Exam Flashcards
Hippocrates (460-377 BC)
somatogenesis, illness originates from the body
Malleus Maleficarum
Early version of the DSM, sorta
Bethlem Asylum (1243, London)
devoted to the confinement of the mentally ill, bad conditions
Benjamin Rush (1745-1813)
Return to bloodletting, fear-based treatment
Philippe Pinel (1745-1826)
Argued for humanitarian treatment of mentally ill, “normal hospital” rooms, freedom of mobility
Dorothea Dix (1802-1877)
Canadian figurehead for moral treatment, ironically brought an end to the movement
Emil Kraepelin (1856-1926)
2 types of mental illness: Dementia praecox (schizophrenia) & manic-depressive psychosis (bipolar disorder)
Freud thought homosexuality was-
not something to pathologize, fixation in the phallic phase
The first DSM described homosexuality as-
a psychotic disorder
The “treatment” for homosexuality, according to the DSM2-
behavioural intervention therapies to help educate
When was homosexuality still listed but not a behavioural disturbance?
In the DSM3
Summarize the M’Naghten test (1843)
attempts to kill prime minister, knows its wrong, it was ruled it was self defence due to his delusions
Summarize Regina vs Chaulk (1990)
Two youths B&E and murdered, argued killing is justified because “losers” deserve to die, diverted to mental institution
NCRMD verdict results in:
suspended sentence, criminal commitment, conditional discharge, absolute discharge
Fit to stand trial
physically and mentally present
In Canada, a person can be committed to a psychiatric hospital against their will if theyre:
mentally ill and a danger to self or others
What happened with Edmund Yu (1997)
diagnosed w schizophrenia, successful treatment, treatment decline, killed by police during an episode
What happened with Stephen Edward Yearly (2013)
Convicted for several violent crimes, deemed likely to reoffend, public safety warning made by police
Demoralization hypothesis
people seek help not just because of symptoms but because of low self esteem, stigma, etc
Therapy doesn’t work if-
you don’t see your therapist as confident
Client factors that increase success rate of therapy
Presenting a strong treatment rationale early, increasing clients belief in ur competency, sharing research outcomes
Giving therapy to people with avoidant personality styles-
“you dont have to like me, if you dont get pissed off by me sometimes then im not helping you to overcome resistance to change”
Motivation interviewing
make sure they can just live first, work up the hierarchy of needs
Personal qualities of an effective therapist
Warm, stable
Core competencies of an effective therapist
Ability to engage in relationships, ability to communicate
Working alliance (therapeutic alliance)
built on initial rapport, establish trust and develop mutually agreed upon goals, client commitment to therapy