1. CHANGING CONCEPTIONS OF MENTAL ILLNESS

2. CONCEPTIONS OF MENTAL ILLNESS
HOW VIEWS OF MENTAL ILLNESS HAVE CHANGED OVER TIME
CURRENT CONCEPTIONS OF MENTAL ILLNESS
WHERE DRAW THE LINE BETWEEN MENTAL ILLNESS AND NORMALITY?

3. PRE 20TH CENTURY

4. PRE-20TH CENTURY MENTAL ILLNESS IS UNIVERSAL
MENTAL ILLNESS LIMITED TO SMALL NUMBER OF MOST SERIOUS CONDITIONS
MENTALLY ILL HIGHLY STIGMATIZED

6. CAUSES
NOT MUCH KNOWN
SUPERNATURAL
BRAIN DISEASE

7. EARLY TREATMENT

9. EARLY TREATMENT LITTLE KNOWLEDGE
PRE-19TH CENTURY – FAMILY RESPONSIBILITY OR LEFT TO FEND FOR SELVES
NO OUTPATIENT TREATMENT
19TH CENTURY - SHUT AWAY IN INSTITUTIONS

13. PRE-20TH CENTURY LIMITED TO SMALL NUMBER OF SEVERE CONDITIONS
MENTALLY ILL BIZARRE AND DIFFERENT FROM NORMAL
CAUSES UNKNOWN
INSTITUTIONALIZED

14. CURRENT CONCEPTIONS

16. CURRENT CONCEPTIONS
BEGAN WITH DSM-III (1980) - NOW NEARLY 400 CONDITIONS
NOT JUST MOST SEVERE CONDITIONS BUT MANY DIFFERENT CONDITIONS

21. M.I. WIDESPREAD
NO LONGER SEEN AS UNUSUAL BUT MANY PEOPLE AFFECTED BY THEM
50 PERCENT OF POPULATION OVER LIFETIME; 20 PERCENT IN ANY GIVEN YEAR

23. NORMALIZATION MENTALLY ILL NOT SEEN AS DIFFERENT FROM NORMAL
MENTALLY ILL NOT CERTAIN KIND OF PERSON BUT NORMAL PERSON WITH PARTICULAR DISEASE

27. MEDICALIZATION EMOTIONS AND BEHAVIORS VIEWED AS MENTAL ILLNESSES
TREATED BY PROFESSIONALS
GENETICS AND BRAIN CHEMISTRY AT FAULT

32. TREATMENT

35. TREATMENT
SSRI - SELECTIVE SEROTONIN REUPTAKE INHIBITORS - “ANTI-DEPRESSANTS”
HUGE INCREASE IN DRUG TREATMENT - 60 MILLION SCRIPTS
3 OF 7 MOST PRESCRIBED DRUGS

38. THERAPEUTIC CULTURE
MORE PEOPLE IN TREATMENT AND MORE MENTAL HEALTH PROFS.

39. RATES OF TREATMENT

40. SUMMARY OF TRENDS FROM ONLY SERIOUS TO MANY CONDITIONS
FROM RARE TO WIDESPREAD
FROM STIGMATIZED TO MEDICALIZED

41. SUMMARY OF TRENDS FROM INSTITUTIONS TO OUTPATIENT THERAPY AND DRUGS
FROM SEGREGATION TO PART OF CULTURE

42. WHERE DRAW THE LINE? ARE TOO MANY CONDITIONS MEDICALIZED NOW?
HOW CAN WE SEPARATE WHAT’S M.I. FROM WHAT’S NORMAL?

43. SOPRANOS BEHAVIORS VIEWED AS DISEASES
CHANGE OVER TIME FROM ROWDY TO SICK
CONFLICT WITH MUCH LAY CULTURE
RISE OF M.H. PROFESSIONALS
TREATMENT NOT PUNISHMENT