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Psychiatry reflection paper
Psychiatry reflection paper
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Even though Dr. Roy Basch moved from the BMS to study psychiatry at Mount Misery he was faced with a similar conflict: being taught conflicting methods of research. With each new rotation Roy was exposed to a different type of psychiatric research exposing him to a plethora of different ideas and theories. One of the most effective methods Roy was taught was introduced to him during his time under the care and teaching of Dr. Malik. Dr. Malik’s methods were effective because he was humble and connected with his patients as human beings, allowing them to recover because their terrifying sickness was “just apart of being human” (page 158). Malik displayed his humility in a number of ways. First of all, he was not afraid to admit his limitations. He did not try to heal every patient on his service but instead acknowledged “most of the patients would be better off outside of Misery and that we would discharge as many as possible…. The ones who needed to stay, he’d go to bat for” (page 32). Mr. K was an example of the “harm done by shrinks trying to fix people” (page 36) because many shrinks failed to recognize the difference between something that is “organic-medically treatable-as opposed to mental”, adding, “You don’t treat brain tumors with psychotherapy.” (page 36). He also “had a healthy respect for how crazy, and unreachable, some people were” (page 158) and for those people he suggested, “if you cant help ‘em, at least don’t hurt ‘em” (page 158). Thus he realized in some cases his own abilities and the wonders of modern medicine were not enough. Furthermore, Malik did not rely on his own knowledge to help his patients recover. He was humble enough to admit, “The problem aint not knowin, it’s not askin”. That is why Malik ... ... middle of paper ... ...s to “start moving toward vitality” (page 158). That is why psychiatry actually has the power to cure people. As Malik pointed out to Roy, “With a basically healthy young women like this who wants to kill herself, if you can connect with her right now, at this shit-moment in her life, shell probably never try to kill herself again! If that aint a cure, what is?” (page 68). Even though most people think “cures” are only derived from labs and test tubes, in psychiatry a cure can require something as simple as a conversation or even just a question. Ultimately, Malik’s method of research is effective because he approached it with humility and carried it out to build a connection with his patients. Just like the brain relies on the connections between neurons to carry out its functions, the connection between the doctor and patient is a critical part of psychotherapy.
This is evident in another patient that visited with Mary Pipher: Monica. Monica had older parents who talked about philosophy instead of pop culture. She also struggled with weight and acne, which caused her to fall in a mild depression. After following Pipher’s advice of maintaining a regular exercise plan and making a few friends, Monica regained some confidence by making these adjustments to her unwanted situation. Pipher explains that different people respond to depression in different ways, especially adolescent girls. Some mild cases result in constant anger while more extreme instances lead to suicide. Because these stages make young girls so vulnerable, Pipher advises that these situations, whether mild or extreme, be taken
In the text, Gawande states, “I punctured a patient’s lung, for example-the right lung of a chief of surgery from another hospital, no less-and given the odds, I’m sure such things will happen again.” This shows how fatal errors can occur during a surgical procedure however, it is something that surgical residents have to grow accustomed to since mistakes like this are likely to reoccur. Gawande also mentions that when practicing on a patient, mistakes are bound to happen however, it is a part of learning. In the text, Gawande states, “She let me continue with the next steps, which I bumbled through. I didn’t realize how long and floppy the guide wire was until I pulled the coil of its plastic sleeve, and, putting one end of it into the patient, I very nearly contaminated the other.” This quote proves that although mistakes can happen, it is a part of the learning process. In this specific part, Gawande talks about how he nearly made a severe error however, he was able to learn from his mistake and complete the procedure successfully. This shows how practicing on patients is necessary for the advancement of the medical field. Therefore, although ethical and practical tensions may arise, practicing on patients is needed in order to save the lives of many in the long
The more we use our brain, the “stronger” it becomes. “Scientists have found that the brain grows more when people learn something new and less when they practice things they already know” (Health & Science, n.d.). In this sense, Dr. Osteen opened up a new world for Dr. Gawande to over come his plateau and to observe his practice from another point of view apart from his usual routine surgeries. His feeling that there was nothing more to learn was merely because his practice involved the same routine and same techniques which didn’t allow for
Najjar came in with a completely different mindset then the rest of the doctors. He grew up in a small town in Syria and did very poor in the private school classroom environment (Calahan 128). No one believed in him, and even his parents lost all hope in him achieving success. They decided to have him transfer into a public school. This opened up a new mindset for Dr. Najjar and lit a spark inside of him. At his new school, a specific teacher caught interest in him and praised him for his work which raised his confidence. Dr. Najjar easily could have taken this confidence and stopped putting forth the effort needed to continue succeeding, but instead, he stayed persistent, and at the end of the school year, he came home with straight A's on his report card. His parents didn’t think this was possible and accused him of cheating. His teachers backed him up and assured his parents that he worked hard to earn his good grades. As time went on, his success continued and Najjar eventually graduated at the top of his class in medical school. He then moved to the United States where he became an esteemed neurologist and epileptologist. No one believed in Dr. Najjar growing up, so he wanted to prove a point to everyone who doubted him and he made it clear he was never going to give up on
Madness: A History, a film by the Films Media Group, is the final installment of a five part series, Kill or Cure: A History of Medical Treatment. It presents a history of the medical science community and it’s relationship with those who suffer from mental illness. The program uses original manuscripts, photos, testimonials, and video footage from medical archives, detailing the historical progression of doctors and scientists’ understanding and treatment of mental illness. The film compares and contrasts the techniques utilized today, with the methods of the past. The film offers an often grim and disturbing recounting of the road we’ve taken from madness to illness.
By examining William’s personal struggle with the mental disorder of major depressive disorder the devastation this illness causes on the functioning of individuals is clearly highlighted. More importantly, the narrative reveals the importance of receiving help quickly after the onset of symptoms. The unfortunate truth of the illness of depression is that a large percentage of individuals wait many years to receive help and a small number do not even receive treatment for varying reasons. As a result of the individuals with depression who do not seek immediate help due to not understanding that what they are experiencing is an atypical response, the afraid of being stigmatized and learned helplessness, the mood disorder of depression acts like a silent
In the US., the therapeutic group seldom has approaches to correspond with individuals of societies so drastically unique in relation to standard American society; even a great interpreter will think that it troublesome deciphering ideas between the two separate societies' reality ideas. American specialists, not at all like Hmong shamans, regularly physically touch and cut into the collections of their patients and utilize an assortment of capable medications and meds.
As medical advances are being made, it makes the treating of diseases easier and easier. Mental hospitals have changed the way the treat a patient’s illness considerably compared to the hospital described in One Flew Over the Cuckoo’s Nest.
Szasz, Thomas. Coercion as Cure: A Critical History of Psychiatry. New Brunswick, New Jersey: Transaction, 2007. Print. Braslow, Joel T. Mental Ills and Bodily Cures: Psychiatric Treatment in the First Half of the Twentieth Century. California: University of California, 1997. Print.
Moral treatment is a treatment that uses “psychological methods” to treat mental diseases (Packet Two, 26). In general, moral treatment was a relatively benevolent and humane approach to treat mental disorders. Before the introduction of moral treatment, insane people were regarded by the general public as wild animals whose brains were physically impaired and usually incurable (Packet One, 11). Therefore, regardless of patients’ specific symptoms, physicians generally labeled patients as lunatics and treated them with the same method (Packet One, 11). Because of the perceived impossibility of curing mental illness, physicians put far greater emphasis on restraining patients’ potential danger behaviors than striving to bring them back to sanity. Cruel methods such as bloodletting were widely used, but their effectiveness was really poor. Moral treatment was a response to this ineffective and brutal traditional treatment. The advocates of moral treatment insisted that mental diseases were curable. By providing a friendly environment that contributed to reviving, moral treatment could help patients to...
In recent years, he has developed an interest in how people cope with the stresses of warfare, a focus that has led to several books (Like Lions They Fought, Mau Mau, The End of the Asante Empire, Warriors of the Rising Sun, Death or Glory, and Warrior Women and Hidden Heroism). This interest continues, as does his concern with the impact of cultural relativism on cultural theory, best seen in Sick Societies: Challenging the Myth of Primitive Harmony, published in 1992. Throughout his career, he has maintained an interest in the community adaptation of persons with mild mental retardation. Over the past 40 years Edgerton has also been a teacher and mentor in the Neuropsychiatric Institute at UCLA where he has received a lot of support for his research.
Latorre, M. (2000). A Holistic View of Psychotherapy: Connecting Mind, Body, and Spirit. Perspectives in Psychiatric Care, 36:2, 67-68.
Those who have experienced with cognitive health issues will be able to recognize how an able body with an irregular mindset can hold their lives back right under the surveillance of the people around them. Having been struggling with major depressive disorder for years, I am able to witness the changes that occur within my life and the effect of the absence of “equilibrium” (Sartorius. 662) that an individual needs in order to conciliate with oneself. Through the journey to recovery, I learn that in order to overcome the problem, one must first learn to acknowledge the issue, and explore the different actions that can be taken to treat it with. In the perspective of someone who is aiming to become a healthcare provider, it is a never ending cycle of learning how to better improve the ways to take care of each patient, and most oftenly, the patient’s emotion has great effects on how their diseases can be treated. It is beneficial to view “the disease with the person who has it” (Sartorius. 663) in order for doctors to progress through the treatment, as this method “improve the practice of medicine” and provides a more “realistic” and “humane” (Sartorius. 663) connection between the two parties. Ultimately, both the caregiver and the receiver gains experience from the improved
Psychosomatic Medicine, 60, 697. Schwartz, B. (2007). The 'Secondary' of the 'Se There Must Be An Alternative. Psychological Inquiry, 18, 48-51.