Defining Mental Health Issues
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Questions and Answers

What was the initial method used to increase the number of personalities in Patricia Burgus's case?

  • High doses of powerful drugs
  • Electroconvulsive therapy (ECT)
  • Sodium amytal and hypnosis (correct)
  • Leading questions during therapy
  • What did Dr. Braun claim regarding the meat samples sent for testing in Patricia Burgus's case?

  • The results were inconclusive. (correct)
  • The results were conclusive and aligned with his theory.
  • They tested positive for traces of human flesh.
  • They tested negative for any unusual substances.
  • What was a key unethical method Dr. Wilbur used during Shirley's therapy?

  • Encouraging interactions with her family.
  • Administering placebos to control her behavior.
  • Using leading questions to encourage multiple personalities. (correct)
  • Reducing her dosage of medications.
  • Besides sodium pentothal, which of these medications was administered to Shirley during her therapy?

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

    What significant consequence did Patricia Burgus face following her extensive therapy for DID?

    <p>She won a malpractice lawsuit against Dr.Braun. (A)</p> Signup and view all the answers

    Which of the following is a known side effect of Thorazine, the antipsychotic administered during Shirley's case?

    <p>Restlessness and confusion (A)</p> Signup and view all the answers

    According to the provided material, what was a unique claim made by Dr. Braun about satanic cults?

    <p>Satanic Cults were transgenerational family traditions lasting at least 2000 years. (C)</p> Signup and view all the answers

    What other procedure did Dr. Wilbur use on Shirley?

    <p>Electroconvulsive therapy (ECT) (B)</p> Signup and view all the answers

    What substance was found in the black residue analyzed from Scythian goldware?

    <p>Opium (B), Cannabis (C)</p> Signup and view all the answers

    What was the primary purpose of Emperor Marcus Aurelius taking theriac?

    <p>To alleviate anxiety and discomfort (A)</p> Signup and view all the answers

    How did Marcus Aurelius's use of theriac evolve during his campaign on the Danube?

    <p>He increased his dosages (C)</p> Signup and view all the answers

    According to Cassius Dio, what was one symptom Marcus Aurelius experienced due to his reliance on theriac?

    <p>Inability to tolerate cold (B)</p> Signup and view all the answers

    What was the initial purpose of the concoction created by Mithridates VI of Pontus?

    <p>To provide protection against poisoning (C)</p> Signup and view all the answers

    What happened when Marcus Aurelius had the poppy-juice removed from his theriac?

    <p>He became drowsy during his duties (C)</p> Signup and view all the answers

    What cultural practice of the Scythians was described by Herodotus?

    <p>Their funeral rites (B)</p> Signup and view all the answers

    Which effect did Marcus Aurelius's daily theriac dosage aim to counteract during his campaigns?

    <p>Physical discomfort from the cold (B)</p> Signup and view all the answers

    What phenomenon did Sauvage describe in relation to a young woman's seizure?

    <p>A period of animated behavior with amnesia (C)</p> Signup and view all the answers

    In modern cases of DID, what is commonly reported about the number of alters?

    <p>An average of 15 or more alters is seen (C)</p> Signup and view all the answers

    How do cultural and therapeutic factors influence the expression of DID?

    <p>They shape how the disorder is experienced and diagnosed (C)</p> Signup and view all the answers

    What does the sociocognitive/fantasy model suggest about the nature of DID?

    <p>Patients select personalities based on suggestions from therapists (B)</p> Signup and view all the answers

    What role does suggestibility play in the presentation of DID?

    <p>It contributes significantly to the increase in alters reported (B)</p> Signup and view all the answers

    What may determine whether PTSD or true DID is the outcome following trauma?

    <p>The use of defense mechanisms like dissociation (A)</p> Signup and view all the answers

    What effect do media portrayal and social norms have on DID?

    <p>They influence the cultural construction of the disorder (C)</p> Signup and view all the answers

    According to the provided content, what is a significant concern regarding DID diagnosis procedures?

    <p>They may create multiplicity rather than discover it (B)</p> Signup and view all the answers

    What is the main result of mispositioned electrodes in the intra-cranial self-stimulation (ICSS) studies?

    <p>They likely activate the medial forebrain bundle. (A)</p> Signup and view all the answers

    How did participants in Bishop et al.'s study on ICSS behave when food was available?

    <p>They continued to seek ICSS despite hunger. (C)</p> Signup and view all the answers

    What brain region is primarily associated with dopamine release during the use of THC?

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

    What was the main finding of Kalivas & Volkow (2007) regarding methylphenidate use?

    <p>It correlates dopamine increases with self-reported feelings of a 'high'. (C)</p> Signup and view all the answers

    In the context of ICSS, what does the medial forebrain bundle primarily connect?

    <p>Ascending and descending neural tracts. (C)</p> Signup and view all the answers

    What behavioral outcome does reinforcement through ICSS typically lead to?

    <p>Neglect of basic survival needs. (D)</p> Signup and view all the answers

    How does THC activate the brain's reward system according to Bossong et al. (2008)?

    <p>By increasing dopamine release. (A)</p> Signup and view all the answers

    What mechanism is suggested to underlie the pleasurable effects of stimulants like methylphenidate?

    <p>Dopaminergic activation in the striatum. (D)</p> Signup and view all the answers

    What role does the nucleus accumbens play in addiction according to the findings?

    <p>It is involved in craving and the reinforcing effects of drugs. (C)</p> Signup and view all the answers

    What effect does chronic cocaine use have on dopamine receptors in the brain?

    <p>Reduces the number of dopamine receptors in the striatum. (A)</p> Signup and view all the answers

    How does smoking impact dopamine function in the nucleus accumbens?

    <p>It leads to a reduction in D2 dopamine receptors. (B)</p> Signup and view all the answers

    What structural change was observed in crack cocaine addicts after long-term use?

    <p>Decreased frontal grey matter volume compared to controls. (C)</p> Signup and view all the answers

    What was the finding of the study by Dalley et al. regarding dopamine receptors in chronic drug users?

    <p>Chronic drug use leads to long-term reductions in dopamine receptor levels. (C)</p> Signup and view all the answers

    What consequence does methylphenidate have on dopamine release in regular smokers?

    <p>It diminishes methylphenidate-induced dopamine release. (A)</p> Signup and view all the answers

    Why did Breiter et al. suggest that dopamine is linked to the craving for cocaine?

    <p>Activation of the nucleus accumbens correlates with cocaine cravings. (D)</p> Signup and view all the answers

    What does the reduction of dopamine receptors in the brain often suggest about an individual's history of drug use?

    <p>They have long-term alterations in the brain's reward system. (B)</p> Signup and view all the answers

    What was the significant finding in Aybek et al. (2014) related to traumatic memories?

    <p>Increased activity in the dorsolateral prefrontal cortex (C)</p> Signup and view all the answers

    Which area was found to have abnormal activity associated with conversion disorder according to Aybek et al. (2014)?

    <p>Supplementary motor area (C)</p> Signup and view all the answers

    What was the result of Blanke et al.'s (2004) study on patients with epilepsy and out of body experiences?

    <p>The RTPJ was consistently involved in the experiences (A)</p> Signup and view all the answers

    In the experience described by Blanke et al. (2004), what did the patient feel during the out of body experience?

    <p>She perceived herself above her real body (A)</p> Signup and view all the answers

    What did Blanke et al. (2002) find in their stimulation studies related to out of body experiences?

    <p>Only the temporoparietal junction elicited these experiences (D)</p> Signup and view all the answers

    What was the focus of psychodynamic psychotherapy for patients with conversion disorder in Hinson et al. (2006)?

    <p>Early life experiences and parenting dynamics (C)</p> Signup and view all the answers

    Which criterion is related to factitious disorder as per DSM-5?

    <p>Patient feigns or induces symptoms (D)</p> Signup and view all the answers

    In the experiments conducted by Aybek et al. (2014), what type of accounts were used to provoke responses in participants with conversion disorder?

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

    Flashcards

    Voguish Diagnoses

    The practice of diagnosing mental disorders without sufficient evidence, often driven by cultural trends and suggestibility.

    Dissociative Identity Disorder (DID)

    A mental disorder characterized by the presence of two or more distinct identities or personality states.

    Sybil's Case

    A case study involving a woman who claimed to have multiple personalities, later revealed to be the result of suggestive therapeutic techniques.

    Sodium Amytal

    A medication used to induce a relaxed and truthful state, often used in psychotherapy. Also known as Truth Serum.

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    Hypnosis

    A therapeutic technique that aims to access unconscious thoughts and memories through suggestions.

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    Leading Questions

    A type of questioning that subtly directs the respondent towards a desired answer, potentially leading to false memories.

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    Unethical Therapeutic Methods

    An ethical concern in psychotherapy involving the use of excessive or inappropriate medications, potentially leading to harm.

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    Burgus v. Braun

    A legal case in which a patient sued their therapist for malpractice, alleging that the therapy caused harm. The case highlighted the ethical issues in therapy and the potential for suggestibility to influence diagnoses.

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    Hemp Seed

    A substance known for its analgesic and mood-altering properties, used by ancient Scythians in their rituals.

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    Theriac

    A concoction containing opium, originally developed by Mithridates VI of Pontus as an antidote to poisoning attempts. It later became used for various medical conditions.

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    Increasing Dosages

    The use of increasing dosages of a substance over time, often leading to dependence and withdrawal symptoms.

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    Withdrawal Symptoms

    Refers to the unpleasant physical and psychological symptoms that arise when a person abruptly stops using a substance they are dependent on.

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    Poppy-Juice

    A type of opium-based concoction that was used for its sedative properties.

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    Removal of Poppy-Juice

    The process of removing a substance from a mixture or compound, often to alter or eliminate its effects.

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    Inability to Sleep

    The inability to sleep or rest, often a symptom of withdrawal from certain substances.

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    What is the striatum?

    A specific area in the brain responsible for processing reward and motivation.

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    What is dopamine?

    A neurotransmitter that plays a crucial role in reward, motivation, and pleasure.

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    What is the medial forebrain bundle (mfb)?

    A bundle of nerve fibers that connects various brain regions, including the ventral tegmental area (VTA) and the nucleus accumbens.

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    What is Intracranial Self-Stimulation (ICSS)?

    A technique where individuals are allowed to stimulate their own brain's reward centers using electrical impulses.

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    How powerful is ICSS?

    A phenomenon observed in ICSS experiments where individuals prioritize stimulating their brain's reward centers over basic needs, such as eating or sleeping.

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    How does THC affect the brain?

    A psychoactive compound found in cannabis that increases dopamine release in the striatum, leading to feelings of euphoria and reinforcing cannabis use.

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    How does methylphenidate work?

    A stimulant commonly prescribed for ADHD that increases dopamine levels in the striatum, leading to feelings of euphoria.

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    What is the link between dopamine and euphoria?

    The release of dopamine in the striatum is linked to the euphoric effects experienced after using stimulant drugs.

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    Sociocognitive/Fantasy Model

    A model suggesting that DID is primarily influenced by cultural factors, media portrayal, and therapeutic practices.

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    Cultural Influences on DID

    The idea that therapists and cultural expectations can influence the development and presentation of DID in patients.

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    Dissociation

    A psychological defense mechanism where an individual detaches from reality, often in response to trauma. This detachment can manifest in different ways, including memory fragmentation and the creation of separate identities.

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    Trauma Model of DID

    The idea that DID is triggered by traumatic experiences, and the response to trauma can vary, leading to either PTSD or DID.

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    Exponential Growth of Alters

    A dramatic increase in the number of alters reported in DID patients in recent years, suggesting that cultural and therapeutic factors may play a role.

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    Suggestibility and Cultural Expectations in DID

    Suggestibility to therapists' suggestions and cultural expectations can contribute to the development and presentation of DID.

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    Amnesia and Memory Recall Patterns in DID

    The pattern of memory recall where DID patients exhibit inconsistent memory access depending on the alter present.

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    Therapeutic Procedures and DID

    The idea that diagnostic procedures used for DID might actually create the multiplicity of personalities instead of simply uncovering them.

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    Conversion Disorder

    A mental condition characterized by physical symptoms that have no underlying medical explanation, often linked to psychological stress or trauma.

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    Psychodynamic Psychotherapy

    A type of therapy exploring unconscious thoughts and early life experiences to understand current emotional and behavioral issues.

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    Factitious Disorder

    A mental disorder where a person intentionally fakes or exaggerates illness for attention or sympathy.

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    Temporoparietal Junction (TPJ)

    A part of the brain involved in processing sensory information, spatial awareness, and body image.

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    Out-of-Body Experience (OBE)

    A neurological experience of feeling detached from your own body, sometimes accompanied by seeing your body from an outside perspective.

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    Memory Suppression

    The ability of the brain to suppress or inhibit unwanted memories, especially those related to trauma.

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    Dorsolateral Prefrontal Cortex (DLPFC)

    A brain region involved in decision-making, planning, and executive functions.

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    Hippocampus

    Part of the brain responsible for forming and retrieving memories, especially long-term memories.

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    Nucleus Accumbens

    The area of the brain responsible for processing reward and pleasure. It's activated by stimulants and plays a crucial role in drug craving and addiction.

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    Dopamine

    A neurotransmitter involved in reward, motivation, and movement. It's released when we experience pleasurable things, like food, sex, and drugs.

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    Reinforcing Effect

    The effect of a drug that makes someone want to repeat the experience, leading to potential addiction.

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    Downregulation of Dopamine Receptors

    A decrease in the number of dopamine receptors in the brain, often caused by chronic drug use. This makes it harder for the brain to experience pleasure and can contribute to addiction.

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    Dopamine Release

    The ability of certain drugs to stimulate the release of dopamine in the brain, leading to feelings of euphoria and reward.

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    Frontal Cortex

    The part of the brain responsible for planning, decision-making, and impulse control. It's affected by chronic drug use, leading to problems with these functions.

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    Addiction

    The process of becoming addicted to a drug, characterized by compulsive use, craving, and withdrawal symptoms.

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    Tolerance

    A condition where the body becomes accustomed to a drug and needs a higher dose to achieve the same effect. This contributes to escalating use and potential overdose.

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    Study Notes

    Defining Mental Health Issues

    • People exhibiting unusual behavior may have a mental illness, but this is not always the case. Unusual behavior could be rehearsing a script, for example.
    • Mental health disorders affect 1 in 8 or 970 million people globally (2019 data), with anxiety and depression being the most common types.
    • Anxiety disorder affects 301 million people, and 58 million children/adolescents.
    • Depression affects 280 million people, and 23 million children/adolescents.
    • In young people aged 17-19, the rate of probable mental health disorders rose from 10.1% in 2017 to 18% in 2018 to 26% in 2022.

    Violation of Social Norms

    • Breaking social conventions can sometimes indicate a mental illness.
    • However, some behaviors that break social norms are perfectly understandable, such as rehearsing lines for an audition.

    Bertha Pappenheim Example

    • Bertha Pappenheim's case contributed to the beginnings of psychoanalysis.
    • Her symptoms included partial paralysis of her limbs and neck, which significantly impaired her movement.
    • Doctors could not find any physical basis for her symptoms.
    • Her condition was linked to limited opportunities for women at the time, and her family's puritanical values. She was denied higher education while her brother was encouraged toward a professional career.

    Personal Distress

    • Crying in public may indicate personal distress or a mental illness, but it can also be a natural reaction to bad news or grief.

    Historical Perspectives on Mental Health

    • Prehistory: Trepanation (making holes in skulls) was a technique used to try and release evil spirits thought to cause mental illness.
    • Hippocrates and the Greeks: Hippocrates believed in a holistic approach to health care, emphasizing the interconnectedness of physical, mental, and emotional well-being, and using therapy based on diet, physical exercise, and mental stimulation.
    • Middle Ages: Focus shifted towards supernatural explanations for mental illness.

    Contributions of Marcus Aurelius and Galen

    • Marcus Aurelius (161-180 AD) was a Roman Emperor; his written thoughts (Meditations) reflected stoicism as a path to emotional control and well-being.
    • Galen (physician): distinguished between psychological and physical causes of mental distress
    • Wrote about the management of the mind and soul.

    Historical Context of Mental Health Treatment

    • Many individuals, from the 1240s onwards, were admitted to Bethlehem Hospital, which became infamous as a place for the display of 'mad' people.
    • In the 1440s printing presses allowed for the broader dissemination of ideas, including scientific understanding of the world.
    • In the 1700s, ideas of reason from classical antiquity and the enlightenment were important in beginning to shape the concept of mental illness in a broader way.

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    Description

    Explore the complexities of mental health issues, including the factors that contribute to unusual behavior and the prevalence of mental disorders globally. This quiz also highlights significant examples like Bertha Pappenheim and discusses the implications of breaking social norms. Test your knowledge on these important topics affecting millions.

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