understanding and treating mental health problems Flashcards
what is aetiology
the origin cause of a disorder
what did hippocrates argue
- concept of the 4 humours
- mental health disorders are like any other disease of the body
what did galen say
- humoural theory of disorders
what is humanism
- renaissance
- worldview emphasising human welfare
- decline of supernatural explanations for mental illness
what is Bedlam
hospital of saint mary od bethlehem
- very harsh, inhumane conditions
- public show for visitors
what did Pinel do in the reform movement
- moral treatment
- unchained inmates at la bicetre hospital
- advocated mental guidance and humane techniques
what did william tuke do in the reform movement
- established the york retreat of england
- county asylums Act of 1845 which extended colonies
what did dorothea diz do in the reform movement
- mental hygiene movement - reforming asylums and improving conditions
what did richard von krafft ebing find
link between general paresis and syphilis
what did emil kraepelin find
- importance of brain pathology in mental health disorder
- system for classifying symptoms into discrete syndromes - DSM
- measured effects of drugs
- treatments - lobotomy
what is the medical model
- behaviour affected by changes in the brain/nervous system
- mental health problems viewed in the same way as physical illness
what are the implications of the medical model
- dichotomy between normal and disordered states
- biological factors are primary in development of disorder
- diagnosis treated not individual
what are the types of therapies
- drug therapy
- electroconvulsive therapy
- psychosurgery
what is issues with diagnosis and classification
- reliability - boundaries between disorders can be unclear
- cross-cultural inconsistencies
what is the role of culture in diagnosis
- what is considered normal in one society might not be in another
- culturally bound syndromes are specific to a certain place - 25 were listed in DSM
what is ataque de nervios
- people of latino descent - intense emotional upset
what is taijin kyofusho
- in japan - anxiety ad avoidance of social situations in fear that one’s actions will offend others
what are the benefits of diagnosis
- allows a way of understanding and communicating whats happening for patients and clinicians
- explains what people are experiencing
- can reduce blame and guilt
- not alone
- guides decisions about treatment plans
- facilitates access to services and support
what is a disadvantage of diagnosis
- labelling
- rosenhan - pseudopatient study
- being sane in insane places
what did Harris et al 1992 find about stigma and self fulfilling prophecy
- ADHD
- pairs of boys 6-12
- rated highly because they expected the behaviour
what must alternatives to medical model do
- bennet
- make no dichotomy between normal and disordered states
- consider social and psychological factors
- make the individual the focus of treatment
- consider non-pharmacological interventions as primary
what is the dimensional approach
- mental health disorders exist on a spectrum
- doesn’t address processes/maintaining disorder