History of Mental Health and Defining Abnormality Flashcards

1
Q

What did people believe about mental illness in 6500BC? How did they think this could be treated?

A

They believed that it was caused by possession of devils and the way to release this was to practise trepanation - holes drilled into skull to release demons.

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2
Q

What did people believe about mental illness around 1000BC?

A

They believed that ‘madness’ was a punishment from God.

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3
Q

What did people believe about mental illness from 800-700BC? What did Hippocrates think?

A

Still considered a punishment from God, however the Greek physician Hippocrates believed it was due to an imbalance of the four bodily humours (blood, phlegm, yellow bile and black bile) and could be cured by balancing these four humours.

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4
Q

What was depression thought to be a result of from 800-700BC? How would this be treated?

A

Thought to be a result of an excess of black bile and laxatives and bloodlettings would rebalance this excess.

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5
Q

What happened to Hippocrates theory in 100BC?

A

It was rejected by some and replaced with the belief that melancholy resulted from emotions such as rage, fear and grief.

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6
Q

What was the view on mental illness around AD300?

A

The Christian church promoted the idea of madness as a punishment from God or demonic possession.

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7
Q

When did the burning of witches peak and when did it start to fade out?

A

Peaked in the fourteenth and fifteenth centuries and began to fade out towards the end of the 1700s

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8
Q

What significant event happened in 1796?

A

The Tukes (father and son) founded the York Retreat in England, which was the first institution ‘for the humane care of the insane’.

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9
Q

What happened during the nineteenth century?

A

Mental hospitals in North America, Britain and many countries of continental Europe treated the ‘insane poor’ and psychiatry became a recognised medical speciality.

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10
Q

When did modern psychology start to begin and what is it responsible for?

A

It began in the 1890s and is responsible for the acceptance that mental illness is a result of influences on the mind, which can vary from biological to the unconscious conflict of Freud’s theory.

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11
Q

What are the 4 main definitions of abnormality suggested bu Rosenhan and Seligman?

A

Statistical Infrequency, Failure to Function Adequately, Deviation from Social Norms and Deviation form Ideal Mental Health.

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12
Q

What is meant by Statistical Infrequency?

A

Any behaviour that is shown less often than the normal amount for that society is, by its very nature, abnormal.

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13
Q

What is meant by Failure to Function Adequately?

A

If a person is unable to live a normal life adequately, for example hold down a job, maintain a relationship, look after themselves or interact in society effectively, then they could be considered abnormal.

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14
Q

What is meant by Deviation from Social Norms?

A

Every society has social norms that it maintains through laws, guidelines or societal pressure. If someone doesn’t follow a society’s norms, they may be considered abnormal.

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15
Q

What is meant by Deviation from Ideal Mental Health?

A

Ideal mental health can include :
-feeling positive about yourself
-having self-discipline and independence
-having an accurate perception of reality
-having positive social interactions with friends and family
Someone who deviates from things like this can be considered abnormal.

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16
Q

What limitations can the definitions of abnormality have?

A

-Cultural relativism
-Personal beliefs
-Deviation of social norms
-Social desirability
etc

17
Q

What are the two categorisation tools for mental disorders?

A
  • The Diagnostic and Statistical Manual of Mental Disorders (DSM)
  • The International Classification of Disorders (ICD)
18
Q

What is one weakness of the two categorisation tools?

A

They offer a starting point to identify illnesses but do not provide explanations or treatments, and they create labels.

19
Q

What percentage of the panel working on the DSM-5 had links with pharmaceutical industries?

A

69% - may be biased to try and make these industries money by selling their drugs to treat illnesses.

20
Q

Describe the DSM-5 and how it is laid out.

A
  • Has 3 areas (Medical + Mental Health Conditions, Psychological and Contextual Factors (Environment), Functioning + Disability)
  • New DSM changed many descriptions and added some new ones
21
Q

Describe the ICD and how it is laid out.

A
  • Has 22 chapters

- Identifies man and secondary symptoms

22
Q

Outline Chapter V of the ICD

A
  • Chapter V is ‘Mental and Behavioural Disorders’
  • Has 100 categories F00 - F99
  • F20-F29 is Schizofrenia, schizotypal and delusional disorders
  • F30-F39 is Mood (Affective) disorders
23
Q

How can the DSM-V and the ICD be cross-referenced?

A

The DSM lists corresponding ICD code so they can be cross-referenced.

24
Q

What did Ford and Widiger find to do with the validity of the diagnostic tools?

A

They found that there is a gender bias - Men are more likely to be diagnosed with anti-social personality disorder, whilst women are more likely to be diagnosed with histronic personality disorder.

25
Q

What is Kappa and what did it find to do with the reliability of the diagnostic tools?

A

Kappa is a measure of agreement between 2 clinicians diagnosing the same patient (like inter-rater reliability). and ranges from 0-1.
Studies show that no category of mental disorder has consistently high reliability.