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The Social Model Of Mental Illness essay
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The Social Model of Mental Illness
The social model of mental illness emphasizes the social environment and the roles people play. Thomas Scheff maintains that people diagnosed as mentally ill are victims of the status quo, guilty of often unnamed violations of social norms; thus the label "mental illness" can be used as an instrument of social control. I agree with Scheff's analysis, and I strongly concur with the view Thomas Szasz takes on the notion of mental illness. Szasz argues that much of what we call "mental illness" is a myth; it is not an illness, but simply "problems in living", troubles caused by conflicting personal needs, opinions, social aspirations, values, and so forth (Szasz 13). It thus follows that the widely accepted medical model of mental illness is inherently flawed; that mental illness should, then, certainly not be treated much like physical illness. Szasz is extremely critical of contemporary psychiatry as a discipline, arguing that psychiatrists are not benign professionals helping to liberate individuals and improve their lives by diagnosing and treating mental illnesses, but instead act as agents of social control; silencing, stigmatizing and dehumanizing people who disturb the prevailing social order. Every society rewards conformity; those with more serious problems in living often do a very poor job of conforming, and are punished accordingly.
In Ideology and Insanity: Essays on the Psychiatric Dehumanization of Man, Thomas Szasz writes that
"on the one hand, by seeking relief from the burden of his moral responsibilities, man mystifies and technicizes his problems in living...on the other hand, the demand for "help" thus generated is now met by a behavioral tec...
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...s in trying to understand and properly treat what is known as mental illness, we should give some credibility and responsibility back to those who are labeled "mentally ill," looking to them for ideas, for suggestions, for guidance. Those who have more severe problems in living (as well as their families and/or friends) may know more about their predicament than those who do not, and may be able to propose, indirectly or directly, remedies that may alleviate their unfortunate plight.
Bibliography:
Awake! Magazine. "Hope for the Mentally Ill." September 8, 1986 ed, pgs.3-10. Watchtower Bible & Tract Society of New York, Inc, 1986.
Kaysen, Susanna. Girl, Interrupted. Turtle Bay Books. New York, NY, 1993.
Szasz, Thomas. Ideology and Insanity: Essays on the Psychiatric Dehumanization of Man. Syracuse University Press. Syracuse, NY, 1991
Deinstitutionalization started off as something that may have seemed honorable and sensible to those in our society back in the 1900’s as it seems like it was started in the sole interest of those who were mentally ill. Some of the most common reasons as to why deinstitutionalization was started are because the government wanted to put to stop the unethical treatment of the mentally ill who were often packed int...
Szasz, Thomas Stephen, "The myth of mental illness; foundations of a theory of personal conduct", New York : Hoeber-Harper, 1961.
Essay #2: Classical Argument: People fear what they do not know or understand. Madness, or insanity, can be defined as severe mental illness or abnormal behavior. It can mean that one cannot conform to society or is simply foolish. Every definition of the word, however, pertains to some deficiency in one’s relationship with oneself or the world. If a man cannot get along with people in the world because he does not operate by the same set of logical principles, moral precepts, or social graces that the society around him accepts, that society might consider him insane.
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.
The sickness of insanity stems from external forces and stimuli, ever-present in our world, weighing heavily on the psychological, neurological, and cognitive parts of our mind. It can drive one to madness through its relentless, biased, and poisoned view of the world, creating a dichotomy between what is real and imagined. It is a defense mechanism that allows one to suffer the harms of injustice, prejudice, and discrimination, all at the expense of one’s physical and mental faculties.
Szasz’s argument is full of weaknesses that do not support his theory of mental illness being a myth. He writes that mental symptoms can only be identified by and “refer to a patient’s communications about himself, others, and the world about him” (Szasz 1960, p. 2) . It is common knowledge that the way any doctor identifies symptoms of illness is through the words of the patient experiencing it, whether it be physical or mental. The author also writes that “the finding of mental illness is made by establishing a deviance in behavior from certain psychological, ethical, or legal norms”(Szasz
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)
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.
What is madness? Is madness a brain disorder or a chemical imbalance? On the other hand, is it an expressed behavior that is far different from what society would believe is "normal"? Lawrence Durrell addresses these questions when he explores society's response to madness in his short story pair "Zero and Asylum in the Snow," which resembles the nearly incoherent ramblings of a madman. In these stories, Durrell portrays how sane, or lucid, people cannot grasp and understand the concept of madness. This inability to understand madness leads society to fear behavior that is different from "normal," and subsequently, this fear dictates how they deal with it. These responses include putting a name to what they fear and locking it up in an effort to control it. Underlying all, however, Durrell repeatedly raises the question: who should define what is mad?
Star,S.A.(1955). The public’s ideas about mental illness. Paper presented at the annual meeting of the National Association for Mental Health.
Perrucci, Robert. Circle of Madness: On Being Insane and Institutionalized in America. Prentice-Hall, Inc. Englewood Cliffs, NJ: 1974.
2) Does Insanity "Cause" crime? : Thomas Szasz, M.D., The Myth of Mental Illness (1960)
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.
...at patients as equals, and those undiagnosed should treat the mental patients just as they would like to be treated.