Podcast
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.
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"?
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?
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.
The first psychiatric nursing school in the United States was established at the ______ in Waverly, Massachusetts.
Which of the following was NOT a treatment method used by Benjamin Rush?
Which of the following was NOT a treatment method used by Benjamin Rush?
Match the following individuals with their contributions to mental health care:
Match the following individuals with their contributions to mental health care:
The National Mental Health Act of 1946 focused primarily on funding research into new medications for mental illness.
The National Mental Health Act of 1946 focused primarily on funding research into new medications for mental illness.
What significant event led to the increased need for psychiatric care in the United States in the post-World War II era?
What significant event led to the increased need for psychiatric care in the United States in the post-World War II era?
According to Maslow's hierarchy of needs, which need must be met before an individual can focus on self-actualization?
According to Maslow's hierarchy of needs, which need must be met before an individual can focus on self-actualization?
The ______ movement in the 1960s shifted the focus of mental health care from institutions to communities.
The ______ movement in the 1960s shifted the focus of mental health care from institutions to communities.
Historically, the care of individuals with mental illness was primarily a family responsibility.
Historically, the care of individuals with mental illness was primarily a family responsibility.
What significant change occurred in psychiatric nursing education in 1955?
What significant change occurred in psychiatric nursing education in 1955?
Which of these is NOT a key concept emphasized in the new psychiatric nursing curriculum introduced in 1955?
Which of these is NOT a key concept emphasized in the new psychiatric nursing curriculum introduced in 1955?
The introduction of ______ in the mid-20th century allowed clients with psychoses to participate more actively in their treatment.
The introduction of ______ in the mid-20th century allowed clients with psychoses to participate more actively in their treatment.
In the Middle East, mental illness was initially viewed as a result of supernatural forces.
In the Middle East, mental illness was initially viewed as a result of supernatural forces.
What is self-actualization according to Abraham Maslow's hierarchy of needs?
What is self-actualization according to Abraham Maslow's hierarchy of needs?
According to Maslow, what is one characteristic of a self-actualized individual?
According to Maslow, what is one characteristic of a self-actualized individual?
Jahoda's indicators of mental health include a focus on personal growth and development.
Jahoda's indicators of mental health include a focus on personal growth and development.
What does Jahoda's indicator of 'integration' refer to?
What does Jahoda's indicator of 'integration' refer to?
The ability to perform in an independent, self-directed manner is referred to as ______ in Jahoda's model of mental health.
The ability to perform in an independent, self-directed manner is referred to as ______ in Jahoda's model of mental health.
Which of the following is NOT included in Jahoda's list of mental health indicators?
Which of the following is NOT included in Jahoda's list of mental health indicators?
According to Horwitz, incomprehensibility is a key factor in how mental illness is perceived.
According to Horwitz, incomprehensibility is a key factor in how mental illness is perceived.
Explain the concept of cultural relativity as it relates to mental illness.
Explain the concept of cultural relativity as it relates to mental illness.
The APA's DSM-5-TR defines mental disorder as a ______ in an individual's cognition, emotion regulation, or behavior.
The APA's DSM-5-TR defines mental disorder as a ______ in an individual's cognition, emotion regulation, or behavior.
Match the following concepts with their definitions:
Match the following concepts with their definitions:
According to Maslow, which characteristic is NOT associated with self-actualized individuals?
According to Maslow, which characteristic is NOT associated with self-actualized individuals?
Robinson's definition of mental health emphasizes the importance of conformity to social norms.
Robinson's definition of mental health emphasizes the importance of conformity to social norms.
What is the significance of the DSM-5-TR's definition of mental disorder?
What is the significance of the DSM-5-TR's definition of mental disorder?
The concept of ______ suggests that mental illness can be viewed along a continuum of thoughts, feelings, and behaviors.
The concept of ______ suggests that mental illness can be viewed along a continuum of thoughts, feelings, and behaviors.
Which of these aspects is NOT considered a key aspect of mental illness as defined by the DSM-5-TR?
Which of these aspects is NOT considered a key aspect of mental illness as defined by the DSM-5-TR?
The DSM-5-TR excludes an expected response to common stressors from the definition of mental disorder.
The DSM-5-TR excludes an expected response to common stressors from the definition of mental disorder.
Describe the relationship between mental health and environmental mastery as defined by Jahoda.
Describe the relationship between mental health and environmental mastery as defined by Jahoda.
What did Hippocrates believe caused mental illness?
What did Hippocrates believe caused mental illness?
In ancient cultures, mental illness was often attributed to supernatural forces.
In ancient cultures, mental illness was often attributed to supernatural forces.
Name one treatment method used in ancient cultures for mental illness.
Name one treatment method used in ancient cultures for mental illness.
In the theory centered around Hippocrates, the four body fluids were known as __________.
In the theory centered around Hippocrates, the four body fluids were known as __________.
Match the historical belief about mental illness with its corresponding treatment:
Match the historical belief about mental illness with its corresponding treatment:
During which period did the association of mental illness with witchcraft predominate in Europe?
During which period did the association of mental illness with witchcraft predominate in Europe?
Hippocrates' approach treated mental illness as a supernatural problem.
Hippocrates' approach treated mental illness as a supernatural problem.
What were the four body fluids identified by Hippocrates?
What were the four body fluids identified by Hippocrates?
What is considered abnormal during the mourning process?
What is considered abnormal during the mourning process?
Grief is classified as a mental illness.
Grief is classified as a mental illness.
What new diagnostic category was added in the DSM-5-TR for those experiencing prolonged grief?
What new diagnostic category was added in the DSM-5-TR for those experiencing prolonged grief?
Mental health is defined as the successful adaptation to stressors evidenced by thoughts, feelings, and behaviors that are _____.
Mental health is defined as the successful adaptation to stressors evidenced by thoughts, feelings, and behaviors that are _____.
Match the terms related to grief and mental health to their definitions:
Match the terms related to grief and mental health to their definitions:
How long must intense distress last after a loved one’s death to be classified as prolonged grief disorder?
How long must intense distress last after a loved one’s death to be classified as prolonged grief disorder?
Anxiety and grief are described as responses to stress.
Anxiety and grief are described as responses to stress.
What are the two primary responses to stress identified in the content?
What are the two primary responses to stress identified in the content?
Mental illness is defined as _____ responses to stressors that interfere with functioning.
Mental illness is defined as _____ responses to stressors that interfere with functioning.
According to Peplau, how is anxiety defined?
According to Peplau, how is anxiety defined?
Which of the following is not considered a coping mechanism for mild anxiety?
Which of the following is not considered a coping mechanism for mild anxiety?
Crying is considered a maladaptive coping mechanism for moderate anxiety.
Crying is considered a maladaptive coping mechanism for moderate anxiety.
Name one coping behavior that enhances knowledge.
Name one coping behavior that enhances knowledge.
A physically disabled boy may use ______ to become a great scholar as a form of coping.
A physically disabled boy may use ______ to become a great scholar as a form of coping.
Match the defense mechanism with its description:
Match the defense mechanism with its description:
What happens to the perceptual field as anxiety increases?
What happens to the perceptual field as anxiety increases?
Ego defense mechanisms are always conscious actions taken by an individual.
Ego defense mechanisms are always conscious actions taken by an individual.
What is the primary function of coping skills?
What is the primary function of coping skills?
A person exhibiting excessive chewing of their nails may be demonstrating a coping mechanism known as ______.
A person exhibiting excessive chewing of their nails may be demonstrating a coping mechanism known as ______.
Which of the following is an adaptive coping mechanism?
Which of the following is an adaptive coping mechanism?
Talking to someone one feels comfortable with is a form of maladaptive coping mechanism.
Talking to someone one feels comfortable with is a form of maladaptive coping mechanism.
According to Anna Freud, what happens when defense mechanisms become maladaptive?
According to Anna Freud, what happens when defense mechanisms become maladaptive?
A behavior where one expresses unacceptable feelings toward a less threatening target is known as ______.
A behavior where one expresses unacceptable feelings toward a less threatening target is known as ______.
Match the coping mechanism with its category:
Match the coping mechanism with its category:
What psychosomatic effect can unresolved anxiety lead to?
What psychosomatic effect can unresolved anxiety lead to?
Which of the following is considered a primary psychological response pattern to stress?
Which of the following is considered a primary psychological response pattern to stress?
All individuals experience anxiety as distressful.
All individuals experience anxiety as distressful.
What characterizes mild anxiety?
What characterizes mild anxiety?
Severe anxiety can lead to feelings of __________ and __________.
Severe anxiety can lead to feelings of __________ and __________.
Match the level of anxiety with its primary characteristics:
Match the level of anxiety with its primary characteristics:
At what level of anxiety does learning begin to become ineffective?
At what level of anxiety does learning begin to become ineffective?
An individual may not be aware of the source of their anxiety.
An individual may not be aware of the source of their anxiety.
What physiological factors may influence an individual’s response to stress?
What physiological factors may influence an individual’s response to stress?
Anxiety can become problematic when it interferes with the ability to meet __________ needs.
Anxiety can become problematic when it interferes with the ability to meet __________ needs.
Which level of anxiety is characterized by a sense of impending doom?
Which level of anxiety is characterized by a sense of impending doom?
High levels of anxiety always motivate individuals positively.
High levels of anxiety always motivate individuals positively.
Name one psychological behavior associated with moderate anxiety.
Name one psychological behavior associated with moderate anxiety.
Individuals experiencing __________ anxiety may exhibit bizarre behaviors such as shouting or running wildly.
Individuals experiencing __________ anxiety may exhibit bizarre behaviors such as shouting or running wildly.
Which of these is a characteristic behavior of someone experiencing severe anxiety?
Which of these is a characteristic behavior of someone experiencing severe anxiety?
Match the physiological symptoms with their corresponding level of anxiety:
Match the physiological symptoms with their corresponding level of anxiety:
What is sublimation in psychological terms?
What is sublimation in psychological terms?
Suppression is the involuntary blocking of unpleasant feelings.
Suppression is the involuntary blocking of unpleasant feelings.
What is the primary emotional response to grief?
What is the primary emotional response to grief?
A man yells at his wife and later buys her flowers as a way of ____ his behavior.
A man yells at his wife and later buys her flowers as a way of ____ his behavior.
Match the following anxiety types with their characteristics:
Match the following anxiety types with their characteristics:
Which disorder is characterized by a preoccupation with distressing somatic symptoms?
Which disorder is characterized by a preoccupation with distressing somatic symptoms?
Those experiencing neurosis are often unaware of the psychological causes of their distress.
Those experiencing neurosis are often unaware of the psychological causes of their distress.
What can prolonged panic anxiety lead to?
What can prolonged panic anxiety lead to?
Grief encompasses emotional, physical, and ____ responses to loss.
Grief encompasses emotional, physical, and ____ responses to loss.
Match the following loss types with their examples:
Match the following loss types with their examples:
Which of the following is NOT a characteristic of psychosis?
Which of the following is NOT a characteristic of psychosis?
Individuals with panic anxiety often exhibit effective communication with others.
Individuals with panic anxiety often exhibit effective communication with others.
What is the primary cause of neurosis?
What is the primary cause of neurosis?
In cases of severe anxiety, the individual's perceptual field is greatly _____.
In cases of severe anxiety, the individual's perceptual field is greatly _____.
Which of the following is an example of a dissociative disorder?
Which of the following is an example of a dissociative disorder?
Grief can only be triggered by real losses.
Grief can only be triggered by real losses.
Flashcards
Mental Health
Mental Health
A state of emotional and psychological well-being.
Mental Illness
Mental Illness
A condition that affects a person's thinking, feeling, or behavior.
Cultural Beliefs
Cultural Beliefs
Shared standards and values that shape perceptions of behavior.
Ancient Treatments
Ancient Treatments
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Hippocrates
Hippocrates
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Four Humors
Four Humors
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Middle Ages
Middle Ages
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Psychological Adaptation
Psychological Adaptation
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Normal Mourning Process
Normal Mourning Process
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Maladaptive Grief
Maladaptive Grief
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Prolonged Grief Disorder
Prolonged Grief Disorder
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Mental Health Continuum
Mental Health Continuum
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Symptoms of Anxiety
Symptoms of Anxiety
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Adaptive Grief
Adaptive Grief
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Maladaptive Responses
Maladaptive Responses
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Cultural Relativity in Mental Illness
Cultural Relativity in Mental Illness
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Anxiety Levels
Anxiety Levels
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Normal Grief Response vs. Mental Illness
Normal Grief Response vs. Mental Illness
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Ship of Fools
Ship of Fools
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First Asylums
First Asylums
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Benjamin Rush
Benjamin Rush
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Dorothea Dix
Dorothea Dix
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19th Century Asylums
19th Century Asylums
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Linda Richards
Linda Richards
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Psychiatric Nursing Education
Psychiatric Nursing Education
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National Mental Health Act of 1946
National Mental Health Act of 1946
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Maslow's Hierarchy of Needs
Maslow's Hierarchy of Needs
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Self-Actualization
Self-Actualization
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Therapeutic Communication
Therapeutic Communication
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Somatic Therapies
Somatic Therapies
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Psychological Therapies
Psychological Therapies
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Community Health Movement
Community Health Movement
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History of Mental Health Care
History of Mental Health Care
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Stressors
Stressors
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Anxiety
Anxiety
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Core Concept
Core Concept
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Physiological Factors
Physiological Factors
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Predisposing Factors
Predisposing Factors
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Coping Strategies
Coping Strategies
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Levels of Anxiety
Levels of Anxiety
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Mild Anxiety Characteristics
Mild Anxiety Characteristics
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Moderate Anxiety Characteristics
Moderate Anxiety Characteristics
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Severe Anxiety Characteristics
Severe Anxiety Characteristics
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Panic Anxiety Characteristics
Panic Anxiety Characteristics
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Psychological Response Patterns
Psychological Response Patterns
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Adaptation to Stress
Adaptation to Stress
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Coping Mechanisms
Coping Mechanisms
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Adaptive vs. Maladaptive
Adaptive vs. Maladaptive
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Ego Defense Mechanisms
Ego Defense Mechanisms
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Compensation
Compensation
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Denial
Denial
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Displacement
Displacement
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Identification
Identification
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Intellectualization
Intellectualization
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Projection
Projection
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Rationalization
Rationalization
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Reaction Formation
Reaction Formation
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Regression
Regression
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Repression
Repression
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Moderate Anxiety
Moderate Anxiety
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Self-actualization characteristics
Self-actualization characteristics
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Positive attitude toward self
Positive attitude toward self
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Growth and development
Growth and development
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Integration
Integration
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Autonomy
Autonomy
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Perception of reality
Perception of reality
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Environmental mastery
Environmental mastery
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Mental health definition
Mental health definition
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Incomprehensibility
Incomprehensibility
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Cultural relativity
Cultural relativity
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Mental disorder definition (DSM-5-TR)
Mental disorder definition (DSM-5-TR)
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Distress in mental health
Distress in mental health
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Expected responses
Expected responses
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Peak experiences
Peak experiences
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Creativeness in self-actualization
Creativeness in self-actualization
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Sublimation
Sublimation
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Suppression
Suppression
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Undoing
Undoing
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Severe Anxiety
Severe Anxiety
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Neurosis
Neurosis
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Anxiety Disorders
Anxiety Disorders
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Somatic Symptom Disorders
Somatic Symptom Disorders
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Dissociative Disorders
Dissociative Disorders
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Panic Anxiety
Panic Anxiety
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Psychosis
Psychosis
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Core Concept of Grief
Core Concept of Grief
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Mourning
Mourning
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Loss
Loss
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Adaptive Response to Loss
Adaptive Response to Loss
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Maladaptive Response to Loss
Maladaptive Response to Loss
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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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