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Questions and Answers

The ______ act of 1714 was an old British law that differentiated between 'pauper lunatics' from 'vagrants, sturdy beggars, rogues'.

Vagrancy

What are the two main psy-disciplines discussed in the text?

Psychiatry and Psychology

The concept of mental illness was clearly defined and understood in the pre-18th century.

False

What were the key features of private madhouses in the 18th century?

<p>They primarily focused on isolating and separating individuals deemed 'insane' from the general population.</p> Signup and view all the answers

What significant shift marked the beginning of the Enlightenment and modernity in terms of understanding and treating mental illness?

<p>The Enlightenment led to a growing focus on reason, scientific optimism, and individual rights. This shift brought about a move towards a more humane and therapeutic approach to treating madness, with the emergence of moral treatment and the development of asylums with a therapeutic focus.</p> Signup and view all the answers

What was the key principle of moral treatment, as championed by Philippe Pinel?

<p>Treating individuals with dignity, kindness, and a structured environment to promote their recovery and well-being.</p> Signup and view all the answers

What were the main criticisms of the asylum building era?

<p>The main criticisms were the overcrowding of asylums, a shift from therapeutic care to custodianship, and a perceived decline in the medicalization of mental illness. This led to an increasing number of individuals being confined without significant improvement or hope for recovery.</p> Signup and view all the answers

What did Michel Foucault argue was a key reason for the rise of authoritarianism in relation to mental illness during the Enlightenment?

<p>Foucault argued that individuals were labeled as mentally ill when they failed to adapt to the new social order brought about by the Enlightenment and the Industrial Revolution. This fueled a growing emphasis on social control and the use of institutions for managing deviance rather than providing humanitarian care.</p> Signup and view all the answers

According to Scull, how has psychiatry been used by society?

<p>As a means to control and manage deviance, often reflecting changing attitudes towards mental illness and the desire to maintain social order.</p> Signup and view all the answers

What were the main features of the moral treatment movement in psychiatry regarding individual care?

<p>Moral treatment emphasized discipline, order, and work, encouraging patients to adhere to social norms and promote self-reliance. It aimed to provide a structured environment, promote social interaction, and focused on improving the patient's emotional and behavioral well-being.</p> Signup and view all the answers

The development of psychotropic drugs has completely eradicated the need for asylums and led to a focus on community-based care.

<p>False</p> Signup and view all the answers

What are the key assumptions behind the connection between the increase in confinement of the 'insane' and the emergence of the psychiatric profession?

<p>The connection between increased confinement and the emergence of the psychiatric profession is based on four assumptions: the role of medical superintendents in confinement, the limited influence of medical officers, the significant role of families in admission decisions, and the long periods of time individuals remained incarcerated due to the perceived incompetence of superintendents.</p> Signup and view all the answers

What are the two main approaches to understanding mental illness discussed in the text, and what are their key differences?

<p>The two main approaches are the organic school and psychoanalysis. The organic school views mental illness as a physical problem with biological causes, emphasizing the brain as the source of dysfunction and seeking to treat it through medical interventions. Psychoanalysis, on the other hand, focuses on the unconscious mind and its conflicts, emphasizing the importance of understanding the individual's personal history and unconscious processes in shaping their mental health.</p> Signup and view all the answers

Explain the term 'eugenics movement' and its implications in relation to mental health.

<p>The eugenics movement advocated for improving the human race through selective breeding, often targeting those deemed 'unfit' for reproduction, including individuals with mental illnesses. This led to practices like forced sterilization and even genocide, highlighting the dangers of using pseudoscientific justifications to justify social control and discrimination.</p> Signup and view all the answers

What is the primary focus of the 'organic school' approach to mental illness?

<p>Identifying biological and neurological causes of mental illness, seeking to treat them through medical interventions.</p> Signup and view all the answers

The arrival of the 20th century marked a decline in the importance of psychiatry.

<p>False</p> Signup and view all the answers

What are the key characteristics of positivist thought, as described in the text?

<p>Positivism emphasizes the belief that all things can be discovered through the application of scientific methods, leading to a focus on objective observation, measurement, and classification. It emphasizes the power of science in explaining and understanding all aspects of life.</p> Signup and view all the answers

What is the primary difference between the organic school and psychoanalysis in their approaches to treating mental illness?

<p>The organic school emphasizes addressing the biological and neurological underpinnings of mental illness, focusing on medical interventions. Psychoanalysis, on the other hand, focuses on the individual's unconscious mind and its conflicts, utilizing therapeutic techniques like talk therapy to uncover and resolve these issues.</p> Signup and view all the answers

What is the 'happiness turn' in psychology, and how can it be critiqued?

<p>The 'happiness turn' refers to a shift within psychology towards focusing on promoting happiness and well-being through methods like mindfulness and positive psychology. However, it has been critiqued for being overly simplistic, promoting a narrow definition of happiness, and over-emphasizing individual responsibility without adequately addressing broader social and structural factors that influence well-being.</p> Signup and view all the answers

What is the main argument made by proponents of the 'Global Mental Health' movement?

<p>The Global Mental Health movement argues that mental illness is a significant global health issue requiring greater attention, resources, and action. They advocate for improved mental health literacy, destigmatization of mental illness, and improved access to care across the world, particularly in low-income countries.</p> Signup and view all the answers

What are the main criticisms of the 'Global Mental Health' movement?

<p>All of the above.</p> Signup and view all the answers

The text argues that the 'Global Mental Health' movement is a purely scientific endeavor, free from any political or cultural influences.

<p>False</p> Signup and view all the answers

How does the text utilize the example of Latvia to highlight the complexities of the 'Global Mental Health' movement?

<p>The example of Latvia illustrates how the 'Global Mental Health' movement, by promoting a universal concept of depression, can inadvertently displace local understandings of mental distress, like 'nervi,' which are grounded in social and cultural contexts. This highlights the potential for the movement to erase or devalue local knowledge systems and contribute to the misdiagnosis or neglect of specific cultural expressions of distress.</p> Signup and view all the answers

What is the main argument presented by critics of the 'Global Mental Health' movement in relation to neoliberalism?

<p>Critics argue that the 'Global Mental Health' movement is part of neoliberalism's broader spread of individualistic logic, framed as a quest for individual development, thus neglecting the broader social and structural factors that contribute to mental health issues.</p> Signup and view all the answers

Explain the concept of 'psycho-colonialism', as described in the text.

<p>Psycho-colonialism refers to the colonial practice of establishing, administering, and implementing mental health care for both colonizers and colonized populations. It involves the use of mental health disciplines to justify colonial practices, reinforce racial stereotypes, and control the behavior of the colonized.</p> Signup and view all the answers

What are the key arguments surrounding the use of the 'goldwater rule' in relation to politics and psychiatry?

<p>The 'Goldwater Rule' states that psychiatrists should not offer professional opinions about individuals they have not personally examined. This rule has been debated, with proponents arguing that it protects individuals from unwarranted diagnoses and preserves the integrity of the profession. However, critics argue that the rule can be used to silence or discredit critical commentary on the mental health of public figures and hinder the public's understanding of the connections between political behavior and mental health.</p> Signup and view all the answers

What is the main argument presented by the text regarding the link between mental illness and violence?

<p>Mental illness is a complex issue, and while there are some individuals with mental illnesses who may be more prone to violence, it is not necessarily a direct cause.</p> Signup and view all the answers

How does the text explain the rise of 'protest psychosis'?

<p>The text describes how the diagnosis of 'protest psychosis' shifted from being associated with petty criminals and non-violent white individuals to being associated with Black individuals exhibiting 'aggression and hostility', coinciding with the Civil Rights movement in the 1960s and 1970s. This highlights how psychiatric diagnoses can be influenced by social and political contexts, reflecting biases and power dynamics within society.</p> Signup and view all the answers

The 'Global Mental Health' movement is a purely scientific endeavor, free from any political or cultural influences.

<p>False</p> Signup and view all the answers

Explain the concept of 'deinstitutionalization' and its impact on individuals with mental illness.

<p>Deinstitutionalization was a movement that aimed to close down psychiatric hospitals and transition individuals with mental illness to community-based care. However, it has been criticized for exacerbating homelessness, leading to a lack of resources for individuals with mental illness, and contributing to the 'revolving door' effect, where individuals cycle through the systems without adequate support or treatment.</p> Signup and view all the answers

How does the text explain the prevalence of mental illness within prisons?

<p>The prevalence of mental illness within prisons is high due to a combination of factors, including the deinstitutionalization of many individuals with mental illness, the overrepresentation of individuals with pre-existing mental health issues in the criminal justice system, and the harsh and often inadequate conditions of incarceration. This leads to a cycle of prolonged confinement, violence, and mental health decline.</p> Signup and view all the answers

The text suggests that the criminal justice system effectively addresses the needs of individuals with mental health issues.

<p>False</p> Signup and view all the answers

What are the arguments presented by critics of the 'medical industrial complex'?

<p>Critics of the 'medical industrial complex' argue that it perpetuates a system of control and profit-driven care, often prioritizing profit over the well-being of individuals with mental illnesses. They argue that it can lead to unnecessary medicalization of social problems, over-reliance on medication and treatment, and a lack of focus on addressing broader societal issues that contribute to mental health challenges.</p> Signup and view all the answers

What is the main argument made by the text regarding the role of psychology in shaping our understanding of gender?

<p>The text argues that psychology has played a significant role in shaping our understanding of gender, particularly through concepts like 'hysteria' and 'female sexual dysfunction.' These constructs have often been used to pathologize women's behavior, reinforce gender norms, and contribute to the medicalization of female experiences.</p> Signup and view all the answers

Study Notes

Week 1

  • Mental health is not the absence of disease, but rather attention to mental health
  • Psy-disciplines (psychiatry and psychology) have grown in size and scope over 150 years
  • Psy-complex refers to tools and knowledge from disciplines like conferences, journals, associations, and institutions
  • Critical theorists see psy-complex as enforcing social norms, not just healing
  • The course examines the evolution of mental health/illness concepts
  • Mental health/illness relates to broader social structures
  • Before the 18th century, no concept of mental illness; instead, it was considered madness
  • Behaviours were explained by head injuries, illness, or divine intervention
  • The range of responses varied from compassion to mistreatment
  • There wasn't a strong link between medicine and mental health

Week 2

  • Old British law differed between pauper lunatics and vagrants
  • Private madhouses emerged as a new form of care
  • The 1774 act required inspection and licensing for madhouses
  • Doctors were put into charge of madhouses
  • The rise of enlightenment and modernity brought emphasis on reason and philosophy
  • New political philosophies emphasized individualism and liberalism
  • Scientific optimism increased, and churches lost power
  • Moral treatment arose with a shift from confinement to gentler care and kindness

Week 3

  • Psychiatry's scope expanded to include behaviours associated with mental illness
  • Freud challenged the idea of mental illness as solely a physical disorder
  • He focused on the unconscious mind, unconscious processes, and childhood experiences
  • Psychoanalysis presented a theory in which mental illness is a result of unconscious conflicts

Week 4

  • The 21st century saw an emphasis on positive psychology
  • A cognitive shift brought increased interest in happiness and the science of happiness
  • Cognitive Behavioral Therapy (CBT) and Positive Psychology emerged
  • Early 20th-century behaviorism looked at observable behaviour rather than introspection

Week 5

  • The Global Mental Health (GMH) movement aimed to address mental health as a global issue
  • Mental health is often neglected in low-income countries
  • The movement emphasized mental health literacy, destigmatization, and access to care

Week 6

  • There are many different perspectives on mental illness and mental health
  • There are universalist and relativist perspectives on mental illness. Whether the same things cause mental illness in all cultures is questioned
  • Universalist perspective: Mental illness is largely biological, regardless of culture
  • Relativistic perspective: Mental illness differs based on culture

Week 7

  • Neoliberalism transformed mental health into a commodity
  • The shifting of mental health care to a free market, emphasized individual responsibility/wellness, and encouraged the use of pharmaceuticals
  • These developments are viewed as pushing personal responsibility and control over broader social factors that contribute to health issues
  • The emphasis is to improve mental health through individual choices and consumerism, rather than through structural change. This places the burden on the individual rather than on the larger system.

Week 8

  • Totalitarianism emerged as a threat to individual freedom
  • Soviet contexts exemplified the potential for political manipulation of mental health services
  • The Cold War became a global battle of ideas, including the scientific method, and the role of psychiatrists
  • Psychiatrists were abused under totalitarian regimes for political reasons

Week 9

  • Psychiatry during the war on terror was seen as an important tool to understand, and possibly justify, the behaviors of ‘terrorists' among different communities
  • Methodological problems existed in determining if people are ‘mentally ill'
  • There's a trend of using mental illness to explain problematic situations

Week 10

  • The idea of "the other" and "difference" plays into understandings of the various roles played in cultures
  • There appears to be a trend toward the increasing emphasis of the individual and individualism as a cure or solution
  • The development of the idea that 'western' ideas and definitions of mental illness were somehow 'superior' to 'eastern' or 'native' ideas and definitions

Week 11

  • Institutions like asylums were established under the guise of progress, but ended up creating social control mechanisms and having harmful effects on individuals.
  • The rise of “total institutions” in the late 19th and early 20th centuries as places of ‘moral treatment’ which led to greater control and restrictions of the institution
  • Total institutions have a set of expectations of individuals that they have to follow to be deemed normal

Week 12

  • Inhumane practices, including deinstitutionalization, lead to homelessness or incarceration for individuals with mental illnesses
  • A tension existed between societal needs for care and individualized treatment, which contributed to the deconstruction of hospitals
  • Deinstitutionalization left many with inadequate community support systems, leading to increased rates of homelessness and violence

Week 13

  • Many researchers criticize how colonialism influenced the development and application of psychiatry across different communities
  • The way 'normal' behaviour was defined was inherently connected to colonial power
  • The application of various mental health frameworks, including labelling, and diagnosing, was done with respect to certain cultural values (which are always imposed by the colonizer)
  • Mental illness was used as a tool to justify or excuse colonial interventions, or to pathologize behaviours that did not conform to colonial norms

Week 14

  • The modern 'suicide' crisis is viewed as individualising the problem
  • The concept of "psychological distress" has become increasingly popular, yet more difficult to diagnose and manage
  • There is an increase in the amount of mental illnesses being seen as individual problems; no longer is the social or structural contexts of problems of mental health being addressed
  • Psychologizing is a means of controlling behaviours by framing problematic behaviours as 'symptoms' of an imbalance within the individual, relieving the need to address the social or environmental factors

Week 15

  • There is a concern that diagnosing and treating behaviours is becoming so broad that it doesn't require a deep understanding of the people
  • There's both a benefit and harm to the increasing popularity of labels for mental health. The benefit is the potential for individuals to take the initiative to address concerns and seek help. The harm is that important and meaningful elements of the situation are ignored or passed over because there are new labels to rely upon

Week 16

  • The topics of oppression and social injustice are woven throughout the study of global mental health.
  • The concept of care for mentally ill people is tied up with the ability to control them, rather than the true idea of providing care that will benefit the person
  • The idea that the most appropriate way to treat is to assimilate into the dominant culture or create a label
  • This often creates a situation where individuals who have mental health problems or those who don't fit neatly into existing cultural norms are made to feel bad or abnormal in some way

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