CLINICAL - Historical context of mental illness Flashcards
(24 cards)
prehistoric times view of mental illness
mental illness was due to the supernatural and an individual being possessed by demons
prehistoric times treatment for mental illness
evidence of trepanning where the skull is pierced so there is a hole for spirits to be released from - used to treat seizures, migraines and mental disorders
ancient greek view of mental illness
400BC hippocrates proposed bodily humours relate to different personality dimensions
black bile - introversion
yellow bile - impulsiveness
blood - being courageous
phlegm - being calm
mental illness comes from an imbalance of humours
ancient greek treatment for mental illness
to restore the body’s balance the greeks used phlebotomies, bloodletting, purging and imposing diets on the afflicted
1880s view of mental illness
views shifted to attribute mental illness to psychological factors and freud suggested mental illness was due to unconscious processes
1800s treatment of mental illness
talking therapies such as psychoanalysis as pioneered by freud
mid 1900s view of mental illness
renewed focus on physical factors leading to medical model focusing on abnormalities of the brain structures
mid 1900s treatment of mental illness
physiological treatments
insulin treatments for schizophrenic patients, ECT (electric current passed through brain), lobotomies (removing parts of the brain
statistical infrequency definition
behaviour rarely seen in the general population
statistical infrequency strength
provides a quantitative measure of abnormality which is therefore objective and can be applied in a reliable way
statistical infrequency limitation
the individuals may be perfectly happy and function well in society
statistical infrequency clinical example
schizophrenia is only 1% of the population
deviation from the social norm definition
behaviour that can be seen as a departure from what one society or culture defines as acceptable
deviation from the social norm strength
considers the desirability of the behaviour and is therefore more useful e.g some behaviours may be rare but desirable and so wouldn’t be classes as an illness
deviation from social norm weakness
it means that abnormality can’t be considered to be universal due to cultural differences in social norms - the definition is ethnocentric
behaviour may deviate from social norms due to eccentricity rather than abnormality
deviation from social norms clinical example
hearing voices may be perceived as abnormal in our culture but in other cultures it could be talking to spirits or ancestors
maladaptiveness definition
when a person’s way of thinking, emotional responses or behaviour is dangerous or prevents them from functioning well
maladaptiveness strength
recognises the subjective experience of the individual and whether or not they are suffering consequently it has face validity when trying to diagnose someone with an illness
maladaptiveness weakness
one person’s behaviour may deviate from the mean but not cause them any difficulty or risk whilst another’s behaviour may also deviate from the norm but cause them problems in functioning
maladaptiveness clinical example
when panic attacks stop you from leaving the house or obsessively washing your hands leads to persistent lateness to work
being labelled as abnormal strengths
1.can recieve medical help or psychological help
2. can recieve wider assistance such as benefits from the state if not able to work
3. helps understand own experiences and feelings more by increasing our academic knowledge
4. allows others to understand behaviour and demonstrate empathy
being labelled as abnormal weaknesses
- social sensitivity - can lead to labelling others and they may begin to see their other behaviours as symptomatic of the illness even if it is unrelated
- may lose identity - may start seeing self in terms of the diagnosis alone
- ethnocentric - not all cultures will have the same definition of abnormality so then may not receive the same treatment or help consistently
psychiartists
doctors with medical training
medical model
tries to determine the appropriate treatment for an individual by establishing categories of symptoms that form an identifiable disorder