Thursday, December 10, 2009

Treatment Module- what were they thinking?


Evidence of Trephination dates back as far as half a million years ago. An instrument probably stone was used to cut away a circular section of the skull. It is proposed that this was done to alleviate people who suffered from behavior that wasn't deemed normal.
Possession is a worldwide phenomenon still used to explain mental illness. Demonic possession of a person's body was believed by European and American Christians, Egyptians, Chinese and Native Americans. Exorcism of various kinds were used as treatment for it. Skulls as shown above can be found from all over the world.

Hippocrates considered the father modern medicine, created the idea that all abnormal behavior can attributed to physical problems. To him brain disease was the culprit of afflictions, an imbalance of the body four body fluids: yellow ile, black bile, blood and phlegm. Accordingly, a patient was treated by practices like bloodletting.

In the 1500s European hospitals and monasteries were converted into asylums. Overpopulation of these public facilities created overcrowding and patients were treated cruelly in filthy, deplorable conditions. These places became tourist attractions where people paid admittance to walk through areas where patients were chained to walls.

Moral Treatments

In the 1800s Phillipe Pinel sought to change treatment of people with mental disorders allowing patients to walk freely and live in well-lit rooms. Music therapy and was also introduced during this time. Benjamin Rush required that hospitals employ intelligent and gentler people to work with patients.
Boston schoolteacher Dorthea Dix relentlessly worked (1841-1881) to change state legislature by communicating the horrible treatment the mentally ill received. Dix also helped establish 32 state hospitals that offered moral treatment of patients.
Despite these leaps and bounds bizarre methods of therapy were used without success like: tooth extractions, tonsillectomies, hydrotherapy and bindings in blankets, baths, straitjackets.

Psycholanalysis was introduced later in 1800s and early 1900s as a type of treatment used to soothe a patient, this form of talk therapy helped a patient discuss their unconscious roots of problems.

Inhumane treatment continued

Little was know about mental illnesses and disorders even in the early 1900s there continued to be cruel methods of treatment for the mentally ill. The worst treatments were lobotomies, insulin therapy where patients were given shots of insulin and induced into seizures and insulin comas and electro-shock therapy. In the beginning of the 1920s to late as the 1970s patients considered mentally incompetent were given forced sterilizations.

Deinstitutionalization

Deinstitutionalization created partly by the introduction of anti-psychotic drugs, released thousands of people from live-in state hospitals. In 1955 nearly 600,000 patients lived in state hospitals currently there are only 60,000. In the 1960s and 1980s cutting funding from state hospitals also precipitated deinstitutionalization releasing thousands of people into the streets quite literally, many of them now homeless.

History Module


View Mental Health and Psychiatric Hospitals in US in a larger map
This map shows where there are hospitals that currently treat patients with mental illnesses and disorders in the United States.

Abbreviated history of psychology
In the Stone Age mental illnesses and disorders were treated with trephination (holes drilled into skulls), human skulls were found.
Ancient Egyptian remains also attest that trephination was their practice as well.
430-337 B.C. Ancient Greek philosopher Hippocrates believed the brain to be the source of mental disorders.
500-1450 Middle Ages, western society decides that possession by demons were the source of mental disorders and illnesses.
1547 A hospital is established in London for the mentally ill called an asylum.
1693 Witch hunting begins in the US, this had been going on decades previous in Europe. Thousands would be killed in witch trials, some even suggest more people killed than in the Holocaust (see film Burning Times).
1793 Phillipe Pinel is credited with treating asylum patients more humanely.
1842 Dorthea Dix spearhead movement to reform mental hospitals in the United States.
1883 Emil Kraeplin likens mental disorders to physical diseases in published textbook.
1892 American Psychological Association is founded.
1900 Sigmund Freud publishes book about dream interpretation.
1948 Alfred Kinsey publishes report about the sexuality of American males and females.
1949 First medication used for mental disorder, lithium is given to patients with bipolar disorder.
1952 Diagnostic Statistical Manual published to help diagnose patients with specific disorders. Originally begins with only 40 disorders, most recent edition has over 300.
1965 Aaron Beck publishes book proscribing therapy and cognitive theory for depression treatment.
1973 DSM stops listing homosexuality as a mental illness.
1987 Prozac approved for treatment of depression in the US.

Monday, December 7, 2009

Name Dropping Module

Mental Illness in the United States

There are millions of people who live with a mental illness or disorder. I have compiled a basic list of well-known Americans, authors, celebrities and men of letters.

Names of people who live(d) with bi-polar disorder:
The most famous example of a well-known person is Edgar Allan Poe. Judging from published letters, he would have been diagnosed with bi-polar disorder. Producing incredible work when not experiencing major depression during which he would frequently abuse alcohol. Meriwether Lewis of the famous Lewis and Clark expedition also was documented to experience severe problems with depression when not active. Lewis' major depressions were published in letters and eye-witness accounts by the likes of Thomas Jefferson. Lewis also died by suicide. Kay Redfield Jamison, Jane Pauley, Linda Hamilton, Carrie Fisher, Maurice Bernard, Vivien Leigh, Margot Kidder, Ernest Hemingway, Alvin Ailey, Ned Beatty, Art Buchwald, Stephen Fry, Richard Dreyfuss, Mel Gibson Brian Wilson, and Mike Wallace.

Names of people who live(d) with schizophrenia (surprisingly a lot of musicians):
John Nash, Lionel Aldridge- Green Bay Packers football player from the 1960's, was even homeless after experiencing intense paranoid schizophrenic breakdowns. Charles "Buddy" Bolden, Jack Kerouac, James Beck Gordon, Peter Green, Tom Harrell, Skip Spence, Bob Mosley, Roger Kynard and Rose (sister of Tennessee) Williams.

Names of people who live(d) with depression:
Abraham Lincoln suffered from serious suicidal depressions. John Quincy Adams, Shawn Colvin, William Styron, Eugene O'Neill, Charles Schultz, Tennessee Williams, Buzz Aldrin, Pat Conroy, Sting, Diane Arbus, Drew Carey, Jose Canseco, Dave Matthews, Halle Berry, Harrison Ford, Billy Joel, Amy Tan, Billy Corgan, Dick Cavett, Jim Carrey and Brooke Shields.

Names of people who live(d) with obsessive compulsive disorders:
Thomas "Stonewall" Jackson, Howard Hughes, Donald Trump, Harrison Ford, Leonardo Di Caprio, Jessica Alba, Cameron Diaz, Michael Jackson, Billy Bob Thornton, Howard Stern, Penelope Cruz, Howie Mandel, Charlie Sheen, Marc Summers, Joey Ramone, Martin Scorsese, Stanley Kubric, Warren Zevon, Fred Durst, Rose McGowan, Kathie Lee Gifford and Justin Timberlake.

Sunday, December 6, 2009

Statistics Module

Mental Illness in the United States

According to the National Institute of Mental Health one in four adults in the United States have a diagnosable mental illness or disorder. In clearer terms the 2004 US census translates this to mean 57.7 million people live with a mental illness or disorder.
Mood Disorders in United States
There are 20.9 million adults (9.5 percent of the US population) live with a mood disorder like Bi-Polar Disorder and Major Depressive Disorder. The usual onset is at 30 years of age.
Anxiety Disorders in United States
This grouping includes Panic Disorder, Obsessive Compulsive Disorder and Post-Traumatic Stress Disorder. In a given year 40 million adults (18.1 percent of population) have a form of a diagnosable anxiety disorder. Three quarters of these adults experienced their first episode by the age of 21.
Suicides in the United States
Generally suicides are as a rule under reported. That doesn't make their numbers any less shocking: 33,000 people die every year by suicide, that's enough people to populate a town. 90 percent of suicides are by people who have a diagnosable disorder or substance abuse related disorder.