Mental Health and Illness Overview

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Questions and Answers

The expression "ship of fools" originated from the practice of sending people with mental illness to sea alone to search for their lost rationality.

True (A)

Who is often referred to as the "father of American psychiatry"?

  • Linda Richards
  • Abraham Maslow
  • Benjamin Rush (correct)
  • Dorothea Dix

What was a major factor contributing to the deterioration of conditions in state asylums during the 19th century?

Overcrowding and understaffing

The first psychiatric nursing school in the United States was established at the ______ in Waverly, Massachusetts.

<p>McLean Asylum</p> Signup and view all the answers

Which of the following was NOT a treatment method used by Benjamin Rush?

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

Match the following individuals with their contributions to mental health care:

<p>Dorothea Dix = Advocated for humane care in state asylums Linda Richards = First American psychiatric nurse Benjamin Rush = Pioneer of American psychiatry, emphasized humanistic treatment Abraham Maslow = Developed the hierarchy of needs model</p> Signup and view all the answers

The National Mental Health Act of 1946 focused primarily on funding research into new medications for mental illness.

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

What significant event led to the increased need for psychiatric care in the United States in the post-World War II era?

<p>World War II</p> Signup and view all the answers

According to Maslow's hierarchy of needs, which need must be met before an individual can focus on self-actualization?

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

The ______ movement in the 1960s shifted the focus of mental health care from institutions to communities.

<p>community health</p> Signup and view all the answers

Historically, the care of individuals with mental illness was primarily a family responsibility.

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

What significant change occurred in psychiatric nursing education in 1955?

<p>Incorporation of psychiatric nursing into the curriculum of all undergraduate schools of nursing.</p> Signup and view all the answers

Which of these is NOT a key concept emphasized in the new psychiatric nursing curriculum introduced in 1955?

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

The introduction of ______ in the mid-20th century allowed clients with psychoses to participate more actively in their treatment.

<p>antipsychotic medications</p> Signup and view all the answers

In the Middle East, mental illness was initially viewed as a result of supernatural forces.

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

What is self-actualization according to Abraham Maslow's hierarchy of needs?

<p>Fulfillment of one's highest potential</p> Signup and view all the answers

According to Maslow, what is one characteristic of a self-actualized individual?

<p>An intense emotional reaction to life's events (C)</p> Signup and view all the answers

Jahoda's indicators of mental health include a focus on personal growth and development.

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

What does Jahoda's indicator of 'integration' refer to?

<p>Maintaining balance among various life processes, including adaptive responses to the environment and development of a personal philosophy.</p> Signup and view all the answers

The ability to perform in an independent, self-directed manner is referred to as ______ in Jahoda's model of mental health.

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

Which of the following is NOT included in Jahoda's list of mental health indicators?

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

According to Horwitz, incomprehensibility is a key factor in how mental illness is perceived.

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

Explain the concept of cultural relativity as it relates to mental illness.

<p>Cultural relativity means that what's considered normal or abnormal behavior varies across cultures. A behavior viewed as a sign of mental illness in one culture may be seen as acceptable in another.</p> Signup and view all the answers

The APA's DSM-5-TR defines mental disorder as a ______ in an individual's cognition, emotion regulation, or behavior.

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

Match the following concepts with their definitions:

<p>Self-actualization = A dynamic state of age-appropriate thought, feeling, and behavior congruent with local and cultural norms. Incomprehensibility = The inability to understand the motivations behind someone's behavior. Mental health = The successful adaptation to stressors, evidenced by age-appropriate thoughts, feelings, and behaviors. Cultural relativity = Variations in what is considered normal or abnormal behavior across different cultures.</p> Signup and view all the answers

According to Maslow, which characteristic is NOT associated with self-actualized individuals?

<p>A need for constant external validation (B)</p> Signup and view all the answers

Robinson's definition of mental health emphasizes the importance of conformity to social norms.

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

What is the significance of the DSM-5-TR's definition of mental disorder?

<p>It provides a standardized framework for diagnosing and classifying mental disorders, promoting consistency in clinical practice and research.</p> Signup and view all the answers

The concept of ______ suggests that mental illness can be viewed along a continuum of thoughts, feelings, and behaviors.

<p>mental health as a continuum</p> Signup and view all the answers

Which of these aspects is NOT considered a key aspect of mental illness as defined by the DSM-5-TR?

<p>Significant deviation from cultural norms (D)</p> Signup and view all the answers

The DSM-5-TR excludes an expected response to common stressors from the definition of mental disorder.

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

Describe the relationship between mental health and environmental mastery as defined by Jahoda.

<p>Environmental mastery refers to the ability to function effectively within one's environment, including establishing satisfying relationships and coping with challenges. Achieving this mastery is seen as a positive indicator of mental health, as it reflects the ability to adapt and thrive.</p> Signup and view all the answers

What did Hippocrates believe caused mental illness?

<p>Irregularities in body fluids (A)</p> Signup and view all the answers

In ancient cultures, mental illness was often attributed to supernatural forces.

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

Name one treatment method used in ancient cultures for mental illness.

<p>Ritualistic exorcism</p> Signup and view all the answers

In the theory centered around Hippocrates, the four body fluids were known as __________.

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

Match the historical belief about mental illness with its corresponding treatment:

<p>Evil spirits = Ritualistic exorcism Witchcraft = Execution Taboo violation = Purification rituals Imbalance of humors = Inducing vomiting and diarrhea</p> Signup and view all the answers

During which period did the association of mental illness with witchcraft predominate in Europe?

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

Hippocrates' approach treated mental illness as a supernatural problem.

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

What were the four body fluids identified by Hippocrates?

<p>Blood, black bile, yellow bile, and phlegm</p> Signup and view all the answers

What is considered abnormal during the mourning process?

<p>Absence of mourning (C)</p> Signup and view all the answers

Grief is classified as a mental illness.

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

What new diagnostic category was added in the DSM-5-TR for those experiencing prolonged grief?

<p>Prolonged grief disorder</p> Signup and view all the answers

Mental health is defined as the successful adaptation to stressors evidenced by thoughts, feelings, and behaviors that are _____.

<p>age appropriate</p> Signup and view all the answers

Match the terms related to grief and mental health to their definitions:

<p>Normal grief = Adaptive response to loss Maladaptive grief = Responses that can lead to clinical depression Anxiety = Response to stress characterized by varying severity Mental illness = Maladaptive responses interfering with functioning</p> Signup and view all the answers

How long must intense distress last after a loved one’s death to be classified as prolonged grief disorder?

<p>12 months (B)</p> Signup and view all the answers

Anxiety and grief are described as responses to stress.

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

What are the two primary responses to stress identified in the content?

<p>Anxiety and grief</p> Signup and view all the answers

Mental illness is defined as _____ responses to stressors that interfere with functioning.

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

According to Peplau, how is anxiety defined?

<p>By levels of symptom severity (B)</p> Signup and view all the answers

Which of the following is not considered a coping mechanism for mild anxiety?

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

Crying is considered a maladaptive coping mechanism for moderate anxiety.

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

Name one coping behavior that enhances knowledge.

<p>Studying or learning new skills</p> Signup and view all the answers

A physically disabled boy may use ______ to become a great scholar as a form of coping.

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

Match the defense mechanism with its description:

<p>Denial = Refusing to acknowledge a problem Regression = Returning to an earlier level of development Projection = Attributing unwanted feelings to others Rationalization = Making excuses for behaviors</p> Signup and view all the answers

What happens to the perceptual field as anxiety increases?

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

Ego defense mechanisms are always conscious actions taken by an individual.

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

What is the primary function of coping skills?

<p>To enhance adaptation</p> Signup and view all the answers

A person exhibiting excessive chewing of their nails may be demonstrating a coping mechanism known as ______.

<p>nail biting</p> Signup and view all the answers

Which of the following is an adaptive coping mechanism?

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

Talking to someone one feels comfortable with is a form of maladaptive coping mechanism.

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

According to Anna Freud, what happens when defense mechanisms become maladaptive?

<p>They interfere with reality and interpersonal relations.</p> Signup and view all the answers

A behavior where one expresses unacceptable feelings toward a less threatening target is known as ______.

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

Match the coping mechanism with its category:

<p>Daydreaming = Emotion-focused coping Eating = Behavioral coping Smoking = Behavioral coping Social support = Emotion-focused coping</p> Signup and view all the answers

What psychosomatic effect can unresolved anxiety lead to?

<p>Various physiological disorders (D)</p> Signup and view all the answers

Which of the following is considered a primary psychological response pattern to stress?

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

All individuals experience anxiety as distressful.

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

What characterizes mild anxiety?

<p>Heightened perception and increased motivation, enhancing learning and functioning.</p> Signup and view all the answers

Severe anxiety can lead to feelings of __________ and __________.

<p>dread, horror</p> Signup and view all the answers

Match the level of anxiety with its primary characteristics:

<p>Mild = Heightened perception, learning is enhanced Moderate = Reduced alertness, increased muscle tension Severe = Inability to concentrate, physical symptoms like headaches Panic = Extreme withdrawal and misperceptions of the environment</p> Signup and view all the answers

At what level of anxiety does learning begin to become ineffective?

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

An individual may not be aware of the source of their anxiety.

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

What physiological factors may influence an individual’s response to stress?

<p>Heredity, temperament, learned response patterns, maturity.</p> Signup and view all the answers

Anxiety can become problematic when it interferes with the ability to meet __________ needs.

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

Which level of anxiety is characterized by a sense of impending doom?

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

High levels of anxiety always motivate individuals positively.

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

Name one psychological behavior associated with moderate anxiety.

<p>Increased restlessness or decreased attention span.</p> Signup and view all the answers

Individuals experiencing __________ anxiety may exhibit bizarre behaviors such as shouting or running wildly.

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

Which of these is a characteristic behavior of someone experiencing severe anxiety?

<p>Fixation on a single detail (B)</p> Signup and view all the answers

Match the physiological symptoms with their corresponding level of anxiety:

<p>Mild = Increased awareness and motivation Moderate = Increased heart rate and muscular tension Severe = Headaches and dizziness Panic = Severe trembling and incoherence</p> Signup and view all the answers

What is sublimation in psychological terms?

<p>Redirecting unacceptable impulses into constructive activities (B)</p> Signup and view all the answers

Suppression is the involuntary blocking of unpleasant feelings.

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

What is the primary emotional response to grief?

<p>Sorrow and sadness</p> Signup and view all the answers

A man yells at his wife and later buys her flowers as a way of ____ his behavior.

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

Match the following anxiety types with their characteristics:

<p>Severe Anxiety = Limited attention span, difficulty completing tasks Panic Anxiety = Inability to focus, potential hallucinations Psychosis = Significant thought disturbance, loss of reality testing Neurosis = Excessive anxiety without severe reality distortion</p> Signup and view all the answers

Which disorder is characterized by a preoccupation with distressing somatic symptoms?

<p>Somatic symptom disorder (D)</p> Signup and view all the answers

Those experiencing neurosis are often unaware of the psychological causes of their distress.

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

What can prolonged panic anxiety lead to?

<p>Physical and emotional exhaustion</p> Signup and view all the answers

Grief encompasses emotional, physical, and ____ responses to loss.

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

Match the following loss types with their examples:

<p>Real loss = Death of a loved one Perceived loss = Loss of femininity after mastectomy Adaptive response = Healthy coping mechanisms Maladaptive response = Avoiding discussing feelings</p> Signup and view all the answers

Which of the following is NOT a characteristic of psychosis?

<p>Awareness of behaviors (C)</p> Signup and view all the answers

Individuals with panic anxiety often exhibit effective communication with others.

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

What is the primary cause of neurosis?

<p>Excessive anxiety</p> Signup and view all the answers

In cases of severe anxiety, the individual's perceptual field is greatly _____.

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

Which of the following is an example of a dissociative disorder?

<p>Dissociative identity disorder (D)</p> Signup and view all the answers

Grief can only be triggered by real losses.

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

Flashcards

Mental Health

A state of emotional and psychological well-being.

Mental Illness

A condition that affects a person's thinking, feeling, or behavior.

Cultural Beliefs

Shared standards and values that shape perceptions of behavior.

Ancient Treatments

Early methods for addressing mental illness often involving rituals and brutality.

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Hippocrates

An ancient Greek physician who attributed mental illness to natural causes.

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Four Humors

Blood, black bile, yellow bile, and phlegm; thought to influence mental health.

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Middle Ages

Period where mental illness was often linked to witchcraft and the supernatural.

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Psychological Adaptation

The process of adjusting emotionally and mentally to stressors.

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Normal Mourning Process

A healthy emotional reaction including sadness, guilt, and anger after a loss.

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Maladaptive Grief

Responses to grief that do not facilitate healing, potentially leading to mental illness.

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Prolonged Grief Disorder

An intense distress lasting over 12 months after a loss, classified in DSM-5-TR.

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Mental Health Continuum

A scale representing the spectrum from mental health to mental illness based on symptoms.

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Symptoms of Anxiety

Responses to stress characterized by varying levels: mild to panic.

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Adaptive Grief

Grief that successfully facilitates emotional processing and healing.

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Maladaptive Responses

Behaviors that interfere with functioning and are inconsistent with cultural norms.

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Cultural Relativity in Mental Illness

Behavior interpretation depends on local cultural understanding and norms.

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Anxiety Levels

Different severities of anxiety: mild, moderate, severe, and panic, as per Peplau.

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Normal Grief Response vs. Mental Illness

Normal grief is adaptive; persistent issues indicate potential mental health concerns.

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Ship of Fools

A practice where individuals with mental illness were sent to sea alone to find their lost rationality.

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First Asylums

Specialized hospitals for mental illness established in Middle Eastern countries.

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Benjamin Rush

The father of American psychiatry who advocated for humane treatment of the mentally ill.

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Dorothea Dix

A reformer who lobbied for better treatment and care for the mentally ill in state hospitals.

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19th Century Asylums

Institutions that became overcrowded and reverted to custodial care for mental illness.

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Linda Richards

First American psychiatric nurse who graduated in 1873 and helped establish psychiatric nursing programs.

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Psychiatric Nursing Education

Incorporation of psychiatric nursing into curricula became mandatory only in 1955.

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National Mental Health Act of 1946

Legislation that funded education for mental health professionals after World War II.

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Maslow's Hierarchy of Needs

A theory that describes the stages of human motivation towards self-actualization.

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Self-Actualization

The highest potential one can achieve once basic needs are fulfilled according to Maslow.

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Therapeutic Communication

An essential skill for nurses that emphasizes the nurse-patient relationship post-1955.

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Somatic Therapies

Physical treatments like insulin and electroconvulsive therapy used in psychiatric nursing.

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Psychological Therapies

Treatment approaches that involve conversation and understanding with a focus on psyche healing.

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Community Health Movement

A shift in mental health care during the 1960s focusing on community support.

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History of Mental Health Care

Understanding past practices in mental health helps inform current approaches.

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Stressors

Internal or external factors causing stress.

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Anxiety

Discomfort and apprehension related to fear of danger, often unknown.

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Core Concept

Fundamental idea related to stress adaptation and responses.

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Physiological Factors

Body-based influences on stress responses, such as genetics and health.

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Predisposing Factors

Elements like heredity and temperament that affect stress reactions.

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Coping Strategies

Methods individuals use to manage stress and anxiety.

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Levels of Anxiety

Categories describing the intensity of anxiety: mild, moderate, severe, panic.

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Mild Anxiety Characteristics

Heightened perception, increased motivation; learning enhanced.

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Moderate Anxiety Characteristics

Reduced awareness and concentration; learning occurs but less optimally.

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Severe Anxiety Characteristics

Very limited perception, inability to problem-solve, physical symptoms increase.

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Panic Anxiety Characteristics

Total focus loss; misperceptions and extreme reactions occur.

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Psychological Response Patterns

Typical mental reactions to stress, e.g., anxiety and grief.

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Adaptation to Stress

The process of adjusting thoughts, feelings, and behaviors in response to stressors.

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Coping Mechanisms

Strategies individuals use to manage anxiety in stressful situations.

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Adaptive vs. Maladaptive

Adaptive behaviors help cope effectively, while maladaptive interfere with reality.

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Ego Defense Mechanisms

Psychological strategies employed by the ego to protect against anxiety and threats.

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Compensation

Covering up real or perceived weaknesses by emphasizing desirable traits.

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Denial

Refusing to acknowledge the existence of a real situation or associated feelings.

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Displacement

Transferring feelings towards one target to another that is less threatening.

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Identification

Increasing self-worth by acquiring traits from someone admired.

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Intellectualization

Avoiding emotions by using logic and analysis in stressful situations.

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Projection

Attributing one’s own unacceptable feelings to another person.

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Rationalization

Making excuses for unacceptable feelings or behaviors.

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Reaction Formation

Preventing undesirable thoughts by exaggerating opposite thoughts or behaviors.

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Regression

Returning to an earlier level of development in response to stress.

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Repression

Involuntarily blocking unpleasant feelings from awareness.

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Moderate Anxiety

Increased anxiety that reduces attention span and concentration.

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Self-actualization characteristics

Traits possessed by self-actualized individuals including acceptance and creativity.

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Positive attitude toward self

An objective view of oneself with a strong sense of identity and security.

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Growth and development

The ability to achieve self-actualization through developmental tasks.

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Integration

Maintaining balance among life processes and adapting to environments.

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Autonomy

The ability to act independently and take responsibility for choices.

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Perception of reality

Accurate view of the environment, showing empathy and social sensitivity.

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Environmental mastery

Achieving a satisfactory role and adapting to life situations effectively.

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Mental health definition

Successful adaptation to stressors, evidenced by appropriate thoughts and behaviors.

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Incomprehensibility

The inability of people to understand actions leading to labels of mental illness.

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Cultural relativity

Behavior defined by societal norms, varying between cultures.

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Mental disorder definition (DSM-5-TR)

A syndrome causing clinically significant disturbances in cognition, emotion, or behavior.

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Distress in mental health

Significant distress or disability in critical areas of life due to mental disorders.

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Expected responses

Responses to common stressors that are not classified as mental disorders.

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Peak experiences

Intense experiences that affirm life’s worth and beauty.

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Creativeness in self-actualization

The ability to express oneself innovatively and think outside the box.

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Sublimation

Rechanneling unacceptable drives into constructive activities.

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Suppression

Voluntarily blocking unpleasant feelings from awareness.

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Undoing

Symbolically negating a distressing experience through compensatory actions.

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Severe Anxiety

Extreme limitation of attention and concentration due to anxiety.

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Neurosis

A psychiatric disturbance with excessive anxiety using defense mechanisms.

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Anxiety Disorders

Disorders characterized by anxiety symptoms and avoidance behavior.

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Somatic Symptom Disorders

Preoccupation with physical symptoms with no organic cause.

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Dissociative Disorders

Disruption of integrated functions like memory and identity.

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Panic Anxiety

Intense anxiety where the individual cannot focus and may hallucinate.

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Psychosis

Significant thought disturbance with impaired reality testing.

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Core Concept of Grief

Subjective sorrow due to loss, affecting emotional and social responses.

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Mourning

The characteristic emotions and behaviors following a loss.

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Loss

Anything perceived as a loss by an individual, real or imagined.

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Adaptive Response to Loss

A healthy way to cope with and process grief.

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Maladaptive Response to Loss

An unhealthy way of coping that can worsen distress.

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Study Notes

Mental Health and Mental Illness

  • Mental health is defined as successful adaptation to internal or external stressors, exhibiting age-appropriate and culturally-normative thoughts, feelings, and behaviors.
  • Mental illness is characterized by maladaptive responses to stressors, incongruent thoughts, feelings, and behaviors that disrupt social, occupational, or physical functioning.
  • Cultural beliefs influence perceptions of acceptable behavior, impacting diagnoses.
  • Behaviors deemed abnormal in one culture may be normal in another.

Historical Overview of Psychiatric Care

  • Ancient treatments often involved rituals, exorcism, or purification based on supernatural beliefs.
  • Hippocrates (400 BCE) attributed mental illness to an imbalance of bodily "humors."
  • Middle Ages saw continued association of mental illness with witchcraft.
  • Middle Eastern cultures sometimes viewed mental illness as a medical problem.
  • Colonial America reflected European attitudes, with punishment for behaviors deemed "witchcraft."
  • The 18th century saw the first American hospital for mental illness, with Benjamin Rush pioneering humanistic approaches.
  • The 19th century saw Dorothea Dix advocate for state asylums.
  • State asylums grew overcrowded and conditions deteriorated.
  • The 1960s community health movement brought change.
  • 1873 saw the emergence of psychiatric nursing with Linda Richards.
  • Psychiatric nursing training focused on custodial care until the 1950s.
  • The National Mental Health Act of 1946 funded further education and antipsychotic medications improved treatment.

Defining Mental Health

  • Maslow's hierarchy of needs emphasizes self-actualization as a key component of mental health.
  • Jahoda's six indicators: positive self-attitude, growth, integration, autonomy, reality perception, and environmental mastery.
  • Robinson's definition: age-appropriate and culturally congruent thoughts, feelings, and behaviors.
  • Modern definition: successful adaptation to stressors.

Mental Illness - Sociocultural Perspective

  • Horwitz's sociocultural perspective: incomprehensibility and cultural relativity influence diagnosis.
  • DSM-5-TR defines mental disorder as a syndrome with significant disturbance in cognition, emotion regulation, or behavior.
  • DSM-5-TR excludes expected responses to common stressors as mental disorders.
  • Different cultural norms impact how mental illness is perceived.

Stress and Adaptation

  • Anxiety and grief are primary responses to stress.
  • Adaptive responses maintain functioning; maladaptive responses disrupt functioning.
  • Peplau's four levels of anxiety: mild, moderate, severe, and panic. Each level has different associated psychological, behavioral, and physical characteristics.
  • Coping mechanisms vary in effectiveness.
  • Ego defense mechanisms can be adaptive or maladaptive.
  • Grief is a normal response to loss, but prolonged maladaptive responses can develop into disorders.
  • A continuum exists, linking normal experiences to disorders, reflecting the degree of symptom severity.

Continuum of Mental Health/Mental Illness

  • A continuum, incorporating adaptive and maladaptive responses to stress, represents different levels of functioning.

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