Week 5 Flashcards
Lancet and Global mental health
- end status as a secondary concern
- more focused on physical diseases
- need to focus on mental health problems
- need to scale up treatment and service in all countries
Asylums and global mental health
Increase in the population that was mad but only 1% of the total population was mad
Bringing together diverse actors (GMH)
- trying to improve mental health literacy
- destigmatize mental illness
- ensuring care around the world
- time to think about this moment and why it is so important
Key question in GMH
Are mental health problems universal(the same everywhere)?(biological model)
Or are they bound to cultural concepts?
- never answered
Bassett and Baker
3 schools of thought
3 schools of thought
Absolutists: biological diseases that are the same everywhere in the world but have different words for the same disorder
Universalists: form of mental illness the same everywhere but the content is different (obsession with health but form is different- what people are worried about)
Relativist: mental illness is from violations of norms so there is no universal disorder
Mental health in global south
- 30% people mentally ill
- NEED of treatment
- Dependency on institutional care (asylums) –> need to move towards communal care
- High levels of stigma
- untreated mentally ill (staying poor)
Latvia Case Study
- Nervi = depression
- Phsyical pain with mental component (chaos causing mental and physical pain)
- Nervi: problem with society But Depression: problem with individual
Clark Critiques
Reframes social problems as individual issues
Furedi Critiques
Society rather focus of poverty as mental health problem rather than a social problem
Summerfield Critiques
Global mental health is going to fail since concepts aren’t meaningful for those being treated
- International trauma interventions (shaming)
- global mental health workers are the new missionaries
Jain and Jadhav Critiques
Community mental health services operate in isolation from the communities they serve disconnecting people from everyday realities
Kirmayer Critiques
Global south prevented from contributing to knowledge production
- Can’t contribute to mental health knowledge
Decolonizing Mental Health
- Those who reject absolutist/universalist approach have pushed to move away from biological-reductionist perspective
- Mills: GMH names people’s experience in alien and alienating, technical terms that deny personal or social meaningfulness Ex. Hospitalization
- Argue that those with non-Western identities at risk for involuntary, inappropriate and harmful treatment
A Century of the Psyences
- growth in size of psy-disciplines
- cultural transformation of labeling mental processes
- Changed expectations, understanding, and the practice of being
human