MentalIllnessExam1 - September 8 1 Mental Disorder affects lives and well-being of millions a Exact number unknown but estimates around 450 million

MentalIllnessExam1 - September 8 1 Mental Disorder affects...

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September 8 1) Mental Disorder affects lives and well-being of millions a. Exact number unknown but estimates around 450 million globally i. About 1 in 4 people will have a disorder in their life b. World Health Organization (WHO) estimates 10% of all adults experience mental disorder on any given day c. While many people experience problems, many do not 2) Three major surveys in USA a. Epidemiologic Catchment Area (ECA) i. Early 1980s b. National Comorbidity Survey (NCS) i. 1990-1992 c. National Comorbidity Survey Replication (NCS-R) i. 2001-2003 d. All suggest that anywhere from one third to one half of U.S. adult population between ages of 18 and 54 years has a diagnosable mental disorder e. In a reanalysis of NCS-R Ronald Kessler and Phillip Wang (2008) found 46.4% of population meet the criteria for one or more mental disorders in their lifetime i. About one fourth or more of population meets the criteria in any given year. ii. Most people experiencing a mental health problem were found to have their first onset in childhood or adolescence 3) May seem unusual but why should it when if you compare it to a physical ailment like flu or common cold a. Based on that, everyone at some point will face a mental disorder because practically everyone becomes depressed, sad or anxious at one point in their life b. Though it’s debatable when it becomes a clinical case of mental disorder i. With one reexamination of ECA and the first NCS studies produced a much lower figure of 18.5 % of all adults between 18-54 years old with a mental disorder (Narrow) 4) With serious mental disorders only about 11 million people or 4.8% of the population are afflicted a. But the true prevalence (the extent of the mental disorder) is unknown 5) Extent of mental disorder a. High social and economic costs i. Shattering effects on its victims and their families 1. Suicide, divorce, alcoholism and drug abuse, unemployment, child abuse, damaged social relationships and wasted lives, pain and mental anguish suffered by those involved. 6) Defining Disorder a. A mental disorder is a syndrome characterized by clinical significant disturbance in an individual's cognition, emotion regulation, or behavior that reflects a dysfunction in the
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psychological, biological, or developmental processes underlying mental functioning. Mental disorders are usually associated with significant distress or disability in social, occupational, or other important activities. An expectable or culturally approved response to a common stressor or loss such as the death of a loved one, is not a mental disorder. Socially deviant behavior (e.g., political, religious, or sexual) and conflicts that are primarily between the individual and society are not mental disorders unless the deviance or conflict results from a dysfunction in the individual, as described above b. Mental illness is as a culturally constructed meaning system. Mental Illnesses have meaning in four ways: (Meanings of Madness by R. Castillo1998, p. xiii) i. 1. through the symptoms (indicator of an illness) ii. 2. through the cultural significance iii. 3. through personal social relationships
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