Mental Disorders Part B Flashcards

1
Q

what are the 2 categories within social control of mental disorders?

A
  • medicalization
  • stigmatization
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2
Q

what is stigmatization?

A

becoming an outsider

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3
Q

what is medicalization?

A

defined, diagnosed, and treated within medical framework

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4
Q

what is the evolution of medicalization of mental disorder?

A
  • religious and spiritual rituals
  • prisons and madhouses
  • asylums
  • psych institutions
  • community treatment
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5
Q

who discussed the growth of the asylum?

A

Edward Shorter

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6
Q

where was the asylum located and what treatment did they use?

A

St Mary Bethleham Hospital
- ice water shock
- lobotomies

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7
Q

what is the definition of mental disorders

A

mental illnesses -> a mental, behavior or emotional disorder
serious mental illness -> resulting a serious functional impairment

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8
Q

true or false - the term for the number of new diagnoses per year is called prevalance

A

false - it is called incidences

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9
Q

define prevalance

A

who has it right now

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10
Q

__% of adults have a mental disorder in any given year

A

20

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11
Q

by the age of ___ , ____ (how many canadians) have had a mental disorder

A

40 ; half of canadians

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12
Q

by the age of 90, __ - ___% will have had a mental disorder

A

65-70%

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13
Q

what are the 3 most common mental disorders

A

mood/anxiety
substance abuse
cognitive impairment

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14
Q

what do schizophrenia, schizoaffective disorder , BPD and depression all have in common

A

they are all psychotic disorders

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15
Q

define psychosis

A

loss of touch with reality

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16
Q

what are the three symptoms of psychosis

A

hallucinations, delusion and disordered speech and behavior

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17
Q

differentiate between hallucinations and delusions

A

hallucinations affect our senses and delusions are just faulty thinkingwh

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18
Q

what are the most common hallucinations

A

auditory and visual

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19
Q

what are the two types of delusions we talked about in class

A

paranoid and delusions of grandeur

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20
Q

match the example to the associated term
you think you are one of jesus’ disciples

A

delusion of grandeur

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21
Q

what are the criteria for schizophrenia

A
  1. same as psychosis symptoms (hallucinations, delusions and disorganized speech)
  2. positive symptoms -> they are there when they should not be
  3. continuous disturbance for 6 months
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22
Q

what did the video of Quentin in winter video tell us

A

had auditory and visual delusions
-> save his father from the sun, red car and red flower connected to one of his family dying, touching the fish gives him superpowers

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23
Q

what is a theory as to why women might not be diagnosed with schizophrenia

A

estrogen may be protecting them

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24
Q

______ accounts for 50% of the risk of mental disorders

A

genetics

25
Q

what is the best way to test the effects of genetics on mental disorders

A

twin studies

26
Q

how does twin studies help with understanding the genetics behind mental disorders

A

when you take identical twins, they have 100% shared genetic material and if the disease is genetic then if one twin has, so will the other

27
Q

what is the prevalance of schizphrenia

A

less than 1%

28
Q

if the mother has schizphrenia, it is __% likely that the daughter will get it but only __% if the father has it

A

12 ; 10

29
Q

what are some of the predispositions for psychosis (other than genetics, biological and psychological)

A

maternal nutrition, viral infection, perinatal complications , exposure to toxins and stress

30
Q

true or false - women who immigrate are at lower risk for psychosis

A

false - at a higher risk

31
Q

true or false - mothers who experience death of a close relative during the first two trimesters are more vulnerable to psychosis

A

false - only during first trimester

32
Q

what are the medical conditions that could make people vulnerable to affective disorders

A

neurological conditions such as huntingtons and parkinsons

33
Q

what are some predisposed factors for affective disorders

A

genetics, gender, age, abuse, loss and rejection, stress and substance abuse

34
Q

true or false - younger people are more vulnerable to affective disorders

A

true

35
Q

alexander leighton said there are certain factors that can cause individual stress, what are they, name a couple

A

need for physical security, sexual satisfaction, love and security, recognition, creativity and sense of belonging to a group

36
Q

_______ was higher in disintegrated communities

A

mental illness

37
Q

what defined a community as disintegrated

A

history of disaster, extensive poverty, community that moved away from religion and rapid social change

38
Q

what were the results of pearlin and colleagues experiment on depression rates and unemployment

A

people who did not develop depression
… compared themselves positively with others
not focused on economic or monetary achievements
high levels of emotional support
internal locus of control

39
Q

define the social causation hypothesis

A

suggests that the cause of mental illness is due to society

40
Q

define social selection hypothesis

A

suggests that mental illness leads to poverty

41
Q

why did asylums grow?

A
  • increase in illness
  • poorhouses and workhouses closing
  • overrun jails
  • growing intolerance of madness within family/community
  • asylum as more humane environment for the ill
  • capitalism
  • growing legitimacy of medicine/psych
42
Q
A
43
Q

why was deinstitutionalization introduced?

A
  • civil libertarianism
  • new anti-psychotic meds
  • promise of community mental health services: keep the costs low while still caring for patients
  • political-economic influences: cut the costs
44
Q

did deinstitutionalization benefit society?

A
  • no
    poverty, homelessness, suicide, imprisonment, substance abuse, violence, family stress, victimization
45
Q

what is the cost to individuals vs family/society when deinstitutionalizing?

A
  • unemployment
  • impaired parent-child bonding
  • lost of tax revenue
46
Q

what are the 4 requirements that make deinstitutionalization successful?

A
  • supportive family network
  • accepting community
  • adequate community resources
  • place to live
47
Q

what is an alternative to involuntary hospitalization?

A

community treatment orders

48
Q

what is the point of community treatment orders?

A

to address revolving door patients
- people who come in and out of the hospital bc of agnosia and so they stop taking meds

49
Q

what is in community treatment orders?

A
  • medico-legal provisions -> between the dr and legal law, contract stating the patient has to come in and see psych every 2 weeks and if they don’t then police can break in and force you back in
50
Q
A
51
Q

who defined stigma?

A

Erving Goffman

52
Q

what was Goffman’s definition of stigma?

A

attribute that deeply discredits and characterizes the bearer as tainted and discounted

53
Q

what is the summary of Crazy like us?

A
  • the reason mental illness is stigmatized is because it is viewed that either you have the illness or you do not
  • we created a group known as the “other”
  • we all have nerves and if we are sick that means the nerves are off and it causes different levels of illness
54
Q

what did Wolff state was one stigma around mental disorders?

A

cost-of-illness estimates reflect neg attitude
- workplaces are losing money bc workers arent working so those who work do not want to put themselves in same category as those who are viewed as a burden to society

55
Q

what are those who have mental disorders labelled as?

A
  • unpredictable
  • violent
  • avoiding life’s responsibilities
    -> people with disorders are more at risk to self than others but the media presents it in a different manner causing stigmas
56
Q

what does discrimination in healthcare contribute to?

A
  • lack of funding for mental health
  • some hospitals are nicely renovated while others look like a shit hole which shows the lack of funding (uofa hospital vs alberta hospital)
57
Q

what are some books and headlines that represent stigma/metal health?

A
  • headline: ill sweep psychos off the streets
  • dr.jekyll and mr.hyde
  • jane eyre
  • to kill a mockingbird
  • the yellow wallpaper
  • one flew over the cuckoo’s nest
  • ward no. 6
58
Q

what are some methods to resist stigma?

A
  • embedded within discrimination paradigm
  • human rights legislation and policies
  • self-help and advocacy groups
  • public education
  • stigma management techniques used by individuals
59
Q

what are the 4 stigma management techniques?

A
  • trying to pass -> hide it from everyone
  • dividing their social worlds -> only tell some
  • deflecting -> distance self from label
  • challenging -> confront stigmatization