Early Approaches to Mental Illness
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Questions and Answers

What procedure did Rush recommend for patients to treat mental illness?

  • Medication for sedative effects
  • Physical restraint techniques
  • Talk therapy with attendants
  • Fear-inducing methods about death (correct)
  • Which facility was established in 1817 to provide humane treatment for mental illness?

  • Pennsylvania State Hospital
  • Friends' Asylum (correct)
  • Hartford Retreat
  • La Bicêtre
  • What type of patient care was emphasized during the era of Moral Treatment?

  • Isolation from staff
  • Extreme medical procedures
  • Confinement and segregation
  • Discussion and purposeful activity (correct)
  • What major contribution did Dorothea Dix make in the 19th century?

    <p>Established more mental hospitals in the U.S.</p> Signup and view all the answers

    Why was moral treatment largely abandoned by the late 19th century?

    <p>Effects of biological approaches became more popular</p> Signup and view all the answers

    What was a key limitation in the understanding of mental disorders in the mid-1800s?

    <p>Inability to conclude about structural brain abnormalities</p> Signup and view all the answers

    Who became an orderly at the hospital and was noted as a former patient?

    <p>Jean-Baptiste Pussin</p> Signup and view all the answers

    In the context of mental hospitals at the time, which characteristic was most common?

    <p>Privately supported and smaller facilities</p> Signup and view all the answers

    What was the primary purpose of the prefrontal lobotomy introduced by Egas Moniz?

    <p>To sever connections between the frontal lobes and other brain areas</p> Signup and view all the answers

    Which condition was commonly treated with hypnosis during its rise in respectability?

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

    What significant outcome did Egas Moniz observe in many patients after the lobotomy procedure?

    <p>Dullness and listlessness</p> Signup and view all the answers

    What was Jean-Martin Charcot's approach to hysteria before shifting to psychological explanations?

    <p>Biological viewpoints related to the nervous system</p> Signup and view all the answers

    What aspect did Charcot's students exploit while hypnotizing a healthy woman?

    <p>The power of suggestion in inducing symptoms</p> Signup and view all the answers

    How did Freud's psychoanalytic theory conceptualize psychopathology?

    <p>As stemming from unconscious conflicts</p> Signup and view all the answers

    Why might Charcot have been initially misled about hypnotism and hysteria?

    <p>He did not recognize the suggestive power of hypnosis.</p> Signup and view all the answers

    Why did some people quiet down after undergoing lobotomy, according to the results observed?

    <p>The brain regions controlling aggression were destroyed.</p> Signup and view all the answers

    What term is used to describe the total genetic makeup of an individual?

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

    Which environmental factor has more influence on the development of mental illness according to behavior genetics?

    <p>Nonshared environment</p> Signup and view all the answers

    How many genes were initially estimated to be in the human genome before being revised?

    <p>100,000</p> Signup and view all the answers

    What best describes the relationship between genes and the environment in behavior genetics?

    <p>Genes and the environment interact to influence behavior.</p> Signup and view all the answers

    Which of the following concepts refers to observable behavioral characteristics?

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

    According to behavior genetics, almost all behaviors are:

    <p>Heritable to some degree</p> Signup and view all the answers

    In the context of behavior genetics, what does heritability refer to?

    <p>The degree to which genes and environmental factors affect behaviors</p> Signup and view all the answers

    How do genes behave according to the information provided in behavior genetics?

    <p>They can switch off and on at specific times.</p> Signup and view all the answers

    What was emphasized as the most important factor in the classification of syndromes during the revision of DSM-III-R?

    <p>The course and outcome of the syndromes</p> Signup and view all the answers

    Which two major groups of severe mental illnesses were proposed by the researcher?

    <p>Schizophrenia and bipolar disorder</p> Signup and view all the answers

    What was the main method used during the 2008-2010 drafting of DSM-5 diagnostic criteria?

    <p>Feedback from the public and scientific community</p> Signup and view all the answers

    During which years were field trials conducted to test the reliability of the DSM-5 draft criteria?

    <p>2010-2011</p> Signup and view all the answers

    What does AXIS V in DSM-5 evaluate?

    <p>The patient's social relationships</p> Signup and view all the answers

    What significant change occurred in May 2013 regarding the DSM-5?

    <p>The release of the DSM-5 at the APA Annual Meeting</p> Signup and view all the answers

    What biological cause was attributed to manic-depressive psychosis?

    <p>Chemical imbalance</p> Signup and view all the answers

    What aspect was addressed by study groups formed during the DSM revision process?

    <p>Cultural and gender issues</p> Signup and view all the answers

    What can feedback from effects do in the context of behavioral sciences?

    <p>Reinforce the original causes</p> Signup and view all the answers

    What might individuals with a high level of diathesis experience in contrast to those with a low level of diathesis?

    <p>They might develop a disorder with a small amount of stress</p> Signup and view all the answers

    How does the boy's behavior influence his interactions with peers?

    <p>His prickly behavior causes peers to be defensive</p> Signup and view all the answers

    What role can protective factors play in psychological resilience?

    <p>They help in adapting to difficult circumstances</p> Signup and view all the answers

    Which of the following is NOT considered a protective factor?

    <p>Aggressive behavior</p> Signup and view all the answers

    What is implied about a person with no diathesis when they face severe stress?

    <p>They may still develop a disorder</p> Signup and view all the answers

    In what situation might a boy reject friendly gestures from peers?

    <p>When he misinterprets their intentions as hostile</p> Signup and view all the answers

    What must be present for stress to affect an individual in terms of diathesis?

    <p>Some amount of diathesis</p> Signup and view all the answers

    Study Notes

    Early Approaches to Mental Illness

    • Moral Treatment was a humane approach used in the 18th and early 19th centuries.
    • La Bicêtre hospital in Paris saw significant changes in patient treatment, emphasizing kindness and removing restraints.
    • Pinel wasn't present for patient releases, and Rush believed fear could cure mental illness.
    • Moral treatment focused on patient interaction with attendants through activities like reading and conversation.
    • Moral treatment declined in the late 19th century despite Dorothea Dix's efforts to establish hospitals for mental health.
    • Dorothea Dix played a crucial role in establishing more mental hospitals in the United States in the 19th century.

    Biological Approaches

    • The nervous system's anatomy and workings were understood to some extent by the mid-1800s, but not enough to determine if brain abnormalities caused mental disorders.
    • Franz Anton Mesmer believed in "animal magnetism", a concept that was used to explain the influence of invisible forces on the body, later associated with hypnosis.
    • Jean-Martin Charcot studied hysteria through a biological viewpoint, initially linking it to nervous system problems. He later shifted to psychological explanations.

    Psychodynamic Approach

    • Freud believed that unconscious conflicts shape psychopathology, leading to his psychoanalytic theory.
    • Freud and his followers explored the influence of unconscious forces on human behavior.

    The Biopsychosocial Approach

    • This approach integrates biological, psychological, and social factors to understand mental illness.
    • It emphasizes the importance of heritability and the complex interaction between genes and the environment.

    Genetics and Environment

    • Almost all behavioral traits are heritable to some degree.
    • Genes do not operate in isolation from the environment, they influence and are shaped by the environment.
    • Shared environment includes factors common to family members, while the nonshared environment refers to individual experiences.
    • Nonshared environment plays a larger role in mental illness development than shared environment.

    Behavior Genetics

    • It studies how genes and environmental factors affect behavior.
    • Genotype represents an individual's genetic makeup, while phenotype represents observable behavioral characteristics.
    • Genetic expression changes over time, influencing various aspects of development.
    • Additive Model proposes that the presence of a diathesis and stress combine to cause mental illness, with higher diathesis requiring less stress to trigger a disorder.
    • Interactive Model emphasizes the necessity of a certain level of diathesis for stress to have an effect.

    Protective Factors

    • Some factors can help individuals navigate stress and prevent mental illness.
    • Examples include high intelligence, achievement, self-esteem, and easygoing temperament.
    • Protective factors often contribute to resilience, the ability to cope with challenging situations.

    DSM-5 (Diagnostic and Statistical Manual of Mental Disorders)

    • The history of DSM-5 involved several revisions and updates.
    • The process involved work groups, literature reviews, data analysis, and public feedback.
    • DSM-5 aims to provide a standardized and reliable system for diagnosing mental disorders.

    DSM-5 Axes

    • Axis I includes clinical disorders.
    • Axis II covers personality disorders and mental retardation.
    • Axis III focuses on general medical conditions.
    • Axis IV addresses psychosocial and environmental problems.
    • Axis V includes the Global Assessment of Functioning (GAF) scale, measuring a person's overall level of functioning in social, occupational, and leisure areas.

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    Description

    This quiz explores the historical approaches to mental illness, focusing on the moral treatment of the 18th and 19th centuries. Discover the contributions of significant figures like Dorothea Dix and Pinel, as well as the shift towards biological understandings. Test your knowledge on these pivotal developments in mental health care.

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