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Lecture 8

HLTHAGE 1CC3 Lecture 8: Mental Health and Illness lecture 8

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McMaster University
Health, Aging and Society
Mat Savelli

Mon Oct 31 Mental Health and Illness Lecture 7: The Limits of Mental Illness Blurred Lines Over 50% of people who have mood disorders develop drug or alcohol dependencies at some point in their life Frequent co-morbidity with anxiety and eating disorders: if diagnosed with one, most likely to be diagnosed with the other Not all people who commit suicide are depressed, perhaps 50% sufferer from mood disorder far more likely to complete suicide, perhaps 35x more What do we mean by limits? Is normality an objective concept? Where is the line drawn? line between normal and normal is not at all clear how the line gets drawn The issue of choice and personal responsibility do people choose to be ill? -lung cancer is very real even if people might choose to bring it on by smoking, are mental disorders different? What if its not harmful? Hypersexuality for a normal person v politician Where does the person stop and the disorder begin? Trying to part out what is the authentic person and what is the disorder may not be possible We discuss cancerous tumors and viral cells... what can we say about mental illness? In other words, when should we treat a person? -When is it that a persons thoughts, feelings, behaviours, the way they live their life, is something we ought to do about Premenstrual Dysphoric Disorder Found in the DSM In most menstrual cycles during the past year, five of the following during week before menses Affective liability (mood swings; sensitivity to rejection) These symptoms and disease problematizing the female body* Irritability or increased interpersonal conflicts Depressed mood, feelings of hopelessness Anxiety, tension, feeling on edge Decreased interest in usual activities Subjective sense of difficulty in concentration Lethargy Change in appetite, overeating, or specific food cravings Hypersomnia, or insomnia Subjective sense of being overwhelmed or out of control Physical symptoms (breast tenderness, swelling joint pain, etc)Mon Oct 31 PMDD Controversies Whats the line between PMDD and PMS? None are things we can measure Include in the DSM only after the launch of Sarafem (Fluoxetine or Prozac) the treatment for this disease Intervening may cause more harm than good we have to keep in mind when we diagnose something we make a choice to identify those thoughts, behaviours as something that has to be changed, once you do that the consequences become real Are we trying to problematize and control womens bodies? Are we stigmatizing women themselves? Culture bound? some people look at these diseases as a concept that doesnt exist in many cultures, more of a western idea- it is shaped by our surroundings A local language for expressing distress in an acceptable way?- maybe something in western culture allows it to be a disease, restrictions on womanhood and in a way PMS/PMDD offers a safe way to express frustration, anger, etc, when women are otherwise expected to be nice, gentle, etc, used as an excuse Emergence of Hyperactivity Bradley home in Rhode Island Painful procedure involving a spinal tap in neurological assessment of children. To combat headaches, one physician (Charles Bradley, a relative of the hospitals founders) gave children amphetamine Benzedrine to help them deal with the potential headaches from the proc
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