A

B

43
Q

True or False?
Black individuals, compared to their white counterparts, are diagnosed more frequently as schizophrenic by both black and white clinicians - although to a lesser extent by the former - even when clear-cut diagnostic criteria are presented, a trend also seen in the United States

A

True

44
Q

True or False?
In the United States, black men receive higher doses of antipsychotic medication than white men and are more likely to be described as hostile and violent

A

True

45
Q
There is evidence indicating that \_\_\_\_\_\_\_\_\_\_ is organizationally embedded within the profession of psychiatry itself
A) narcissism 
B) egocentrism
C) eurocentrism
D) racism
A

D

46
Q

True or False?
Consequently, face-down restraint (think of David “Rocky” Bennett) has continued in mental health wards, despite its obvious risks

A

True

47
Q
Sexual orientation and gender identity have also been pathologized in various ways by Western biomedical psychiatry, which has a history of dehumanization and discrimination against \_\_\_\_\_\_\_\_\_ individuals
A) Black
B) White 
C) Hispanic 
D) LGBTQ+
A

D

48
Q
\_\_\_\_\_\_\_\_\_\_ was listed as a mental illness in the DSM until the late 1970s
A) Racism 
B) Madness
C) Homosexuality
D) Sex
A

C

49
Q
\_\_\_\_\_\_\_\_\_ aim to “restore” LGBTQ+ individuals to their “proper” gender and sexual identities, and many still exist, today
A) Conversion therapies
B) Calculative therapies 
C) “Fixing” therapies 
D) Gay therapies
A

A

50
Q
\_\_\_\_\_\_\_\_\_, as a field, respects the need for divergence among activists, researchers, and theorists as they continually critique and challenge dominant perspectives of mental health, and as such, is methodologically a site of conflict
A) Conversion therapy
B) Mad studies 
C) Calculative therapy
D) Gay therapy
A

B

51
Q

True or False?

Mad studies represents a new intervention into discussions of what is typically understood as madness or mental illness

A

True

52
Q

True or False?

Violence continues to exist within Western biomedical psychiatric systems at both the existential and physical level

A

True

53
Q

True or False?
A paradigm shift, as such, may never happen, but mental health services can become more pluralistic in their approach, seeking to integrate perspectives outside of the psy-complexes

A

True