Bioethics and Mental Health Concepts Quiz

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Questions and Answers

Which principle is NOT part of the principleism approach?

  • Justice
  • Autonomy
  • Non-maleficence
  • Determinism (correct)

The principle 'Ought Implies Can' asserts that individuals have moral obligations beyond their abilities to act.

False (B)

What concept is described as considering different moral perspectives until reaching a balanced view in bioethics?

reflective equilibrium

The removal of the bereavement exclusion criterion from the DSM-5 illustrates the medicalization of ______ life.

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

Match the following concepts to their descriptions:

<p>Moral therapy = A therapeutic approach focusing on humane treatment Ugly laws = Legislation targeting the appearance of individuals deemed undesirable Anti-vagrancy laws = Laws enforcing restrictions on homelessness Reflective equilibrium = The process of balancing moral beliefs and principles</p> Signup and view all the answers

Which term describes a deviation from a perceived norm that is viewed as negative or disordered?

<p>Mental disorder (C)</p> Signup and view all the answers

Drapetomania was recognized in the 1800s as a legitimate mental illness with effective treatments.

<p>False (B)</p> Signup and view all the answers

What terminology is often used to describe individuals whose mental processes or behaviors differ from the norm?

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

In the 1900s, paranoid schizophrenia was used to incarcerate Black protestors as a symptom of __________.

<p>hostility to white values</p> Signup and view all the answers

Match the following mental health terms with their definitions:

<p>Mental disorder = A condition marked by a significant dysfunction in behavior or thought Mental illness = A psychological state that affects a person's thinking, feeling, or behavior Neurotypical = Individuals whose neurological development and functioning are considered normal Neurodivergent = Individuals with cognitive functions that differ from what is considered typical</p> Signup and view all the answers

What is the primary focus of the medical model in psychiatry?

<p>Underlying biological mechanisms (A)</p> Signup and view all the answers

The strong interpretation of the medical model does not focus on underlying biological mechanisms.

<p>False (B)</p> Signup and view all the answers

What is the purpose of diagnostic labels in psychiatry?

<p>To identify and group sets of symptoms.</p> Signup and view all the answers

The DSM treats mental disorders as __________ that unfold over time.

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

Match the theorist to their contribution in the context of the minimal interpretation:

<p>Kraepelin = Differentiated forms of insanity based on symptoms DSM = Provides syndrome-based classification Critics = Highlight the lack of causal explanations Medical Model = Focuses on underlying biological mechanisms</p> Signup and view all the answers

Which of the following is a key criticism of the DSM?

<p>It lacks specific causal hypotheses. (C)</p> Signup and view all the answers

Individuals with the same DSM diagnosis always have the same combination of symptoms.

<p>False (B)</p> Signup and view all the answers

What does the minimal interpretation of the medical model emphasize?

<p>Observable, regularly occurring collections of symptoms.</p> Signup and view all the answers

What was one historical method of treatment for melancholia?

<p>Exorcism (C)</p> Signup and view all the answers

The Salem witch trials did not involve accusations against Indigenous peoples.

<p>False (B)</p> Signup and view all the answers

What are the suicide rates for Native youth ages fifteen to twenty-four compared to the national average?

<p>Five to seven times the national average</p> Signup and view all the answers

Colonial violence in residential schools created deep trauma and pain, leading to poor mental health outcomes, including increased rates of ______.

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

What is one metaphor used to describe the effects of colonization?

<p>Colonialism as depression (D)</p> Signup and view all the answers

Understanding depression in Mohawk culture is identical to Western interpretations of mental distress.

<p>False (B)</p> Signup and view all the answers

What is 'melancholia' historically known as?

<p>An old term for depression</p> Signup and view all the answers

What is the primary focus of the strong interpretation of the medical model?

<p>Pathogenic processes in neurobiological systems (B)</p> Signup and view all the answers

Reliability in measurements refers to the accuracy of measuring something real.

<p>False (B)</p> Signup and view all the answers

What does the minimal interpretation of the medical model emphasize in diagnosing mental disorders?

<p>Symptom clusters and diagnostic labels as heuristics</p> Signup and view all the answers

The strong interpretation of the medical model suggests that causes of mental illness lie in both biological and _____ factors.

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

Which of the following is a point of contention regarding the DSM’s treatment of grief?

<p>It pathologizes normal human reactions. (B)</p> Signup and view all the answers

The manipulationist approach to causation identifies a cause through passive observation.

<p>False (B)</p> Signup and view all the answers

What does a syndrome-based conception of mental illness refer to?

<p>A classification based on identifiable clusters of symptoms.</p> Signup and view all the answers

What is the term for the experience of integration with one's condition, feeling it as part of one's identity?

<p>Egosyntonicity (D)</p> Signup and view all the answers

Hikikomori is recognized as a disorder rather than a symptom of underlying issues in Japan.

<p>False (B)</p> Signup and view all the answers

What term describes the Shona concept of thinking too much, often associated with depression?

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

The process of defining and treating human behaviors as medical problems is known as ______.

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

Which of the following is an approach to diagnostic interactions that takes into account cultural biases?

<p>Diagnostic Listening (A)</p> Signup and view all the answers

Match the following cultural concepts with their corresponding definitions:

<p>Cultural Idioms of Distress = Ways of expressing distress specific to a cultural group Cultural Explanations = Perceived causes for symptoms within a cultural context Cultural Syndromes = Clusters of symptoms that co-occur in specific cultural groups Stigma = Negative social attitudes and beliefs attached to a condition</p> Signup and view all the answers

Principleism provides a single, definitive answer to moral dilemmas in bioethics.

<p>False (B)</p> Signup and view all the answers

What is the term used for the negative social attitudes that lead to discrimination against individuals with certain conditions?

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

Flashcards

"Ought Implies Can"

A moral principle stating that we are only obligated to do what is within our power to do.

Reflective Equilibrium

A process of trying to find a balance between our intuitions about what is right and wrong and our principles of morality. In bioethics, it helps us refine our ethical reasoning and arrive at more consistent and justifiable conclusions.

Moral Therapy

A historical perspective on the care of those with mental illness, which involved treating patients through moral guidance, discipline, and social reintegration. It aimed to foster positive character development and social responsibility.

Ugly Laws

Laws that aimed to exclude certain populations from public visibility, often based on physical disabilities or social class. They contributed to the marginalization and social exclusion of vulnerable groups.

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Anti-Vagrancy Laws

Laws that were used to criminalize poverty and homelessness, leading to the imprisonment and persecution of individuals facing economic hardship. These laws often targeted marginalized populations.

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Medical Model in Psychiatry

The medical model applies medical principles to understand and treat mental illness. It assumes mental illness originates in the body, primarily the brain.

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Minimal Interpretation of the Medical Model

This theory suggests that mental disorders are identifiable sets of symptoms that follow predictable patterns.

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Syndromes

Psychiatric conditions grouped based on shared symptoms without necessarily understanding their root cause.

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Kraepelin's approach to insanity

Emphasizes the use of symptoms to diagnose and classify different forms of mental illness.

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DSM and Minimal Interpretation

The Diagnostic and Statistical Manual of Mental Disorders (DSM) is a widely accepted classification system using the minimal interpretation.

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DSM Criticism: Lack of Causal Explanations

A key criticism of the DSM is its focus on observable symptoms without explaining their underlying causes, potentially leading to the grouping of dissimilar conditions.

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DSM's Practical Use

The DSM is a practical tool designed to improve communication, teaching, and research in mental health.

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Strong Interpretation of the Medical Model

The strong interpretation of the medical model emphasizes the biological and neurochemical mechanisms underlying mental illness.

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Normal Functioning

A state of balanced functioning, both physically and mentally, often characterized by a lack of significant dysfunction, which can be determined statistically and biologically.

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Statistical Normality

The idea that mental “illness” exists on a spectrum and can be defined as a deviation from statistically typical patterns of behavior, thought, and emotion. For example, someone who is significantly more introverted than most people might be considered to have a mental disorder based on this definition.

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Biological Normality

A concept of mental health that takes into account the biological and genetic factors which might influence mental health and well-being.

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Competing Conceptualizations of Normalcy

A term that encompasses the many, diverse ways an individual can experience mental well-being. It acknowledges that there is no single ‘normal’ and that people can have different experiences, strengths, and challenges.

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Thick Moral Concept

A complex philosophical term that refers to concepts that not only describe something but also carry moral weight. The concept of ‘normal’ is often seen as morally charged and can lead to assumptions about worth and value.

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Reliability in Measurement

A measure's consistency across different times or observers.

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Validity in Measurement

A measure's accuracy in reflecting what it's supposed to measure.

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Diagnostic Criteria for Mental Illness

The ability to distinguish between different mental illnesses using well-defined criteria.

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Grief and Major Depressive Disorder

A critical question in mental health is whether normal sadness and grief should be considered a form of depression.

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Cultural Idioms of Distress

Ways of expressing distress that are unique to a particular cultural group. These expressions can be phrases, behaviors, or even physical symptoms.

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Cultural Explanations

Explanations for distress that are rooted in a specific culture's beliefs and values. These explanations can involve supernatural forces, social stressors, or environmental factors.

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Cultural Syndromes

Clusters of symptoms that commonly occur together within a particular cultural group. These syndromes may not be recognized in other cultures and often reflect specific cultural beliefs around distress.

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Diagnostic Listening

A method of listening to patients' stories and experiences in order to understand their distress and find the best way to help them. This approach recognizes that cultural factors can shape how individuals describe their symptoms.

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Egosyntonicity

The feeling that one's condition feels like a natural part of who they are, rather than something separate from their identity. It can make it difficult for individuals to seek help or change their situation.

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Hikikomori

A condition characterized by extreme social withdrawal, primarily found in Japan. It is often seen as a symptom of other underlying issues, rather than a standalone disorder.

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Kufungisisa

A Shona term for 'thinking too much,' considered a common idiom of distress and explanation of distress in Zimbabwe and Mozambique. It is linked to rumination and depression.

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Medicalization/Pathologization

The process by which human conditions or behaviors are defined and treated as medical problems or disorders. This can lead to the over-medicalization of certain experiences.

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Melancholia

A historical term for depression, often associated with a sense of profound sadness and pensiveness. It was once believed to be caused by demonic possession.

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Discovery Doctrine

The act of forcibly removing Indigenous people from their land and cultures, often justified through the belief that Indigenous people are 'devil worshippers' and not Christian.

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Intergenerational Trauma

The long-term harm and suffering experienced by Indigenous communities resulting from colonization, particularly the impacts of residential schools and the loss of culture.

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Cultural Suppression

The intentional suppression of Indigenous languages and cultures by colonial powers, leading to a loss of identity and contributing to mental health challenges.

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Cultural Continuty and Healing

The idea that restoring cultural practices, language, and self-governance can contribute to improved mental health outcomes for Indigenous communities.

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Language and the Meaning of Depression

The use of language and symbolism to express and understand emotions, particularly in Indigenous cultures, where the meaning of 'depression' may differ from Western interpretations.

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Colonialism as Depression

The belief that the harmful effects of colonialism mirror the symptoms of depression - both share a destructive and isolating nature.

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Hope for Healing and Reclaiming Culture

A hope-filled vision for Indigenous mental health that emphasizes reclaiming culture, language, and community as paths to healing and well-being.

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