Defining Mental Illness Flashcards

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1
Q

What is mental illness?

A
  • Changes in thinking, emotion or behaviour (or combinations)
    • Associated with distress and or problems in functioning and social, work or family activities
    • Syndromes (constellations of symptoms) with distress and/or impairment
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2
Q

What is the percentage that a US adults are currently experiencing some form of mental illness?

A

20% of US adults

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3
Q

What are the odds that a person will have a mental health disorder in their lifetime?

A
  • 50.8% in US population

- >50% New Zeland

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4
Q

What is the difference between illness and disease?

A
  • Disease has an underlying biological/ pathological process

- Illness = feeling, an experience of unhealthy which is personal, interior to the person

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5
Q

What is psychiatry based on?

A
  • Medical model which emphasises verifiable disease processes
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6
Q

Although some biological changes have been identified for mental illness, what are some problems with it?

A
  • Variability + lack of consistence
    • No single cause had been identified
    • Not clear is cause or effect
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7
Q

What are the consequences of the medical models?

A
  • Biological treatment + research are valued
    • Medical profession becomes very important
      = psychiatry the common view of mental illness
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8
Q

Anti-psychiatry movement

A
  • By saying mental illnesses are diseases = distortion of truth since not concert evidence
    • Thomas Szasz - we define depression, Sz because we don’t understand them + don’t want to
      ○ They will never be diseases because they are inherently subjective
      ○ Suffering is real but we have created these labels
      § Sadness, loneliness, they experience but calling them depression removes them from the underlying truth
    • Focus on psychiatry is obscuring cause as we are looking for causes for things that don’t exist eg SZ - the suffering is real tho
      ○ Need a more holistic approach where psychological factors are addressed
      ○ Biosocialpsychology
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9
Q

What evidence is there suggesting that spirit possession is more of a symptom than a cause of psychopathology?

A
  • Spirit possession is more common among trauma sufferers

○ Higher prevalence in child soldiers who were forces to kill than in children who has not been abducted

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10
Q

What did plato think was the origin of mental illness?

A
  • Not living a moral life + not understanding what a moral life means
    • Morality = psychological maturity + wellbeing
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11
Q

What does it meant to live a moral life?

A
  • Addressing the 3 different layers of the soul
    1. Appetite - food, sex, money
    2. Spirit - ambition, honour
    3. Reason - wisdom, knowledge, truth
      - Let reason govern - allow expression but not let to dominate/ fixate
      - Fixation at 1/2 = immorality = mental illness
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12
Q

How does immorality result in mental illness according to Plato?

A
  • Produces pleasure but self-interest leads to deprivation and prevents person form living well
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13
Q

What does it mean by self-deception is the root of emotional distress and mental illness according to Plato?

A

Lack of knowledge about self/ own nature(reason)

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14
Q

What is the focus of therapy according to Plato and why?

A
  • Help people become more moral by aiming to improve their character and virtue
    • Engage in deep self-reflection to achieve psychological freedom, modesty + wisdom
    • Therapist help question client’s responsibility
      = Socratic Questioning (origin of talking therapy)
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15
Q

Why is the focus of therapy according to Plato based on improving morality?

A
  • Because it is through immorality that the person become mentally ill
    • Which was their responsibility
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16
Q

How is the view of mental health today different from Plato’s understanding?

A
  • Psychological disorders are not seen as variations of the same condition
    • Patient’s responsibility is seen as minimal
    • Places more emphasis on the quality of action than the state of character that produces it eg not concerned with why a person is donating money
    • We think we have the right for self-fulfilment
17
Q

What were some important developments during the 19th century?

A
  • Systematic study of social explanations of mental illness began in American Asylums
    • Somatogenic hypothesis
      = rise to medical/ disease model
18
Q

What is the somatogenic hypothesis and how did it affect our understanding of mental illness?

A
  • Suggests that psychological problems come about as a result of biological changes
    ○ Involvement of syphilis bacteria and dementia shifted focus on biological origins
19
Q

How did a more systematic study of social explanation of mental illness began in American Asylums?

A
  • Consideration of family + societal factors

- Treatment that targeted social variables = improved recovery rates

20
Q

Why are most people offered medication rather than psychological therapy?

A
  • Medical model is the basis of modern psychiatry + treatment
    • Widely held belief that mental illness is a disease - a biological cause
    • Psychology is an epiphenomenon
21
Q

Although the medical model emphasises scientific research and treatment, what are some problems with the medical model?

A
  • Not all psychopathologies have a physical cause eg ADHD vs diabetes
    • Pathologies uncommon behaviour + deprioritise personal behaviour?
    • Exacerbate stigma?
    • Our psychological experience has not advanced as fast as technology?
22
Q

What is the alternative view to the medical model?

A
  • Biopsychosocial paradigm
    ○ Humans have levels - each functioning autonomously but relate to each other
    ○ Cause of illness understood at multiple levels + number of contributory factors
    § Bio, psycho, social
23
Q

What are the advantages to the biopsychosocial model?

A
  • Integrative
    • More flexible - can be disease if bio is main factor as well
      Patient-centred
24
Q

What are the disadvantages to the biopsychosocial model?

A

Complicates practise as you would need a more holistic overview

25
Q

Why are mental illness based on symptoms and not causes?

A
  • Not clear of cause

DSM

26
Q

What is the DSM?

A
  • Descriptive classification to guide research and clinical work
    ○ Essential features of the disorder
    ○ Diagnostic criteria
    ○ Info on deferential diagnosis
27
Q

What is abnormal functioning?

A
  • Behaviour/ experience = 4 D’s

- deviance, distressing, dysfunctional and dangerous

28
Q

What are the advantages of classification?

A
  • Pattern of patient symptoms enables recognition + treatment
    • Can be liberating - not their fault
    • Increases accessibility to evidence-based treatments
29
Q

What are the disadvantages of classification?

A
  • Not all disorder distinct from each other
    • What if a person doesn’t fit category?
    • Implies homogeneity of sufferers + treatment
    • Ignores context
    • Pathologies normal xp?
30
Q

What are alternative to the DSM - categories?

A
  • Symptom-based approach
    ○ Research + treat the worry, rumination, paranoia etc
    • Case formulation
      ○ Psychologist identify nature + cause of symptoms and treatment on an individual basis without putting label