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PSYC*3690 Lecture Week 12.pdf

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University of Guelph
PSYC 3690
Benjamin Gottlieb

Tuesday, April 2, 2013 PSYC*3690 Community Mental Health Lecture #22 - guest speakers Bob and Lillian - describe their experience and what has made a difference for you in the mental health system Bob - was ill in 32 - no anticipation that anything would change in life - worked for an alarm company, operating supervisor - worked behind bullet-proof windows and carried a job - lots of responsibility - adapted when young to become autonomous as much as possible - self-sufficient - what a contradiction to mental health - idea was if you want something done right you have to do it yourself - before became mentally ill, never studied in high school, was exempt from exams (was easy to do) - went to college twice studying millwrite and electronics - the understanding of mental health as evolved - was very ill - while was ill wasnʼt really there - very surreal, not in own skin - have reflections of what he recalls - in the hospital at Homewood and doctor said he was very ill, trying to understand why he was there, thought everything was normal - he said you have schizophrenia - movie - Cybil was a story of a young girl who was abused and had a number of different personalities, based on a true story - reflected on the movie, thought thatʼs what schizophrenia was - didnʼt believe it, didnʼt understand why he was locked up - knew that spiritually something was happening with him - these guys are trying to put me under a big seal and do away with me - very paranoid of being poisoned - in the hospital see the psychiatrist for 2 minutes and makes a diagnosis in those 2 minutes and prescribe medication - for follow-up for medication, not going to pay a lot of attention to symptoms so much as to whether things are better or worse - as far as side-effects you donʼt even realize whether something is a side-effect or an experience youʼre going to - that first hospitalization was followed by more than 24 hospitalizations with different diagnosisʼ - took a very long time to accept that he had a mental illness or what the diagnosis was - what might have helped was if someone said how were things a year ago for you and how are things going for you now and if they ask what are you thinking about - what they would ask is how are you feeling today? because paranoid may say fine, mostly everything in the setting was by observation - one of the biggest symptom of schizophrenia is delusion - something that is not accepted by 97% of the population agrees is based on reality - believed he had some kind of spiritual mandate because when he was working at the alarm company he experienced a personal tragedy - brother committed suicide - got a phone call on the police line and was told that he needed to call home - brother had hung himself in jail - was living out in calgary, brother was in guelph - decided to come back, first thing did was wanted to find out more about what happened with brotherʼs suicide - bothered mother quite a bit because in the paper there were a lot of articles - normally there is a conclusion about the death, but there were always so many phone calls years later from his friends - there was always something in the paper for a while year - family was somewhat dysfunctional, mother was dependent on alcohol and parents had split when in grade 9 or 10 - biggest part of life was they were isolated, socially not connected with anyone but family and children services and the court system - all of them never really invited people home, all had the sense that the home was not a place to entertain - one of the reasons he thought he should become autonomous - couldnʼt depend on someone else - spirituality of brotherʼs death - raised in a very roman catholic way, read the bible - had in his mind how God would react to his brothers suicide (considered an unforgivable sin - if could stay awake 20 hours a day, he would be reading the bible, found lots of things that drew him into different perceptions - biggest thing that happened was that he discovered he could not prove what God would and would not forgive - hoped he would find relief in it and found no relief - whole perception changed - could pick out by a persons face if they were happy, if he walked into a store and be mindful of whatʼs going on around and if people were looking at him he would get paranoid they were following him, thought they knew what he was thinking, reading into environment, thought he was an agent to find out if his brother was forgiven - called terms of reference - seeing meaning in things that are not meaningful but you can interpret it to be that way - we all do that to some degree - magnify deja vu in all areas - iʼm the centre of the universe thatʼs looking in on me and playing games in my experience - weʼre not so connected that things happen for a reason - canʼt believe that things will be okay and no harm can come to you - if youʼre paranoid and think someone wants to hurt you you interpret the world differently - another symptom of schizophrenia is hallucinations - when you hear a voice that is maybe commentary related to your terms of reference, and they are saying that your terms of reference are right - hallucinations are feeding into perception - begin to question long-term friendships - didnʼt know they were hallucinations, mother told him if youʼre trying to find out what is right or wrong, listen to the voice in your head - hallucinations made sense, didnʼt seem strange - didnʼt talk about hallucinations for the first 3 years - went to visit dad and the car was running and had trouble turning the car off because if he turned the car off and let the lights on, the lights would drain the battery and the car would die - wasnʼt a question of turning the lights off and car off - car was a reference point in terms of energy (his and other peoples) - thought he had to keep the car running - tried to figure out how long he could keep the lights on and the car off - managed to turn the car and engine off - anticipated something to happen - knocked on dads door and he wasnʼt home but stepmother was there - an hour before that wife would have thought things were fine - and then go in and talking to stepmother and dads dog come over - plan is if God wouldnʼt tell him whether he would forgive his brotherʼs suicide, then he could and he could give everyone else eternal life - didnʼt tell everything he was giving everything eternal life - 1/100 have schizophrenia, 1/10 who have schizophrenia commit suicide - how come every time someone who is involved in crime has a mental illness - more people who are involved in crime are married so statistically doesnʼt marriage cause crime? - most people who have mental illness are far less likely to negatively impact someone else - more likely to want to shut down - good reason for people to become more aware - the biggest reason to become more aware is because even though 1% have schizophrenia it doesnʼt mean that their ability to contribute to life in a positive way, even in a simple or brilliant way canʼt be - schizophrenia is a state of mind, if there is allowances that they think differently but they are accepted they will be less paranoid - if theyʼre not accepted, they will be stigmatized - homosexuality used to be considered a mental illness - identified that there was stigma connected to mental illness and actually moved to persuade people not to put people who were homosexual under the umbrella of mentally ill because they shouldnʼt be stigmatized - when developed the symptoms, it was a long time to find the right medications that seemed to work - taken a long time and will take even longer before we ever get there - we canʼt do that by hiding from possibilities - biggest thing that can leave with us today is that each one of you have been as psychotic as I have been at one time or another in your life and he can prove it - if anyone says he is wrong, we should talk - ever had a time in your life when youʼre asleep having a vivid dreams, when you wake up remnants of your dream are so real that you perceive something of that in your waking moment - thatʼs as out of touch with reality as it is to have schizophrenia - has a theory about schizophrenia - doesnʼt think it is a disease of the mind or how it works in an ill way, thinks that for some reason the dream state of our mind is working while weʼre awake - allows us to perceive things in a new way of filtering - thinks maybe I need to wake up, and maybe society needs to wake up too - very possible f
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