Mental Disorders Mental Health Facts • Mental illness are medical disorders • Research indicates that there are biological and genetic causes for mental illness • Mental illness does not discriminate, it affects people of all ages, gender and cultures • Situations can occur that can challenge your healthy mental outlook • Wanting to guard yourself against pain, stress and frustration in these situations is only natural Freud • Described the process by which we protect ourselves from the awareness of our undesired and feared impulses Defence Mechanisms Compensation: Using a substitute method to achieve a desired goal eg. Short-man syndrome Conversion: Transferring an emotion into a physical symptom or complaint Daydreaming: Accomplishing through imagination something you have not accomplished in reality. Direct Attack: Overcoming obstacles or problems through realistic efforts to find solutions Repression: Blocking of unacceptable impulses Displacement: Transferring an emotion connected with one person or thing to another person or thing; replacing a threatening object with a less threatening one. e.g. Being angry at your boss and kicking the dog or punching a pillow. Giving Up: Allowing discouragement to get you down. Idealization: Placing value on something or someone that is beyond its worth; worship of someone/thing. Projection: Placing the blame for your failures on other people or things. e.g. Picking a fight with your boyfriend/ girlfriend because you failed a math test. Denial: The refusal to accept reality and to act as Rationalization: Explaining your weaknesses or failures by giving socially acceptable excuses. e.g. I failed a test because i didn't get enough sleep last night. Regression: Reverting back to a less mature stage of development. e.g. Overwhelming fear might lead to bed-wetting or thumb sucking. Which Defence Mechanism is employed? When Timmy aged 4 found out he had a new baby sister he started to wet the bed again. Regression Betty was bitten by a dog when she was 6 years old. Years later someone asked her about the scar on her chin and she said she did not remember. Repression We do not have a TV at home. It is good for the children to do without one. Rationalization Dan loves to joke about his big nose Compensation “Lisa has gotten so fat!” said chubby Sherry. Projection Mental Illness •a disturbance in thoughts and emotions that decreases a person’s capacity to cope with the challenges of everyday life. Mental Health •Functioning in a state of mental and emotional well-being WHAT IS STIGMA? When someone appears to be different than us, we may view him/her in a negative stereotyped manner. Due to inaccuracies and misunderstandings, people have been led to believe that an individual with a mental illness has a weak character or is inevitably dangerous. The media, as a reflection of society, has done much to sustain a distorted view of mental illness. http://www.muchmusic.com/tv/muchtalks/mentalhealth Causes - Too much stress - Pyschological factors (i.e. Early childhood experiences - Biological factors (ie. Brain function, chemical imbalance - Disease - Genetic predisposition (inherited or susceptibility) Continuum Normal Neurotic Borderline Personality Disorders Psychosis Normal What the majority of population is like Often statistically defined Does the subject fit within this realm of behaviour? http://www.youtube.com/watch?v=X59pI3JPLPs&feature=related Neurotic/ Neurosis • A maladaptive behaviour (inappropriate to a given situation) is used as protection against unconscious anxiety • Sufferers experience high levels of tension or stress in managing their daily lives, but they may be able to function at work or in intimate relationships & friendships. • Panic attacks, Phobias, Obsessive-compulsive disorders Borderline Personality Disorders Persistent neurotic behaviours often with a physical psychosomatic element, and some degree of hallucination; distorted perception of reality, which may be recognized by the individual as distortion. e.g. Pathological liars Psychosis • Patient loses touch with the real world, may suffer from hallucinations or delusions and needs treatment before he/she can live a life with any degree of normality; individual believes the hallucinations / delusions. Paranoia: suffering from irrational thought of persecution or foreboding • Schizophrenia • Multiple Personality Disorder Anxiety Disorders Generalized Anxiety disorder Phobias OCD Paranoia Personality Disorders • A habitual pattern of rule-breaking and harming of others. • Pathological lying • Absence of empathy towards others • Deliberately causing pain • A lack of guilt for damage caused • Often loners, highly suspicious & mistrustful of others e.g. Sociopaths Mood Disorders Major Depression: deep unhappiness causing sleep, appetite changes, suicide attempts Bipolar Affective Disorder: – mood changes beyond the normal range. Manic high to deep depression (low) Schizophrenic Disorders • A complex disorder that leads to feelings of distress and social isolation • Distortion of reality • Social withdrawal • Disturbances of thought, perception, motor activity and emotions. • Some become totally apathetic • Catatonic schizophrenics become rigid and mute, usually characterized by bizarre hallucinations & delusions. Substance Related Disorders Refers to the harmful use of substances (alcohol, drugs, tobacco) leading to significant impairment or distress. Often classified as “abuse” or “dependence” Treatment: Disorder Anxiety Mood disorders Personality disorders Schizophrenia Substance Abuse or dependence Treatment Psychotherapy Behaviour therapy Anti-anxiety drugs Counselling Psychotherapy Anti-depressant drugs Drugs Hospitalization Drugs Psychotherapy Hospitalization Counselling Behaviour therapy Self-help groups (e.g. AA) How has society changed its view on mental illness? Past: Caused by evil spirits Praying, fasting, drinking foul substances Witchcraft/Warlocks Present: Asylums Therapy / Medicine What is the criteria used in Canada to judge mental illness? • Persistent personal unhappiness • The inability to function in society & be a contributing member • Antisocial behaviour that harms others You can be held in custody if you are seen as posing a threat to yourself or to others.