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THEORIES OF MENTAL ILLNESS. TYPES OF THEORIES. BIOLOGICAL – UNIVERSAL PROPERTIES COMMON TO EVERYONE PSYCHOLOGICAL – PART OF INDIVIDUAL AUTOBIOGRAPHY, DIFFERENT ACROSS INDIVIDUALS SOCIAL – EXTERNAL ENVIRONMENT, DIFFERENT ACROSS CULTURES. THREE THEORIES. CONCEPT OF MENTAL ILLNESS
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TYPES OF THEORIES • BIOLOGICAL – UNIVERSAL PROPERTIES COMMON TO EVERYONE • PSYCHOLOGICAL – PART OF INDIVIDUAL AUTOBIOGRAPHY, DIFFERENT ACROSS INDIVIDUALS • SOCIAL – EXTERNAL ENVIRONMENT, DIFFERENT ACROSS CULTURES
THREE THEORIES • CONCEPT OF MENTAL ILLNESS • CAUSE OF MENTAL ILLNESS • TREATMENT OF MENTAL ILLNESS • STRENGTHS AND WEAKNESSES
CONCEPT • PSYCHOLOGICAL - M.I. PART OF INDIVIDUAL BIOGRAPHY • BIOLOGICAL - M.I. IS DISCRETE GROUP OF SYMPTOMS THAT INDICATE DISEASE • SOCIOLOGICAL - DISTRESS AS RESPONSE OF NORMAL PEOPLE
CAUSES • PSYCHOLOGICAL - INTRA-INDIVIDUAL AND DEVELOPMENTAL • BIOLOGICAL - GENETIC AND NEUROCHEMICAL, BRAIN-BASED • SOCIOLOGICAL - EXTERNAL STRESSORS, RELATIONSHIPS, ROLES, CURRENT
TREATMENTS • PSYCHOLOGICAL - CHANGE PERSONALITY • BIOLOGICAL - CHANGE BRAIN • SOCIOLOGICAL - CHANGE CIRCUMSTANCES
MANY TYPES • PETERSON CHAPTER • PSYCHODYNAMIC - PSYCHOANALYTIC FOCUS HERE
HISTORY • AROSE AT BEGINNING OF 20TH CENTURY • DOMINANT FOR MOST OF CENTURY • STILL INFLUENTIAL BUT NOW BIOLOGICAL THEORY DOMINANT • COGNITIVE THEORY PROBABLY DOMINANT IN PSYCHOLOGY
BEFORE FREUD MENTAL ILLNESS = INSANITY BIOLOGICAL CAUSES HOSPITAL TREATMENT AFTER FREUD MENTAL ILLNESS BROAD PSYCHOLOGICAL CAUSES OUTPATIENT TREATMENT SIGMUND FREUD (1856-1939)
DYNAMIC CONCEPT • MENTAL ILLNESS CONTINUOUS WITH NORMALITY • SAME MECHANISMS UNDERLIE BOTH – DREAMS, JOKES, SLIPS OF TONGUE • SYMPTOMS AS ASPECT OF TOTAL BIOGRAPHY
DIAGNOSES UNIMPORTANT • SAME SYMPTOMS HAVE DIFFERENT DYNAMIC
FRIGID CLOSE DISTANT PERSON 1 PERSON 2
DIAGNOSES UNIMPORTANT • DIFFERENT SYMPTOMS HAVE SAME UNDERLYING DYNAMIC
PERSON 1 PERSON 2 DEP ALC ABUSE
CONCLUDE • SYMPTOMS IN THEMSELVES ARE NOT FOCUS • PARTICULAR DIAGNOSES NOT IMPORTANT • MUST INTENSIVELY ANALYZE EACH INDIVIDUAL TO UNDERSTAND AND TREAT SYMPTOMS
CAUSES OF MENTAL ILLNESS • ALL BEHAVIORS MOTIVATED • MOTIVATIONS ARE UNCONSCIOUS • UNCONSCIOUS ROOTED IN EARLY CHILDHOOD • TRAUMAS (REAL OR PERCEIVED) ESPECIALLY IMPORTANT
CAUSES (CONT.) • SYMPTOMS REPRESENT REGRESSIONS TO EARLIER STAGES - ORAL, ANAL, PHALLIC • SEXUAL REPRESSIONS ESPECIALLY IMPORTANT • OEDIPUS COMPLEX - COMBINATION OF SEXUALITY AND AGGRESSION
INTRA-PSYCHIC CONFLICT • ID – INSTINCTS ESPECIALLY AGGRESSION AND SEXUALITY • SUPEREGO – MORALITY • EGO – ATTEMPTS TO MEDIATE BETWEEN ID AND SUPEREGO
DEFENSE MECHANISMS • UNCONSCIOUS - PROTECT VS. ANXIETY • REPRESSION - MOST GENERAL • PROJECTION - INTERNAL TO EXTERNAL • INTROJECTION - EXTERNAL TO INTERNAL • DISPLACEMENT - ONE EXTERNAL TO ANOTHER
SUMMARY • SYMPTOMS CLUES TO INDIVIDUAL BIOGRAPHY • NOT SO DIFFERENT FROM NORMAL • CAUSES LEAD BACK TO EARLIEST PERIODS OF DEVELOPMENT • HOW TREAT?