Tagged: mental illness

Deinstitutionalization and the Criminal Justice System: An Unfortunate Correlation

Starting in the 1950s, the United States began to engage in the deinstitutionalization of state mental institutions. This involved removing severely mentally ill patients from public psychiatric hospitals, diverting new mentally ill patients away from such hospitals, and implementing community-based services. Originally triggered by the introduction of the first effective antipsychotic medication, Chlorpromazine (AKA Thorazine), in 1955 and helped along by the enactment of federal Medicaid and Medicare in 1965, deinstitutionalization has brought about a huge reduction in the number...

Blinded by narcissism?

In the Freudian Era, Narcissism was a central psychiatric concept and diagnosis. In the last several months, the likelihood that the American Psychiatric Association will drop this diagnosis from it’s new, 5th edition of The Diagnostic and Statistical Manual of Mental Disorders (DSM) has been the subject of a string of articles in prominent newspapers and other news outlets including the New York Times and NPR. Though the debate is one about professional discourse and diagnosis, it extends well beyond...

If a depression begets depression, will the concept of mental illness be altered?

For the last several decades, depression rates have been on the rise at a rapid pace. At the same time, the economy was in a boom. Socioeconomic status is a variable that has been shown over and over again to affect the likelihood to experience depression; there is an inverse relationship between income/wealth and depression. If the economy was better a few years ago and depression rates were up, it is imperative that we think about what is happening and...

Hoarding and other disorders – are they rooted in the mind or the market? And what does this tell us about mental illness?

Of late, behaviors such as hoarding are getting a lot of attention. TV shows devoted to the tormented lives of hoarders have hit the scene and certainly, an increase in interest among mental health professionals and the media has surfaced. There are several substantive sociological issues here that go beyond the psychological elements and individual consequences of hoarding behavior – or buying, spending, drinking, gambling – all of which are considered by the American Psychiatric Association to be disorders in...

Stigma and the Associations between Mental Illness and Violence in the Media

On February 12th, Amy Bishop walked into a meeting of the Biology department at The University of Alabama, where she had recently been denied tenure, and murdered three colleagues. On February 18th, Joseph Stack flew a stolen plane into a building that housed, among other workplaces, a number of FBI offices in Austin, Texas.  He, too, killed several people. Both are tragic events. Both were acts committed by clearly violent individuals and are possibly related to emotional or psychological problems. While Bishop had a history of violence, most...

Questions about antidepressant efficacy: But is mild depression really depression at all?

A new and highly controversial article in the Journal of the American Medical Association addresses the possible ineffectiveness of antidepressant medications (Paxil and Imipramine) on people who suffer from mild forms of depression (a more complete summary from NPR below). The JAMA article, Antidepressant Drug Effects and Depression Severity, suggests that the population that has actually become the most common users of the antidepressant – those with mild or moderate symptoms of depression – are actually those who benefit the...

Creating or Identifying Mental Illness: what American psychiatric definitions of illness do

The New York Times Sunday Magazine featured an article (a preview of a book) by Ethan Watters about the globalization of American concepts of mental illness (linked below). In short, along with our flavored lattes, burgers and GAP jeans, American concepts of illness are spreading across the globe. I would argue they have spread and are relatively well-integrated into the majority of societies’ understandings of a wide range of symptoms. There are very few places untouched by American conceptualizations of...

Comparing the role of government in self-control problems from behavioural and neoclassical economic perspectives

This post has moved to http://williampaulbell.wordpress.com/2009/09/12/comparing-the-role-of-government-in-self-control-problems-from-behavioural-and-neoclassical-economic-perspectives/ <About>  <Portfolio>  <Academia>  <LinkedIn>  <Twitter>  <Blog> Member of the World Economics Association – promoting ethics, openness, diversity of thought and democracy within the economics profession

Nature or Nurture as a complex interplay: the debate over the depression gene

By Dena T. Smith In the last several decades, the field of medicine has become increasingly dominated by biological thinking. Psychiatry, a sub-field aimed at treating mental illness is largely focused on the genetic causes of a wide range of conditions. This perspective stands in opposition to the notion that environmental factors cause symptoms – that changes in biology and/or neurochemistry are dictated by certain situations and conditions to which an organism is exposed. Depression is one illness category under...