final Flashcards
Mental disorder is . . .
alterations in thinking, mood, or behaviour associated with significant distress and impaired functioning
What are the 3 features of a mental disorder?
1) changes in thinking, mood or behaviour (not physical)
2) significant distress
3) impaired functioning (eg. substance abuse) : interfere with work, school or family life
Psychotic symptoms are associated with which disorders (4)
- schizoaffective disorder
- bipolar affective disorder
- depression
- schizophrenia
What non-behavioural disorders can cause psychotic symptoms?
brain tumours, substance abuse
Psychosis is . . .
a loss of touch with reality
the symptoms of psychosis include
hallucinations, delusions, disordered thinking
what are 2 types of delusions?
paranoid (police are watching), grandeur (i am the 2nd coming of christ)
what is a delusion
a false but firmly held belief
3 most common mental disorders
1) Mood (depression) and anxiety disorders
2) Substance abuse (including gambling, drugs, alcohol)
3) Cognitive impairment and dementia
1 Risk factor for schizophrenia/psychosis?
Genetics - 50% of risk
_______ is an important risk factor for schizophrenia/psychosis. If a child is born during a famine they are more likely to be schizophrenic.
Maternal nutrition
what is some evidence that viral infection are a risk for schizophrenia/psychosis?
Children born during flu season are more likely to be schizo.
What’s a risk factor for schizophrenia/psychosis that has to do with child birth?
perinatal complications
What are 3 environmental risk factors for schizophrenia/psychosis?
toxins, chemical insults, noise
What are 3 types of social stress that can contribute to schizophrenia/psychosis risk?
1/2 generation immigrants
Mothers who experience a death during pregnancy
Demanding jobs
What ndd are affective disorders correlated with?
PD
Which gender are more likely to experience affective disorders?
Female (hormones? post-partum?)
Which age groups are at risk for affective disorder?
teens, old age
What is abuse a risk factor for?
Affective disorders
According to Pearlin, what factors are protective against developing mental illness (depression) following a stressful situation like unemployment (4)?
- comparing oneself positively to others
- not focusing on economic achievement
- high levels of emotional support
- having an internal locus of control (believe they have control over destiny)
What kind of community is mental illness higher in? (Leighton)
disintegrated community
What are factors that contribute to a disorganized community? (Leighton)
- disaster (mining)
- poverty (not inequality)
- cultural confusion (different cultural groups competing for a voice, extensive secularization)
- rapid social change (widespread migration - coming or going)
According to Leighton, what are common core or ‘bundle’ of striving that individuals need to avoid stress?
- physical security
- sexual satisfaction
- love
- security
- individual recognition
- sense of belonging to a group
- spontaneity (creativity)
- belonging to moral order
- feeling of being right in what one does
What are the ways of treating mental disorders?
Biological intervention (body, psychiatry, shock treatment, insulin, lobotomy, blood letting)
Psychological treatment (psychology, psychoanalytic therapy )
What hospital was one of the first to be dedicated to mental illness?
St Mary of Bethlem
How did capitalism contribute to the growth of the asylum?
labour model: people with mental illness were not good workers - not tolerated in society
What is a push factor for the growth of asylums?
more illness like neurosyphilis
Whats a pull factor for the growth of asylums?
asylum as a more humans environment for the ill
What are 4 main elements of deinstitutionalization that lead to the demise of asylums?
- civil libertarianism (freedom of the people)
- new anti-psychotic meds
- promise of community mental health services (didn’t happen)
- political economic influences (eg. medicare started)
name some consequences of deinstitutionalization
poverty, homelessness, suicide, imprisonment, substance abuse, violence, family stress, victimization
What are the two paradigms that co-exist in regards to the cost of mental disorders to the individual?
the disease paradigm
the discrimination paradigm
What revolution is part of the disease paradigm of cost of mental disorders to the individual?
Psychopharmaceutical revolution (meds for anti-sychotic, anti-depressants, anxiety)
What is the focus of the disease paradigm?
alleviating symptoms that impair the individuals functioning
What is the focus of the discrimination paradigm?
the role of stigma in the the daily experiences of people with mental illness
_____ is an attribute that is deeply discrediting and characterizes the bearer as tainted and discounted
stigma
Which theory and theorist does stigmatization fit under?
Labeling theory - master status (Goffman)
What source of stigma surrounding schizophrenia is based on the belief that people with schizo are always psychotic?
Uncertainty
What source of stigma surrounding schizophrenia is based on the confusion with multiple personality disorder (now: dissociative identity disorder)?
Unpredictability
What source of stigma surrounding schizophrenia is based on the belief that people with schizo are unintelligent?
Incompotence
What source of stigma surrounding schizophrenia is based on the belief that people with schizo are potentially violent?
Dangerousness
What source of stigma surrounding schizophrenia is based on the that if treatment is available, the person is responsible for taking it?
Responsibilization
Euro-Americans have a high _________ locus of control, which contributes to ________ of people with mental illness
internal, stigmatization
In latin america, mental illness is explained by _______, which leads to less stigma
nervios
What are the 4 techniques for neutralization/ stigma management
1) trying to pass (hide it from everyone)
2) Dividing their social worlds (tell only some people)
3) deflecting (distance self from label)
4) Challenge (confront stigma)
give an example of ‘Dividing their social worlds’ in regard to stigma of mental health.
only telling people who wont stigmatize you
What coping mechanism of dealing with stigma might involve self surveillance ?
Trying to pass (hiding it from everyone)
give an example of ‘deflecting’ in regard to stigma of mental health.
I had a psychotic break, but i am not schizo
give an example of ‘Challenging’ in regard to stigma of mental health.
when you use the word crazy it makes me feel stigmatized, please stop.
How much does mental illness cost society each year?
50 Billion
______ is a high source of worker disability (individual level cost of mental health )
depression (miss 40 days/year of work)
An individual level cost of mental health is Suicude. Who is affected most in Canada?
indigenous men 150/100,000
14 x higher
Why is cost of treatment an individual level cost of mental health?
80% of psychological services not covered
Courtesy stigma is a _______-level cost of mental health
family
_____ leads to withdrawal/avoidance of certain settings, friends withdrawing from family
Courtesy stigma
What’s the outcome of the emotional burden of family-level costs to mental health?
many parents of children with serious mental health issues are depressed themselves
the process by which human conditions and problems come to be defined as medical conditions, or the social construction of medical conditions
medicalization (Zola)
Who are considered the primary drivers of medicalization?
physicians/medical profession
Which medicalized disorder was originally seen as a sin, then a lack of will (personality flaw), then a medical condition (disease of the brain)
Alcoholism
what is evidence of the medicalization of hoarding ?
it is now listed int he DSM
Whats an Intra-debate re. PMS for example?
debate between people within a medical profession (2 docs. arguing about cause of PMS)
Whats an Inter-debate?
debate between all health professionals (doc and psychiatrist arguing)
Who is a lay-debate between?
lay public and health establishment
__________: condition now seen a a legitimate category warranting medical intervention
Institutionalization
What are the benefits of medicalization?
- can reduce stigma
- can lead to empathy
- can ensure help
What are the problems of medicalization?
- medical profession owns condition (research $$)
- limits focus of social causes
- justifies involuntary treatment (and responsibilization - PMS? take the midol and come to work)
what policy was made to address the “revolving door patient” and involuntary hospitalization?
community treatment orders
______ may involve conditions like: taking meds as prescribed, keeping medical appointments, saying in supportive housing, no drug use
community treatment orders
Whats a problem with community treatment orders?
Coercion - if you don’t sign we will keep you in hospital
A form of re-institutionalization? must stay in supportive housing
Which theory is associated with Looking deviant
symbolic interactionism
When we look in the mirror, we ask 3 things according to The looking glass self (Cooley)
1) how do others see me? (my size)
2) how do others evaluate me? (fat)
3) how does their evaluation make me feel?
what does looking glass self depend on?
socialization - if only one in world, could see yourself with objective process
In Mead’s “The ‘I’ and the ‘Me’”, what is the ‘I’?
subject with power; agency (I want, I need, I will)