Final Flashcards
What are mental disorders?
alterations in thinking, mood, or behaviour associated with significant distress and impaired functioning
Where are alterations in thinking, mood and behaviour found?
in the cognition
What is a determinant to define significant distress?
duration depending on the situation
Fill in the blank: Cognition usually precedes our ___.
Behaviour
What is psychosis?
loss of touch with reality; considered the most serious of mental disorders
What are disorder are psychotic symptoms most associated with?
Schizophrenia
What other disorders can psychotic symptoms occur with?
schizoaffective disorder bipolar affective disorder depression brain tumours substance abuse
what are symptoms of psychosis?
hallucinations, delusions, disordered thinking
What are hallucinations?
seeing/hearing thinks that aren’t there, or not hearing/seeing things that are there
What are delusions?
false but firmly held beliefs not based on reality
What sort of delusion can the fear of being watched be classified as?
paranoia delusion
What is disordered thinking?
thinking that doesn’t make sense and is not linear
What sort of delusion can someone thinking they are the 2nd coming of Christ be defined as?
delusion of grandure
what are the 3 most common mental disorders?
mood and anxiety
substance abuse
cognitive impairment and dementia
What percentage of the population suffers with mood and anxiety disorders?
11.7%
what percentage of the population suffers with substance abuse disorders?
5.9%
what percentage of the population suffers with cognitive impairment and dementia disorders?
2.2%
What are the 4 factors in the etiology of mental disorders?
genetic, biological, psychological, social
What can account for 50% of the risk of mental disorders?
genetics
When looking at genetics causing schizophrenia, what do researchers look at?
monozygotic twins
True or false: schizophrenia is common in childhood
false
what age do males and females usually get diagnosed with schizophrenia?
18 and 28 respectively
What other factors are considered to effect the onset of schizophrenia?
maternal nutrition, viral infection, perinatal complications, exposure to toxic pathogens, social stress
What percentage of mothers have been found to have schizophrenia?
12%
how do perinatal complications contribute to the etiology of schizophrenia?
during birth - if there are complications, prolonged labour, or the child is in danger
What can be said about the relation of immigrants and schizophrenia?
1st/2nd generation immigrants are at higher risk then their non immigrating relatives
What sorts of social stresses can lead to the etiology of schizophrenia?
mothers who experience death of close relative during the 1st trimester
stressful, demanding jobs
children born during periods of famine
What sorts of issues contribute to the etiology of affective disorders such as depression?
PPD genetics other medical conditions gender age abuse loss or rejection stress isolation substance abuse
Are women or men more likely to develop affective disorders?
women
What age groups are more likely to develop affective disorders?
adolescence or elderly
What percentage of individuals with schizophrenia also struggle with substance abuse?
60%
What sorts of factors contribute to PPD?
hormones, stress of newborn, no sleep etc
Who did research in the area of the roll of stress in mental illness, and what were the findings?
Leonard Pearlin; compared depression rates in people who had become unemployed
found that those who DID NOT develop depression:
compared themselves positively with others
were not focussed on economic and monetary achievements
reported high levels of emotional support
internal locus of control
What is the internal locus of control?
how we see other options and feel in control
what is the external locus of control?
factors outside of our control
What were the findings in those who did suffer with depression?
low self esteem, financial success was the main goal in life
What was the relation of depression and money in Pearlins research?
those who did not prioritize money did not develop depression
What was the Stirling County study & who conducted it?
Alexander Leighton; looked at stress levels in communities and the role that environment played in mental illness
What were the findings of the Stirling County study?
mental illness was higher in disintegrated communities in comparison to cohesive communities
What sorts of things characterized a disintegrated community in the Stirling county study?
recent history of disaster
extensive poverty
cultural confusion (conflicting cultural groups)
rapid social change
Which theorist’s ideals influenced Leighton’s study?
Durkheim
What were some secondary findings in Leighton’s research?
individual stresses such as: love security sexual satisfaction sense of belonging orientation of oneself and place in society
what is biological treatment?
bodily intervention - psychiatry
what is psychological treatment?
psychosocial therapy - psychology
what sorts of things are classified as biological treatments of mental illness?
blood letting
lobotomies
insulin therapy
electro convulsive therapy
what is blood letting?
having an excessive build up of toxins, so leeches were used or teeth were removed to release toxins
who invented lobotomies and what is it?
Egis Monice; the surgical removal of part of the brain
What sorts of things are classified in psychological treatments?
therapeutic communities like eating well, sleeping etc
catharsis
what is catharsis?
the release of emotion
What is the St Mary of Bethlam Hospital and how did it contribute to the growth of the asylum?
a chaotic hospital for the mentally ill; was chaotic because there were no treatments available at the time for these illnesses
this place was dedicated to the treatment and housing for mental illnesses
What sorts of factors contributed to the growth of the asylum?
more illness - neurosyphilis
closing of poorhouses/workhouses and overrun jails, which then individuals were pushed to asylums because they had no where else to go
growing intolerance of madness within the family/community
this was a more humane environment for the mentally ill
How did capitalism play a role in the growth of the asylum?
mentally ill were not good for the economy, as they could not contribute to society; upperclass families also sent mentally ill family members to asylums because it was embarrassing to their prestigious guests
What is deinstitutionalization?
people being moved out into the community
what is civil libertarianism?
promotion of individual rights
What sorts of ideas led to the deinstitutionalization of the mentally ill?
civil libertarianism
confidence in newly introduced anti psychotic medication
promise of community mental health services
political economic influences
How did the introduction of anti psychotic medication contribute to deinstitutionalization?
treat psychotic moments - this was profound that there were treatments people could take to reverse or help these symptoms
What are some examples of the results of deinstitutionalization?
poverty homelessness suicide imprisonment substance abuse violence family stress victimization
What is the disease paradigm?
biological arena; emphasizes the making better of the symptoms that destress or impair individual functioning; may be related to medication, money, side effects etc.
what is the psychopharmaceutical revolution?
drugs were discovered to treat schizophrenia, and other medicinal discoveries like anti depressants
what is the drug called used to treat schizophrenia?
chlopromozene
what is the discrimination paradigm?
social arena; emphasizes the role that stigmatization plays in the daily experiences of people with mental illness
what is master status and who came up with the concept?
Erving Goffman; some become so stigmatized that it defines who they are
List and explain the 5 reasons schizophrenia is stigmatized.
Uncertainty: people don’t know much about schizophrenia, and just assume they are always psychotic
Unpredictability: assumption that you cannot predict how they will behave; confused often with DID; Jeckyl and Hyde situation
Incompetence: based on belief that they are unintelligent
dangerousness: based on the belief that people with schizophrenia are potentially violent
responsiblization: assumption that if treatment is available, person is responsible for taking it
What did Hooley say about stigma, mental health and culture?
euro Americans have a high internal locus of control because we start to blame others who fail in manifesting their own lack of success
What did Jenkins say about stigma, mental health and culture?
Latin Americans explain it as “nervios” - nerves explain the reason of mental illness - less stigma
biochemical explanation in western society - more stigma and is associated with the “that person has it and I don’t” attitude
Why would an individual with schizophrenia feel that things were impossible?
there was very little hopeful information about mentally ill individuals leading “normal” lives
List and define the 4 areas in the stigma management technique.
trying to pass: hide it from everyone
dividing their social worlds: tell only some people
deflecting: distance self from label
challenging: confront stigma
What are the 3 categories of costs of mental illness to society?
individuals
family
society
What are the sorts of individual level costs of mental illness?
disability
suicide
cost of treatment
victimization
What are the sorts of family level costs of mental illness?
financial burden
emotional burden
caretaker burnout
courtesy stigma
what is courtesy stigmatization?
Familes, nurses psychiatrists deal with stigma in society; can lead to parent putting all energy into dealing with ill family members and withdrawing from the rest of their lives
What are the sorts of society level costs of mental illness?
mental health services such as crisis lines, housing, case management, self help groups
Who coined the term “Medicine as an Institute of Social Control”?
Irving Zola
Define medicalization.
The process by which human conditions and problems come to be defined and treated as medical conditions.
Who is seen as the primary drivers of the medicalization process?
physicians and the medical profession
What are some examples of medicalized disorders?
alcoholism Post Partum Depression hoarding ADHD Homosexuality Masturbation PMS
What are the 5 stages to medicalization?
Previous views intra debates inter debates lay debates institutionalization
Define the stages of PMS becoming medicalized using the 5 stages of medicalization.
Previous views: seen as normal or deviant behaviour increasingly becoming medical
intra debates: within medical professionals; who treats PMS?
Inter debates: between all health professionals; Some defend the medical field, others defend a psychological field
Lay debates: between public and health establishment; women vs medicine
Institutionalization: on the list of disorders; research efforts to find a cure/treatment; becomes normalized as a medical condition; could be used in court for example to gain ownership of children if woman gets too “vile” in PMS
What are the benefits of medicalization?
can reduce stigma
can lead to empathy
can ensure that the person receives help
How does the medicalization of depression benefit individuals who struggle with depression?
has led to greater empathy for those diagnosed - not seen as lazy anymore
also gives a legitimate reason to see a doctor and get a prescription
What are some potential problems associated with medicalization?
medical profession comes to own the condition
focus on medical disorder closes off discussions about experience as owing to social conditions
may be used to justify involuntary treatment
What did Lily Tomlin have to say about being diagnosed with PMS?
forces a sense of tunnel vision; basically blames PMS as a result of the stressors of life
What does deinstitutionalization lead to?
involuntary treatment or hospitalization into a community that is not ready to support them
What problems are associated with mentally ill living in the community?
if an individual goes off their medications, they are on their own
individuals with schizophrenia for example are not able to recognize themselves as ill, so they will not know when to receive help.
What are community treatment orders?
considered an alternative to involuntary hospitalizations and are designed to address the revolving door client
what is the revolving door client?
an in and out patient; the patient becomes stabilized and then goes out, and then is back in because they are off their meds etc.
What are some conditions outlined in community treatment orders?
taking medications as prescribed, attending medical appointments as required, supportive housing, refraining from the use of alcohol or drugs
What should medicalization be seen as?
an instrument of social control
What is re-institutionalization?
the individual maintains housing unit residency; isn’t the first choice of the individual - it is not a good practice for community treatment, but sometimes it is necessary
Who developed the theory of the looking glass self? What is the looking glass self?
Charles Cooley; when we look in the mirror we see objective features (eye colour etc), but for most of us its not that objective
What are the 3 steps in the looking glass self process?
how do others see me?
how do others evaluate me based on what they see?
how does their evaluation make me feel about myself?
What is the I and Me theory? Who came up with this theory?
George Mead; the I is a subject with power, and the me is the self as object perceived by others (the socialized part of ourselves); can’t see myself as others see me until I have a developed sense of self
At what age do children recognize themselves in the mirror?
18 months
Who came up with the 3 components of self? What are they? How do they interact with each other?
Higgens The actual self the ideal self the ought to be self there is tension between these 3 to act, adjust and try to cope through deviance
using the 3 components of self, what does this look like regarding weight?
the actual self: 20 lbs overweight
the ideal self: lose 30 lbs
the ought to be self: the “should be” - I shouldn’t care what I look like, instead I should care about my cholesterol etc.
What is the presentation of self? Who came up with this term?
Goffman; includes the dramaturgical approach and impression management
What is the dramaturgical approach?
deals with the front stage self and the back stage self; that we treat life as a performance on a stage
What is impression management?
when we are able to say “I can’t go looking like this because ….” and try to make a good impression of ourselves on others
what lens can we understand impression management through?
the socialized self
What are the guidelines for determining appearance norms in society?
change over time
cross cultural differences
age dependent
women evaluated more harshly
How has appearance changed over time?
thin was not always the most desired; fuller women used to be the beauty standard
What does “what is beautiful is good” mean?
research shows that those considered attractive live better lives than those who are not; have higher paying jobs, better houses etc.
What are scientific standards in regards to the ideal body?
discussion focussed; “objective” orientation - there are harms associated with body weight etc.
what are the social standards in regards to the ideal body?
sociological lens; the promotion of the ideal body, and what your ideal body image is based on
What is considered an underweight BMI?
less than 18.5
What is considered an ideal BMI?
18.5 - 24.9
What is considered an overweight BMI?
25.0 - 29.9
what is considered an obese BMI?
30 or greater