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20 Cards in this Set

  • Front
  • Back
Prehistoric Superstitions for mental illness
Demon Possession: strange behavior is caused by an evil spirit entering the body

Trephining: Removing evil spirits by cutting into the skull

Exorcism: Using rituals to cast out demons
Theory of the Imbalance of Humors (Early Scientific Explanations)
Hippocrates

Four humors to the body (important fluids)

(choleric, melancholic, Phlegmatic, sanguinic)
(blood, spleen, liver, brain)

when humors are imbalanced it produces mental illness
Although Hippocrates was wrong, he recognized the importance of...
biological roots, heredity, psychosocial factors can play a role.

he also understood that doing harm to a mentally ill patient was immoral
Dark Middle Ages (Returning to superstitions) and demons
Demons were a result of someone leading a sinful life, chasing away the demons had to be done through things like water boarding.

5th - 10th centuries
Mass Madness (Returning to superstitions) Tarantism and Lycanthropy
Tarantism: People were bitten by a tarantula that would make them dance and the only cure was music which would bring them back to reality

Lycanthropy: Turning into a wolf on a full moon, explanation for eratic behavior on full moon

13th century
Witchcraft (Returning to superstitions)
People with eratic behavior were seen as witches who were flirting with the devil and were burnt.

15th - 17th century
Bedlam (Renaissance and the Rise of Humanism)
Mentally ill people were chained and left in rooms to keep from hurting themselves and others. Were used as entertainment for wealthy people.

Late 15th century
Moral Treatment Movements (Reform Movements)
Phillipe Pinel (Paris): Let mentally ill people out of chains and let them enjoy the outdoors.

William Tuke (england): Had patients in a quaker home where they worked and had plenty of food and comfort from the people treating them

both had huge recovery rate

18th century
American Reformers (Reform Movements)
Benjamin Rush: (1745 - 1813): father of American Psychiatry (alcoholism is a disease)

Dorothea Dix (1802 - 1887): School teacher turned social reformer and advocate for mentally ill, had 30 hospitals built and reformed prisons
Deterioration fo Mental Hospitals
Overcrowding lead to abuse and neglect of patients

1,000 - 5,000 people, straight jackets were used.
Hydrotherapy
Wrap people in wet towels to lower body temperature
Malaria Therapy
Give people malaria hoping it would kill the illness
Insulin Therapy
Hoped insulin coma and coming back from one would snap them back to reality
Lobotomy
Hole in brain to reduce part of brain that causes stress
Electroshock Therapy
Hoping the shocking would calm the brain
Deinstitutionalization
1955: 560 thousand beds in us hospitals

1975: rapid decrease in beds

2000 to present: further decrease due to budget cuts

2010: 14% decrease in beds, now 43,000

Rest of beds are for criminals who are deemed mentally ill
(Why close state hospitals?)
Mentally ill patients could take medication outpatient

Civil rights movement made involuntary committing of people more difficult

Financial Concerns: hospitalization is expensive and hospitals are underfunded
Homeless (Returning to the dark ages)
At least half of the homeless in inner cities are mentally ill
Criminalization of Mentally ill (Returning to the dark ages)
No mental institutions are open to the public, the only facilities open are jails and getting caught for small crimes enough will land you in jail
Emergency Room Boarding (Returning to the dark ages)
crazy people are given drugs and then kicked out in emergency rooms