Critical psychiatry: The implications for community mental health practice D B Double.

Slides:



Advertisements
Similar presentations
Is critical psychiatry the same as “anti-psychiatry”?
Advertisements

American Hospital Association Special Conference Call How Johns Hopkins Became and Remains a High-Quality Psychiatric Provider Presented by: J. Raymond.
Context  How do we define sane? How about insane? Is there a difference? How do we tell?
Professor Leana Uys FUNDISA.  Limited approach:  If it is not based on a nursing theory/model, it is not nursing research  If it does not use the word.
Involuntary Commitment
Social Construction of Health and Illness. Social Constructivism (Constructionism) Functionalism declined in the 1970s and social control re-emerged in.
Problems of Mental Illness and Treatments Chapter 3.
IMPLEMENTING CRITICAL PSYCHIATRY IN PRACTICE: POSITIVE AND NEGATIVE ASPECTS D B Double.
HISTORICAL PERSPECTIVES ON ABNORMALITY: LECTURE OUTLINE Historical perspectives Lessons learned from historical analysis The development of mental health.
EXCLUDING CRITICAL PSYCHIATRY D B Double. Recent Psychiatric Bulletin editorial New ‘culture war’ between postpsychiatry and academic psychiatry.
Project Partners: Funded by: Societal Age Disparities in Health Care: Observation from HK compared with the UK B Mak, J Woo, A Bowling, F Wong, PH Chau.
SOME ASPECTS OF THE MORAL BASIS OF DIAGNOSIS: The challenge of Meyer’s Psychobiology D B Double Norfolk & Waveney Mental Health NHS FT & University of.
THE FUTURE OF PSYCHIATRY IS THE BIOPSYCHOSOCIAL MODEL D B Double.
Legal Concerns Defining “Mental Illness”  Mental Illness is a Legal Concept  Varies by State  Not the Same as Psychological Disorder Responsible for.
1 An Introduction to the Consumer Movement Self-Help.
Contemporary Issues in Abnormal Psychology
From Mental Hygiene to Post WWII Psychiatry and Community Psychiatry.
Anti-Psychiatry and Critiques of Psychiatric Expertise.
Maryland Outpatient Mental Health Services for Adults Lisa Hadley Clinical Director, Mental Hygiene Administration May 20, 2014.
The acceptable limits of psychiatry D B Double. What are the acceptable limits of psychiatry?
Perspective in pediatric nursing
PETER KINDERMAN Professor of Clinical Psychology Division of Clinical Psychology University of Liverpool Liverpool. L69 3GB
EMERGENCY PSYCHIATRY - MEDICAL COMPETENCY THE PSYCHIATRIC CONSULTATION.
From Mental Hygiene to Community Psychiatry CLIFFORD BEERS National Committee for Mental Hygiene (1910)
Palliative Care Consultation Team An Introduction Basics of Pain Management
Adolf Meyer and George Barton.
Chrissie and Beckie. Mental illness was a hidden disease which many people didn’t acknowledge until it became unmanageably bad. If the patient was rich.
“IASIS” Mental Health Care Unit SERVICES & ACTIONS CONCERNING THE PROMOTION OF MENTAL HEALTH Ilias Rafail – Psychologist November 2010.
Adolf Meyer and George Barton OT513: Analysis and Adaptation of Occupation November 18, 2009 Kara Schreier, Danielle Sotelo, Stephanie Troiano, Laura Seidel.
EARLY HISTORY AND EVOLUTION OF PSYCHIATRIC NURSING
Chapter 17 Contemporary and Legal Issues In Abnormal Psychology
Healthcare and Hospice Unit 8 Seminar. Human Services in Hospitals Psychosocial assessments Post discharge follow up Providing information and referrals.
CHALLENGES AND ACHIEVEMENTS – CBR PROGRAMMES AND PERSON WITH MENTAL DISORDERS Andrew Mohanraj.
Some words about UPA UPA is a non-governmental not-for-profit organization UPA is a non-governmental not-for-profit organization UPA was organized in 1991.
Twenty-twenty European policies for mental health Piazza Armerina, September 2013 The Mental Health System in Andalucía (Spain) Marcelino López Álvarez.
STATUS OF MENTAL HEALTH IN BURUNDI By Ms. Joselyne MIBURO, Chief of Mental Health Department to the Ministry of Health.
Legal Concerns Defining “Mental Illness”  Mental Illness is a Legal Concept  Varies by State  Not the Same as Psychological Disorder Responsible for.
Lecture Outline: Western Medical Institutions Introduction: Thinking about health institutions 1. The history of the hospital Early Christian Hospitals.
Cassel Hospital Specialist Personality Disorder Service
Total Institutions Erving Goffman.
Briefing to the Select Committee on Women, Children and Persons with Disabilities Department of Health, Limpopo 27 th February
N212: H EALTH D IFFERENCES A CROSS THE LIFE SPAN 2 Chapter 1 & 2.
Adolf Meyer and George Barton OT513: Analysis and Adaptation of Occupation November 18, 2009 Kara Schreier, Danielle Sotelo, Stephanie Troiano, Laura Seidel.
History of Treatment. Care as a social issue -- the history of treatment What to do with the severely disturbed? –middle Ages to 17th century madness.
I CAN Explain the use of hospitalization Brainstorm ways to deinstitutionalized the chronically mentally ill Copyright © Allyn & Bacon 2007.
Ethical Issues Arising From The Involvement Of Psychiatrists In Late Termination Of Pregnancy Dr Kirsty Morris.
OLD AGE PSYCHIATRY FOR PRIMARY CARE VOCATIONAL TRAINEES Dr Nick Pearson Consultant in the Psychiatry of Old Age Reading
Chapter 7 Assessment of Institutions. Historical Background  In the mid-19th and early 20th centuries, parallel events occurred in the United States,
Passionate about our services Social and Rehabilitation Psychiatry Richard Laugharne Peninsula MRCPsych Course 2013.
Milieu Therapy – The Therapeutic Community
1 Copyright © 2012 by Mosby, an imprint of Elsevier Inc. Copyright © 2008 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 36 Mental Health Issues.
UNIT 1: OUTCOME 1.
Context  How do we define sane? How about insane? Is there a difference? How do we tell?
Socio-cultural Explanations of Schizophrenia Labelling.
Religiosity and Spirituality in Patient Centered Care: Clinical Issues and Cultural Competence Clyde T. Angel, DMin.,BCC,LPC,VHA-CM John Sullivan, LCSW.
History of Treatment. Care as a social issue -- the history of treatment What to do with the severely disturbed? –middle Ages to 17th century madness.
A brief history Source:
From the asylum… Bedlam, by William Hogarth ( )
A brief history Source:
The Therapeutic Environment
The initial impetus for developing a classification of mental disorders in the United States was the need to collect statistical information. The first.
Chapter 17 Contemporary and Legal Issues In Abnormal Psychology
Chapter 17 Contemporary and Legal Issues In Abnormal Psychology
التخطيط 23/10/2011 التخطيط هو التفكير سلفا والتقرير بما يجب عمله لتحقيق أهداف معينة( إعداد خطة عمل) عملية تسبق التنفيذ أو التدبير. فإنه لا يمكن مواجهة.
West Coast University NURS 204
Inpatient Psychiatric Hospitalization
outpatient drug or alcohol clinic, mental health or community health center, private mental health professional, in-home counseling or crisis services,
In Home Aid Services # of elder & disabled clients served
Societal Age Disparities in Health Care:
Entry into RC Onset First Professional Contact
Presentation transcript:

Critical psychiatry: The implications for community mental health practice D B Double

The origins of community care

“Dismay and disgust with the old asylum system“

The origins of community care “Dismay and disgust with the old asylum system“ Opening the doors of the psychiatric hospital

The origins of community care “Dismay and disgust with the old asylum system“ Opening the doors of the psychiatric hospital Therapeutic milieu in hospital

The origins of community care “Dismay and disgust with the old asylum system“ Opening the doors of the psychiatric hospital Therapeutic milieu in hospital ‘Institutional neurosis' (Russell Barton)

The origins of community care “Dismay and disgust with the old asylum system“ Opening the doors of the psychiatric hospital Therapeutic milieu in hospital ‘Institutional neurosis' (Russell Barton) ‘Total institution' (Erving Goffman)

Critical psychiatry and community care

Thomas Scheff (1999) Being mentally ill

Critical psychiatry and community care Thomas Scheff (1999) Being mentally ill Franco Basaglia and law 180 in Italy

Critical psychiatry and community care Thomas Scheff (1999) Being mentally ill Franco Basaglia and law 180 in Italy Bracken & Thomas and home treatment in Bradford

Nature of critical psychiatry

Opposition to the reductionist tendency within psychiatry

Nature of critical psychiatry Opposition to the reductionist tendency within psychiatry More ethical foundation for practice

Nature of critical psychiatry Opposition to the reductionist tendency within psychiatry More ethical foundation for practice The term 'mental illness' may have meaning as a psychosocial concept

Nature of critical psychiatry Opposition to the reductionist tendency within psychiatry More ethical foundation for practice The term 'mental illness' may have meaning as a psychosocial concept Acknowledges the inevitable social dimension of psychiatric practice

Anti-psychiatry and institutionalisation

A whole new approach … without those features of psychiatric practice that seemed to belong to the sphere of social power and structure rather than to medical therapeutics (Laing1985).

Anti-psychiatry and institutionalisation A whole new approach … without those features of psychiatric practice that seemed to belong to the sphere of social power and structure rather than to medical therapeutics (Laing 1985). An effort to cease interference, to 'lay off' other people and give them and oneself a chance (David Cooper)

Anti-psychiatry and institutionalisation Villa 21 in Shenley Hospital

Anti-psychiatry and institutionalisation Villa 21 in Shenley Hospital Philadelphia Association established Kingsley Hall in 1965

Anti-psychiatry and institutionalisation Villa 21 in Shenley Hospital Philadelphia Association established Kingsley Hall in 1965 Rumpus room at Gartnavel hospital

Anti-psychiatry and institutionalisation Villa 21 in Shenley Hospital Philadelphia Association established Kingsley Hall in 1965 Rumpus room at Gartnavel hospital Joseph Berke and Leon Redler both worked with Maxwell Jones at Dingleton hospital before moving to Kingsley Hall

Critical psychiatry and other psychosocial approaches

Harry Stack Sullivan and Sheppard Pratt Hospital

Critical psychiatry and other psychosocial approaches Harry Stack Sullivan and Sheppard Pratt Hospital Adolf Meyer’s Psychobiology

Critical psychiatry and other psychosocial approaches Harry Stack Sullivan and Sheppard Pratt Hospital Adolf Meyer’s Psychobiology Clifford Beers and mental hygiene

Implications

Psychosocial perspectives have a long history in psychiatry

Implications Psychosocial perspectives have a long history in psychiatry Critical psychiatry has an explicitly ethical stance

Implications Psychosocial perspectives have a long history in psychiatry Critical psychiatry has an explicitly ethical stance The challenge of the user movement

Implications Psychosocial perspectives have a long history in psychiatry Critical psychiatry has an explicitly ethical stance The challenge of the user movement Meyer diverted Beer’s critique into the mental hygiene movement

Implications Psychosocial perspectives have a long history in psychiatry Critical psychiatry has an explicitly ethical stance The challenge of the user movement Meyer diverted Beer’s critique into the mental hygiene movement Anti-psychiatry had many of the same interests as other psychosocial perspectives