Intro to Mental Health and Distress Flashcards

1
Q

What is mental health?

A

“Mental health is defined as a state of well-being in which every individual realises their potential, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to their community”

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2
Q

What is distress?

A

A range of experiences in a person’s internal life (thoughts, feelings etc.) that are commonly held to be troubling, confusing, or unusual

Experiences for which individuals might seek support from professionals.

Has a wider scope than the term mental illness: A person in mental distress may exhibit some of the “symptoms” typically regarded as signs of mental illness (e.g. anxiety, extreme emotions, hallucinations, rage, depression etc.) without necessarily being ‘ill’ in the medical sense.

Simply = Anything disrupting mental well-being but just because you’re going through a difficult time, does not necessarily mean you are clinically ill

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3
Q

What are the 2 disciplines that can address mental health and distress?

A

Psychiatry and Clinical Psychology

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4
Q

What is Psychiatry? List 3 features

A
  • Specialised doctors (medical specialty devoted to addressing mental health and distress)
  • Specialists are able to prescribe drugs and diagnose patients
  • Focuses on diagnosis, treatment and prevention of mental disorders, including affective, behavioural, cognitive and perceptual abnormalities)
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5
Q

What is Clinical Psychology? List 3 features

A
  • New branch of Psychology, not doctors or a medical speciality
  • Unable to prescribe drugs but uses psychological theory, methods and clinical knowledge to help clients
  • Focuses on reducing and preventing distress and enhancing/promoting psychological well-being
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6
Q

What resource is considered the “bible” of Psychiatry?

A

Psychiatry (DSM-5) or the diagnostic and statistical manual of mental disorders 5

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7
Q

Which discipline aims to cure mental disorders and syndromes?

A

Psychiatry

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8
Q

Which discipline aims to help with psychological distress that may be difficult to cope with in daily life?

A

Clinical Psychology

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9
Q

A state of emotional suffering associated with stressors and demands that are difficult to cope with in daily life

What term is used to describe this?

A

Psychological distress

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10
Q

What are the 5 characteristics of psychological distress?

A

1) perceived inability to cope
2) changes in emotional status
3) discomfort
4) communication of discomfort
5) harm

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11
Q

A syndrome characterized by clinically significant disturbance in an individual’s cognition, emotion regulation, or behaviour that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning

What term is used to describe this?

A

Mental disorder

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12
Q

Define mental disorder

A

A syndrome characterized by clinically significant disturbance in an individual’s cognition, emotion regulation, or behaviour that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning

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13
Q

Define psychological distress

A

A state of emotional suffering associated with stressors and demands that are difficult to cope with in daily life

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14
Q

Why are definitions important?

A

Our understating and conceptualisation of the topic inform treatment and prevention approaches

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15
Q

Mental health difficulties and distress are often conceptualised using either (1) or (2) approaches

A

(1) Categorical
(2) Dimensional

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16
Q

According to the DSM-5, what are the 4 characteristics of mental disorders (diagnoses)?

A

1) Clinically significant behavioural or psychological syndrome or patterns that are associated with distress (a painful symptom) or disability (impairment in one or more areas of functioning)

2) Must not be merely an expected response to common stressors and losses (ex. the loss of a loved one) or a culturally sanctioned response to a particular event

3) They must be considered a manifestation of a behavioural, psychological or biological dysfunction

4) Neither deviant behaviour nor conflicts that are primarily between the individual and society are mental disorders unless the deviance or conflict is a symptom of dysfunction in the individual (If things are not socially accepted, does not mean they have a mental disorder; it depends on symptoms of the individual)

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17
Q

How can we distinguish between normality and abnormality? List 3 approaches

A

1) Social approach
2) Medical approach
3) Statistical approach

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18
Q

What is a social approach?

A

Activities/characteristics/behaviours that are approved according to certain cultural norms vs. those that are disapproved

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19
Q

Activities/characteristics/behaviours that are approved according to certain cultural norms vs. those that are disapproved

This is known as…?

A

Social approach

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20
Q

What is a medical approach?

A

Activities/characteristics/behaviours that contribute to health and well-being vs. those that endanger life and well-being

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21
Q

Activities/characteristics/behaviours that contribute to health and well-being vs. those that endanger life and well-being

This is known as…?

A

Medical approach

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22
Q

What is a statistical approach?

A

Activities/characteristics/behaviours that are usual in a certain population vs. those that are statistically unusual

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23
Q

Activities/characteristics/behaviours that are usual in a certain population vs. those that are statistically unusual

A

Statistical approach

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24
Q

Which approaches/models assume that:

  • There is a sharp and neat distinction between normal and abnormal
  • There is a rigid way of separating/”boxing” people
  • “Yes” or “No” approach assumes that whatever we regard as “abnormal” is distinct from normal functioning
A

Categorial approaches/models

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25
Q

Describe categorical approaches/models

A
  • Assumes there is a sharp and neat distinction between normal and abnormal
  • Assumes there is a rigid way of separating/”boxing” people
  • Follows a “Yes” or “No” approach and assumes that whatever we regard as “abnormal” is distinct from normal functioning

(But the definition of normality/abnormality leads to contradictions and arbitrary exceptions)

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26
Q

How common are mental health difficulties?

A

Common mental health difficulties (such as anxiety and low mood) are extremely prevalent globally

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27
Q

In a systematic review of over 170 surveys on mental health difficulties, how many people experience mental health difficulties in the 12 months preceding the assessment?

A

Approximately 20% (1 in 5 individuals) experienced mental health difficulties in the 12- months preceding the assessment

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28
Q

In a systematic review of over 170 surveys on mental health difficulties, how many people experience mental health difficulties at some point in their lifetime?

A

Approximately 30% (1 in 3 individuals) had mental health difficulties at some point in their lifetime (lifetime prevalence).

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29
Q

What are the 4 characteristics of the dimensional/continuum approach in investigating mental health?

A
  • Models of mental health/distress that do not presume there is a sharp dividing line between “normality” and “abnormality”
  • Instead, they describe distressing experiences as lying on a continuum with normal functioning (people may experience extreme distress during certain periods when undergoing a particular event)
  • Not just poor or good mental health and well-being – it is inter-related
  • Our mental health is dynamic, fluctuates and responds to things happening to us
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30
Q

Research suggests that many experiences of mental health difficulties (in the general population) are better represented as …?

a) dimensional approaches/models
b) categorical approaches/models

A

a) dimensional approaches/models

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31
Q

During the peak of the first wave of COVID-19, how many people in the UK (5) showed signs of ‘moderate or severe’ anxiety in the previous 2 weeks?

A

22%

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32
Q

During the peak of the first wave of COVID-19, how many people in the UK (5) showed signs of ‘moderate or severe’ depression in the previous 2 weeks?

A

22%

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33
Q

During the peak of the first wave of COVID-19, how many people in the UK (5) showed symptoms of trauma (post-traumatic stress) in the previous month?

A

17%

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34
Q

Mental health symptoms were worse in vulnerable groups, including ….?

A
  • Doctors
  • Nurses
  • Other front liners during the pandemic
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35
Q

When does a person’s common mental distress/ negative experiences start to become a problem?

A

1) When they are present for a prolonged period of time without getting resolved

2) When they are perceived as uncontrollable and the person cannot find useful ways to minimize or tolerate these experiences (‘coping’)

3) When they cause disruption to the people’s ability to have meaningful relationships with others, work, study, or more generally achieve valued personal goals and ‘live the lives they want to live’

36
Q

When individuals access support from mental health services

What is the term used to describe this?

A

Service users

37
Q

When individuals receive psychological support e.g. therapy) or more generally “people with lived experience (of mental health difficulties)”

What is the term used to describe this?

A

Clients

38
Q

When individuals receive psychological support e.g. therapy) or more generally “people with lived experience (of mental health difficulties)”

A term used to describe this is patient.

True or False?

A

False
The correct term is clients

39
Q

The term “patient” is not the most useful term in most cases

True or False?

A

True

40
Q

The term “patient” is not the most useful term in most cases. What are the 3 cases to which this applies?

A

1) Individuals might not be struggling with an ‘illness’ as such

2) The person might not be accessing medical or psychological treatment

3) The person might not be “help-seeking”

41
Q

What are the 2 models of mental health and distress?

A

1) Medical model/biomedical model
2) Bio-Psycho-Social model

42
Q

Who thought of the term “medical model”?

A

Ronald Laing

43
Q

Ronald Laing describes the medical model as…?

A

The “set of procedures in which all doctors are trained.”

44
Q

The “set of procedures in which all doctors are trained.”

This is known as…?

A

The medical model

45
Q

More recently, the medical model is used to indicate the assumption that….?

A

Mental health difficulties are the result of physical problems (e.g. abnormal brain functions; ‘chemical imbalances’ etc.) and should be treated medically

46
Q

Mental health difficulties are the result of physical problems (e.g. abnormal brain functions; ‘chemical imbalances’ etc.) and should be treated medically

This is known as…?

A

The Medical Model

47
Q

True or False?

The medical model emphasises the influence of the environment on mental health and distress

A

False

The medical model has a strong emphasis on biological accounts of mental health difficulties (genetic contributions, brain anomalies, neurological problems etc.) and consequently on medical treatment to manage distress (e.g. medications, electroconvulsive therapy)

48
Q

Has a strong emphasis on biological accounts of mental health difficulties and consequently on medical treatment to manage distress

Is this …?
a. Medical model
b. Bio-Psycho-Social model

A

a. Medical model

49
Q

Who proposed the bio-psycho-social model?

A

George L. Engel

50
Q

What does the bio-psycho-social model suggest about mental health and distress?

A

Biological, Psychological and Social determinants of mental health difficulties are entwined and it is a complex interaction

51
Q

Because Biological, Psychological and Social determinants of mental health difficulties are entwined, interventions should…?

A

Address all the different components (Biological, Psychological and Social) of mental health difficulties

52
Q

What are examples of biological impacts on mental health and distress? List 5

A
  • Genetic vulnerabilities
  • Physical health
  • Physiological responses
  • Disability
  • Effect of medication
53
Q

What are examples of psychological impacts on mental health and distress? List 5

A
  • Cognitive style
  • Personality traits
  • Attachment style
  • Emotion regulation
  • Beliefs about the self, world etc
54
Q

What are examples of social impacts on mental health and distress? List 5

A
  • Social support
  • Family environment
  • Socioeconomic status
  • Culture
  • Life events /Trauma
55
Q

Define clinical recovery

A

The remission / disappearance of symptoms

56
Q

Many people who develop mental health difficulties can achieve “clinical recovery” (the remission/disappearance of symptoms), sometimes without the need for specialist mental health treatments.

True or False?

A

True

57
Q

How are people diagnosed with schizophrenia?

A

If they have distressing hallucinations and delusions

58
Q

What % of people have a full and sustained recovery following their first episode of psychosis?

A

38%

59
Q

What % of people experience substantial improvement in the severity of their symptoms (remission)?

A

58%

60
Q

Define remission

A

When people experience substantial improvement in the severity of their symptoms

61
Q

True or False?

Psychosis (schizophrenia) often becomes chronic.

A

False
Only a relative minority of cases does psychosis becomes chronic

62
Q

Define personal recovery

A

Recovery that does not necessarily mean the disappearance or reduction of symptoms

Simply = Improvement on your mental health problems on a personal level and not so much clinical/symptoms level

e.g. building resilience, control over problems, ability to lead a meaningful life.

Some people even feel they can be enriched by their experience of mental health problems and adverse life experiences (i.e. ‘post-traumatic growth’)

63
Q

What does the recovery-oriented approach argue?

A

Argues against just treating or managing
symptoms but focusing on building the resilience of people with mental health problems and supporting those in emotional distress.

64
Q

Argues against just treating or managing
symptoms but focusing on building the resilience of people with mental health problems and supporting those in emotional distress.

What approach is this?

A

Recovery-oriented approach

65
Q

The disappearance or reduction of symptoms

What type of recovery is this?

A

Clinical recovery

66
Q

When an individual believes they have gained something from their experience of enduring their mental health problems

What type of recovery is this?

A

Personal recovery

67
Q

When conceptualising mental health difficulties, which discipline is traditionally more categorical and uses constructs such as “mental disorders” and “diagnoses”?

a. Clinical Psychology
b. Psychiatry

A

b. Psychiatry

68
Q

When conceptualising mental health difficulties, which discipline is more dimensional and rejects arbitrary distinctions between normality and abnormality?

a. Clinical Psychology
b. Psychiatry

A

a. Clinical Psychology

69
Q

When explaining mental health difficulties, which discipline places emphasis on biological factors?

a. Clinical Psychology
b. Psychiatry

A

b. Psychiatry

70
Q

When explaining mental health difficulties, which discipline places emphasis on psychosocial factors?

a. Clinical Psychology
b. Psychiatry

A

a. Clinical Psychology

71
Q

The treatment of mental health difficulties comprises primarily medical interventions (e.g. drugs) and focuses on clinical recovery

a. Clinical Psychology
b. Psychiatry

A

b. Psychiatry

72
Q

The treatment of mental health difficulties comprises primarily interventions that target psychological and social factors that cause/maintain distress and are a recovery-oriented approach

a. Clinical Psychology
b. Psychiatry

A

a. Clinical Psychology

73
Q

Which discipline is more categorical?

a. Clinical Psychology
b. Psychiatry

A

b. Psychiatry

74
Q

Which discipline is more dimensional?

a. Clinical Psychology
b. Psychiatry

A

a. Clinical Psychology

75
Q

Which discipline believes mental disorders are due to biological factors and genetics?

a. Clinical Psychology
b. Psychiatry

A

b. Psychiatry

76
Q

Which discipline believes mental disorders are due to bio-psycho-social factors?

a. Clinical Psychology
b. Psychiatry

A

a. Clinical Psychology

77
Q

Which discipline treats individuals through medical methods/drugs and emphasises clinical recovery?

a. Clinical Psychology
b. Psychiatry

A

b. Psychiatry

78
Q

Which discipline treats individuals through psycho-social interventions and emphasises on recovery-oriented approach?

a. Clinical Psychology
b. Psychiatry

A

a. Clinical Psychology

79
Q

Who proposed that we have allowed the bio-psycho-social model to become the bio-bio-bio model”?

A

Sharfstein, 2005

80
Q

What does the bio-bio-bio model mean?

A

As a profession, we currently use fewer psycho-social methods (psychotherapy) of helping individuals cope with poor mental health than we did 10 years ago

Instead, we often over-medicalise mental disorders and overuse medication

81
Q

Why is it important to consider the validity of different models of mental health and distress? List 2 reasons

A

1) Scientific duty

2) The approach we use to conceptualise mental health and distress influences how we relate/interact with people in distress:

  • In clinical practice
  • In society as a whole (e.g. stigma)
82
Q

True or False?

Clinical Psychology and Psychiatry are disciplines concerned with understanding, preventing and improving of mental health and distress.

A

True

83
Q

True or False?

Mental health difficulties and distress are often conceptualised using either continuum or dimensional approaches

A

False

Mental health difficulties and distress are often conceptualised using either categorical or dimensional approaches

84
Q

True or False?

Mental health difficulties and distress can be viewed as medical problems only

A

False

Mental health difficulties and distress can be viewed as either medical problems or more complex experiences that can also involve psychological and social factors

85
Q

True or False?

“On average”, Psychiatry places more emphasis on psychosocial model approaches, whereas Clinical Psychology on medical model approaches

A

False

“On average”, Psychiatry places more emphasis on medical model approaches, whereas Clinical Psychology on psychosocial factors