Case of Feigned Insanity

1881 ◽  
Vol 27 (119) ◽  
pp. 384-391
Author(s):  
Alex. Robertson

Physicians who have had experience in doubtful cases of insanity know well how difficult it sometimes is to pronounce decidedly as to the presence or absence of mental unsoundness. On the one hand, the striking differences that are to be met with in intellectual and emotional characteristics within the sphere of mental health, and, on the other, the equally great diversity in the features of the various forms of disordered mind, occasionally render the problem one not easy of solution. Moreover, the decision in such cases often involves serious responsibility. This occurs more particularly when the question arises in relation to grave criminal charges, and where medical opinion is sought to aid in determining if vagaries of conduct and seeming delusions are to be considered evidences of real mental disorder, or are feigned for the purpose of screening the accused from the legitimate penalties of their crimes.

2007 ◽  
Vol 16 (2) ◽  
pp. 139-143 ◽  
Author(s):  
Giovanni Jervis

SUMMARYSeveral discernible trends have changed the outlook of psychiatric resources available to the general public during the last 50 years in Western countries and particularly in Italy. Among these trends, two conflicting issues are here outlined. On the one side, evidence based medicine is the core of a methodological revolution, which asks for a deeper criticism of subjective judgements in clinical matters; on the other side, the study of emotions and attitudes has stressed the outstanding importance of conscious and unconscious expectations both in patients and in caregivers. Moreover, popular psychology has altered the way mental disorder is commonly perceived and treated. A comprehensive way of taking into account these three diverse trends seems to be still lacking.


2006 ◽  
Vol 8 (3) ◽  
pp. 241-254
Author(s):  
John Breeding

The history of modern psychiatry includes a legacy of coercion and infamous physical and mechanical treatments, on the one hand, and progress in human rights, particularly patient rights, on the other. The purpose of this article is to remind readers that this modern progress in psychiatry is more apparent than real. The author’s experience with recent cases in the mental health courts is discussed in order to demonstrate the ongoing abuse of human rights in psychiatry. A brief look at other aspects of the current mental health climate in the United States is also provided, along with considerations of informed consent.


Author(s):  
George Graham

The basic claims of the chapter are, first, that mental disorders are not best understood as types of brain disorder, even though mental disorders are based in the brain. And, second, that the difference between the two sorts of disorders can be illuminated by the sorts of treatment or therapy that may work for the one type (a mental disorder) but not for the other type (a brain disorder). In the discussion some of the diagnostic implications and difficulties associated with these two basic claims are outlined.


2016 ◽  
Vol 33 (S1) ◽  
pp. S451-S451
Author(s):  
C. Manso Bazús ◽  
J. Valdes Valdazo ◽  
E. Garcia Fernandez ◽  
L.T. Velilla Diez ◽  
J. Min Kim ◽  
...  

IntroductionTo the specialized attention arrives as preferred patients with minor diagnosis.ObjectiveWe do a relation between the type (normal/preferential) derivation of the first consultations and their corresponding diagnosis.MethodologyRetrospective observational study with data gathered during 3 months, which handle 2 variables: on the one hand, type of derivation and on the other, effected diagnosis.ResultsThe most frequent diagnosis found are adaptative disorders and affective disorders, corresponding to 45.45% and 9.1%, respectively of preferred leads.ConclusionsAlmost half of preferential queries (consultations) could be treated in first instance by primary care physicians releasing mental health care burden.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2011 ◽  
Vol 26 (S2) ◽  
pp. 1993-1993
Author(s):  
G. Meynen

IntroductionMental disorders are often considered to be able to undermine a person's moral responsibility, at least in some respect. Yet, it is unclear exactly how mental disorders would be capable of compromising a person's responsibility. Sometimes, it is suggested that mental disorders undermine responsibility via some detrimental effect on free will.ObjectivesEstablishing to what extent the effect of mental disorder on moral responsibility might be due to an effect on free will, and to what extent other factors might play a role.AimsProviding an analysis of the concept of free will and assessing the relevance of the elements of this concept with respect to mental disorders. Second, establishing what other - not free will related - factors might be relevant to the intuition that mental disorders can undermine responsibility.MethodsConceptual analysis with respect to free will and moral responsibility on the one hand and specific features of mental disorders on the other.ResultsSome of the responsibility-undermining features of mental disorders could have to do primarily with free will related issues. However, for some other aspects it is less clear. In fact, they might be more epistemic in nature instead of having to do with free will.ConclusionsThe possible effects of mental disorders on moral responsibility are likely to involve also other than free will related factors.


2016 ◽  
Vol 5 (1) ◽  
pp. 27
Author(s):  
Shanti Wardaningsih ◽  
Takayuki Kageyama

<span>In Indonesia, there are any community health volunteers called <em>Kader</em>. Although <em>Kaders</em> are members of mental health volunteer, they sometimes show negative attitude to psychotic persons, even they have already got some training about mental health. The aims of this study were to investigate 1) how is <em>Kaders</em>’s perception compare to the other countries, 2) how will they consult compare to the other countries 3) how is comparison of <em>Kaders’</em> perception to mental disorder person between trained and untrained,. The method of this research is a descriptive explorative using survey study. This study was held on June to September 2013. It was conducted in five districts of Yogyakarta area with 619 respondents. The Questionnaires used contained three sections are follows; Part A is about Demographic Data, Part B two case vignettes (taken from MacArthur Health Module of the 1996 general Social Survey) and Part C about <em>Kaders</em> experiences. The perception of Kader as part of the community is lower than the general residence in the United States and Japan. The comparison between trained and untrained <em>Kaders</em> shown that trained <em>Kaders</em> has better perception toward patient with mental disorder. These results suggest that actual experiences in meeting the cases contributed to the improvement of <em>Kaders’</em> perception better than the previous mental health training did. It might be <em>Kaders</em> with short experience are explored information <em>Kaders</em> should be trained with more structured curriculum and recruiting Kader is recommended to recruit the young generation. </span>


Religions ◽  
2019 ◽  
Vol 10 (11) ◽  
pp. 634
Author(s):  
W. R. Klemm

Human culture has modernized at a much faster pace than has theology and religion. We are at the point where many moderns apparently think that religion is losing relevance. Satisfying the need for relevance and ecumenical harmony requires more reasoned and mature approaches to religion. Science is one of those secular activities that seems to undermine religious faith for many people. Unlike the sciences that give us the Big Bang, relativity, quantum mechanics, and theories of evolution, neuroscience is the one science that applies in everyday life toward developing a faith that promotes nurturing of self and others. Modern neuroscience and the mental health understanding that it creates can contribute to satisfying this need. Neuroscience and religion have numerous shared areas of concern, and each worldview can and should inform and enrich the other. Neuroscience may help us understand why we believe certain religious ideas and not others. It helps to explain our behavior and might even help us live more righteous and fulfilled lives. Religion can show neuroscientists areas of religious debate that scientific research might help resolve. New educational initiatives at all levels (secondary, seminary, and secular college) can provide a way to integrate neuroscience and religion and lead to religious perspectives that are more reasoned, mature, satisfying, and beneficial at both individual and social levels. Neurotheology is an emerging academic discipline that seems to focus on integrating neuroscience and theology. About only 10 years old, neurotheology has not yet consolidated its definition, ideology, purpose, or scholarly or applied strategies. Acceptance by the scholarly community is problematic. This manuscript raises the question of whether neurotheology will survive as a viable discipline and, if so, what form that could take.


1974 ◽  
Vol 2 (1) ◽  
pp. 3-11 ◽  
Author(s):  
Vernon C. Grounds

Two views of holiness and its bearing on mental health are discussed. On the one hand is the view of the person who sees Christian piety as a panacea for all mental and physical ills. Both sacred writ and secular sources are quoted in support of this contention. The therapeutic church community, group worship, scriptural interaction and prayer are all cited as means used to the end of mental health. On the other hand, examples of Christ as the “man of sorrows,” Peter as one acquainted with tears and Paul as a zealous, passionate missionary are given in support of the idea that Christianity does not guarantee healthymindedness by present psychological standards. It is concluded that what is accepted as mental health by present day psychology may not be congruent with true Christian experience. The idea that personality maladjustment is rooted in a warped, wrong God-relationship is also repudiated.


2016 ◽  
Vol 5 (1) ◽  
pp. 27
Author(s):  
Shanti Wardaningsih ◽  
Takayuki Kageyama

<span>In Indonesia, there are any community health volunteers called <em>Kader</em>. Although <em>Kaders</em> are members of mental health volunteer, they sometimes show negative attitude to psychotic persons, even they have already got some training about mental health. The aims of this study were to investigate 1) how is <em>Kader's</em> perception compare to the other countries, 2) how will they consult compare to the other countries 3) how is comparison of <em>Kaders’</em> perception to mental disorder person between trained and untrained. The method of this research is a descriptive explorative using survey study. This study was held on June to September 2013. It was conducted in five districts of Yogyakarta area with 619 respondents. The Questionnaires used contained three sections are follows; Part A is about Demographic Data, Part B two case vignettes (taken from MacArthur Health Module of the 1996 general Social Survey) and Part C about <em>Kaders</em> experiences. The perception of Kader as part of the community is lower than the general residence in the United States and Japan. The comparison between trained and untrained <em>Kaders</em> shown that trained <em>Kaders</em> has better perception toward patient with mental disorder. These results suggest that actual experiences in meeting the cases contributed to the improvement of <em>Kaders’</em> perception better than the previous mental health training did. It might be <em>Kaders</em> with short experience are explored information <em>Kaders</em> should be trained with more structured curriculum and recruiting Kader is recommended to recruit the young generation. </span>


2021 ◽  
Vol 8 (2) ◽  
pp. 205395172110473
Author(s):  
Rasmus Birk ◽  
Anna Lavis ◽  
Federica Lucivero ◽  
Gabrielle Samuel

Digital phenotyping for mental health is an emerging trend which uses digital data, derived from mobile applications, wearable technologies and digital sensors, to measure, track and predict the mental health of an individual. Digital phenotyping for mental health is a growing, but as yet underexamined, field. As we will show, the rapid growth of digital phenotyping for mental health raises crucial questions about the values that underpin and are reinforced by this technology, as well as regarding to whom it may become valuable. In this commentary, we explore these questions by focusing on the construction of value across two interrelated domains: user experience and epistemologies on the one hand, and issues of data and ownership on the other. In doing so, we demonstrate the need for a deeper ethical and epistemological engagement with the value assumptions that underpin the promise of digital phenotyping for mental health.


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