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History Of Mental Illness During The Late 19Th Century
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In the late eighteenth century, the moral treatment was first adopted by Dr. Willis and then popularized by French physician Philippe Pinel and British philanthropist William Tuke. Discouraged by the inefficiency of traditional treatments and inspired by the Enlightenment principle, these innovators tried to find a new approach to help psychotics back to sanity. Because the principle and practices of moral treatment place a high value on respecting the liberty, humanity, and individuality of patients, the moral treatment achieved the success in curing patients and remained popular in the next century.
The Definition of Moral Treatment
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...
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...y. The doctors could also prescribe varied treatment to different groups of patients who have distinct symptoms. Third, since patients in the same group tended to have similar interests, they could build friendship after communicating with each other every day. Therefore, they would ease stress and achieve happiness, creating a better condition for their convalescence. All of the above reasons manifest the importance of classification in the moral treatment.
First adopted by Dr. Willis and systematized by Pinel and Tuke, the moral treatment became the dominant treatment on psychiatry from the late 18th century to the late 19th century. Due to its emphasis on the liberty of patients, the connection between doctors and patients, and the classification of patients, the moral treatment effectively used psychological method to cure mental diseases and achieved unprecede
The traditional approach to the care of the mentally ill during the last 200 years was custodial, rather than therapeutic. This approach to “Psychiatric Care Delivery System” was introduced in India from Britain . Mental hospitals were established in isolated areas, often on the outskirts with the object of segregating the patient as troublesome and dangerous to their neighbors. The overriding concern was to protect the citizens without regard for appropriate care and cure of the ailing patients. As a consequence of this objective of the mental hospitals, the quality of care in such hospitals had been very poor. The inmates were subjected to indignity and humiliation for an indefinite period, and once admitted never recovered, or rehabilitated back in their family, but doomed to the inevitable end. The stigma of mental illness thus prevailed.
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.
The film gives a historical overview of how the mentally ill have been treated throughout history and chronicles the advancements and missteps the medical community has made along the way. Whittaker recounts the history of psychiatric treatment in America until 1950, he then moves on to describe the use of antipsychotic drugs to treat schizophrenia. He critically summarizes that it is doctors, rather than the patients, who have always calculated the evaluation of the merits of medical treatment, as the “mad” continue to be dismissed as unreliable witnesses. When in fact it is the patient being treated, and their subjective experience, that should be foremost in the evaluation. The film backs up this analysis with interviews of people, living viable lives in the town of Geel, Belgium. I would recommend this film to anyone interested in the history of medicine and specifically to those examining mental illness. It provides a balanced recounting of historical approaches to mental illness, along with success stories of the people of Geel, Belgium. And although I had to look away during the viewing of a lobotomy procedure, I give credit to the power of the visual impact the footage
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.
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 the 1840’s, the United States started to build public insane asylums instead of placing the insane in almshouses or jail. Before this, asylums were maintained mostly by religious factions whose main goal was to purify the patient (Hartford 1). By the 1870’s, the conditions of these public insane asylums were very unhealthy due to a lack of funding. The actions of Elizabeth J. Cochrane (pen name Nellie Bly), during her book “Ten Days in a Mad-House,” significantly heightened the conditions of these mental asylums during the late 1800s.
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.
The early history of mental illness is bleak. The belief that anyone with a mental illness was possessed by a demon or the family was being given a spiritual was the reason behind the horrific treatment of those with mental illness. These individuals were placed into institutions that were unhygienic and typically were kept in dark, cave like rooms away from people in the outside world. The institutions were not only dark and gross; they also used inhumane forms of treatment on their patients. Kimberly Leupo, discusses some of the practices that were used, these included may types of electro shocks, submitting patients to ice bath, as well as many other horrific events (Leupo). Lobotomies, which are surgical procedures that cut and scrape different connections in the brain, were very common practice. They were thought to help cure mental illness, but often ended up with more damage than good.
As time went on Dr. Rush continuously attempted to diagnose and treat those deemed insane as humanely as possible, people began to call his approach to treatment “moral therapy.” (Weisberger) In a few cases Dr. Rush was even able to assist people in returning back to society; which, during the time, was nearly unheard of. Dr. Rush had many motives for doing what he did, the worst of which being that his son, a lawyer in Philadelphia and a United States Sailor,
Diane Gray made her views on early treatment in insane asylums clear: “Another early treatment was the branding of a patient's head with a red-hot iron to ‘bring the animal to his senses’. An English treatment of the earlier nineteenth century involved using a rotating device i...
Phillips, J. G. "The Early Treatment Of Mental Disorder: A Critical Survey Of Out-Patient Clinics." Journal Of Mental Science 69.(1923): 471-482. PsycINFO. Web. 12 Nov. 2013.
Throughout history, explanations for mental illness have been described as supernatural, psychological, and biological. Prior to the early Greek physicians, the supernatural model of mental illness prevailed. Early humans did not have science to explain natural events so magic, mysticism, and superstition were used as a substitution. They believed in animism, the idea that all of nature is alive, and anthropomorphism, the tendency to project human features onto nature. Reification was also a popular belief that assumed if you can think of something, it exists. Sympathetic magic was the idea that one can heal and individual by influencing an object that is similar or closely associated to them (Frazer, 1890/1963). Primitive healers would often imitate the patient's ailments and then model the recovery. Reification also lead to the bel...
People in modern Britain acts in a certain way that is seen as appropriate for ill people. In the 1950s, Parsons (1951) outlined the norms that govern illness behaviour and professional responses to it, in modern society. He also saw the patient - doctor relationship as a social system, governed by norms about appropriate behaviour. Also, Parsons (1951) claimed illness as disruptive, a kind of deviance and is therefore potentially disruptive to the social order. Parsons saw society as a functioning whole, and was concerned with how the social order was maintained, and how various institutions in society in the case health care institution function... ...
Great strides have been made in our understanding of abnormal behavior. For example, during the latter stages of the Middle Ages and early Renaissance, a spirit of scientific questioning reappeared in Europe, and several noted physicians spoke out against inhumane treatments. There was a general movement away from superstitions and “magic” toward reasoned,