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SWRK 424- Midterm Exam Guide - Comprehensive Notes for the exam ( 41 pages long!)


Department
Social Work
Course Code
SWRK 424
Professor
Karen Hetherington
Study Guide
Midterm

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McGill
SWRK 424
Midterm EXAM
STUDY GUIDE

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SWRK 424
September 23, 2016
Role of Medication as a social worker, documentary & Healing Voices
Docuetary: Psychiatry’s deadliest sca
DSM: classification system from the American Psychiatric Association, it gives us a working tool making
us capable of working in a more multi/inter-disciplinary way. Over the years, it started off with about 20
pages and now has evolved to over 900 pages. Now aspects of everyday life has now become a
psychiatric disorder.
Ma pshiatists sa ou hae to take the D“M ith a gai of salt. Thee’s ot eal as uh as
sietifi eseah as ou’d thik thee is. The diagosis ae theoetial, the’eot based on scientific
evaluation.
The documentary states that the DSM was made and created to have people to treat and to get
government funding. They did not have scientific reasoning, and is based purely on observation. They
say that mental illnesses are invented. They are voted into the DSM, and can be voted out. So the DSM
is political and not actually scientific.
What’s og ith this itiue?
Fo soe people haig a diagosis helps akes sese of hat the’e goig though. It helps the
understand and see that there is something that they can do about it, ad soe ases aout hat’s
happening to them. However, when it becomes a label is when it becomes a problem. By saying mental
illness is purely biological is giving an excuse to not pay attention to the environmental factors of mental
illness.
We hae to ath it as futue liiias, so e do’t stat eig guided  just this D“M lassifiatio. We
need to look at this with a critical eye and potentially challenge the diagnosis and treatment a client is
undergoing.
Documentary Healing Voices:
Everyone is on drugs. The question is why? Why is there this pathologizing of normal behaviour? Many
people ho ae oal…. Ae just people eig people. ADD, ADHD, Oppositioal Defiat Disode, etc.
What’s a good appoah? Ha edutio!
What about drug companies? The more we pathologize behaviour, the more we need to medicate,
hih gies oe oe to the phaaeutial opaies. It’s ot eause e’e a sike soiet, ut
it’s eause phaaceutical companies are trying to get a great profit, according to the prof.
Psychiatrists made the DSM to create a classification for themselves, and validate their profession and
ake the feel like eal dotos, aodig to the pof.
Group Discussion risks of using the DSM:
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- “peifi iteia, lists of sptos to e diagosed ith soethig…ou eed  o  of the
sptos so ou look at it ad ou’e like og is that e? Do I hae that? The ou get the
lael
- If the do’t hae the iteia, ut the’e goig though a depessio, the the a ot e
able to access the resources they need, or qualify for the treatment needed
- Some things are so generic
- We o’t see ou patiet as a peso, e ted to see the as thei lael. If e see a diagosis,
e alead ko ho to ok ith the, hih a lose ou ids to aessig the peso
underneath the diagnosis.
- “O istead of eetig the peso hee the ae, ou’e oig at the ith ou
preconceived notions of the diagnosis
- pofessioal stiga
- Not looking beyond the diagnosis
- Ee fo stuff that’s ot elated to ou etal health, if ou hae a diagosis, he ou go to a
physician they often attribute it to your mental health problems and not your physical health
- Lose claim to medical problems
- The DSM does not allow you any understanding of the causation or causal factors, which could
lead to a different treatment plan
- Over-diagnosis
- Being put in the position that you are encouraging people to take their medication instead of
looking at the bigger picture such as environmental and structural influences
- Just the concept of convincing someone to take their medication is counter to recovery
- Ignoring normal lifespan transitions and labeling them as mental illness
- Using the language helps us to use the same language and become accessible and make
influence in another world of psychiatry. Need to gain the confidence of the mainstream to be
ale to gai espet fo the toads the ouit ou’e okig fo. Usig biomedical
model to help not dominate
- THE IMPORTANCE OF THE ENVIRONMENT
- Ee if e’e thikig itiall, it does’t ea e should ejet ediatio all togethe.
Sometimes it can really help the client. There should be a combination of medication and
alternative avenues
- We take aa people’s ights to ake deisios eause e do’t thik the’e opetet
- People sa ad it has ee poe that shizopheia fo eaple, is aused  a gee…ut
what alerts that gene is our environment
PowerPoint:
What are we as social workers responsible for in terms of mental health?
- Social supports family
- Environmental factors!
- Living conditions person in the environment
Multi Levels of Influence
1. Individual
2. Family
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