Mental Health
Ab/Normal
Context
Cultural
Appendix now has Cultural variations
Global appearance but also looks different
Guilt NOT a large part of Dep. in japan, Iran
Latinos Dep.= headaches
Somatic complaints (sick in heart) not in emotive words
Stima in other countries is great
Duration/persistence
Intensity of pain
Subjective distress
Social deviance
Psych Handicap
Level of functioning
Diagnostic & statistical Manual of Mental Disorders DSM IVRT
Created by Kraeplin in 19th C
Spitzer changed to a checklist of symptoms
Goal:increase Validity
Doctors all use same checklist
Beginning of evidence based practice
Reliability of DSM 4
Reliability
Consistent over many tests
Validity
Measures what is suppose to be measured
Social work and the DSM
Pro
Organizes information
Common language
Assessment more efficient
Collective knowledge on problem
Use in non-clinical (awareness/screening)
Con
Just descriptions
assumes universal categories
Ignores social aspect (axis IV helps)
No adress to concerns of social workers
Dependence on category (if no fit no problem)
pathologize behaviour (more power to proffessional)
Disease model of emotional distress
Ignores strengths
Pathologize social norms (Subservient women)
obscures individual differences
Labeling
not useful in treatment plan
dimentional/contextual assessment better
Perspective
Empower or disempower
Subjective or objective reality
intersubjectivity of human expression
Diagnosis not truth that resides within ppl
Categories are social constructions
reflects don't Negate DSM either
Multiaxial Assessment
Axis 1: Clinical disorders
Severe
Psychoic
Mood
Anxiety
Generalized
Specific
Axis 2 Personality Disorders
Personality
Axis 3 General medical Conditions
Axis 4: Psychosocial & environmental problems
Axis 5: Global assessment of Functioning
What is it?
Duration and intesity
Altered thinking mood behaviour
M.I. and physical healh occur together
Economic impact is great
Subtopic
Who?
not all uniform
Community focused
women
youth
Affects families
Subtopic
Subtopic
Bio-Psycho-Social Framework
Birth
Predisposing
Onset
Precipitating
Present
Perpetuating