Midterm

Question 1

Zeitgeist

Answer 1

Defining technological endeavor or social movement of the time

Question 2

Protected titles in OH

Answer 2

Psychologist (PhD or PsyD), Psychiatrist (MD), and Social Worker (MSW)

Question 3

Ethical Code summary

Answer 3

Develop and maintain competence; informed consent prior to treatment; confidentiality; qualifications for malpractice

Question 4

Informed consent

Answer 4

Risks, benefits, reasonable alternatives, competency to make decision, ability to discontinue at any time

Question 5

Malpractice conditions

Answer 5

Dereliction of Duty that Directly causes Disruption

Question 6

Milieu therapy

Answer 6

focusing on physical environment as an influence of behavior and a method of treatment

Question 7

Dymphna

Answer 7

Princess who was beheaded by her father for refusing to marry him; indirectly caused the first residential treatment programs in Gheel, Belgium

Question 8

Residential treatment

Answer 8

Living with community members, treated humanely and with respect

Question 9

Where did “lunatics” live before institutionalization became widespread?

Answer 9

Poor houses, jails

Question 10

St. Mary’s of Bethlehem, AKA Bedlam

Answer 10

Institutional asylum in England, famous for inhumane treatment and abuse of patients incl mechanical restraints

Question 11

Phillippe Pinel

Answer 11

French, caused reformation of Bedlam -> humane `treatment, minimal restraints, adequate nutrition

Question 12

Moral treatment

Answer 12

“Retreat” homes where residents had a commune-like structure of chores, exercise, lessons, and respectful treatment w/no physicians present

Question 13

Dorothea Dix

Answer 13

Petitioned government for better asylum conditions and providing basic comforts like beds, windows, privacy

Question 14

Butler Hospital

Answer 14

Rhode Island: “retreat” living, countryside, humane treatment & personal freedom

Question 15

Kirkbide Plan

Answer 15

Confinement is the Cure!

Question 16

Willard Asylum for the Chronic Insane

Answer 16

Permanent living situation for those deemed to be insane, overcrowded bc people got “dumped” there and never left

Question 17

Clifford Beers

Answer 17

Educated man who attempted suicide, confined in public institution, published a book on the inhumane treatment and physical abuse present there

Question 18

Custodial Care

Answer 18

Bare minimum needs met (food, shelter), overcrowded, understaffed, underfunded, unsanitary, no privacy

Question 19

What influences available treatments?

Answer 19

Money :0

Question 20

Deinstitutionalization causes

Answer 20

Lack of funding (military budget prioritized), discovery of antipsychotics, Kennedy’s “community mental health centers” signed into law

Question 21

Revolving-door clients

Answer 21

Patients experiencing repeated re-hospitalization because of a lack of adequate follow-up treatment

Question 22

Contemporary milieu therapy

Answer 22

Residential treatment in community, goal is re-integration, daily structure and life skill education

Question 23

Contemporary inpatient treatment

Answer 23

Usually less than a week of treatment, heavy focus on medication, opportunity to socialize and work with multiple providers