Historical Context Flashcards

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1
Q

How was mental health historically viewed?

A

through a stigmatised lens

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2
Q

What was the consequence of social stigma surrounding mental health?

A

ineffective treatment

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3
Q

What are the key time periods?

A

1- Prehistoric
2- Ancient
3- Middle Ages
4- Modern (17th - 20th century)

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4
Q

What was the prehistoric belief about what caused mental health disturbances?

A

possession via an evil spirit

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5
Q

Who typically treated mental illness in the prehistoric era?

A

local town ‘doctors’

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6
Q

What were some treatments in the prehistoric era?

A

trepanation (drilling a hole into the skull)

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7
Q

What was the Ancient belief surrounding the causes of mental disturbances?

A

imbalanced 4 humours

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8
Q

What are the 4 humours?

A
  • blood
  • phlegm
  • black bile
  • yellow bile
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9
Q

What is an example of a correlation drawn by Ancients about the 4 humours and mental disturbances?

A

increased levels of black bile cause depression / melancholy

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10
Q

Who typically treated mental disturbances in the Ancient period?

A

monasteries and apothecaries for natural remedies

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11
Q

What are some examples of treatments in the Ancient period?

A
  • urine testing
  • blood letting
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12
Q

What was believed in the Middle Ages as the cause for mental disturbances?

A

possession by demons

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13
Q

Who typically treated mental disturbances during the middle ages?

A

priests

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14
Q

What was the treatment of mental disturbances in the Middle Ages?

A

exorcisms

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15
Q

What were the believed causes of mental disturbances in the Modern era (20th century)?

A

social tensions e.g., disliking a family member, practicing a different religion
NO CLEAR CAUSE

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16
Q

Why did there not have to be a clear cause of mental disturbance in the 20th century?

A

those who were deemed mentally ill were just sent to psychiatric hospitals with no proper treatment and were just confined from wider society

17
Q

What was the term that describes the ‘cause’ for mental health issues in the 20th century?

A

neurosis of the mind

18
Q

Who treated patients during the 20th century?

A
  • doctors / nurses
  • psychiatrists
19
Q

What are some examples of treatment in the 20th century?

A
  • psychiatric hospitals
  • electro shock therapy
  • ECTs
  • malarial treatment
  • lobotomy’s
20
Q

What are the three branches of neurosis of the mind - how did 20th century explanations evolve?

A

1- Asylums = no treatment just imprisonment
2- Terrible Treatments
3- Hospital Treatments

21
Q

Which of the historical explanations can be considered scientific?

A
  • 4 humours (slightly)
  • neurosis of the mind (all 3 except asylums)
22
Q

Which of the historical explanations can be considered reductionist?

A

ALL

23
Q

Which scientific explanation is the least reductionist?

A

4 humours

24
Q

Which of the historical explanations can be considered deterministic?

A

All explanations

25
Q

Why can it be argued that historical explanations are NOT deterministic?

A

if a treatment is offered it suggests it can be changed and is not fixed

26
Q

Which historical explanations offer no treatment and therefore are the MOST determinstic?

A
  • witchcraft
  • asylums
27
Q

Which historical explanations are ethical?

A
  • demons & exorcisms
  • 4 humours & bloodletting (ONLY if leeches)
  • neurosis of the mind & hospital treatments
28
Q

Which historical explanations are valid?

A

neurosis of the mind & hospital treatments

29
Q

Which historical treatments are reliable?

A

NONE

30
Q

Which historical treatment is the MOST reliable?

A

Neurosis of the mind & hospital treatments - because it also has validity

31
Q

What are the best comparison points across historical periods (similarities and differences)?

A

Similarities
- reductionism
- unethical
Differences
- scientific
- validity