Week 12 : readings Flashcards

1
Q

concept of mental illness consists of 2 dimensions

A
  1. entails the experience of the mental disorder (symptoms)
  2. mental illnesshas a social dimension
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2
Q

Who develops mental illness?

A
  • anyone
  • LGBTQ+, immigrants/refugees, ethnocultural minorities, members of racialized groups & ppl employed in certain occupations more likely
  • greatets predictor is socioeconomic status
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3
Q

Social causation hypothesis…

A
  • suggests that more life stresses & fewer resources characterize lives of lower class & contribute to mental illness
  • more common mood & anxiety disorders
  • retreatism in mertons strain theory
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4
Q

Social selection hypothesis…

A
  • says reverse
  • ppl with mental disorders fall into lower socioeconomic status cuz of difficulty in daily functioning
  • schizophrenia, conduct disorders and ADD
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5
Q

Age is a predictor of mental illness

A
  • common in young adults than others
  • biological, psychological & social factors play a role in ths (identitiy formation, social media, graduation)
  • some youth at greater risk than others
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6
Q

different social groups and types of mental illness differ

A
  1. women = mood & anxiety disorders
  2. men = antisocial & contuct disorders
  3. refugees = PTSD
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7
Q

Mental health & pandemic

A
  • rapid change = anomie & strain
  • 300% increase in depression, anxiety, etc.
  • social groups most at risk… youth, seniors, health care workers
  • despite the mental health burden caused by the pandemic, the event may lead to significant strides in destigmatizing mental illness
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8
Q

Costs of mental illness

A
  • teen pregnancy, perinatal complications, academic performance, lower employment rates, unhealthy lifestyle behaviours
  • insufficiently treated mental disorders have a considerable impact on society
  • but 80% of ppl do not have access to high-quality, affordable treatments
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9
Q

Stigmatization of mental illness

A
  • media… framed with negative stereotypes, stigmatized (messy hair, dirty clothes, etc.)
  • public attitudes… negative, dehumanizing, ppl with mental disorder perceved as making excuses
  • personal level… stigmatization = poor quality of life in ppl with mental illnesses, self-stigma
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10
Q

medical disorders medicalized

A
  • psychiatrists determine what constitutes mental illness & incorperate into DSM
  • explain that these particular thoughts/behaviours are deviant cuz signfiicant distress & daily functioning impaired
  • then, they provide measures of social control
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11
Q

The deviance dance

A
  • disease paradigm… emphasizes ameliorating symptoms that distress & impair individuals’ functioning
  • discrimination paradigm… emphasizes role that stigmatization plays in the daily experiences of ppl with mental illnesses
  • these programs & policies from ^ constitute part of deviance dance cuz ppl are resisting & fighting back against inadequate treatment & discirmination
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12
Q

Resisting stigmatization

A
  • ppl with mental illness may use many different stigma management techniques to deal w/ spoiled identities
  • some may try to pass by hiding thier disorders
  • some may divide their social worlds, carefully managing who is and is not permitted to know about their illness
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13
Q

others more actively resist stereotypes about mental illness…

1) deflecting

A
  • block stigmatizing external force
  • individuals distance themselves from the label of ‘mentally ill’
  • can identify themselves as someone with a mental disorder, not someone who is mentally ill
  • others may resist label all together saying just tired/overworked
  • tend to have higher levels of well-being, although that positive effect wanes to come extent with more serious mental illnesses
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14
Q

others more actively resist stereotypes about mental illness…

2) challenging

A
  • actively fight back against the external stigmatizing force
  • direct confrontation of ppl or educating ppl
  • can also take a more personal form where individuals overcompensate for stigmatization
  • challenging have a better quality of life, fewer symptoms, higher levels of self-esteem & stronger sense of empowerment
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15
Q

Several factors associated with active resistance…

A
  • past experience with stigma resistance
  • past familiarity with mental illness
  • greater coping resources
  • holding & identifying with multipe roles in dailty love
  • less severe, more time-limited mental illness
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16
Q

Other levels of stigma resistance

A
  • government… many nations have instituted legislationg & policie sprhibiting discirmination against ppl with mental disorders in housing, employment, health care, etc.
  • health care community… tries to reduce negative attitudes against mental illness
  • self-help or advocacy groups for ppl with mental illness
  • programs developed for specific target audiences are most effective
17
Q

Resisting inadqeuate & insufficient care

A
  • health care community engaged in research all the time on new & improved treatments
  • monitoring the professional behaviours of its members and negatively sanctions those who do not provide apropriate care to patients
  • targeted services for specific social groups
18
Q

Mental Health Commission of Canada key priorities are…

A
  1. suicide prevention
  2. co-occurence of mental health challenges & substance use
  3. population-based initiatives
  4. engagement with Canadians
19
Q

Reisting medicalization

critisizing DSM

A
  • inclusion of particular disorders (homosexuality, ADHD, gender dysphoria)
  • DSM has power
  • it has methodological shortcomings & has role of power in determiningwhat is and is not included in the list of mental disorders
  • influence of pharmaceutical industry
20
Q

critizising mental health professionals…

being sane in insane places

A
  • Rosenhan & colleagues admitted into hospitals for schizophrenia
  • average 19 days
  • left with diagnosis of schizophernia in remission
  • concluded that professionals have difficulties distinguishing sane from insane
21
Q

social factors in diagnosis & treatment

A
  • race & ethnicity
  • more misdiagnosis of clients from marginalized ppl groups exp if the doctor is not a member of their group