Diagnosis as a Detriment: A Cognitive Approach to Understanding the Depressive Experience

2015 ◽  
Vol 17 (2) ◽  
pp. 125-134 ◽  
Author(s):  
Evan Hy Einstein
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Theoretical Model ◽  
Mental Health Care ◽  
Cognitive Model ◽  
Clinical Applications ◽  
Psychotropic Medications ◽  
Cognitive Mechanisms ◽  
Cognitive Approach ◽  
The Brain

Depression is currently understood within a biomedical paradigm. This paradigm is an example of reductionism; people are clinically diagnosed and categorized based on behavior and affect, while they are then prescribed psychotropic medications based on an inconclusively correlated neurotransmitter imbalance in the brain. In this article, clinical diagnosis and labeling are explored with respect to their detrimental potential. A framework of embodied cognition is used to conceptualize a cognitive model of depressive experience. This theoretical model explores the potentially self-reinforcing cognitive mechanisms behind a depressive experience, with the goal of highlighting the possibility of diagnosis as a detrimental influence on these mechanisms. The aim of this article is to further a discussion about our current mental health care paradigm and provide an explanation as to how it could cause harm to some. Clinical applications of the model are also discussed pertaining to the potential of rendering formal dichotomist diagnoses irrelevant to the ultimate goal of helping people feel better.

scholarly journals Impact of the COVID-19 Pandemic on the General Mental Health in Sweden: No Observed Changes in the Dispensed Amount of Common Psychotropic Medications in the Region of Scania

2021 ◽  
Vol 12 ◽  
Author(s):  
Mirjam Wolfschlag ◽  
Cécile Grudet ◽  
Anders Håkansson
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Interrupted Time Series ◽  
Psychotropic Medications ◽  
Interrupted Time Series Analysis ◽  
Swedish Population ◽  
General Mental Health ◽  
Before And After ◽  
The One

Some first investigations have focused on the consequences of the COVID-19 pandemic for the general mental health after its outbreak in 2020. According to multiple self-reporting surveys, symptoms of stress, anxiety, and depression have risen worldwide. Even some studies based on health care records start to be published, providing more objective and statistically reliable results. Additionally, concerns have been raised, to what extend the access to mental health care has been compromised by the COVID-19 outbreak. The aim of this study was to detect changes in prescription trends of common psychotropic medications in the Swedish region of Scania. The monthly dispensed amounts of selected pharmaceuticals were compared from January 2018 until January 2021, regarding the prescription trends before and after the outbreak of COVID-19. Using an interrupted time series analysis for each medication, no general trend changes were observed. On the one hand, a possible deterioration of the general mental health could not be confirmed by these results. On the other hand, the access to mental health care did not seem to be impaired by the pandemic. When interpreting findings related to the COVID-19 pandemic, regional differences and country-specific approaches for coping with the pandemic should be considered. The Swedish population, for instance, never experienced a full “lock-down” and within Sweden the time point of the outbreak waves differed regionally. In general, the effects of the COVID-19 outbreak on mental health are still unclear and need to be investigated further in an international comparison.

Counseling Chinese Communities in Malaysia

2021 ◽  
pp. 1175-1201
Author(s):  
Rachel Sing Kiat Ting ◽  
Pei Lynn Foo
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Brain Drain ◽  
Internal Barriers ◽  
Mainstream Culture ◽  
The Brain ◽  
Health Discipline

This chapter presents the experiences of Chinese in Malaysia (CIM), in the context of mental health services. As the second largest ethnic group in Malaysia, CIM is diverse in its dialectic subculture, education, generation, geography, and degree of assimilation to the mainstream culture. The chapter introduces the ecological characteristics of CIM and how they shape the unique psychological challenges. Though CIM are known for their multilingual ability, strong work ethics, emphasis on education, and family piety, the clashes between tradition and modern values, the marginalized position in the Malaysian political arena, the stereotype of overachiever in education, and the “brain drain” movement of young elite CIM, have all caused a strain in CIM families as well as individuals. Moreover, they face both external and internal barriers in getting quality mental health care. It is therefore imperative to promote a mental health discipline that is open to serve CIM, as well as being sensitive to its cultural and historical backdrop.

Counseling Chinese Communities in Malaysia

2019 ◽  
pp. 23-49 ◽  
Author(s):  
Rachel Sing Kiat Ting ◽  
Pei Lynn Foo
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Brain Drain ◽  
Internal Barriers ◽  
Mainstream Culture ◽  
The Brain ◽  
Health Discipline

This chapter presents the experiences of Chinese in Malaysia (CIM), in the context of mental health services. As the second largest ethnic group in Malaysia, CIM is diverse in its dialectic subculture, education, generation, geography, and degree of assimilation to the mainstream culture. The chapter introduces the ecological characteristics of CIM and how they shape the unique psychological challenges. Though CIM are known for their multilingual ability, strong work ethics, emphasis on education, and family piety, the clashes between tradition and modern values, the marginalized position in the Malaysian political arena, the stereotype of overachiever in education, and the “brain drain” movement of young elite CIM, have all caused a strain in CIM families as well as individuals. Moreover, they face both external and internal barriers in getting quality mental health care. It is therefore imperative to promote a mental health discipline that is open to serve CIM, as well as being sensitive to its cultural and historical backdrop.

A Tribute to the Late William J. Curran

1996 ◽  
Vol 24 (3) ◽  
pp. 274-275
Author(s):  
O. Lawrence ◽  
J.D. Gostin
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
United Nations ◽  
Mental Health Care ◽  
Harvard University ◽  
Legal Medicine ◽  
General Assembly ◽  
International Institute ◽  
University Professor

In the summer of 1979, a group of experts on law, medicine, and ethics assembled in Siracusa, Sicily, under the auspices of the International Commission of Jurists and the International Institute of Higher Studies in Criminal Science, to draft guidelines on the rights of persons with mental illness. Sitting across the table from me was a quiet, proud man of distinctive intelligence, William J. Curran, Frances Glessner Lee Professor of Legal Medicine at Harvard University. Professor Curran was one of the principal drafters of those guidelines. Many years later in 1991, after several subsequent re-drafts by United Nations (U.N.) Rapporteur Erica-Irene Daes, the text was adopted by the U.N. General Assembly as the Principles for the Protection of Persons with Mental Illness and for the Improvement of Mental Health Care. This was the kind of remarkable achievement in the field of law and medicine that Professor Curran repeated throughout his distinguished career.

Handbook of Person-Centered Mental Health Care

2020 ◽  
Author(s):  
Nosheen Akhtar ◽  
Cheryl Forchuk ◽  
Katherine McKay ◽  
Sandra Fisman ◽  
Abraham Rudnick
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care

Psychometric Properties of the German Version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR)

2012 ◽  
Vol 28 (4) ◽  
pp. 255-261 ◽  
Author(s):  
Sabine Loos ◽  
Reinhold Kilian ◽  
Thomas Becker ◽  
Birgit Janssen ◽  
Harald Freyberger ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Community Mental Health ◽  
Mental Health Care ◽  
Psychometric Properties ◽  
Therapeutic Relationship ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Community Mental Health Care ◽  
German Version

Objective: There are presently no instruments available in German language to assess the therapeutic relationship in psychiatric care. This study validates the German version of the Scale to Assess the Therapeutic Relationship in Community Mental Health Care (D-STAR). Method: 460 persons with severe mental illness and 154 clinicians who had participated in a multicenter RCT testing a discharge planning intervention completed the D-STAR. Psychometric properties were established via item analysis, analyses of missing values, internal consistency, and confirmatory factor analysis. Furthermore, convergent validity was scrutinized via calculating correlations of the D-STAR scales with two measures of treatment satisfaction. Results: As in the original English version, fit indices of a 3-factor model of the therapeutic relationship were only moderate. However, the feasibility and internal consistency of the D-STAR was good, and correlations with other measures suggested reasonable convergent validity. Conclusions: The psychometric properties of the D-STAR are acceptable. Its use can be recommended in German-speaking countries to assess the therapeutic relationship in both routine care and research.

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