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Midterm 1 Study Guide

Midterm 1 Study Guide - Study Guide for Madness and...

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Study Guide for Madness and Medicine Midterm on 3/1/10. “A History of Medical Psychology” By Gregory Zilborg, pp 319-329 (The Age of Reconstruction) Provides an overview of Philippe Pinel and the advances he made in psychiatry. The article has a very progressive tone, enlightening, highlighting how revolutionary if was that Pinel to the history of psychology because of the changes he did, because he believed that they deserved to be exposed to open spaces and to have their chains removed. Pinel is portrayed as a man in the middle of turbulence. A man who was taking the ideals of the French Revolution and rightfully applying them to the mentally ill (322) What is highlighted: - New era where both the patients and the doctors defended each other. It presents the case where a patient defended Pinel because of the changes he made, and because he believed that the mentally disturbed could be helped. On the other hand, Pinel had to defend the humanity of his patients, and how they deserved to be treated as humans, without chains. Both the patient and the ‘humanitarian doctor’ are portrayed as having been misunderstood in society. - Psychiatry is portrayed as new beacon of humanistic hope: o Moral Therapy became the new form of treatment. Descriptions of Pinel: - Possessor of ‘classical objectivity’ (327) - Serene, moral, moderately pious, conservative and an enlightened way even in the height of the Revolution, even in his own sympathetic response to the revolutionary ideals of equality and freedom. He was a studious and learned man. (320) - He bore the decorations and honors of all these conflicting regimes, yet remained true to himself (319) - Conservative man, warmhearted yet detached, elastic, adaptable, but courageous (319) Pinel: Background - 1745-1826 - Physician in France, assistant consultant to emperor - Ran 2 different mental institutions: Bicetre (1793) and Salpertriere - Changed policies to eliminate chains and fetters from patients, and bloodletting - Treated patients with dignity and tried to understand them with and because of their disease. - Began the practice ‘closer case studies’ of the patients to annotate their progress and change. Psychiatric Classifications: Most disorders were understood in a spectrum between mania, melancholia, dementia and idiocy
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It’s a very black and white article. Pinel is the hero of the time, the hero of mental health and psychiatry. Characterizations of the era before Pinel. These are very tainted by the fact that pinel was part of the French Revolution, so characterizations of the time are also marked with the same emotion and sense of transformation: - ‘everyone was suspicious. Everyone was afraid that a lurking enemy was ready to kill him and everyone was ready to perform in kind’ (322) - ‘It is note worthy that the spontaneous attitude toward the mentally ill is always that of suspicion and disgust’ (322) - Mental institutions were not meant to help people get better but as a way to lock
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Midterm 1 Study Guide - Study Guide for Madness and...

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