PSYC23: Lesson 2 Flashcards
The emergence of clinical psychology around the turn of the ________ was preceded by numerous important historical events. These events __________ for clinical psychology
20th century
“set the stage”
Some pioneers in the treatment of the mentally ill made important contributions in the ________ and _______
1700s and 1800s
- Lived in England
- Appalled by deplorable conditions in “asylums” where mentally ill lived
- Devoted much of his life to improving their treatment
- Raised funds to open the York Retreat, a model of humane treatment
- patients received good food, frequent exercise, and friendly interactions with staff.
William Tuke (1732-1822)
- Lived in France
- Advocated for more humane and compassionate treatment of the mentally ill in France
- mentally ill persons were not possessed by devils, and that they deserved compassion
- Also introduced ideas of a case history, treatment notes, and illness classification, indicating care about their wellbeing
Phillippe Pinel (1745-1826)
- A physician in Connecticut
- At the time, there were very few hospitals for the mentally ill
- Burden for their care fell on families
- Using Pinel’s efforts as a model, he opened humane treatment centers in US
- The Retreat in Hartford, Connecticut
Eli Todd (1762-1832)
- Worked in a prison in Boston, and observed that many inmates were mentally ill rather than criminals
- Traveled to various cities to persuade leaders to build facilities for humane treatment of mentally ill
- Resulted in over 30 state institutions in US and other countries
- Problems: increased number of mental patients, understaffed institutions, from moral therapy to custodial care
Dorothea Dix (1802-1887)
- Received doctorate in 1892 in Germany
- Psychology was essentially academic; no practice, just study
- In 1896, Witmer founded the first psychological clinic at the University of Pennsylvania
- By 1914, there were about 20 clinics in US
- By 1935, there were over 150
- He also founded the first scholarly clinical psychology journal, The Psychological Clinic, in 1907
Lightner Witmer (1867-1956)
__________ and ______________ of mental illness has been central to clinical psychology from the start
Diagnosis and categorization
Europe mental illness classification were:
- Neurosis
- Psychosis
have psychiatric symptoms but maintain an intact grasp to reality
Neurosis
demonstrated a break from reality in the form of hallucinations, delusions, or grossly disorganized thinking
Psychosis
- He is considered a pioneer of diagnosis, “Father of Descriptive Psychiatry”
- Coined some of the earliest terms to categorize mental illness
- E.g. paranoia, manic depressive psychosis, involutional melancholia, cyclothymic personality, and autistic personality
Emil Kraepelin (1855-1926)
2 Categorization of disorders
- Exogenous disorders
- Endogenous disorders
caused by external factors - treatable
Exogenous disorders
caused by internal factors
Endogenous disorders
forerunner of Schizophrenia
dementia praecox
- Kraepelin’s work set the stage for the ________________, which continues to dominate diagnosis today
- Published by American Psychiatric Association, originally in 1952
Diagnostic and Statistical Manual (DSM)
Most drastic change in DSMs is from ______ to ________
❖ Larger, including more disorders
❖ Specific diagnostic criteria
❖ Use Multiaxial system
DSM-II to DSM-III