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Lecture 9

Lecture 9 GGRB28.pdf

2 Pages
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Department
Geography
Course Code
GGRB28H3
Professor
Michelle Majeed

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Mental health and addictions
"invisible disability"
25% of population will experience mental illness
-
Sense of well-being, quality of life, capacity to pursue goals, acquire skills and education to grow
Similar to the WHO definition of health- overall wellbeing, holistic concept
Mental health
-
Biological breakouts-biochemistry
Recognized, medically diagnosed illness that has effects on cognitive, affective and relational abilities
Some people respond well, others do not
Have to learn coping skills
Borderline: talk therapy, no medication
People respond different to different medications
No one is treated the same, have the same experience
Diagnosed, defined and treated in a certain way
Mental illness = medically recognized, biomedical approach
Does not receive as much funding
Orphan child of health care
Attempts to control the uncontrollable
Asylum = CAMH
Before like a prison
Badly treated in asylums when they existed, experimented on
Not done well: people would keep cycling back into the hospitals,
Pushing patients back into the community to be productive members of society
Acute: do not relapse into another cycle
Can be acute, others will be chronic (lifetime of dealing with mental illness)
1970s: patient liberation movement: giving control back to the patients= giving back control to the patient
Survived the asylum system, the mistreatment of it
Patient: lower-power zone
Consumer= they have rights as well as the person who provides the services
"consumer" because you consume these facilities
"seen as consumers" or "Survivors"
We say: someone who is working with/living with *disease*
Also use different language: if you call someone schizophrenic, you're making them their disease.
Shift in how we think of mental illness
Deinstitutionalization: 80s, end of the welfare state (rise of neoliberalism), can no longer afford these public hospitals (they have to run on
their own)
How Mental Health in Canada
Substance abuse: pattern of substance use leading to significant impairment, cannot fulfill major obligations, physically hazardous, legal
problems,
Substance abuse
Use history which includes the following: substance abuse; continuation despite problems; increase in tolerance; withdrawal symptoms
Dependency issue
Substance dependence
Substance can trigger mental illness
Taking a downer can potentially relax you
Use substances to cope with mental illness
Substance abuse can also trigger an episode
Reduce effectiveness of medications
Links between mental illness + addictions
Addiction is like any other disease like diabetes
Alcoholics Anonymous: abstain from the substance you're addicted to
Provides a lot of funding, research it, treat it like a medical disease
Alcoholic: you cannot drink alcohol, it is part of your disease
Addiction as a disease
Addiction, life process model: learn better coping skills, recognizing your diease + being able to change it, requires
insight , have to want to change, harm reduction (not telling someone to stop using, meeting them where they are, help
them use in a safe space, help them reduce the risks)
Thinks about addictions as a result of maladaptive behaviours that have come out of a person's psychical and social
environments
Life-process model
Understanding addictions
Disapproval of a person based on distinguish them from others
Social stigma
"not in my backyard"
NIMBY
Mental illness/disorder
-
Global situation
Lecture 9
April 2, 2014
7:08 PM
GGRB28 Page 1

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Description
Lecture 9 April 2, 2014 7:08 PM Mental health and addictions Global situation - 25% of population will experience mental illness ○ "invisible disability" - Mental health ○ Sense of well-being, quality of life, capacity to pursue goals, acquire skills and education to grow ○ Good coping skills, healthy physical and social environments  Similar to the WHO definition of health- overall wellbeing, holistic concept - Mental illness/disorder ○ Recognized, medically diagnosed illness that has effects on cognitive, affective and relational abilities  Biological breakouts-biochemistry ○ No one is treated the same, have the same experience  People respond different to different medications □ Some people respond well, others do not □ Borderline: talk therapy, no medication  Have to learn coping skills ○ Mental illness = medically recognized, biomedical approach  Diagnosed, defined and treated in a certain way ○ How Mental Health in Canada  Orphan child of health care □ Does not receive as much funding  Badly treated in asylums when they existed, experimented on □ Attempts to control the uncontrollable □ Asylum = CAMH □ Before like a prison  Deinstitutionalization: 80s, end of the welfare state (rise of neoliberalism), can no longer afford these public hospitals (they have to run on their own) □ Pushing patients back into the community to be productive members of society  Not done well: people would keep cycling back into the hospitals, □ 1970s: patient liberation movement:giving control back to the patients= giving back control to the patient  Can be acute, others will be chronic (lifetime of dealing with mental illness) ◊ Acute: do not relapse into another cycle □ "seen as consumers" or "Survivors"  Survived the asylum system, the mistreatmentof it  "consumer" because you consume these facilities ◊ Patient: lower-power zone ◊ Consumer= they have rights as well as the person who provides the services □ Shift in how we think of mental illness  Also use different language: if you call someoneschizophrenic, you're making them their disease. ◊ We say: someone who is working with/living with *disease* ○ Substance abuse  Substance abuse: pattern of substance use leading to significant
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