history, recovery model, pharm Flashcards
Prehistoric times
mental illness assumed to stem from magical beings that interfered with the mind; tribes had own rituals to “cure” (exorcisms, trepanation)
Ancient Egypt
first signs of change in the tx of mentally ill; first known psychiatric text with explanation of “hysteria”, first known mental hospital and mental physician, focus on well being of the soul
Middle ages
Inhumane Era, possessed by demons, witchcraft
Renaissance
insane asylums
Moral reform
began treatment of mentally ill humanely, development of clinical psych
Radical medicine in the 40s
ECT, insulin shock therapy, frontal lobotomy
- Pharmacology evolvement, institutionalization
Emergence of OT
dolf meyer, susan tracy, Eleanor clark slagle, William rush dunton Jr
Define and understand concept of the Recovery Model
- a process of change through which individuals improve their health and wellness, live a self-directed life, and strive to reach their full potential
- individual focused, promote personal recovery, what is needed for well being, share control
4 main dimensions of the recovery model
health (overcoming or managing one’s disease)
home (stable and safe place to live)
purpose (meaningful daily activities)
community (relationships that provide support)
MOHO
- Occupation centered model, dynamic interaction between: volition, habituation, performance capacity, environment
- Volition: person’s motivations to complete an occupation
- Habituation: pattern of occupation over time, habits and roles
- Performance capacity: mental and physical abilities required for participation
- Interact with and are influenced by the environment
PEOP
- Person, environment, occupation, performance
- The narrative: past, current, and future perceptions, choices, interests, goals, and needs unique to the person (personal, organizational, population/community)
- Collaboration, occupational performance, systems perspective, client centered practice
CMOP-E
- Enablement, social justice, and environment
- Spirituality, engagement is the “E”
- Emphasizes occupational engagement and experience, cognitive and emotional involvement in performance
Kawa
- Narratives of daily life experiences
- Metaphor of a river to represent client’s past, present, and future experiences and needs
- River flow: life experiences, flow, and priorities
River banks: environments and contexts (social and physical)
Rocks: obstacles and challenges
Driftwood: influencing factors in one’s life
Spaces: opportunities for enhancing flow
What are the major changes in the new edition of the DSM-5?
- Asperger syndrome to an ASD
- Elimination of subtypes of schizophrenia
- Deletion of “bereavement exclusion: for depressive disorders
- Renaming gender identity disorder to gender dysphoria
- Inclusion of binge eating disorder as a discrete eating disorders
- Paraphilias to paraphilic disorders
- Removal of five-axis system
- Splitting of disorders not otherwise specified into other specified disorders and unspecific disorders
pharm abbreviations
MOA: mechanism of action (how the drug works)
ADR: adverse drug reaction
BBW: black box warning
