Differences

This shows you the differences between two versions of the page.

--- 471g4:questions:471g4--week_9_day_2 [2021/10/21 02:58] – 138.88.127.198
+++ 471g4:questions:471g4--week_9_day_2 [2021/10/21 12:58] (current) – 76.78.225.150
@@ Line 29: / Line 29: @@
 Submitted by Jack Kurz
+.	Why is the trend for mental hospitals to get worse rather than better?  Institutionalization itself could be a beneficial and safe alternative for mentally ill patients and yet it almost never is.
+.	Does the military focus on psychiatry from a warfare lens in that there is more research being done for how to harm the enemy then to help their own soldiers?  This is certainly true for before the Vietnam War but how has this perspective changed?
+-	Janis Shurtleff
 .	In From Madness to Mental Health we read about PTSD as it was conceived according to the DSM-III, which came out in 1980 (402). DSM-III’s description of the disorder begins “The essential feature is the development of characteristic symptoms following a psychologically traumatic event that is generally outside the range of usual human experience.” The phrase “that is generally outside the range of usual human experience” is deleted in the DSM-IV TR (2000). I’m wondering if omission of this phrase is due to soldiers and first responders developing PTSD when simply doing their jobs. What do you think?
-.     Also from the edited volume From Madness to Mental Health is the piece “Psychiatrists Debate Osheroff vs Chesnut Lodge, which involves a debate between the psychiatrists Gerald Klerman and Alan Stone (405-20). Klerman, who testified for Osheroff, a doctor who sued Chesnut Lodge for inadequate treatment for his depression, supports treating mental disorders using drugs like any other disease. In Klerman’s view, the best way to advance psychiatric knowledge is by using clinical trials in establishing the efficacy of drug treatments. Klerman dismisses psychotherapy saying that it does not have a similar process to evaluate the effectiveness of its treatments. Alan Stone, who is a psychotherapist and lawyer answers back saying that drug treatments are riddled with problems and that if biological psychiatrists like Klerman want the courts to be brought into mental health cases, they better be prepared for a lot of malpractice suits. I find Stone’s rebuttal unconvincing. It seems to me that despite the problems with treating mental illness with medicine is not without its problems, for some people, it is the only answer. Discuss.
+.     Also from the edited volume From Madness to Mental Health is the piece “Psychiatrists Debate Osheroff vs Chesnut Lodge, which involves a debate between the psychiatrists Gerald Klerman and Alan Stone (405-20). Klerman, who testified for Osheroff, a doctor who sued Chesnut Lodge for inadequate treatment for his depression, supports treating mental disorders using drugs like any other disease. In Klerman’s view, the best way to advance psychiatric knowledge is by using clinical trials in establishing the efficacy of drug treatments. Klerman dismisses psychotherapy saying that it does not have a similar process to evaluate the effectiveness of its treatments. Alan Stone, who is a psychotherapist and lawyer answers back saying that drug treatments are riddled with problems and that if biological psychiatrists like Klerman want the courts to be brought into mental health cases, they better be prepared for a lot of malpractice suits. I find Stone’s rebuttal unconvincing. It seems to me that despite the fact that treating mental illness with medicine is not without its problems, for some people, it is the only answer. Discuss.
 Submitted by Chris O'Neill
@@ Line 42: / Line 50: @@
 submitted by Griffin Nameroff
+. Why did mental health reform take so long? Was it past prejudices about race and gender that prevented legislation from being passed? Was it intergovernmental relations? When reform happened, why did it not involve communities and hospitals? (Grob, 259)
+. Grob mentions that "disagreement over national mental health policy was but one development that had major repercussions on the mentally ill…" (Grob, 287) Summers also wrote about how the structural problems of Saint Elizabeths impacted patient experience. (Summers, 294) Do we think that mental health reform would have been more successful at a state level? Or would it only work on a national level? Has this approach changed today?
+I pledge… - Submitted by Carson Berrier
+As the 20th Century Developments reading explains, support groups like AA became prime examples of successful treatment options. Do you think its "community-based" style connects to the overall good, say, deinstitutionalization had on affected people during this time? Do you think AA's need for members to hold themselves accountable played/plays a role?
+How would you lay out––or say Summers laid out––the major changes between the early to late 20th Century? Was there any "going backward," per se? Were most of the issues during this time budget-based, or based on bad science?
+Submitted by Theron Gertz.     I pledge...