Conceptual and Historical Issues In Mental Health Flashcards

1
Q

Ancient views of Mental illness

A
  • possessed by gods and demons
  • Treated through exorcism
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2
Q

Greek and Roman views of Mental illness

A
  • Imbalance of the four humours (Hippocrates)
  • Balance humours
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3
Q

Early Renaissance

A
  • move away from religion
  • “lunatic” influenced by the moon
  • establishment of asylums (remove from society)
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4
Q

Bedlam Hospital

A
  • mental hospital in London
  • Inhumane treatments
  • Bedlam now means ‘ confusion and uproar in a certain place’
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5
Q

Humanitarian Reform

A
  • Phillipe Pinel, removed chains from inmates and treated them like humans
  • Dorothea Dix, Mental hygiene movement. Improving physical conditions form the mentally ill.
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6
Q

The early 19th Century to late 19th Century

A
  • Asylums went from being run by laypersons to psychiatrists
  • Also went from moral management to being able to diagnose conditions (vaguely)
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7
Q

The 20th Century

A
  • Development of outpatient clinics and community work
  • Use of medication like lithium for depression
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8
Q

Is grief a disorder?

A
  • Normal response to loss
  • However, 7%-10% of adults have intense feelings of grief which impact their life
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9
Q

DSM-5 grief disorder

A
  • has to be at least 6 months for children and adults 1year since loss of loved one
  • At least three symptoms very day for a month i.e. loneliness, emotional numbness and problems engaging with friends
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10
Q

What are some critics of the DSM

A
  • may increase rates of mental illness
  • may be trying to medicalise normal human experience
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11
Q

What is the History of Madness in the classical age

A
  • Madness replaced lepers
  • Mad people were sent away on ships ‘Ship of fools’
  • Renaissance, accepted mad people into society
  • Then lost what it’s like to be human and treated them like animals
  • In the 19th century, it was decided that madness could be cured
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12
Q

What is Foucault’s Argument

A
  • Understand mental disorder as well as power
  • the mad were treated better in the Renaissance rather than 17th century
  • Mad were felt to be different rather than crazy and could wonder freely
  • Medicalised and institutionalised, try to cure rather than live along side.
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13
Q

Classical experience of Madness
Foucault 1961

A
  • he was interested i individuals who didn’t follow societal norms
  • not only mental health conditions but sexual offenders and those who are not religious
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14
Q

Classical experience of Madness
Level 1 and Level 2
Foucault

A

1st Level = confinement as an economic policy
- deal with poverty, put them to controlled work
- did not work, only hid poverty
2nd Level = Idea that has come from Calvin where you have to be religious
- detention rather than treatment of the mad

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15
Q

What is the Anti Psychiatry Movement?
R.D Laing

A
  • founded on a false epistemology where illness is diagnosed by mannerisms and behaviour but treated biologically
    2 Main Arguments:
  • Criteria is vague leaving to much room for opinions (so doesn’t meet basic scientific standards)
  • Existing treatments do more harm than good
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16
Q

Anti Psychiatry movement: Criticisms of Psychiatric authority

A
  • unsuitable use of medical concepts also overuse
  • DSM can cause lots of stigma
  • Misuse of power
  • Financial gains for pharmaceuticals
17
Q

Being Sane in Insane places
Rosenhan

A
  • Psychiatrists aren’t reliable at diagnosing mental Illness
  • Once the pseudo patients were labelled the label stuck
18
Q

The Concept Of Mental Disorder Wakefield

A

1) Biased diagnosis i.e. sexual and racial (homosexuality was a disorder in the DSM until 1986)
2) diagnoses are used to control socially undesirable behaviour which is not actually a disorder (childhood masturbation disorder)

19
Q

Myth Of Mental Disorder Szasz

A
  • Mental disorder doesn’t exists, its a power trip to remove socially unacceptable behaviour from society
  • Mental disorder only exists if theres a physical ‘lesions’
  • neuroscience would now disprove his theories
20
Q

Disorder as a pure value concept

A
  • disorders are what society says is not acceptable
  • disorders are undesirable Pichot (1986)
21
Q

Disorder is whatever professionals treat

A

Kendall (1975), no one is ill until a medical professional says so, they have to say they are concerned ‘attribute of therapeutic concern’

22
Q

Disorders as statistical deviance

A
  • Objective criteria
  • undesirable behaviours aren’t always a disorder (criminal)
  • being extremely intelligent is statistically deviant but not a bad thing
23
Q

Disorder as a biological disadvantage

A
  • Mind has evolved like our body to serve a function
  • disorders reduce fertility as well as longevity
    not actually correct as different ethnicities have different fertility rates
  • Wakefield says it’s when mechanisms fail rather than lowered fitness
24
Q

Disorders as unexpected stress or disability

A
  • Confuses normal variation with disorder
  • normal response to disorder
25
Q

“Disorder as a harmful dysfunction” - Wakefield

A
  • factual evidence is not enough to distinguish between disorders
  • disorder requires harm which involves values
    Facts and values involved to determine disorder
26
Q

What is Natural Function - Wake field

A

Structure or activity of an organ

27
Q

What are mental mechanisms

A

Aphasia - Function of linguistic mechanisms = communicate
Phobia - Phobia = Fear response = avoid danger
Insomnia - tiredness = get sleep

28
Q

What is dysfunction

A
  • failure of mechanism to work (without human intervention)
  • Purely scientific concept
  • only dysfunctions which are not valued by society are disorders
29
Q

Wakefield criteria for a disorder being a dysfunction

A
  • condition causes harm
  • inability for mechanism to perform natural function
  • dysfunction doesn’t make a disorder ‘mental’, the symptoms do (DSM)
30
Q

Wakefield criteria for Mental disorder

A

Has to be mental dysfunction
- cause harm
- mental internal functions don’t perform properly

31
Q

What are Dennetts three levels

A

Physical stance - Level of Physics and Chemistry e.g mass, velocity
Design stance - Level of biology and engineering e.g purpose function and design
Intentional stance - Level of software and minds e.g. belief thinking intent