Exam 1 Flashcards
What is an asylum?
safe refuge or haven
what does deinstitutionalization mean?
shift from institutional care to community care
What were common psychiatric treatments in acnient times?
blood letting
What did people think caused mental health issues in the early christian era?
demons and exorcisms
How was mental health dealt with in the Renaissance era?
they had “lunatic” zoos
What defined mental health treatment in the colonial times?
witch hunts
What changes to psychopharmacology occured in the 1950s?
thorazine and lithium developed
shorter hospital stays
people coud stabilize
less choatic hospitals
What changes were made to faciliate deinstitutionalization in the 1960s?
community mental health center construction act
shift from institutional to community care
SSI income for disabled people
involuntary commitment process harder
What are the healthy people 2020 goals
Reduce suicide rate
- Reduce major depressive episodes
- Increase number of primary care facilities that treat MH
- Increase number of persons with MI who are employed
- Increase treatment for dual diagnosis
- Increase care of MI for homeless persons
What is the DSM 5?
Provides standard “language” for MH
- Lists defining “characteristics” of disorders
- Helps identify “underlying” causes of these disorders
What is the diathesis stress model?
Diathesis:
- Biological factor (genes, disordered biochemistry, brain anomalies)
- Social Factor (maladaptive, upbringing, chronic stress, etc.)
- Psychological factor (unconscious, conflict poor skills, maladaptive cognitions, etc.)
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Stress:
- Biological trigger (onset of a disease, exposure to toxins)
- Social trigger (traumatic event, major loss)
- Psychological trigger (perceived, loss of control, violation of a trust)
What does it mean for mental health to exist on a continuom?
It means that we acknowledge that mental health does not start and end at a certain point, but can go back and forth between good, bad, and everything in between.
What is acuity?
severity of symptoms
What is anhedonia?
inability to find joy in the things that they once did
What happens during the orientation phase of Peplau’s model?
engage w/ patient
provide explanations and info
answer questions
What happen during the identification phase of Peplau’s model?
when the patient works with nurse
expresses feelings
begins to feel stronger
What is the exploitation phase of Penlau’s model?
patient makes full use of services
What ist he resolution phase of Penlau’s model?
Patient no longer needs professional services
What is cognitive behavioral therapy? (CBT)
focuses on faulty thinking
focuses on learned patterns of unhelpful behavior
emphasis on individual being own therapist
What is dilectical behavior therapy? (DBT)
clients learn mindfulness
distress tolerance
emotional regulation
interpersonal effectiveness
treats personality disorders
Who is DBT used for?
personality disorders
substance dependence
eating disorder
PTSD
Who is ECT used to treat?
people with depression
What is ECT?
electroconvulsive therapy; electrical impulses are sent to the brain to cause a seizure
it is thought the shock stimulates the brain chemsitry to correct itself
What is light therapy used to treat?
Season affective disorder (SAD)