EXAM 1 - ch1 - historical prespectives Flashcards
(23 cards)
Trephining/Trephination
The ancient practice of burring holes or removing part of the skull to let out demons (also used to treat migraines, lol). 3500 B.C.
Treatment for “Witches and Possession”
exorcism, torture, religious services, shocking/scaring out spirits (e.g., hang patient over snake pit)
Tarantism
(widespread in Italy in the 15th to 17th centuries)
People “dancing”/uncontrollable body movements; thought to be caused by the bite of the tarantula and the notion that the dance would prevent death from a bite of a tarantula. (“dancing mania”). (Likely not caused by the bite itself but by mass hysteria).
Modern mass hysteria
Emotion contagion (one person’s emotions and accompanying behaviors trigger similar emotions and behaviors in other persons)
Lunacy
The moon and the stars (16th century)
Paracelsus (1493-1541): Swiss physician suggested that intermittent mental health problems are affected by pull of moon and stars
Led to term “lunatic”
Hippocrates (460-377 B.C.)
The Father of modern Western medicine
Linked abnormality with brain chemical imbalances
Foreshadowed modern views
Developed the earliest Classification System
Posited that 4 humors (blood, black bile, yellow bile, and phlegm) were imbalanced
He treated the imbalance by changing environmental conditions (e.g., reducing heat) or bloodletting/vomiting
Melancholia
depression
Mania
bipolar disorder
Phrenitis
schizophrenia
Sanguine:
blood, cheerful and optimistic, insomnia and delirium caused by too much blood in the brain
Melancholic:
black bile, depressive
Choleric:
yellow bile, hot tempered
Franz Gall (1758-1828)
German Physiologist/neuroanatomist
Phrenology
27 personality traits are located on certain brain areas (e.g. religiosity; combativeness)
Would assess “mental faculties” by measuring these areas on the skull
Emil Kraepelin (1856 -1926),
German psychiatrist Wrote the Textbook of Psychiatry His classification system is credited as the basis for our current system Manic-Depressive Psychosis Dementia Praecox Identified syndromes or patterns of many other symptoms too. e.g.psychopathic personalities), FATHER OF PSYCHIATRY
General paresis
syphilis
Bolstered the view that mental illness = physical illness
Major tranquilizers discovered mid-20th C
Thorazine
Minor tranquilizers
benzodiazepines
Electric shock
Treatments
Crude surgery
labotomies (eye, sharp tool to frontal lobe)
Insulin
discovered by accident to calm psychotic patients
Phillipe Pinel at LaBicetre
advocated that patients in his hospital be unshackeled in the late 1700’s/early 1800’s
Dorothea Dix
advocated for treatment hospitals for the mentally ill in the 1840’s
Benjamin Rush
led reforms in U.S.
Asylum reform > more patients getting care
Moral therapy declined because it became more difficult to do with large groups of patients
Soon this was followed by the emergence of competing alternative psychological models