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OVERVIEW
This project will outline the effects of the stigma of mental illness and how society treats patients who have a mental illness and if these are the procedures that allow these patients to feel better living their daily lives. Not only will this discuss the topic of mental illness, but the idea of mental health issues and the treatment to patients culturally. With this research it is super important to realize that the shame upon mental illness makes it worse. Understanding what people go through is the best way to help those who are affected because then we are not putting that pressure on them that this is somet easy obstacle that they can easily surpass.
I chose this topic because people who have mental illnesses deal with the stigma created around the topic and the people who are affected by a mental illness do not really know how to deal with everything else besides the mental illness itself. Not only do they deal with the stigma, they deal with the people who do not understand their illness, and I will be discussing the types of mental illnesses people have and how these illnesses affect people in their daily lives. Not only is this a way to understand people who are affected by mental illnesses, but gaining knowledge on how these illnesses can consume their daily life and how society treats them, if treated right or possibly if they know how to. Throughout my research though, it is evident that all mental illnesses are different from each other, so any psychiatrist who tries to help can not assume that this way works for obsessive compulsive disorder so this might also work for schizophrenia.
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http://www.pinsdaddy.com/types-of-psychological-disorders_twZOKqBhmuxozEUSz0p*ro6l2FT2AUbt9MdrG7B157k/
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http://www.bcmj.org/article/infant-mental-health-part-2-interventions-some-clinical-disorders
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http://www.nolandalla.com/invisible-crisis/mental-illness-awareness-week/
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https://blogs.psychcentral.com/humor/2015/08/stages-of-mental-health-conditions-b4stage4-part1/
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http://www.mymentalhealthday.org/2012/05/release-of-my-mental-health-day-infogrpahic/
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https://www.theodysseyonline.com/mental-health-awareness-month
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We’re afraid of something we don’t understand, we put this stigma and shame on these people because we think there is something wrong with them and that they are doing this to themselves. People with a mental illness who ask for other people for help and an ear, those people they reach out to end up being people who do not understand, which creates an extremely negative impact on them. Even their parents take them to doctors and not therapists, just because they think there is something wrong with their body instead of their mind. But even the stigma of therapy in some communities is created because it is seen that they are “crazy”.
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http://conniejakab.com/blog/mental-illness-and-the-church-an-amazing-book-i-just-read/
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“HOW STIGMA INTERFERES WITH MENTAL HEALTH CARE”
This journal article emphasizes how stigmatized mental illness is and how socially isolating and medically harmful it is when one does not ask for the treatment and help that they need. Stigma is one of several reasons why people make such choices; namely, social–cognitive processes motivate people to avoid the label of mental illness that results when people are associated with mental health care. For an individual who has mental illness it is difficult for them to prolong in life because now there is one thing stopping them from trying to live as normal as possible with this mental illness, and the stigma on mental illness encourages people outside of this mental illness to not fully develop an understanding of what they are going through.
I feel that the idea of a stigma and how mental illness is looked upon relates to my project because this stigma also affects the individual. Not only will it make the individual have a lower self-esteem, but it will also lead to a diminished social interaction with other human beings which can worsen their illness. So with adding more to their mental illness this stigma is overall hurting individuals who deal with mental illnesses because most may be aware of what people view them as and how these individuals have to go throughout their day with this stigma constantly on them. This stigma also decreases the amount of seeking for the care they need based on these statistics, “A recent review of 34 studies of compliance with psychiatric medication found, on average, that more than 40% of persons receiving antipsychotic medication failed to fully comply with prescribed regimens (Cramer & Rosenbeck, 1998). Failure to adhere to antipsychotic regimens increased rehospitalization by three-fold, accounting for an $800 million increase in hospital costs world wide (Weiden & Olfson, 1995). In addition, many persons drop out of psychosocial interventions before finishing the complete regimen (Falloon, Lindley, McDonald, & Marks, 1977; Tarrier et al., 1998)”. People with mental health problems fail to engage in treatment because of four social-cognitive processes, cues, stereotypes, prejudice, and discrimination.
Corrigan presents a flowchart in his article of public stigma versus self stigma to represent an insurance for people with mental illnesses to seek treatment even if they do not think it will work. However, I feel like doctors and psychiatrists are seen as the people who we can trust and believe, but contrast to this some believe that we have no part in decision making when it comes to medicine. So I believe if these patients with mental illnesses do seek the treatment, they will be given the medicine that correlates with their illness. However, it has also been discussed that not all pills work for the same illness just because it affects the body and the mind differently than others. I agree that Corrigan’s idea of seeking treatment is important because it is the first step to avoid isolation and it will help decrease the environment of the stigma put upon them, however there are factors that contribute to more disruption to their life due to the way society has empowered the medical institution.
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A video which emphasizes the importance of deviating away from the stigma, in order to help these patients deal with their mental illness.
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“THE EVOLUTION OF THE CLASSIFICATION OF PSYCHIATRIC DISORDERS”
The article, The Evolution of the Classification of Psychiatric Disorders discusses the importance of difference in mental illness. Diagnosing a patient will a mental illness will not have the same results with another mental illness. Physicians believed if the signs and the symptoms are the same they would expect similar results in disease. In this clinical practice, it was important to differentiate disorders from one another so that when choosing the most effective treatment, it depended on whether the patient has pneumonia, pulmonary embolus, congestive heart failure, or lung cancer. Based off that, they tried giving treatments to patients that worked for other patients.
By the 1800s medical science starts to understand more of the biological origins of medical illness, “German physicians Kraepelin and Alzheimer were developing methods to identify neurological causes of disease in some of their patients and to separate diseases such as dementia from other psychiatric illnesses on the basis of biological indicators. They further advanced the notion that mental illness may have a biological basis, and began to organize a framework of psychiatric disorders based on systematic observation of patterns of illness, including characteristic symptoms, course, and outcomes among patients” (3). With their research it is the lack of a unified classification system and the lack of progress toward embracing a biological appreciation of psychiatric illness led to the marginalization of American psychiatry from the rest of medicine. The article discusses two strategies that could be used in the future in efforts to revise psychiatric nosology. “An ‘iterative model’ involving small incremental changes to the existing model; and a ‘paradigm shift model’ that discards the underlying paradigm to adopt a fundamentally new approach to diagnosis” (8). however, the field is not ready for a paradigm shift, because there is not a superior alternative paradigm that sufficiently addresses the identified shortcomings of the current system.
This article contributes to my final project because I am understanding the evolution of how physicians diagnosed people with mental illnesses and how they dealt with that. It is evident that they can not diagnose patients with mental illness the same treatment as another who also has a mental illness. However in my project I am exposed to the realization that the medical field can not deny that these human beings with mental illnesses care, and that they have to carefully evaluate the disease they have and how some symptoms will be similar but they have to be aware of the differences of how everyone reacts differently to the treatments. Although, it will be difficult to change a lot of what the medical field has already perceived mental illnesses and how they assume they all react the same.
The concept of Diagnostic and Statistical Manual, Mental Disorders (DSM) was based on the Veterans Administration and dealt with depression and schizophrenia. With these diagnostics there were no research between males and females and the difference between the two, so is the research based off men? Even though the article does discuss that not all people who have a mental illness can be treated the same, so I wonder if the assumptions of diagnostics also relate to gender as well.
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http://lookfordiagnosis.com/mesh_info.php?term=Mental+Disorders&lang=1
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“QUALITY OF LIFE IN OBSESSIVE-COMPULSIVE DISORDER: IMPACT OF THE DISORDER AND OF TREATMENT.”
Obsessive Compulsive Disorder “is a chronic debilitating anxiety disorder characterized by two distinct phenomena: obsessions which are recurrent, intrusive thoughts, images or impulses, and/or compulsions which are repetitive covert or overt actions that are carried out to decrease anxiety”. OCD runs a chronic and disabling course which compromises an individual’s functioning and well-being and ultimately has a rather detrimental impact on the lives of both patients and their families. This article deliberates research of quality of life (QoL), which is ‘‘multidimensional construct describing an individual’s subjective perception of their position in life in the context of the culture and value system in which they live, and in relation to their goals, expectations, standards and concerns’’ and the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), has expressed that decreased QoL is often an important cause or consequence of psychopathology, and it is therefore imperative to include this parameter in a comprehensive treatment plan. In contrast to, a health related quality of life (HRQoL) which “is a multidimensional concept, and instruments used to measure HRQoL can be generic or disease specific and a patient-based concept that focuses more on the impact of a perceived health state on the ability to live a fulfilling life”. HRQoL is defined as optimum levels of mental, physical, role (e.g. work) and social functioning, including relationships, and perceptions of health, fitness, life satisfaction and well-being”. It is crucial to identify these patient’s quality of life because that integrates with social aspects, work aspects, and living in general. So the research on this is being discussed however treatment is based on therapy.
Obsessive Compulsive Disorder relates to my project because it is a mental illness that people face and this article discusses the treatment for OCD and how psychiatrists determine factors in order to help treat people with OCD. With QoL it is concluded that people with OCD get affected by their social relationships but pertaining to physical health, it scored higher. I think it is important and valid to understand a patient’s lifestyle in order to comprehend the factors that curate a person to act a certain way or even understand what problems they are dealing with. I liked that in the article it explained the importance of restoring family relationships or living a healthy social life because it is not all about the treatment and what can physicians do to fix the problem, but to find an alternative in order to make the problem a little more better. It is important to keep that in mind with people who have mental illnesses because rather than trying to go back to normal, if they have experienced such normality, it is more critical to create a better life and lifestyle with people who have mental illnesses.
Since there are no real definitions for QoL, “it is acknowledged as an important outcome parameter in treatment and reflects the subjective satisfaction from life, in addition to generally being well and functional, as opposed to the quantitative evaluation of life”. I am curious with the research put into the idea of QoL and HRQoL because these concepts evaluate and score people with mental illnesses based on their ability. Conceptualizing QoL as a ‘‘multidimensional construct describing an individual’s subjective perception of their position in life in the context of the culture and value system in which they live, and in relation to their goals, expectations, standards and concerns” and HRQoL delineates to proper handling and how they rate their degree of despair. Including how each researcher’s and physician’s interpretation to conducting these treatment and research towards people with OCD.
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