Lecture - Systemic thinking Flashcards
What are the teo ways of thinking about psychiatric presentations?
Systemically - thinking about the systems around the individuals e.g. individual, family sytsem, work/school and peer, ‘local’ community (socia;/cultural/religious), national system, global system
Systematically - 4Ps - predisposing, precipitating, perpetuation and protective factors
In systemic thinking, give some contributing factor examples in each system.
This is useful and each child is different and no two children will respons in the same way.
What family factors can affect child mental health?
Biological processes:
- Genetic factors - influence all psychiatric disorders, especially Autism, ADHD, schizophrenia; genetic influences on personality/resilience
- Exposures - Alcohol/drug effects on the foetus; safe-keeping of tablets and sharps
Psychological processes
- Models for behaviours and attitudes - social boundaries and law (conduct disorder), education (truancy, school refusal), food (eating disorders), alcohol and drugs
- Young child’s attachment to care-giver - poor early attachment may influence child self-esteem, which may underlie various psychiatric disorders e.g. conduct disorder, depression .
- Experience - of poor parenting, family dysfunction/discord, abuse, parental illness/loss
- Parental mental illness - important to think about but not always a problem
How can you describe the expressed emotion (EE) in a family?
- Emotional over-involvement
- Criticism/hostility
- Lack of warmth
High criticism/hostility is linked to:
- child depressive disorder
- conduct disorder
- Schizophremia
Low warmth linked to anorexia nervosa
What are the effects of divorce on parents and children?
Parents:
- anxiety disorder
- physical illness
- suicidality
Children
- oppositional behaviour
- anxiety / withdrawal
- play / peer difficulties
- divorce as adults
However, most adjust well.
Inerwoven and interconnected
