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Historical background of mental health problems
Historical background of mental health problems
Historical background of mental health problems
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Since the 1800s, treatment methods for mental illness have developed significantly worldwide. From electrotherapy to modern practices like psychotherapy, treatment for mental disorders has greatly progressed as scientists and psychologists learn more information on the causes of mental illness and the best therapy for each particular disease. The past 200 years mark the most defined era since the beginning of humans for the progression of treatment for mental illness. Not only has treatment improved for the mentally ill, but also the perception of mental illness has greatly changed and will continue to do so as more is learned about the human mind. In the past, mental illness was taboo to discuss and there was fear surrounding the topic. However, remarkable strides have been made in figuring out the causes of the disease and weighing the most effective treatments specialized for each specific disease. According to the American Psychotic Association, “A mental illness is a medical condition that disrupts a person's thinking, feeling, mood, ability to relate to others and daily functioning. Just as diabetes is a disorder of the pancreas, mental illnesses are medical conditions that often result in a diminished capacity for coping with the ordinary demands of life.” Although it is known now that mental illness has to do with the human mind and the makeup of one’s brain, until recently, the mentally ill were seen as incurable subhuman creatures. Porter contends that: Many felt that the mentally ill brought it upon themselves, through moral or religious transgressions. They felt that gods or other spirits were punishing these “criminals” with illness. Others were thought to be under the spell of evil spirits, the devil, or the vi... ... middle of paper ... ...ng released, believing that independent living was the answer. It is believed that “in the 1980s, it was estimated that one-third of all homeless individuals in America were considered severely mentally ill.”(Foershner) Today, the most widely acclaimed and effective method for treating mental illness is to use both medication and also some type of therapy based on the diagnosed disorder together. Perceptions of mental health have changed dramatically since the 1800s and will continue to advance as more is learned about the human mind. Significant advancements have been made in this field, but there is still much room for progress to be made as more is learned. From barbaric assumptions about the mentally ill in the 1800s, to what is now known about mental illness and the human brain, these accomplishments can definitely be described as “one giant leap for mankind.”
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.
Mental illness has been around as long as people have been. However, the movement really started in the 19th century during industrialization. The Western countries saw an immense increase in the number and size of insane asylums, during what was known as “the great confinement” or the “asylum era” (Torrey, Stieber, Ezekiel, Wolfe, Sharfstein, Noble, Flynn Criminalizing the Seriously Mentally Ill). Laws were starting to be made to pressure authorities to face the people who were deemed insane by family members and hospital administrators. Because of the overpopulation in the institutions, treatment became more impersonal and had a complex mix of mental and social-economic problems. During this time the term “psychiatry” was identified as the medical specialty for the people who had the job as asylum superintendents. These superintendents assumed managerial roles in asylums for people who were considered “alienated” from society; people with less serious conditions wer...
Mental health patients were considered innately inferior and treated as the weaker portion of the human race due to the prevailing dominant theory of Social Darwinism in the 1800s. They were put in mental asylums, where conditions had deteriorated substantially from earlier in the century. (Floyd) The public’s interest about the unsatisfactory care of the mentally ill, championed by Dorothea Dix, led to some reforms, such as higher medical standards, more oversight into asylum practices, and more research into mental health. (Floyd) Nevertheless, the status of the mentally ill did not elevate much higher, and by the 1890s the repeated failure of asylum therapy convinced most that insanity and mental illness was incorrigible. Finding no alternatives, however, patients continued to be sent to asylums to attempt to cure them as much as to isolate them from the rest of society. (Roberts) Unfortunately, people also began to fear the proliferation of the mentally ill. When sterilization became considered, unrealistic, more, cheaper asylums were built as a means of segregated them and preventing an increase in their numbers. (Roberts)
Mental healthcare has a long and murky past in the United States. In the early 1900s, patients could live in institutions for many years. The treatments and conditions were, at times, inhumane. Legislation in the 1980s and 1990s created programs to protect this vulnerable population from abuse and discrimination. In the last 20 years, mental health advocacy groups and legislators have made gains in bringing attention to the disparity between physical and mental health programs. However, diagnosis and treatment of mental illnesses continues to be less than optimal. Mental health disparities continue to exist in all areas of the world.
... just the illness as a whole. There are also issues with how broad the spectrum of mental illness is. With each new idea in mental health some hope is given that someone will find treatment.
The human brain is a vast, unexplainable, and unpredictable organ. This is the way that many modern physicians view the mind. Imagine what physicians three hundred years ago understood about the way their patients thought. The treatment of the mentally ill in the eighteenth century was appalling. The understanding of mental illness was very small, but the animalistic treatment of patients was disgusting. William Hogarth depicts Bethlam, the largest mental illness hospital in Britain, in his 1733 painting The Madhouse1. The public’s view of mental illness was very poor and many people underestimated how mentally ill some patients were. The public and the doctors’ view on insanity was changing constantly, making it difficult to treat those who were hospitalized2. “Madhouses” became a dumping ground for people in society that could not be handled by the criminal justice system. People who refused to work, single mothers, and children who refused to follow orders were being sent to mental illness hospitals3. A lack of understanding was the main reason for the ineptness of the health system to deal with the mentally ill, but the treatment of the patients was cruel and inhumane. The British’s handling of mentally ill patients was in disarray.
From the 1930's to the 1960's, early attempts to combine the psychiatric goals of restoring mental health with new advances in medical science would produce tragic results for many of those who trusted modern psychiatry to provide comfort and healing. During this time, science, psychiatry, ambition, power, and politics came together to leave behind a controversial history of events that destroyed the trust and hope placed by many upon modern science and left behind a trail of scarred minds and ruined lives.
Mental illness is more common than one would like to believe. In reality, one in five Americans will suffer from a mental disorder in any given year. Though that ratio is about equivalent to more than fifty-four million people, mental illness still remains a shameful and stigmatized topic (National Institute of Mental Health, n.d.). The taboo of mental illness has an extensive and exhausting history, dating back to the beginning of American colonization. It has not been an easy road, to say the least.
Psychiatrist Thomas Szasz breaks down the complications between the mentally ill and how to treat them. For a start, he places diseases and the mentally ill in two different categories. His reasoning begins with defining that a disease “‘a condition of the body, or of some part or organ of the body, in which its functions are disturbed or deranged; a morbid physical condition’”(Szasz 1). Although some may disagree with Szasz’s accusation, he furthers his understanding on the subject. Szasz clears up that “we do not attribute motives to a person for having leukemia,” and that it “would be uttering nonsense if we asserted that diabetes has caused a person to shoot the President”(Szasz 1). Therefore, mental illness is a serious subject that should
"Module 2: A Brief History of Mental Illness and the U.S. Mental Health Care System." Unite for Sight. N.p., n.d. Web. 7 Oct. 2015.
History shows that signs of mental illness and abnormal behavior have been documented as far back as the early Greeks however, it was not viewed the same as it is today. The mentally ill were previously referred to as mad, insane, lunatics, or maniacs. W.B. Maher and B.A. Maher (1985) note how many of the terms use had roots in old English words that meant emotionally deranged, hurt, unhealthy, or diseased. Although early explanations were not accurate, the characteristics of the mentally ill have remained the same and these characteristics are used to diagnose disorders to date. Cultural norms have always been used to assess and define abnormal behavior. Currently, we have a decent understanding of the correlates and influences of mental illness. Although we do not have complete knowledge, psychopathologists have better resources, technology, and overall research skills than those in ancient times.
The mental health assessment is a crucial part in everyday nursing care as it evaluates an individual’s mental condition to assess for risk factors of mental illnesses and provide optimal care and treatment. Mental health is described as “a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community.” (CDC) If the patient not mentally healthy, they can develop mentally illnesses, which can affect treatment and the disease process of physical ailments because without mental health a person cannot be completely healthy. “Suicide Risk Assessment in High Risk Adolescents” is a nursing article that outlines suicide risk factors and prevention strategies for assist nurses in performing mental health assessments. Suicide, the act of
To treat mental disorders, religious leaders turned to exorcism, often using cruel and barbaric methods. Psychiatric hospitals were built in Europe in the 13th century to treat people suffering from mental disorders. However, they were utilized as “lunatic wards: and didn’t provide any type of treatment. Some wards treated their patients with extreme cruelty. Mutilation, beatings, and electric shock were only a few ways of “treatment” used on suffering patients.
Mental health refers to the state of individuals psychologically, emotionally and socially. Mental health affects a person’s emotions, feelings, thoughts, and sections when exposed to different situations. Furthermore, mental health is responsible for a person’s reaction to stress and other social conditions. Generally, mental health affects how a person relates to others and their ability to understand and interact with them. Therefore, problems that affect a person’s mental health affect the abilities to socialize, their feelings, moods, reaction to situations. The person experiencing mental health problem may portray different behaviors when confronted with different issues. Mental health issues have several
As of the moment, mental disorders constitute four of the 10 leading causes of disability in the world, and mental and behavioral disorders account for 12% of the global burden of disease, yet the mental health budgets of the majority of countries constitute less than 1% of their total health expenditures. (WHO, 2001)