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TYPES OF MENTAL ILLNESS

TYPES OF MENTAL ILLNESS. A BEAUTIFUL MIND. JOHN NASH. CAUSES. USED TO THINK BAD FAMILIES WERE CAUSE (SCHIZOPHRENOGENIC MOTHER) NOW THOUGHT TO BE BRAIN DISORDER WITH GENETIC OR BIOLOGICAL CAUSE ABOUT 1% PREVALENCE IN WIDE VARIETY OF TIMES AND PLACES. CORRELATES. LOW SOCIAL CLASS

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TYPES OF MENTAL ILLNESS

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  1. TYPES OF MENTAL ILLNESS

  2. A BEAUTIFUL MIND • JOHN NASH

  3. CAUSES • USED TO THINK BAD FAMILIES WERE CAUSE (SCHIZOPHRENOGENIC MOTHER) • NOW THOUGHT TO BE BRAIN DISORDER WITH GENETIC OR BIOLOGICAL CAUSE • ABOUT 1% PREVALENCE IN WIDE VARIETY OF TIMES AND PLACES

  4. CORRELATES • LOW SOCIAL CLASS • CAUSE OR CONSEQUENCE? • NO GENDER DIFFERENCES • NO ETHNIC DIFFERENCES • EARLY ONSET - 16-25 YEARS • ALMOST ALL NOT MARRIED

  5. PROGNOSIS (COURSE) • USED TO THINK DEGENERATIVE • NOW THOUGHT TO BE VARIABLE • 1/3 CHRONIC; 1/3 EPISODIC; 1/3 RECOVER • HIGH RATE OF SUICIDE - 10%

  6. TREATMENT • USED TO BE LONG STAYS IN MENTAL HOSPITALS • NOW BRIEF, EPISODIC HOSPITAL STAYS ALONG WITH COMMUNITY TREATMENT (OR NEGLECT) • MEDICATION SINCE 1950’S • PHENOTHIAZINES AND CLOZAPINE

  7. TREATMENT • MEDICATION DOESN’T CURE, BUT CONTAINS - BUT MUST TAKE IT • PSYCHOSOCIAL TREATMENTS - SOCIAL AND JOB SKILLS, HOUSING • PSYCHOTHERAPY LESS CRITICAL • HARDEST TO TREAT - MICA (MENTALLY ILL CHEMICAL ABUSERS)

  8. MAJOR PROBLEMS • INADEQUATE FUNDING FOR TREATMENT • MANY DON’T ADMIT THAT THEY ARE ILL - STOP TAKING MEDICATIONS • WHEN GET IN TROUBLE PUT IN JAILS AND PRISONS

  9. BI-POLAR DISORDER

  10. DYSREGULATION OF MOOD • ALTERATIONS OF WILD ELATION AND DEEP DEPRESSION • CAN BE ACCOMPANIED BY DELUSIONS AND HALLUCINATIONS • VERY DIFFERENT INTERPERSONALLY THAN SCHIZOPHRENIA - CONNECTEDNESS

  11. MANIC PHASE • SUPER-CHARGED ENERGY WHEN MANIC (67) • CREATES BEHAVIOR PROBLEMS (74) • CAN BE VIOLENT (120) • HIGH RATE OF ALCOHOL AND DRUG ABUSE • HIGH CREATIVITY AND PRODUCTIVITY

  12. DEPRESSIVE PHASE • TOTAL BLEAKNESS WHEN DEPRESSED (111) • HIGH RATE OF SUICIDE

  13. CAUSE • PROBABLE GENETIC CAUSE • RUNS IN FAMILIES • PREVALENCE BETWEEN 1/2% TO 1% • SEEMS TO BE UNIVERSAL

  14. SOCIAL CORRELATES • NO SOCIAL CLASS DIFFERENCES • NO ETHNIC DIFFERENCES • SMALL GENDER DIFFERENCE • VARIABLE AGE OF ONSET – FROM LATE TEENS TO MIDDLE AGE

  15. COURSE AND TREATMENT • HIGHLY VARIABLE COURSE, BUT USUALLY RECURRENT • MUCH HIGHER SOCIAL FUNCTIONING THAN SCHIZOPHRENIA • LITHIUM MOST COMMON TREATMENT SINCE 1950’S • CAN CONTROL CYCLES

  16. JAMISON - UNQUIET MIND • DIFFICULTIES OF TREATMENT • AMBIVALENCE TOWARD MEDICATION (98) • IMPORTANCE OF SOCIAL SUPPORT - INFORMAL AND PROFESSIONAL • YAVI ASPECT?

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