Zusammenfassung der Ressource
Dominant paradigms in mental health
- Neuroscience/biology
- Genes + neuro at heart
- Pharmaceuticals are primary measure
- Causes neglected- problems swept under the carpet
- Can make more clear cut statements, have more certainty
- Vulnerability influenced by genetic makeup
Anmerkungen:
- Therapy
- But there are things it can't fix
- eg poverty, discrimination
- Social causes
- But these may be entrenched
- When multiple disadvantages intersect, vulnerability increases
- Vulnerable groups - highly overrepresented in mental illness
- Social environment- intrinsic to wellbeing
Anmerkungen:
- Prevalence of depression increases on a gradient down the SES spectrum. Highest in the low status groups.
- Higher rates of problems associated with low income, insecure housing, limited
education, recent unemployment, high-demand or low-control work, child abuse or neglect, poor neighbourhood conditions, low social support.
- Forms of mental illness often comorbid with physical health problems
- Extended exposure --> chronic stress arousal --> increased risk of physical/mental health problems
- depression, panic disorder, OCD, PTSD
- Decisions of gov + public institutions may have
distal affects- influencing conditions
- Gender-specific risk factors
Anmerkungen:
- Women - violence, poverty (more than men), unremitting care for others (social expectations), sexism (also affects men), specific illness.
- Is women's depression more about social inequality?- unreasonable expectations
- Premenstrual dysphoric disorder, female orgasmic disorder, postpartum depression
- reenforce roles?
- Men in 40s/50s- high risk of suicide
- Psychosocial lens
- Heart of social work
- The person in their environment
Anmerkungen:
- currently available cognitive-behavioural resources
- Intervening with individual, but seeing beyond them
- Recovery also necessarily
takes place in social
environment
Anmerkungen:
- Friendships between service users
- Families
- Professionals
- Dodo bird effect, reciprocity
- Good material conditions - having a home, financial condition
- Recovery-oriented systems- person-centred,
strength-based, community-oriented, offered in context of collaborative
relationship
- Childhood experiences
Anmerkungen:
- Significant
association between psychological dysfunction in adulthood and history of
childhood abuse/neglect.