Mental health Flashcards
Historical
Historical views paired with treatments for mental health
- Imbalance of bodily humours: Blood letting
- Witchcraft: Execution
- Punishment from God: Trepanation
Historical
Definitions of abnormality
- Statistical Infrequency
- Deviation from social norms
- Failure to function
- Deviation from ideal mental health
Historical
Evaluation of definitions of abnormality
- Statistical Infrequency: Some characteristics are desired such as high IQ
- Deviation from social norms: What is considered normal in one culture may not in another
- Failure to function: It is okay to fail to function in cases of grief of a loved one
- Deviation from ideal mental health: Too subjective
Historical
Categorising mental health
- ICD-11- World health organisation mainly used outside the USA and categorises both physical and mental illnesses
- DSM-5- American psychiatric association mainly used in the USA and only categorises mental illnesses
Historical
Rosenhan Study 1: Aim
To see if psychiatric hospitals can detect sane in insane places
Historical
Rosenhan Study 1: Method
Field experiment
Historical
Rosenhan Study 1: Participants
8 confederates (pseudo patients)
Historical
Rosenhan Study 1: Procedure
“Empty, hollow, thud”
Pseudo patients acted sane and took part in daily ward activities, taking notes on what they observe and asked staff ONCE when they would be discharged
Would only be discharged when staff believed they were sane
Historical
Rosenhan Study 1: Results
11 diagnosed with Schizophrenia and discharged with a diagnosis of Schizophrenia in remission
1 participant was diagnosed with manic-depression
Stays ranged from 7-52 days with a mean of 19 days
Real patients detected the sane pseudo patients
Historical
Rosenhan Study 1: Conclusion
Type 1 error
Overwhelming sense of powerlessness and depersonalisation
Clear psychiatric hospitals cannot reliably distinguish the sane from insane
Historical
Rosenhan Study 1: Evaluation
+ High ecological validity: field experiment
+ Participant observation: collection of highly detailed data without the problem of demand characteristics
- Field experiment: lack of controls
+ Both data collected: highly detailed and can be compared and easily analysed
- Unethical: staff deceived
Historical
Rosenhan Study 2: Aim
To see if psychiatric hospitals could detect the insane from sane
Historical
Rosenhan Study 2: Participants
Members of staff at the hospital
Historical
Rosenhan Study 2: Procedure
Told pseudo patients would be sent over the next 3 months (non were sent)
Told to rate each participant on a 10 point scale on how likely they were to be a pseudo patient
Historical
Rosenhan Study 2: Results
Psychiatric nurses falsely labelled 83/193 insane patients as sane
Historical
Rosenhan Study 2: Conclusion
Psychiatrists cannot reliably detect insane
Type 2 error
Historical
Rosenhan Study 3: Aim
To compare patient-staff contact to student-faculty contact
Historical
Rosenhan Study 3: Condition 1
Patient asked questions:
e.g. Am I likely to be discharged?