MIDTERM (wk1-8) Flashcards
History of mental illness 1790
- evil spirits “possession”
- chains, shackles, and confinement were treatment
history of mental illness 1792
- pineal (france) believed patients were “inhumanely” treated
- removal of chains
history of mental illness 1835-1867
- 1835 first “lunatic” asylum
- 1867 insanity act, later updated to mental health act
what was the era of asylum buildings in canada
quebec 1845 - bc 2011
what did dorothea dix advocate for?
- humane treatment
- mental health care
- more hospitals
- social reform: nursing care for the mentally ill was born
what triggered political concern?
- veterans had to rely on psychiatric facilities for PTSD
what is shell shock
post traumatic stress disorder
what was the first antimaniac agent for bipolar disorder
lithium
first antipsychotic medication
chlorpromazine (cpz) - powerful calming effect
what was chlorpromazine first developed for?
surgical anesthetic
first antidepressant medication
maoi and tricyclic
what medications were first developed to treat tuberculosis?
maoi and tricyclic
how do we view mental health?
as a continuum
projection
falsely attributing to others your own unacceptable thoughts and feelings
transference
when the client unconsciously transfers aspects of a past relationship with someone else onto you as a nurse
what does self concept include
- self identity
- self ideal
- body image
- self esteem
- sexuality
what are the influences of development of self concept
- parents/family members
- relationships with SO
- gender
- developmental stage
- socioeconomic status
- culture
- environment
healthy self-concept
- provides a sense of meaning of wholeness
- is relatively stable
- generates positive feelings toward the self
- helps individuals cope with stress
what is included in self identity
- gender
- age
- ethnicity
- culture
- religion
- social class
is the way we see ourselves incongruent or congruent
Incongruent
ideal self
- the person we want to be
- goals, ambitions in life, changes over time
actual self
our true imperfect self
ideal self vs actual self (carl rogers)
- when theres discrepancy between ideal self and actual self this leads to anxiety and unhappiness
> incongruence =
lower self esteem