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Mental health stigma introduction
Strengths and limitations of the psychiatric classification system
Mental health stigma introduction
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Reaction to Rosenhan Rosenhan’s article On Being Sane in Insane Places brings up many important aspects professionals in the mental health field, and society as a whole, need to consider when treating those who experience mental illness. One of the important key concepts of this article illustrates the difficulty of determining who is “sane” and who is “insane”. This article mentions that those who are diagnosed with a mental illness are not encouraged to fully recover, but rather live in remission and become labeled in a very permanent manner. This type of labeling leads institutions and the professional staff who work for these institutions to consciously and unconsciously distance themselves from the patients (or in some case behave abusively …show more content…
These close relationships with other clients helped to create a sense of collaborative healing and, in the study conducted; the clients did not feel as much loneliness. It is imperative that the staff in inpatient settings help to cultivate an environment that allows close relationships among patients to form. Unfortunately, the findings of this article showed that very few institutions have policies in place to provide and maintain an environment where such relationships are possible (2014). This article can support the ideas presented in Rosenhan’s experiment which seemed to prove institutions themselves were not providing adequate environments. This article also supports the idea that pseudopatients and patients were negatively affected by the staff’s inability or lack of attentiveness. By not recognizing these issues within the environment, staff members could not provide adequate personal contact to promote healing …show more content…
Clients experienced stigma in regards to three factors including discrimination, stigma related to disclosure of their mental illness, and rejection of any positive aspects regarding their mental illness. When clients experienced any type of stigma mentioned above, this caused a regression in their treatment. This study found that 89.7% of the participants in the study experienced discrimination for their diagnosis, and 88.4% felt uncomfortable when disclosing their diagnosis (2015). This article supports Rosenhan’s findings that suggest the inpatient staff members’ attitudes and preconceived notions about the psuedopatients and patients created an environment that cultivated depersonalization. Treating those with a diagnosis as “insane” and avoiding contact (or abusing the patients in much more severe circumstances) caused clients to experience stigma and therefore regress in their treatment (1973), much like the participants in the study conducted in San
In the book “The Mad Among Us-A History of the Care of American’s Mentally Ill,” the author Gerald Grob, tells a very detailed accounting of how our mental health system in the United States has struggled to understand and treat the mentally ill population. It covers the many different approaches that leaders in the field of mental health at the time used but reading it was like trying to read a food label. It is regurgitated in a manner that while all of the facts are there, it lacks any sense humanity. While this may be more of a comment on the author or the style of the author, it also is telling of the method in which much of the policy and practice has come to be. It is hard to put together without some sense of a story to support the action.
Dr. Spivey’s interpretation of the Therapeutic Community is a source of assistance to help patients get better. His belief is that during the meetings all patients must remain seated so order can be maintained. Dr. Spivey sees the meetings as an opportunity to get to know the patients and figure out what makes them act certain ways. He feels that the goal of the
The fight for improved health care for those with mental illness has been an ongoing and important struggle for advocates in the United States who are aware of the difficulties faced by the mentally ill and those who take care of them. People unfortunate enough to be inflicted with the burden of having a severe mental illness experience dramatic changes in their behavior and go through psychotic episodes severe enough to the point where they are a burden to not only themselves but also to people in their society. Mental institutions are equipped to provide specialized treatment and rehabilitative services to severely mentally ill patients, with the help of these institutions the mentally ill are able to get the care needed for them to control their illness and be rehabilitated to the point where they can become a functional part of our society. Deinstitutionalization has led to the closing down and reduction of mental institutions, which means the thousands of patients who relied on these mental institutions have now been thrown out into society on their own without any support system to help them treat their mental illness. Years after the beginning of deinstitutionalization and after observing the numerous effects of deinstitutionalization it has become very obvious as to why our nation needs to be re-institutionalized.
“On Being Sane in Insane Places”, by David Rosenhan, touched on topics in research within the field of abnormal psychology that should be explored. These particular subjects included both the diagnosis and the treatment of those with mental disorders, specifically he was trying to expose problems with the mental health system as a whole. However, the way his studies were conducted had flaws, especially in the essential features of research: ethics, reliability, and validity. Lacking in these features created studies that are untrustworthy sources of information and provides questionable conclusions.
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.
This stereotype contributes to the stigma individuals’ face and encourages social exclusion and intolerance, especially in schizophrenia (Ray & Brooks Dollar, 2014). Ken sought out help and went to the emergency room because he recognized he was severely depressed. There, the doctor promised he would not be put in restraints, yet when he was taken to the hospital, he was placed in restraints because it was company policy (Steele & Berman, 2001). Due the stigma that individuals with mental illness are violent, Ken was not treated fairly (Stuart & Arboleda-Florez, 2012). Stuart and Arboleda-Florez (2012) are very credible authors to be writing on the effects of stigma in mental health. Both authors have experience in psychiatry, combatting stigma and mental health issues.
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.
We all have our own perception of psychiatric hospitals. Some people may see them as a terrifying experience, and others may see them as a way to help people who cannot keep their disorders under control. David Rosenhan's perception led him to a variety of questions. How could psychiatric hospitals know if a patient was insane or not? What is like to be a patient there? According to Rosenhans study, psychiatric hospitals have no way of truly knowing what patients are insane or not; they quickly jump to labeling and depersonalizing their patients instead of spending time with them to observe their personality.
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
Moreover, the labeling perspective on mental illness... was first formulated decades ago, when mental hospitals were the predominant type of care for persons with mental health problems… Patients were described as undergoing a moral career, which involved the loss of all previous roles because of the way mental health care was structured, and which finally lead to a so-called spoiled identity, the result being that reintegration in society was very difficult, if not impossible (Verhaeghe et al.
What comes to mind when you hear the words “insane asylum”? Do such terms as lunatic, crazy, scary, or even haunted come to mind? More than likely these are the terminology that most of us would use to describe our perception of insane asylums. However, those in history that had a heart’s desire to treat the mentally ill compassionately and humanely had a different viewpoint. Insane asylums were known for their horrendous treatment of the mentally ill, but the ultimate purpose in the reformation of insane asylums in the nineteenth century was to improve the treatment for the mentally ill by providing a humane and caring environment for them to reside.
If we asked most people about insanity the image of a person in a straight jacket, bouncing off padded walls would jump to mind. They might not admit it for fear of being politically incorrect, but the image is a general association with insanity. Yet, most people who suffer from insanity live every day to the fullest—in society. We lock away only those who we “believe” are clinically insane, and we lock sentence most of them without a chance at trial.
He talks about how even after the pseudopatients are discharged they are still considered schizophrenic, there condition is just considered “in remission.” “Rather, the evidence is strong that, once labeled schizophrenic, the pseudopatient was stuck with that label… he was not sane, nor, in the institution’s view, had he ever been sane” (Rosenhan 252). Based on the institution’s views on their patients, someone who was once considered mentally ill would always be considered just that. There is no changing the status of a once insane person despite whatever it was that ailed him. Unlike with traditional medicine, there is no way to heal from mental illness. “A broken leg is something one recovers from, but mental illness endures forever” (Rosenhan 253). A person that spent time in a psychological institution will have this status on his record, causing potential problems in his future career or personal life. Rosenhan has such an importance for emotional appeals that he even titles a section “Powerlessness and Depersonalization” (Rosenhan 255). He talks about even as pseudopatients they felt as if they did not exist within the facility. “At times, depersonalization reached such proportions that pseudopatients had the sense that they were invisible, or at least unworthy of account” (Rosenhan 256). If even a pseudopatient, being someone who is not really clinically insane, can feel these kinds of emotions from being admitted to these hospitals, how can we possibly come to understand the emotions a reasonably diagnosed patient feels? This leads us to the question that Rosenhan himself asked in his article. “How many have been stigmatized by well-intentioned, but nevertheless erroneous diagnoses” (Rosenhan 257)? The people that are potentially misdiagnosed with a mental illness have no way of
There are many ways in which the mentally ill are degraded and shamed. Most commonly, people are stated to be “depressed” rather than someone who “has depression”. It is a common perception that mental illnesses are not a priority when it comes to Government spending just as it is forgotten that most mental health disorders can be treated and lead a normal life if treatment is successful. The effect of this makes a sufferer feels embarrassed and feel dehumanized. A common perception is that they should be feared or looked down upon for something they have not caused. People experience stigma as a barrier that can affect nearly every aspect of life—limiting opportunities for employment, housing and education, causing the loss of family ...
People with a mental illness are often feared and rejected by society. This occurs because of the stigma of mental illness. The stigma of mental illness causes the perception of individuals with mental illnesses to be viewed as being dangerous and insane. They are viewed and treated in a negative way. They are almost seen as being less of a human. The stigma affects the individual with a mental illness in such a cruel way. The individual cannot even seek help without the fear of being stigmatized by their loved ones or the general public. The stigma even leads to some individuals developing self-stigma. This means having a negative perception of one’s self, such as viewing one’s self as being dangerous. The worst part is that the effects of