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Models of Mental Health

Exploring the medical model in psychological practice and its alternatives, this overview delves into how mental health is understood and treated. It contrasts the medical model's focus on biological factors with behavioral, cognitive, psychodynamic, and humanistic perspectives, each offering insights into the multifaceted nature of mental disorders and emphasizing the integration of various factors in treatment.

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1

The medical model suggests mental illnesses may stem from ______ imbalances or ______ predispositions, but it's critiqued for downplaying ______ influences.

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chemical genetic environmental and social

2

Pharmacological Emphasis in Medical Model

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Focus on medication for mental illness, may neglect patient history and psychosocial factors.

3

Stigmatization by Diagnosis

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Reducing individuals to their diagnosis can stigmatize and oversimplify complex experiences.

4

Categorization and Overdiagnosis

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Medical model's categorization can lead to excessive diagnoses, underutilizing psychotherapy and other treatments.

5

In '______,' Thomas Szasz presented the idea that mental disorders are not real diseases but ______.

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The Myth of Mental Illness problems in living

6

Key theories in behavioral psychology

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Classical and operant conditioning explain behavior acquisition and maintenance.

7

Behavioral therapy example for phobias

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Systematic desensitization gradually exposes individuals to phobic stimuli to reduce fear.

8

Criticism of behaviorist approach

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Overlooks internal thoughts and emotions influencing mental health conditions.

9

The ______-behavioral therapy, influenced by theories like ______ Beck's cognitive triad, is used to treat various mental health problems.

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Cognitive Aaron

10

Origin of psychodynamic approach

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Developed by Sigmund Freud, focuses on unconscious conflicts and early experiences.

11

Key focus of psychodynamic therapy

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Explores childhood events and unconscious motivations to understand/treat mental issues.

12

Evolution and criticism of psychodynamic therapy

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Has diversified in practice; criticized for lack of empirical support and unstructured nature.

13

______ psychology challenges the medical model by emphasizing personal growth and ______.

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Humanistic self-awareness

14

Humanistic therapies, like ______-centered therapy, focus on ______, unconditional positive regard, and the client-therapist relationship.

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client empathy

15

Medical model role in psychiatry

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Foundation for modern psychiatric treatments, emphasizes biological factors.

16

Behavioral model focus

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Examines learned behaviors, environmental interactions as mental illness factors.

17

Integration of biopsychosocial factors

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Essential for comprehensive understanding and treatment of mental health conditions.

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The Medical Model in Psychological Practice

The medical model in psychology is an approach that treats mental disorders as it would physical diseases, suggesting that these disorders can be diagnosed, treated, and, in some cases, cured, through medical interventions. It posits that mental illnesses have biological and physiological roots, such as chemical imbalances or genetic predispositions. Diagnosis is based on recognized symptoms and is often followed by pharmacological treatment. While this model has facilitated the development of many effective treatments, it is sometimes criticized for minimizing the role of environmental and social factors in mental health.
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Critique of the Medical Model's Approach

The medical model's comparison of mental illness to physical disease can lead to an emphasis on pharmacological treatment, potentially overlooking the patient's personal history and psychosocial factors. Critics argue that this model may inadvertently stigmatize individuals by reducing them to their diagnosis and ignoring the complexity of their experiences. Furthermore, the medical model's focus on categorization can lead to overdiagnosis and an overreliance on medication, without sufficient emphasis on psychotherapy and other non-pharmacological interventions.

Thomas Szasz's Challenge to the Medical Model

Thomas Szasz, a psychiatrist and academic, was a vocal opponent of the medical model, asserting that mental illness is a social construction rather than a medical fact. In his work, including "The Myth of Mental Illness," Szasz argued that mental disorders are not literal diseases but rather problems in living. He believed that labeling individuals as mentally ill can be a way of controlling and stigmatizing those who deviate from social norms. Szasz's perspective remains controversial but has sparked important discussions about the nature of mental health and the ethics of psychiatric diagnosis.

Behavioral Perspectives on Mental Health

Behavioral psychology offers an alternative to the medical model by explaining mental health issues as behaviors that have been learned and can therefore be changed. This perspective is rooted in theories such as classical and operant conditioning, which describe how behaviors are acquired and maintained. Behavioral therapies, such as systematic desensitization for phobias, have been effective in treating certain disorders. However, the behaviorist approach has been criticized for neglecting the internal thought processes and emotions that contribute to mental health conditions.

Cognitive Theories of Mental Disorders

Cognitive psychology focuses on how distorted thinking patterns and maladaptive beliefs contribute to mental disorders. Cognitive theories, such as Aaron Beck's cognitive triad in depression, have led to the development of cognitive-behavioral therapy (CBT), which is effective for a range of mental health issues. This approach emphasizes the role of cognition in emotional regulation and behavior, but critics have pointed out that cognitive models sometimes overlook the biological and environmental factors that influence mental health.

Psychodynamic Contributions to Understanding Mental Illness

The psychodynamic approach, originating from the work of Sigmund Freud, attributes mental illness to unconscious conflicts, often stemming from early life experiences. This perspective emphasizes the exploration of childhood events and unconscious motivations as a means to understand and treat mental health issues. Psychodynamic therapy has evolved and is practiced in various forms, but it has faced criticism for its lack of empirical evidence and for being less structured than other therapeutic approaches.

Humanistic Psychology's Emphasis on Personal Growth

Humanistic psychology counters the medical model by focusing on the individual's capacity for self-awareness and personal growth. It posits that mental health issues arise when there is a blockage in the individual's ability to achieve self-actualization or when basic psychological needs are not met. Humanistic therapies, such as client-centered therapy, emphasize empathy, unconditional positive regard, and the therapeutic relationship. This approach has been praised for its holistic view of the person but criticized for its subjective nature and lack of structured methodology.

Comprehensive Overview of Mental Health Models

The medical model has been instrumental in the development of modern psychiatric treatments, but it is one of several frameworks for understanding mental illness. Behavioral, cognitive, psychodynamic, and humanistic models each provide unique insights into the causes and treatments of mental health issues. These perspectives underscore the multifaceted nature of mental illness and the importance of integrating biological, psychological, and social factors in both understanding and treating mental health conditions.