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Essay on the history of mental health
Occupational therapy theoris
Occupational therapy theoris
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In the late 19th century, large institutional asylums were inundated with patients and there was insufficient financial support from the government to properly operate these hospitals. As a result, there was no time to provide individualized treatment for each patient suffering with mental illness and many were incarcerated. The 19th century zeitgeist, viewed the mentally ill as feeble minded, incapable of functioning in society, and unhygienic. Also, Darwin’s theory of “survival of the fittest” led to a lack of social commitment to promote moral treatment for the mentally ill. During the early 20th century, a diverse group of professionals in North America including Adolf Meyer emphasized the importance of a moral treatment approach to promote caring characteristics for ill and disabled people. In particular, Meyer created the psychobiology theory which became one of the most insightful and significant approaches to understanding mental illness. Meyer believed that humans are best understood when you take into consideration their daily activities over the lifespan, thus creating the paradigm known as Occupational Therapy (Kielhofner, 2009, p. 17).
Personal & Professional Life
Adolf Meyer was born on September 13th, 1866 in Switzerland in a small Village called Niederwenigen and was the son of a Zwinglian minister (Scull & Schulkin, 2009, para.1). According to Lidz (1966), Meyer’s grandfather was a follower of a Swiss folk philosopher named Jakob Gujer better known as Kleinjogg (p. 323). The Meyer family intermarried with the Gujers, eventually buying a farm (Lidz, p. 323). The Meyer’s adopted Kleinjogg’s instrumental approach to farming which was being an innovator rather than following tradition by discovering new ways of agric...
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... was responsible for the initiation of this movement. In 1908, he assembled the National Committee for Mental Hygiene (Weckowicz & Liebel-Weckowicz, p. 285).
Lidz (1966), sheds insight on Meyer’s major contributions at John Hopkins:
“to introduce psychobiology and dynamic psychiatry into the medical school curriculum – at that time, into the medical school; to establish a university training center for psychiatrists; to bring psychiatry into a close working relationship with the remainder of medicine; to build and develop a university psychiatric research and teaching hospital; to organize and run a model psychiatric hospital that was community oriented” (p. 328).
For the next 25 years, the medical school program, the residency training, the facilities, and the treatment program at the Phipps Clinic set the standards for other medical institutions (Lidz, p. 328).
Modern psychiatric hospitals evolved from, and eventually replaced the older lunatic asylums. The treatment of inmates in early lunatic asylums was sometimes brutal and focused on containment and restraint with successive waves of reform, and the introduction of effective evidence-based treatments, modern psychiatric hospitals provide a primary emphasis on treatment, and attempt where possible to help patients control their own lives in the outside world, with the use of a combination of psychiatric drugs and
The 1930s was a tough time for all of the mentally ill people. They were not treated the way that they do now. The mentally ill were called names like satans child, or they were not expected or very frowned upon in many religions. So because of all of the people who were mentally ill they started to create asylums. With these asylums they could hold almost all of the mentally ill people during that time. All of the asylums were overcrowded and sometimes there would be around 1 million patients. WIth all of the people in these asylums the staff and doctors became very understaffed so the patients living within the asylums were not treated how they should have been. Then doctors had found ways that they thought could cure these mentally ill people, whether it would be cruel to them or not. The treatments ran from major brain surgery to taking baths for multiple days.
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.
In the 1800’s people with mental illnesses were frowned upon and weren't treated like human beings. Mental illnesses were claimed to be “demonic possessions” people with mental illnesses were thrown into jail cells, chained to their beds,used for entertainment and even killed. Some were even slaves, they were starved and forced to work in cold or extremely hot weather with chains on their feet. Until 1851, the first state mental hospital was built and there was only one physician on staff responsible for the medical, moral and physical treatment of each inmate. Who had said "Violent hands shall never be laid on a patient, under any provocation.
Throughout the Great Depression the mentally disabled were treated harshly and were almost constantly being harassed by society. The mentally ill were treated in this cruel manner because they were seen as the cause of some of society’s problems of that day in age. Also, society viewed them as less capable of human being. A physician of that time by the name of Alexis Carrel stated, “The mentally ill should be humanely and economically disposed of in small euthanistic institutions supplied with the proper gases” (Freeman; “Treatment of the…”). Not only did Alexis Carrel feel this way, but so did many other people of the United States way
In my clinical experiences in Canada and the United States, I managed patients that had co-morbidities that with appropriate psychiatric care, and psychopharmacology, not only were able to improve physiologically, but also were able to have a more meaningful life. Because of my passion for Psychiatry I have consistently been involved with Psychiatry CMEs, attended Psychiatry conferences as well as had hands on clinical rotations in Adult Psychiatry, both inpatient and outpatient. I have started working with a reputable university in Canada as a Program assistant to help improve the professional life of internationally trained Medical Professionals.
As science has evolved, so have treatments for mental illnesses have over time. The medical model is described as the view that psychological disorders are medical diseases with a biological origin (King, 2010, pg. 413). Abnormal behavior that categorizes some disorders can be impacted by biological factors such as genes, psychological factors such as childhood experiences, and even sociocultural factors such as gender and race (King, 2010). Treatments such as psychosurgery (lobotomy) , drug therapy (pharmaceuticals), electroconclusive therapy, and psychoanalysis are used to treat a wide range of psychological disorders. Back then, the public’s negative views on mental illnesses also went as far to associate with the people who treated it; psychiatrists. “Nunnally (1961) found that the public evaluated professionals who treated mental disorders significantly more negatively than those who treat physical disorders,” (Phelan, Link, Stueve, & Pescosolido, 2000, pg. 189). People back then didn’t see the point in “paying to be told that they were crazy”. However, in today’s society, it is now acceptable to seek help from psychiatric professionals; we are seeing more and more people seek mental health treatment. “In terms of facility-based records of utilization (Manderscheid and Henderson 1998), the data suggest that the rate of utilization of professional mental health services has at least doubled and maybe tripled, between the 1950’s and today,” (Phelan, Link, Stueve, & Pescosolido, 2000, pg. 189). In the 1950’s, neuroleptic drugs like Thorazine were introduced to treat the symptoms of schizophrenia. These drugs block a neurotransmitter called dopamine from getting to the brain, which in turn reduce schizophrenic symptoms, however there are some side effects such as substantial twitching of the neck, arms, and legs, and even dysphoria or lack of pleasure. (King, 2010, pg.
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...
For many decades the mentally ill or insane have been hated, shunned, and discriminated against by the world. They have been thrown into cruel facilities, said to help cure their mental illnesses, where they were tortured, treated unfairly, and given belittling names such as retards, insane, demons, and psychos. However, reformers such as Dorothea Dix thought differently of these people and sought to help them instead. She saw the inhumanity in these facilities known as insane asylums or mental institutions, and showed the world the evil that wandered inside these asylums. Although movements have been made to improve conditions in insane asylums, and were said to help and treat the mentally ill, these brutally abusive places were full of disease and disorder, and were more like concentration camps similar to those in Europe during WWII than hospitals.
Mental illness plagues one out of four American citizens. Mental illness varies greatly from person to person. The spectrum of mental illness includes many illnesses including, depression and anxiety as well as some more serious illnesses such as Down syndrome. All mental illness plays a role in how this person is going to function in society. These individuals have unique needs and individual strengths that need evaluated for proper care.
Continuing budget cuts on mental health care create negative and detrimental impacts on society due to increased improper care for mentally ill, public violence, and overcrowding in jails and emergency rooms. Origins, of mental health as people know it today, began in 1908. The movement initiated was known as “mental hygiene”, which was defined as referring to all things preserving mental health, including maintaining harmonious relation with others, and to participate in constructive changes in one’s social and physical environment (Bertolote 1). As a result of the current spending cuts approaching mental health care, proper treatment has declined drastically. The expanse of improper care to mentally ill peoples has elevated harmful threats of heightened public violence to society.
The BBC documentary, Mental: A History of the Madhouse, delves into Britain’s mental asylums and explores not only the life of the patients in these asylums, but also explains some of the treatments used on such patients (from the early 1950s to the late 1990s). The attitudes held against mental illness and those afflicted by it during the time were those of good intentions, although the vast majority of treatments and aid being carried out against the patients were anything but “good”. In 1948, mental health began to be included in the NHS (National Health Service) as an actual medical condition, this helped to bring mental disabilities under the umbrella of equality with all other medical conditions; however, asylums not only housed people
As a Psychiatrist, they are to proficiently understand the function of the human mind to be able to penetrate into their patient’s thoughts and feelings. These medical doctors are required to spend approximately twelve years gaining a better insight into the complex structure of the brain. They are trained to understand how specific sections of the brain work together to achieve varieties of functions and how a mutation can cause a severe malfunction (Zorumski and Rubin). As a result of the years spent training, Psychiatrists are to differentiate and categorize physical and psychosomatic stress caused by chemical changes in the special parts of the brain. Psychiatrists are also trained to use neurotic technologies such as deep brain stimulation. Additionally, the medical doctors are equi...
The treatment of the mentally ill started back in the far past. In 400 BC, Hippocrates, who was a Greek physician, treated mental illness as diseases of disturbed physiology, and not displeasure of the Gods or demonic possession ("Timeline: Treatments for," ). Greek medical writers found treatments such as quiet, occupation, and the use of a drug called purgative hellebore ("Timeline: Treatments for,”). During these times, family members took care of the mentally ill ("Timeline: Treatments for,”). In the middle Ages, the Europeans let the mentally ill have their freedom, as long as they were not dangerous ("Timeline: Treatments for,”). The mentally ill were also seen as witches who were possessed by demons ("Timeline: Treatments for,”). In 1407, the first mental illness establishment was made in Valencia, Spain ("Timeline: Treatments for,”).
life. Psychiatry is one of the frontier areas of medicine. Also, psychiatry is one of the