biologically based mental illness
A mental disorder caused by neurotransmitter dysfunction, abnormal brain srtructure, inherited genetic factors, or
... [Show More] other biological causes. Also called psychobiological disorder
culture-related syndromes
These are more influenced by culture alone and are not seen in all areas of the world.
Diagnostic and Statistical Manual of Mental Disorders (DSM)
The DSM is the manual that classifies mental disorders and is considered the "bible" for mental health workers (e.g. psychiatrists, psychiatric nurses, psychologists, and others who plan care for people experiencing mental distress/dysfunction)
epidemiology
The quantitative study of the distribution of disorders in a human population
mental disorders
A medical disease that is categorized in the DSM
mental health
successful performance of mental functions, resulting in the ability to engage in productive activities, enjoy fulfilling relationships, and adapt to change and cope with adversity.
mental illness
A medical condition that affects a person's thinking, feeling, mood, ability to relate to others, and daily functioning. Can be seen as the result of a chain of events that include flawed biological, psychosocial, social, and cultural processes.
myths and misconceptions
Incorrect thinking about someone's mental health
prevalence rate
The proportion of a population with a mental disorder at a given time.
psychiatry's definition of normal mental health
changes over time and reflects changes in cultural norms, society's expectations and values, professional biases, individual differences, and even the political climate of the time.
psychobiological disorder
A mental disorder caused by neurotransmitter dysfunction, abnormal brain srtructure, inherited genetic factors, or other biological causes. Also called biologically based mental illness
resiliency
The ability to recover from or adjust easily to misfortune and change. Resiliency is closely related to the process of adapting
stigma/stigmatizing
Stigma ia an attribute that is deeply discrediting where a person is reducedfrom a whole unusual personto a tainted, discounted one. Stigmatizing comes from stereotyping, labeling, separating, status, loss, and discrimination in a context of power imbalance all leading to stigmatization
OBJECTIVE 1 - Assess mental health using the seven signs of mental health identified in this chapter.
Happiness
Control of Behavior
Appraisal of Reality
Effective
in Work
Healthy Self Concept
Satisfying Relationships
Effective Coping
OBJECTIVE 2 - Summarize factors that can affect the mental health of an individual and the ways that these factors influence conducting a holistic nursing assessment.
- Available support systems:
----friends
----family
----community
- Spirituality, religious influences
- family influences
- developmental events
- personality traits and states
- demographic and geographic locations
- Negative influences
----psychosocial stressors
----poverty
----impaired/inadequate parenting
- cultural/subcultural beliefs and values
- heath parctices and beliefs
- hormonal influences
- biological influences
- inherited factors
- environmental experiences
OBJECTIVE 3 - Discuss some dynamic factors (including social climate, politics, cultural beliefs, myths, and biases) that contribute to making a clear-cut definition of mental health elusive.
- Mental illness is plagued by myths and misconceptions.
- No consistent line exists between mental illness and mental health.
- Psychiatry's definition of mental health changes and reflects:
----Changes in cultural norms and society's expectations
----Values and professional biases
----Individual differences and political climate
----Psychology of women
----Issues of homosexuality
- All people:
----Have different backgrounds cultures.
----Grow intellectually and emotionally at different rates.
----Make different decisions at different times.
----Choose to or choose not to evaluate their behaviors.
----Grow within themselves.
----Have or have no spiritual beliefs
OBJECTIVE 4 - Identify the processes leading up to stigmatizing and some of the effects stigma can have on the medical and psychologic well-being of an individual, group, and/or culture.
- Stigma has been acknowledged to be a major barrier to mental health treatment and recovery over the last 13 to14 years.
- Stigmatizing attitudes toward individuals who are mentally ill have harmful effects on the individual and family.
- Stigma is a "collection" of:
----Negative attitudes, beliefs, thoughts, and behaviors that influence the individual and general public.
- Psychosocial processes that lead to stigmatization include:
----Stereotyping, labeling, separating, and status loss or discrimination in a context of power imbalance, social isolation, and reduced opportunities.
OBJECTIVE 5- Demonstrate how the Diagnostic Statistic Manual (DSM) multiaxial system can influence a clinician to consider a broad range of information before making a DSM diagnosis.
-In the DSM, each of the mental disorders is conceptualized as a clinically significant behavioral syndrome or pattern that occurs in an individual and is associated with present distress (e.g., painful symptom) or disability (i.e., impairment in one or more important areas of functioning) or with a significantly increased risk of suffering death, pain, disability, or an important loss of freedom .
NOTE: It is important to stress that a DSM diagnosis classifies a disorder that a person has and not the person. For this reason, the text of the DSM avoids the use of expressions such as a schizophrenic or an alcoholic and instead uses the more accurate expression, an individual with schizophrenia or an individual with alcohol dependence. [Show Less]