History of Mental Illness

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Questions and Answers

What change was introduced in the DSM-III version that began in 1980?

  • It removed the multiaxial system.
  • It combined the first three axes. (correct)
  • It added a global assessment axis.
  • It included more cultural considerations.

Which of the following criticisms is commonly associated with the DSM?

  • It assumes disordered behavior differs in degree, not in kind. (correct)
  • It is solely based on European clinical findings.
  • It contributes to the underdiagnosis of mental disorders.
  • It provides too few diagnostic categories.

What is the purpose of Axis V in the DSM multiaxial system?

  • To evaluate relevant medical conditions.
  • To provide a diagnosis of personality disorders.
  • To give a global assessment of functioning. (correct)
  • To assess psychosocial stressors.

How has the number of diagnosable disorders in the DSM changed since its first publication?

<p>It has tripled. (B)</p> Signup and view all the answers

What concept is highlighted by the biopsychosocial model in the context of mental health disorders?

<p>A comprehensive understanding requires considering biological, psychological, and social factors. (C)</p> Signup and view all the answers

What did the mental hygiene movement primarily focus on?

<p>Somatogenic theories of mental illness (B)</p> Signup and view all the answers

Who founded the mental hygiene movement?

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

Which treatment approach did Freud and Breuer use to treat hysteria?

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

What theory did Charcot attribute to hysterical symptoms?

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

In the etiological battle over hysteria, what did the Nancy School believe?

<p>Hysteria was largely due to individual suggestion. (D)</p> Signup and view all the answers

What was a significant outcome of the development of psychoanalysis in the early 20th century?

<p>Establishment of over 400 different schools of psychotherapy (B)</p> Signup and view all the answers

What does the term 'psychogenic' refer to in the context of mental illness?

<p>Symptomatic expressions stemming from psychological factors (C)</p> Signup and view all the answers

What is the significance of the biopsychosocial model in understanding mental illness?

<p>It integrates psychological and social dimensions of health. (B)</p> Signup and view all the answers

What was the significant contribution of Emil Kräpelin to the field of mental illness diagnosis?

<p>He published a diagnostic classification system based on symptom patterns. (B)</p> Signup and view all the answers

Which factor is NOT mentioned as influencing the efficacy of different therapeutic approaches for mental illness?

<p>The complexity of the disorder (B)</p> Signup and view all the answers

The biopsychosocial model explains human behavior through which of the following aspects?

<p>Psychological stressors and sociocultural factors (C)</p> Signup and view all the answers

What was a common treatment for mental illness in American state institutions until the 1970s?

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

Which of the following theories is emphasized as coexisting within the psychological discipline?

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

What belief underlies the treatment of mental illness as a chemical imbalance in the brain?

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

Which approach has been found to have negligible differences in efficacy for treating mental illness?

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

What role do socio-political or economic factors play in the development of psychological disorders?

<p>They are viewed as contributing factors alongside genetics and stressors. (D)</p> Signup and view all the answers

Flashcards

DSM-5

The most recent version of the Diagnostic and Statistical Manual of Mental Disorders used for classifying mental disorders.

Multiaxial Classification System

A system used in earlier DSM versions (e.g., DSM-III) that considered multiple factors impacting a person's mental health, not just the presenting problem.

DSM Revision History

The Diagnostic and Statistical Manual has undergone significant changes and revisions since its 1952 first edition, including the integration and removal of axes and modifications to classification systems.

Categorical Classification System

A system that categorizes mental disorders based on distinct categories and assumes differences in kind rather than degree of mental health conditions; e.g., disorder or not (either/or).

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DSM's Criticism

The DSM is criticized for its cultural bias (primarily from US culture), medicalization of behavior (often framed as simply a disorder or not) and a significant increase in the number of diagnosable disorders and the concerns this leads with potential labeling and stigmatization.

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Mental Illness Treatments

Different approaches to treating mental illness, including talk therapies and medication, all rely on shared factors like therapist-patient alliance, therapist competence, and placebo effects, rather than specific techniques.

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Somatogenic Treatments

Treatments focusing on the body's role in mental illness, exemplified by the use of medication, restraints, electroconvulsive therapy, and lobotomies.

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Biopsychosocial Model

A model of mental illness that considers biological, psychological, and social factors in explaining and treating mental health conditions.

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Diagnostic System

A standardized classification system used to name and describe psychological disorders allowing for consistent communication among mental health professionals and clinical research.

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Emil Kraepelin

A German psychiatrist who developed a systematic way of classifying mental illnesses.

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Psychological Disorder

A pattern of symptoms suggestive of an underlying physiological cause, classified in the DSM-5.

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Therapist-Patient Alliance

The collaborative relationship between a therapist and patient, a key factor in the effectiveness of many treatments.

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Standardized Diagnostic System

A system for classifying mental illnesses that uses standardized criteria and clear definitions of disorders so that clinicians can communicate effectively.

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Mental Hygiene Movement

A movement in the early 20th century focused on somatic causes of mental illness, influenced by the germ theory and discoveries in medicine.

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Somatogenic Theory

The belief that physical factors are the primary cause of mental illness.

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Psychogenic Explanations

The idea that mental illness stems from psychological factors rather than biological ones, like in hysteria.

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Hysteria

A mental disorder, previously believed to be related to a wandering uterus, characterized by physical symptoms without a physiological cause.

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Mesmerism

An early theory attributing symptoms like hysteria to imbalances in a universal magnetic fluid.

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Hypnosis

A psychogenic treatment for hysteria, replacing mesmerism.

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Psychoanalysis

A psychogenic treatment method, a precursor for many psychotherapies.

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Cathartic Method

A treatment for hysteria, rooted in psychoanalysis; it aims to release repressed emotions.

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Study Notes

History of Mental Illness

  • Mental illness definitions vary across cultures and time periods.
  • Abnormal behaviors are judged based on societal norms of a particular time and culture.
  • Three main theories explain mental illness etiology: supernatural, somatogenic, and psychogenic.
  • Supernatural theories attribute illness to demonic possession, divine displeasure, or other supernatural events.
  • Somatogenic theories link illness to physical factors like imbalances of bodily fluids, illness, genetics, or brain damage.
  • Psychogenic theories explain illness as stemming from traumatic experiences, learned associations, or distorted perceptions.

Historical Treatments

  • Trephination (drilling holes in skulls) was a prehistoric treatment for head injuries and believed to release evil spirits.
  • Ancient Greeks linked mental illness to imbalances in bodily humors (blood, yellow bile, black bile, and phlegm).
  • Hippocrates attempted to separate superstition from medicine, classifying mental illnesses as epilepsy, mania, melancholia, and brain fever.
  • Galen (Greek physician) also considered psychological stress as a potential cause of mental illness.
  • Middle Ages saw the return of supernatural explanations, notably blaming the devil for mental illness.
  • Witch hunts targeted women accused of witchcraft and possession.
  • By the 1700s, a more humanitarian view of mental illness began; this included the creation of asylums and moral treatment.
  • Philippe Pinel and Vincenzo Chiarughi reformed mental institutions by adopting humane treatment, focusing on the well-being of individuals.
  • William Tuke established the York Retreat which focused on patient care and dignity.
  • Dix (Dorothea) advocated for the establishment of state mental hospitals in the United States.
  • 20th century marked the rise of the mental hygiene movement and psychodynamic approaches to treatment.
  • Mesmerism (hypnosis) and somatogenic explanations were challenged by psychogenic factors.

Modern Diagnosis and Treatments

  • Diagnostic and Statistical Manual of Mental Disorders (DSM) was developed to establish a standard diagnostic classification system.
  • The DSM-5 combined previous axes into a single system focusing on clinical diagnosis and dysfunction. This system now attempts to reduce stigma and improve diagnoses.
  • The evolution of mental illness treatment reflects changing cultural perspectives and scientific understanding which are incorporated in modern approaches; this helps clinicians collaborate effectively regarding treatments.

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