Podcast
Questions and Answers
The ______ act of 1714 was an old British law that differentiated between 'pauper lunatics' from 'vagrants, sturdy beggars, rogues'.
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?
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.
The concept of mental illness was clearly defined and understood in the pre-18th century.
False (B)
What were the key features of private madhouses in the 18th century?
What were the key features of private madhouses in the 18th century?
What significant shift marked the beginning of the Enlightenment and modernity in terms of understanding and treating mental illness?
What significant shift marked the beginning of the Enlightenment and modernity in terms of understanding and treating mental illness?
What was the key principle of moral treatment, as championed by Philippe Pinel?
What was the key principle of moral treatment, as championed by Philippe Pinel?
What were the main criticisms of the asylum building era?
What were the main criticisms of the asylum building era?
What did Michel Foucault argue was a key reason for the rise of authoritarianism in relation to mental illness during the Enlightenment?
What did Michel Foucault argue was a key reason for the rise of authoritarianism in relation to mental illness during the Enlightenment?
According to Scull, how has psychiatry been used by society?
According to Scull, how has psychiatry been used by society?
What were the main features of the moral treatment movement in psychiatry regarding individual care?
What were the main features of the moral treatment movement in psychiatry regarding individual care?
The development of psychotropic drugs has completely eradicated the need for asylums and led to a focus on community-based care.
The development of psychotropic drugs has completely eradicated the need for asylums and led to a focus on community-based care.
What are the key assumptions behind the connection between the increase in confinement of the 'insane' and the emergence of the psychiatric profession?
What are the key assumptions behind the connection between the increase in confinement of the 'insane' and the emergence of the psychiatric profession?
What are the two main approaches to understanding mental illness discussed in the text, and what are their key differences?
What are the two main approaches to understanding mental illness discussed in the text, and what are their key differences?
Explain the term 'eugenics movement' and its implications in relation to mental health.
Explain the term 'eugenics movement' and its implications in relation to mental health.
What is the primary focus of the 'organic school' approach to mental illness?
What is the primary focus of the 'organic school' approach to mental illness?
The arrival of the 20th century marked a decline in the importance of psychiatry.
The arrival of the 20th century marked a decline in the importance of psychiatry.
What are the key characteristics of positivist thought, as described in the text?
What are the key characteristics of positivist thought, as described in the text?
What is the primary difference between the organic school and psychoanalysis in their approaches to treating mental illness?
What is the primary difference between the organic school and psychoanalysis in their approaches to treating mental illness?
What is the 'happiness turn' in psychology, and how can it be critiqued?
What is the 'happiness turn' in psychology, and how can it be critiqued?
What is the main argument made by proponents of the 'Global Mental Health' movement?
What is the main argument made by proponents of the 'Global Mental Health' movement?
What are the main criticisms of the 'Global Mental Health' movement?
What are the main criticisms of the 'Global Mental Health' movement?
The text argues that the 'Global Mental Health' movement is a purely scientific endeavor, free from any political or cultural influences.
The text argues that the 'Global Mental Health' movement is a purely scientific endeavor, free from any political or cultural influences.
How does the text utilize the example of Latvia to highlight the complexities of the 'Global Mental Health' movement?
How does the text utilize the example of Latvia to highlight the complexities of the 'Global Mental Health' movement?
What is the main argument presented by critics of the 'Global Mental Health' movement in relation to neoliberalism?
What is the main argument presented by critics of the 'Global Mental Health' movement in relation to neoliberalism?
Explain the concept of 'psycho-colonialism', as described in the text.
Explain the concept of 'psycho-colonialism', as described in the text.
What are the key arguments surrounding the use of the 'goldwater rule' in relation to politics and psychiatry?
What are the key arguments surrounding the use of the 'goldwater rule' in relation to politics and psychiatry?
What is the main argument presented by the text regarding the link between mental illness and violence?
What is the main argument presented by the text regarding the link between mental illness and violence?
How does the text explain the rise of 'protest psychosis'?
How does the text explain the rise of 'protest psychosis'?
The 'Global Mental Health' movement is a purely scientific endeavor, free from any political or cultural influences.
The 'Global Mental Health' movement is a purely scientific endeavor, free from any political or cultural influences.
Explain the concept of 'deinstitutionalization' and its impact on individuals with mental illness.
Explain the concept of 'deinstitutionalization' and its impact on individuals with mental illness.
How does the text explain the prevalence of mental illness within prisons?
How does the text explain the prevalence of mental illness within prisons?
The text suggests that the criminal justice system effectively addresses the needs of individuals with mental health issues.
The text suggests that the criminal justice system effectively addresses the needs of individuals with mental health issues.
What are the arguments presented by critics of the 'medical industrial complex'?
What are the arguments presented by critics of the 'medical industrial complex'?
What is the main argument made by the text regarding the role of psychology in shaping our understanding of gender?
What is the main argument made by the text regarding the role of psychology in shaping our understanding of gender?
Flashcards
Mental Health Pre-18th Century
Mental Health Pre-18th Century
The concept of mental illness prior to the 18th century was not recognized, instead madness was a common description.
Madness Explanations
Madness Explanations
Prior to the 18th century, a range of explanations for madness existed, including spiritual or supernatural causes, physical illness, and head injury.
Madness Responses
Madness Responses
Responses to madness pre-18th century varied from compassion to mistreatment, depending on the social status and beliefs of the era.
Vagrancy Act (1714)
Vagrancy Act (1714)
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Private Madhouses
Private Madhouses
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1774 Act for Regulating Madhouses
1774 Act for Regulating Madhouses
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Enlightenment & Modernity
Enlightenment & Modernity
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Moral Treatment
Moral Treatment
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York Retreat
York Retreat
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Philippe Pinel
Philippe Pinel
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Psy-disciplines
Psy-disciplines
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Psy-complex
Psy-complex
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WHO Definition of Mental Health
WHO Definition of Mental Health
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Social Structures and Mental Health
Social Structures and Mental Health
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Critical theorists
Critical theorists
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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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