What is Mental Illness? - Politics Forum.org | PoFo

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By chearn73
#984728
Mental illnesses include such disorders as schizophrenia, schizoaffective disorder, bipolar disorder, major depressive disorder, obsessive-compulsive disorder, panic and other severe anxiety disorders, autism and pervasive developmental disorders, attention deficit/hyperactivity disorder, borderline personality disorder, and other severe and persistent mental illnesses that affect the brain.

These disorders can profoundly disrupt a person's thinking, feeling, moods, ability to relate to others and capacity for coping with the demands of life.

Mental illnesses can affect persons of any age, race, religion, or income. Mental illnesses are not the result of personal weakness, lack of character, or poor upbringing.

Mental illnesses are treatable. Most people with serious mental illness need medication to help control symptoms, but also rely on supportive counseling, self-help groups, assistance with housing, vocational rehabilitation, income assistance and other community services in order to achieve their highest level of recovery.

Here are some important facts about mental illness and recovery:

* Mental illnesses are biologically based brain disorders. They cannot be overcome through "will power" and are not related to a person's "character" or intelligence.
* Mental disorders fall along a continuum of severity. The most serious and disabling conditions affect five to ten million adults (2.6 – 5.4%) and three to five million children ages five to seventeen (5 – 9%) in the United States.
* Mental disorders are the leading cause of disability (lost years of productive life) in the North America, Europe and, increasingly, in the world. By 2020, Major Depressive illness will be the leading cause of disability in the world for women and children.
* Mental illnesses strike individuals in the prime of their lives, often during adolescence and young adulthood. All ages are susceptible, but the young and the old are especially vulnerable.
* Without treatment the consequences of mental illness for the individual and society are staggering: unnecessary disability, unemployment, substance abuse, homelessness, inappropriate incarceration, suicide and wasted lives; The economic cost of untreated mental illness is more than 100 billion dollars each year in the United States.
* The best treatments for serious mental illnesses today are highly effective; between 70 and 90 percent of individuals have significant reduction of symptoms and improved quality of life with a combination of pharmacological and psychosocial treatments and supports;
* Early identification and treatment is of vital importance; By getting people the treatment they need early, recovery is accelerated and the brain is protected from further harm related to the course of illness.
* Stigma erodes confidence that mental disorders are real, treatable health conditions. We have allowed stigma and a now unwarranted sense of hopelessness to erect attitudinal, structural and financial barriers to effective treatment and recovery. It is time to take these barriers down.

[url]
http://www.nami.org/Content/NavigationM ... llness.htm[/url]
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By tragicclown
#1068355
Actually, theres really no evidence at all that mental disorders are biologically based its purely hypothetical.


Psychiatry isn't a real science or medicine, it is a system of control masquerading as one.

Rosenhan's 'psudo-patient experiment' and 'non-existent impostor experiment' demonstrated that mental hospital staff are thoroughly incapable from distinguishing mentally ill people from mentally well people. The fact that psychriatrists diagnosis can't reliably distinguish means that the catagories are not based on phyiscal evidence but rather the purely subjective and often prejudiced unsubstantiated beliefs of the individual psychiatrist.

Psychologist Rosenhan published an article,On Being Sane in Insane Places, in the journal Science: a group of research psychologists admitted themselves to in-patient mental health care reporting hallucinations but otherwise, behaved totally normally and explained that the hallucinations were gone...but their psychiatrists interpreted their normal behavior and average histories as aspects of their psychosis; in other words, the diagonistic label defined the lens by which their behavior and personalities were viewed rather than their behavior and personalities informing the diagnosis. While legitimate medicine's diagnosis depend on observation, the observations made by psychistrists depend on diagnosis, and often on sterotypes, allowing them to view healthy individuals as sick.

The "psudo-patient experiment" was followed by the "The non-existent impostor experiment". In this, an established teaching hospital which declared that Rosenhan's experiment could never have been successfully conducted at it, and that its psychiatrists would be able to successfully diagnosis and detect non-mentally ill people from those who ought to be there. Rosenhan than agreed to conduct the same experiment at this teaching hospital, telling them that, over a three month period, he would send an undisclosed number of psudopatients so they can see how well they detect them. Of 193 patients the hospital had in those three months, they decided that they were sure 41 were Rosenhan's psudopatient research assistants, and suspected an additional 42...in reality of course, Rosenhan didn't send anyone.

Rosenhan wrote at the time very aptly:

"Nothing underscores the consensual nature of psychiatric disorders more than the recent action by the American Psychiatric Association to delete homosexuality from the Diagnostic and Statistical Manual on Mental Disorders (DSM-II, 1968). Whatever one's opinion regarding the nature of homosexuality, the fact that a professional association could vote on whether or not homosexuality should be considered a disorder surely underscores both the differences between psychiatric/mental disorders and the context-susceptibility of psychiatric ones. Changes in informed public attitudes towards homosexuality have brought about corresponding changes in psychiatric perception of it."


The complete article can be found here: http://www.stanford.edu/~kocabas/onbeingsane.pdf Rosenhan, D. (1973) On being sane in insane places. Science, 179, 250-8

Psychiatry's belief in mental illness as a biologically based disease and therefore requires an organic, drug based treatment model, is purely speculative without any scientific proof. This myth however is Big Buisness that allows the pharmaceutical corporations to construct a profession designed to push their product onto people whether they like it or not.

An excellent article in the Seattle Post-Intelligencer by Keith Hoeller outlines the profit motive behind the psychiatric establishment.

Because the mentally ill often are unaware of their disease, treatment must be forced on the mentally ill. All 50 states have laws that allow involuntary treatment if professionals deem they are a danger to self and others.

Psychiatrists, we are told, can now accurately diagnose mental illness and have safe and effective treatments. Psychiatry is considered a valid medical specialty, like cardiology, and the claims of the movement are based on scientific research.

...

The movement's major source of funding is the highly profitable pharmaceutical industry, which funds the drug research; which funds psychiatric journals, and even the American Psychiatric Association itself; which funds advertising to doctors and the public; and even funds lay groups such as NAMI (at least $11 million) and Children and Adults with Attention Deficit Disorder (at least $1 million).

Yet many professionals claim that the mental health movement is not a legitimate medical or scientific endeavor, let alone a civil rights movement, but a political ideology of intolerance and inhumanity. Numerous psychiatrists and psychologists have examined the psychiatric research literature and found it to range from smoke and mirrors to quackery.

Psychiatrists have yet to conclusively prove that a single mental illness has a biological or physical cause, or a genetic origin. Psychiatry has yet to develop a single physical test that can determine that an individual actually has a particular mental illness. Indeed, The Diagnostic and Statistical Manual of Mental Disorders uses behavior, not physical symptoms, to diagnose mental illness, and it lacks both scientific reliability and validity.

...

the surgeon general's report on mental health states that "the precise causes (etiology) of mental disorders are not known" and "there is no definitive lesion, laboratory test, or abnormality in brain tissue that can identify (a mental) illness." The Textbook of Clinical Psychiatry (1999) states: " ... Validation of the diagnostic categories as specific entities has not been established."
http://seattlepi.nwsource.com/opinion/137089_mentalhealth29.html

In other words, while psychiatry proports to be a science and a medicine it has a considerable conflict of interest. The diseases it claims to treat have no empirically testable, indepedently verifiable reality the way that conventional medical disease has, the only basis on which to believe in their existance is the community of mental health professionals that identifies them as such...but are also financially rewarded for doing so. Research on the existance of the 'illness', diagnosis of illnesses in individuals, and profit from getting 'patients' on expensive perscription drugs which they often become chemically depedent on, then, is a closed loop where the only people granted expert status have a financial incentive in reporting particular findings, particular diagnosis, and perscribing particular drugs.

Its no wonder then that different diagnosis come in fads to match the financial needs of drug companies. The entire catagory of bipolar depression in children was essentially invented in order to provide a market for drugs designed for it.

All of the supposed evidence that psychiatrists use to justify themselves has no scientific model for how it works, instead, they observe that some (but not most) people get better from their 'treatment' and claim that this proves that mental illness is an organic illness that can be treated with medication. What they don't say however, is that the degree of success falls within the range of a placebo effect and sugar pills work as well as anti-depressants.

Shankar Vedantam in The Washington Post reported Tuesday, May 7, 2002; Page A01:

After thousands of studies, hundreds of millions of prescriptions and tens of billions of dollars in sales, two things are certain about pills that treat depression: Antidepressants like Prozac, Paxil and Zoloft work. And so do sugar pills.

A new analysis has found that in the majority of trials conducted by drug companies in recent decades, sugar pills have done as well as -- or better than -- antidepressants. Companies have had to conduct numerous trials to get two that show a positive result, which is the Food and Drug Administration's minimum for approval.

What's more, the sugar pills, or placebos, cause profound changes in the same areas of the brain affected by the medicines, according to research published last week. One researcher has ruefully concluded that a higher percentage of depressed patients get better on placebos today than 20 years ago.
User avatar
By Zagadka
#1068434
Actually, theres really no evidence at all that mental disorders are biologically based its purely hypothetical

Actually, many illnesses such as schizophrenia, bi-polarism, alcohol and other addiction, depression (espesually post-partum)... there may not be a solid link, but these traits do tend to run in families, even if it is rare; the only other schizophrenic member of my family is my great grandmother's brother, a family-owned farmer in Oklahoma... the next place it pops up? Someone not completely blood related.
By maranarc
#1107710
Mental illnesses are abnormalities in thought, behaviour or feeling which cause the sufferer personal distress.

And yes there is no evidence that mental illnesses have any biological/physiological basis. Show me the physiological abnormality which leads to narcissitic personality disorder?
User avatar
By Grun tu Molani
#1108201
If so, I trust you have experience of them? Such as, for example, 20 years experience of autism?
User avatar
By Citizen J
#1108234
Our data is consistent with an emerging view in autism that at least in some children with autism, parts of the brain are too big, too early," said David Amaral, research director at the MIND Institute and principal investigator on the study.
Autism and the Brain
Schizophrenia appears to have unknown genetic components (inhereted genes) and unidentified prenatal environmental components (such as maternal illness during pregnancy) that determines whether someone will develop the symptoms of schizophrenia when he or she is twentysomething. This is because in studies of twins who were separated at birth, there is a high concordance rate for the development of schizophrenia. In other words, even if twins grow up in two different families, there is an increased liklihood that if one develops schizophrenia, the other will also. In addition, the likelihood that both will develop schizophrenia is greater for identical twins than for non-identical twins.
Genetics of Schizophrenia

While treating depression with selective serotonin reuptake inhibitors, or SSRIs, has been around since the late 1980s, new brain imaging technologies and genetic detective work are rapidly revealing what can cause depression and how best to treat it.
Clues to Depression Sought in Brain's Wiring

The shrinkage observed seems to be more extensive in the cortex of the frontal lobe, which is believed to be the seat of higher intellectual functions. This shrinkage generally increases with age, at least in men.
About: Alcoholism & Substance Abuse

the evidence has become overwhelming that schizophrenia and manic-depressive disorder are diseases of the brain, just as multiple sclerosis, Parkinson’s disease, and Alzheimer’s disease are diseases of the brain
Bipolar Disorder is a disease of the brain

MRIs of the brain of people with OCD show that areas responsible for simple decisions -- like whether a shirt is folded right or not -- are hyperactive.
When the brain doesn't know when to stop

A personality type becomes a "personality disorder" if the individual is maladjusted and comes to the attention of the mental health professional. One key trait that we identify as being determined by genetics is "narcissism". Narcissism is not so much the basis of the "narcissistic personality disorder" of psychiatry as it is a natural, heritable character trait. In fact, narcissism has certain parallels with a second personality trait that we identify: aggression.... A result of autosomal recessive inheritance for the traits A and N is that only matings of individuals of the A or PA category with those of the N or NP category could produce "ambitionless" progeny, totally lacking both the N and A traits. Such an event would be lethal to the offspring, or if the offspring did survive intra-uterine life, they would be placed in the "failure to thrive" category.
A theory of personality traits leads to a genetic model for borderline types and schizophrenia

If there was no connection between the brain and insanity, then there cannot be a connection between the brain and one's thoughts and emotions. If so then chemicals would have no effect upon one's thoughts and emotions. This would be equally true of psychotropics as well as psychedellics. I cant imagine anyone claiming that psylocybin or D-Lysergic acid has no effect upon one's thinking process or emotions. Such a claim is absurd and flies in the face of nearly everything we know of psychiatry.
By maranarc
#1110412
maranarc
.. are you suggesting that mental illness is just a con game?


Yes.
User avatar
By Grun tu Molani
#1111016
Then you are an idiot more concerned with being controversial than actually having an opinion.
User avatar
By Grun tu Molani
#1116798
People who are mentally ill don't share the consensus reality.


I thought mental illness was a con game? But puting that aside...

I wonder, what sort of mental illness are you talking about here? To use my previous example, autism is a spectral mental disorder typified by varying degrees of communicative problems. How would you explain to someone what is wrong with an autistic child? They're just pretending?
By maranarc
#1167345
No, they simply don't share the consensus reality. Mental illnesses have no real physiological basis.
User avatar
By euglena
#1168813
Mental illnesses have no real physiological basis.


not according to current scientists:
Autism

Bipolar Disorder

Depression

Mental retardation

etc.

the increasing acceptance of a biopsychosocial model to disease definitely allows for environmental factors to play a role in disease etiology. nevertheless a physiological link has been demonstrated in the studies above, and many others (those are just the ones I found on Nature)
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By ruudgirl
#1184725
Rosenhan's 'psudo-patient experiment' and 'non-existent impostor experiment' demonstrated that mental hospital staff are thoroughly incapable from distinguishing mentally ill people from mentally well people. The fact that psychriatrists diagnosis can't reliably distinguish means that the catagories are not based on phyiscal evidence but rather the purely subjective and often prejudiced unsubstantiated beliefs of the individual psychiatrist.


interesting that you bring up that experiment. there has been a lot of debate over the validity of these findings, since the sample size was very small, the circumstances were very specific... and the study actually excluded one of the participating members from its reported findings, because he (god forbid) bathed within the week prior to experiment.

also, remember that research on mental illness has come a long way in the past few decades. in 1972, the public awareness of such issues was limited at best.

even ignoring all of the above, the experiment is questionable.

psychiatrist robert spitzer wrote:

If I were to drink a quart of blood and, concealing what I had done, come to the emergency room of any hospital vomiting blood, the behaviour of the staff would be quite predictable. If they labelled and treated me as having a peptic ulcer, I doubt I could argue convincingly that medical science does not know how to diagnose that condition.


i merely point out the flaws of your argument. i am not a scientist and have done none of my own brain research on the subject, so i cannot say with any certainty. what i can say is this: biologically based or not, mental illnesses are serious, and need treatment. as long as we're clear on that, we can debate what mental illness is or is not or where it comes from up the wazoo...
By red tori
#1186449
My husband developed epilepsy in childhood. Epilepsy is a potentially serious and chronic neurological abnormality that is measureable using an EEG or an MRI. It is scientifically verifiable, and it manifests in clear physical symptoms (seizures.)

When he reached adulthood, his epilepsy receded, but he was diagnosed with bipolar disorder a couple of years later. The explanation given by his neurologist is that there is a direct correlation between the two conditions that is generally accepted by medical professionals who treat both conditions. In fact, he was re-prescribed the same medication that controlled his epilepsy for his bipolar disorder: valproic acid. It is considered both an anti-covulsant and a mood stabilizer.

This is just one of the many indicators that suggest there are definite neurological factors that play a role in the development of mental illnesses. To suggest anything else is to pretty much suggest that the brain is somehow separate or different from the rest of the body, and that this complex organ is somehow immune to the kinds of malfunctions and degenerations that have the potential to exist in every other part of the body.
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By Khmer Rouge
#1187824
It is understandable why doctors have such a hard time diagnosing many mental illnesses. Many mental illnesses are not visible on the surface, and are sometimes pushed from the visible foreground of a person when the subject is placed in an environment that makes him nervous (e.g. a Doctor's office or Laboratory). Other mental patients are in denial if they have a not-so-obvious illness.

I don't think it is so much a doctor's incompetence than the fact that we don't know quite as much about the human brain as we would like to, and I hope many advancements will be made in the future.

-KR
By sploop!
#1296778
Some confusion here about what constitutes a Mental illness.

Autism is not. Nor is epilepsy. Nor is Personality Disorder. Nor either is Learning Disability.

However, Schizophrenia, Bi-Polar Disorder, Psychosis and Depression are.

Some people believe that mental illnesses are societal constructions, the result of our inability to accommodate difference. To treat is to impose control.

Others believe that these illnesses are the expression of biological ailment, and as such, can and should be treated.

My personal belief, having been treated with Prozac for Clinical Depression some years ago is that I don't honestly know. But I do know that as an average, 1 in 4 of the people reading this thread will suffer with a mental illness at some point in their life.

Ask yourself this question: If you woke up tomorrow convinced that someone was controlling your thoughts by remote-control, how would you like to be treated by those around you?

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