What is Epi? Week 1 Flashcards
Benjamin Rush Remedies to Produce Sobriety
Christian conversion Acute guilt or shame Vegetarianism Cold baths Acute disease Blistering the ankles Witnessing the death of a drunkard Oath of abstinence Bloodletting and emetics
19th Century Diagnoses
Mania – excitement, agitation
Melancholia – depression, psychomotor retardation
Monomania – delusions
Dementia – degeneration from other conditions
Religious excitement
Insanity caused by intemperance, dipsomania, alcoholic psychosis
Epilepsy
Keeley Treatment
Medically supervised detoxification
Strict house rules
4 daily injections of the DCG remedy
Early Reporting Programs
US Census – 1840 First attempt to measure the extent of mental illness and mental retardation
Seven Forms of Insanity-Diagnostic classifications and definitions
1). Mania = state of nervousness, intellectual, and
emotional exaltation and excitement
2). Melancholia = state of depression
3). Monomania = characterized by fixed delusions on
particular subjects; often at a very early period of
life
4). Paresis = general paralysis of the insane
5). Dementia = condition of imbecility into which mania and melancholia ultimately degenerate
6). Dipsomania = alcoholic insanity
7). Epilepsy
Goldhamer and Marshall (1953)
Concluded that psychosis was a disorder that is independent of environmental conditions
Psychiatric Epidemiology and World War II
Large # of men rejected by Selective Service System due to their mental condition
Psychoneuroses associated with combat stress in soldiers screened as “healthy”
Realization that stress may precipitate mental illness
Gaps Identified by the 1963 Presidential Commission on Mental Health
Widely differential rates across studies
Need for standardization
Linkage of available data
History of Psych Epi: Summary
Significant improvements in methodology over time
