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General systems theory Model of disease Doctor - Patient Models Concept of Normality Psychiatry and Psychology Definition of Mental Disorder
* Kaplan HI, Sadock BJ. Synopsis of Psychiatry Behavioral Sciences / Clinical Psychiatry, 10th.ed., 2007 * American Psychiatry Association. Diagnostic and Statistical Manual of Mental Disorders, 4th ed (DSM-IV). 1994
structural
molecular
biological functioning
factors
motivation
illness
reaction to events / illness
personality
The Social Systems : cultural environmental familiar the expression experience of events / illness
MODEL OF DISEASE
The General Systems Theory
how patients individual psychology and sociocultural millieu affect the medical condition the emotional responses to the condition and the involvement with the doctor
DOCTOR-PATIENT MODELS
1. The active - passive model : a patient s complete passivity a physicians taking control when patients are unconscious, immobilized, delirious.
2. The teacher - student model : The role of the physician is paternalistic and controlling. The role of the patient is essentially one of dependence and acceptance
CONCEPT OF NORMALITY
The normal person has a sense of his or her own worth and maintain a confident and purposeful self-image Behavior is assumed to be within normal limits : no manifest psychopathology
The doctor attemps to free patients from grossly observable signs and symptoms of disease
Longitudinal studies
Operational definition of normality ( not absolute, rather is descriptive ) The teenager The adults
The Teenagers
1. Almost complete absence of gross psychopathology, severe physical defects, and severe physical illness. 2. Mastery of previous developmental tasks without serious setbacks. 3. Ability to experience emotional states flexibly and to resolve conflicts actively with reasonable success.
The Teenagers
4. Relatively good relationship with parents, sibling, and peers. 5. Feeling part of a larger cultural environment and being aware of its norms and values. The Adults Good adaptation to marriage, parenthood, work and leisure activities.
Mental Health
Mental health is a state of emotional willbeing in which person are able to function comfortably within their society and in which their personal achievements and characteristics are satisfactory to them. A mentally health individual : being in a state of equilibrium, somehow possessing a harmonious psychological wholeness
In a state a mental health : a person feels physically well, his thoughts are organized, his feeling are well modulated and his behaviours are coordinated and appropriate. He feels part of a group and is able to fulfill his role within it.
PSYCHIATRY
Branch of medicine concerned with the prevention, cause, treatment, and rehabilitation of mental disorders. Psychiatrist : medical doctor whose specialty is psychiatry
PSYCHOLOGY
Study and profession concerned with mental process and behaviour.