Mad, Sad or Bad

1
Mad, Sad or Bad?

• Mental Illness
• Mike Keating 2006

2
Outline

• Definitions
• Types
• Diagnosis
• History
• Explanations
• Treatments

3
Definitions

• Madness v normality
• Madness as normal
• Contextualising madness in time, place and
  society
• Madness as serious issue

4
Types from 2 450 ?

• Early classifications were very broad e.g.
  Melancholia v Mania
• Modern tendency to create a more complex typology
  
• May be organic or functional
• May be neurosis or psychosis

5
Most Common Types of Mental Disorder

• Schizophrenia
• Mood Disorders
• Personality Disorders
• Substance Related Disorders
• Sexual Gender Disorders
• Disorders diagnosed in childhood
• See Goode 2001374-376

6
Psychiatrists are people diagnosis is a
problematic activity

• Medical model comes under attack
• Rosenhan the psuedo patient experiment(1973)
• Temerlin (1968)
• Langer Abelson (1974)
• Munroe McCulloch (1975)
• Failure to diagnose can lead to trouble (every
  day).

7
History as march of progress or swinging
pendulum
8
Explanations

• Spiritual
• Biological
• Psychological
• Sociological
• Social construction
• Social factors
• Anti-Psychiatry

9
Treatment

• Asylum as
• A place offering safety, shelter and protection
  a sanctuary or refuge

10
The Age of Confinement

• Out of Sight, Out of Mind
• In Europe USA Millions of mentally ill people
  were locked up in hospitals which were more like
  prison camps than asylums

11
Deinstitutionalisation

• Drug treatment
• Costs of long term care
• Land value of Hospital sites
• Radical attacks on the medical model
• In US numbers fall from 560,000 in 1955 to 80,000
  in 1990s

12
Community Care

• Needs proper resourcing and support otherwise
• Patients become more visible
• Face prejudice
• Get into trouble
• Major concerns about violent crime and mental
  illness