Sunday, July 29, 2007

Tomorrow, we're having a quiz during the first part of class. Then, we'll discuss Chapter 8 on mental illness and families. Questions are from Group A; as they come in, I'll list them below...

What do differences in gender, age, ethnicity and socioeconomic status have to do with rates and types of mental illness? How do these differences play into the treatment or support that may be sought?

Why might African Americans, Latinos, and Native Americans make up a large percentage of those homeless, incarcerated, or drug-addicted? (pg. 83-84) Do you think these populations may be overrepresented in these areas because of racism?

Here's a link to the article about the research of sociologist William Julius Wilson, which I alluded to during the discussion.

On page 192, the authors write, "Stigma is especially problematic for mothers who are suffering from severe mental illness because they must often be separated from their children... to receive treatment, even though mothering remains an important role for them." In recent years, the number of young adults diagnosed with a mental illness has dramatically increased. These young adults, especially women, may struggle with the option of deciding whether to have children. Keeping in mind the stigma against mental illness, the role of genes in transmitting vulnerability, and the role of stress in triggering episodes, what policies or programs could our society create to help ensure that these young women have a good chance of being successful parents?

During the discussion, I alluded to a New Jersey law requiring health care providers to screen new mothers and pregnant women for postpartum depression (or the risk thereof). Here is the article link.

On page 193 of our text, the Milan model is discussed which deals with the blaming that occurs when a family member has a mental illness. The authors state, "A more recent version of the Milan model holds that much of the blame for mental disorders in individuals resides in the 'dirty games' that family members play with each other in the course of their interactions'" (Schock & Gavazzi 193). What are some examples of these "dirty games" that are played and do you feel that one's family can be blamed for the development of some mental illnesses?

As I also mentioned during the discussion, this topic reminded me of a form of therapy called "paradoxical intervention" (see the "potato chips" example in this linked document). Paradoxical intervention may actually be effective under some circumstances.

On page 190 of Families and Change it is stated that "heredity can provide an individual with a predisposition to a mental illness, but the likelihood that the illness will manifest is largely determined by environmental and family influences." Do you agree with this statement? Why or why not? If you do agree, what types of environmental and family influences can lead to the development of a mental illness. If you would like to share any personal stories to help illustrate your point, feel free to do so.

Why do you think it is that adolescents and younger people are being diagnosed with mental illneses and committing suicide more and more frequently, at "abnormally high rates", in the recent past -- as compared to decades before? Do you think it has
anything to do with the way, or the criteria, by which people are diagnosed with mental illnesses today? Or the influence of the increasing number of prescription drugs developed to treat different kinds of "problems" or mental illnesses? Or maybe the way in which society today more frequently seeks to put a label on and diagnose "problems" that people have? Or perhaps society today applies a lot more pressure and such on adolescents and younger people today than decades ago?

How do the EE and ABC-X models relate to each other? How can the level of EE change the course of ABC-X?

9 comments:

Anonymous said...

After our discussion in class today, when we were talking about the question that asks why mental illness is so much higher today than many years ago, and what role prescription drugs can play in the reporting of these mental illnesses and sicknesses/diseases in general, it reminded me of the other day, when I was sitting in my living room with some of my roommates, and a commercial came on tv for a drug that treats "restless leg syndrome." And then one of my roommates said, "I should take that because that happens to me like all the time and it's really bad." And then another roommate agreed, "yeah, me too." So, I just thought it was interesting how sometimes you would never think that something that occurs to you is actually considered such a "problem" or disease or sickness or what-not, until someone says so or comes out with a drug to treat it. So maybe things like this have some correlation or something to the increasing number of diseases or illneses reported today.

Anonymous said...

I found this article about Moms who feel guilty about working outside the home.
http://www.cnn.com/2007/HEALTH/family/07/30/hm.mommy.guilt/index.html

Anonymous said...

It may also be that mental illness is more reported than in the past. It isn't as taboo as it was in the past to talk about being anxious or depressed. There are also more resources to help treat mental illness including medications. In today's society it seems like the majority of people are on some sort of drug to improve their mental mood.

Anonymous said...

One overlooked issue in the increasing numbers of people being diagnosed with mental illnesses is the rise of managed health care. Doctors must report a diagnosis for all treatment they provide, and so have to label patients early in their treatment. Health insurance companies have reacted to this by limiting payment for mental health services. Both the Senate and the House are currently debating mental health parity laws to help resolve this issue.

Anonymous said...

I agree with all the comments regarding factors contributing to increasing diagnoses of mental illness. I think another factor, especially for students, is the increasing workload and rising expectations for academic and social achievement. We are all conditioned to progress as a society. Ceilings must be shattered. Records must be broken. Knowledge accumulates over time and must be passed down through learning if the human race is to become "better." Add to this the increasing competitive drive many students have, and it is no wonder that so many young people experience prolonged stress and hence some degree of mental illness.

Anonymous said...

As far as question number 2, in my child abuse and neglect class we learned that a large number of cases brought into CPS involoving parental negligence or abuse are from minority families. We came to the conclusion that part of this may be due to racism on a subconscious level. Some of the high number of minority reports may be due to others lack of knowledge of different ways that minority groups may parent their children.

Anonymous said...

Another thing...I'm not sure how prevalent this is in the US, but the "emo" trend (as it stands now) is a source of derision for many people, because I think it illustrates what happens when a person is too comfortable, too bored, and too media-enslaved to suck it up and deal with life's problems. Calling Albert Ellis...
So yet another, admittedly pessimistic, factor: many Americans are so well-educated now that our knowledge of psychology has made us paranoid of mental illness and caused us to live up to that self-fulfilling prophecy.

Anonymous said...

>Or the influence of the increasing number of prescription drugs developed to treat different kinds of "problems" or mental illnesses?

Some of our discussion steered into how come it was that so many young persons were on drugs to fight anxiety depression compared to an older generation

http://www.psychologytoday.com/articles/index.php?term=pto-20040519-000002&page=1

This is an interesting, balanced article I found, it comments that the payoff of using those drugs is greater because young persons are now able to "live up to their potential" in spite of anxiety/depression etc that was not possible a generation back - and hence the greater number of students on campus diagnosed with those ailments!

Anonymous said...

On the topic of child abuse, I went to a seminar about Hmong culture and healing practices. The part on cultural medicine was very interesting to me. One example of the healing is called "coining" where hot coins are placed on the body part that is ill...like on the neck for a sore throat. And the welts and burns on the neck can look like child abuse. So it's interesting to think about how the western world and medicine reacts to healing practices of other cultures.