1 PSYCHOLOGICAL DISORDERS Psychological Disorders Katie R. Stratford PSY 1010 – Salt Lake Community College 2 PSYCHOLOGICAL DISORDERS Psychological Disorders In the early days of medicine, psychological and mental problems were not widely researched or treated. Most people who showed any signs or symptoms of mental disorders were thrown into asylums and left to live out the rest of their days as psychiatric patients of the ward. Luckily, modern medicine has evolved and so has the diagnosis and treatment of psychological disorders. By studying the history of mental disorders, the stigmatism behind them, and figuring out new ways to diagnose, psychologists can form better strategies on how to assist psychiatric patients in living more normal lives. Over the years, many different definitions have been used to define psychological and mental disorders. Today, the widely agreed upon definition is: a syndrome characterized by clinically significant disturbance in an individual's cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning (Maisel, 2013). There are many reasons why the exact definition is hard to define, one being that psychological disorders are constantly evolving. In order to keep up with all of these changes the psychology community has developed the Diagnostic and Statistical Manual of Mental Health Disorders (DSM-IV-TR). This text helps define all the mental and psychological disorders, their signs and symptoms, and indicates how each differentiates from the other (Schacter/Gilbert/Wegner, 2013). The fifth edition of this text was released in 2013. Before the DSM-IV-TR was written, each psychologist had his or her own set of rules and ideas on how to deal with different patients and disorders. Some people feel that the DSM-IV-TR is the single best thing to happen to the psychological abnormalities medical model. During the early to mid 1900’s the public did not have a very good idea of why and how psychiatric patients were being treated. It wasn’t until psychologist David Rosenhan conducted PSYCHOLOGICAL DISORDERS 3 an interesting experiment that people started realizing the severity of the diagnostic treatment of mental patients. Rosenhan had eight pseudopatients (test subjects) enter asylums, telling the doctors that they were hearing voices. After being admitted, the subjects were to continue living their lives as they were before. The idea behind the experiment was to see just how long it would take the medical personnel to notice that these so called “patients” were not actually patients at all. On average, it took hospitals 19 days (the longest being 52 days) to release the pseudopatients with the diagnosis of schizophrenia in remission. “How many people, one wonders, are sane but not recognized as such in our psychiatric institutions? (Rosenhan, 1973)” Another significant research experiment was performed by Elizabeth Jane Cochran, a journalist in the late 1800’s. For her article, Cochran underwent treatment for a fabricated mental illness, under the alias Nellie Bly, in order to show the horrendous conditions at the psychiatric hospitals. What she discovered shocked the public. Patients were often times restrained to beds, given rotten food to eat, disgusting living quarters, cold showers, and abused by the orderlies and other hospital staff (DeMain, 2014). Thanks to these two research studies, and countless others, people finally started to care about the treatment of psychological disorder patients. The road of diagnosis and treatment of these disorders has not been smooth. After the long upward climb towards bettering conditions for psychiatric patients, one thing remained hard to change – once a person was diagnosed with a mental disorder, that label most likely stuck with them. This is a problem that has continued even into the 21st century, and one that psychologists are trying to change. One thing that Rosenhan and his pseudopatients experienced was that even when they were released from the hospital and deemed sane, the public still perceived these people as having schizophrenia. Modern day mental illnesses are often times easily managed by drugs or other therapeutic methods which help patients live relatively normal lives. According to a recent study, one in every ten U.S. citizens suffers from some sort of depression. Knowing this, it is hard to see how people can still judge those who have mental illnesses based on a PSYCHOLOGICAL DISORDERS 4 diagnosis. It is safe to say every person in America knows someone who has a psychological disorder, whether it is mild, severe, or anything in between. For example, depression runs in my family; especially seasonal affective disorder. This information should not change the way I view my aunts, uncles, cousins, or even parents – having a mental disorder is just like having any chronic disease; with proper treatment and help, there isn’t any reason people should be treated differently because of their psychiatric illness. I have had the opportunity to work with patients suffering from all sorts of psychological abnormalities, although I have the most experience with those who have Alzheimer’s and Dementia. Both of these diseases of the mind affect the person’s ability to function on a normal scale, and require constant supervision and care in order to carry out activities of daily living. For those who have never dealt with mental disorders before, it may seem more difficult than it actually is. It is important for people to remember that people are still people, no matter what is wrong with them mentally or physically. Unfortunately, psychological disorders are still a medical mystery with many unanswered questions. Although we have made leaps and bounds from the 1800s, we still have quite a ways to go before we are done researching these disorders. There is always more we can do to improve the lives of psychiatric patients. With new technological advancements and studies, I hope we can continue to learn more about these problems and help patients with mental disorders better integrate in society. PSYCHOLOGICAL DISORDERS Citations/References: 1. Daniel L. Schacter, Daniel T. Gilbert, Daniel M. Wegner. (2013). Introducing Psychology, Second Edition. New York, New York: Worth Publishers. 2. Eric Maisel, Ph.D. (July 23, 2013). The New Definition of a Mental Disorder. Retrieved from: http://www.psychologytoday.com/blog/rethinking-psychology/201307/the-newdefinition-mental-disorder 3. David L. Rosenhan. (January 19, 1973). The Rosenhan Study: On Being Sane in Insane Places. Retrieved from: http://www.bonkersinstitute.org/rosenhan.html 4. Bill DeMain, (May 2, 2014). Ten Days in a Madhouse: The Woman Who Got Herself Committed. Retrieved from: http://mentalfloss.com/article/29734/ten-days-madhousewoman-who-got-herself-committed 5. Office of the Associate Director for Communication, Digital Media Branch, Division of Public Affairs. (March 31, 2011). An Estimated 1 in 10 U.S. Adults Report Depression. Retrieved from: http://www.cdc.gov/features/dsdepression/ 5