Understanding And Treating Mental Health Problems Flashcards
Aetiology
The origin or cause of a disorder
Prehistorical understandings of mental health
Possession by evil spirits and demons
Prehistorical mental health “treatments”
Trephination, exorcism
Hippocrates
Father of modern western medicine who developed the concept of the 4 humors
Hippocrates thought that mental health disorders were
Like any other disease of the body; brain pathology, head trauma, genetics
Galen
Hippocratic-Galenic Approach; humoral theory of disorders
Sanguine
Cheerful, optimistic, insomnia, delirium
Phlegmatic
Sluggish, apathetic, calm
Choleric
Hot tempered
Melancholic
Depressed
Choleric is associated with
Yellow bile
Melancholic is associated with
Black bile
Phlegmatic is associated with
Phlegm
Sanguine is associated with
Blood
Yellow bile is associated with
Liver
Black bile is associated with
Spleen
Phlegm is associated with
Brain
Blood is associated with
Heart
Top left corner of humoral theory of disorders
Hot
Top right corner
Wet
Bottom left corner
Dry
Bottom right corner
Cold
Humoral theory of disorders treatment
Regulate environment to restore balance; change in diet; bloodletting; immersion in cold water
Middle Ages continued early ideas such as humors, and they
Recognized the role of environmental factors
Middle Ages treatment for mental health
Bleeding, purging, whipping
Influence of the church in the Middle Ages
Madness as a moral failing, seen as evidence of witchcraft or possession by the devil
Church treatments of mental health issues in the Middle Ages
Exorcism, fasting, prayer
First asylums house
The mentally ill during the Middle Ages
Humanism
Worldview emphasizing human welfare originated from the Renaissance
Rise of humanism was caused by the
Decline of supernatural explanations for mental illness
Asylums had _____ and ____ conditions
Very harsh, inhumane
Pinel
Unchained inmates and advocated moral guidance and humane techniques based on individual needs
William Tuke
Established the York retreat in England and created the County Asylums Act of 1845
William Tuke
Established the York retreat in UK
Dorothea Dix
Mental Hygiene Movement that reforming asylums and improving conditions
Richard von Kraft Ebing
Link between General paresis and syphilis
Emil Kraepelin
Importance of brain pathology in mental health disorder, developed the system for classifying symptoms to discrete disorders or syndromes, and measured effects of drugs on disordered behavior
According to the medical model, behavior is affected by changes in
Brain/nervous system
Mental health problems viewed in same way as
Physical illness
The medical model created the dichotomy between ____ and _____ states
Normal and disordered
The medical model theory created the implications that _____ factors are primary in development of disorder
Biological
The medical model created the implication that the diagnosis is treated and not the
Individual
Role of therapy in the medical model
Psychological problems result from physical problems -> change physical state
Medical model therapies
Drug therapy, electroconvulsive therapy, psychosurgery
Why do we classify mental health problems
Same diagnosis, treatment, and research internationally
Issues with diagnosis and classification
Reliability and consistency of judgement because the boundaries between disorders can be unclear
Cross cultural inconsistencies
Issue with diagnosis and classification where the ethnicity of diagnosing physician influences diagnosis
What is considered normal in one society
Might not be in another
Culturally bound syndromes
Conditions that are specific to a certain place/culture/group
25 culturally bound syndromes are listed in the DSM 4 but the DSM 5 considers culture related diagnostician issues for each condition and listing 9
Cultural concepts of distress
Benefits of receiving a diagnosis
Able to understand what’s going on, guides decisions for treatment plan, facilitates access to service and support
Downsides to receiving a diagnosis
Labeling, stigma, and self fulfilling prophecy
Dimensional approach
Mental health disorders exist on a spectrum
An alternative to the medical model must make no dichotomy between _____ and ____ states
Normal and disordered
An alternative to the medical model must consider _____ and _____ factors
Social and psychological
An alternative to the medical model must make the ____ the focus of the treatment
Individual
An alternative to the medical model must consider _______ interventions as primary treatment
Non pharmacological