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FINAL Soc of Mental Health
-some people escape detection
-psychiatrists biases can affect the validity of findings
-the admission to psychiatric facilities on inpatient or outpatient basis cant account for
true prevalence of mental disorder because they don't include untreated cases that fail
to come to the attention of mental health reportings - ✔✔What are some difficulties in
assessing the true prevalence of mental disorders in society?
-the results of mental studies before the 50's only investigated the treated cases of
mental disorders and based data on hospital admissions ignoring the untreated
individuals.
-the following studies published after 50's aimed to attain data using socioeconomic
index measures and questionnaires ranking occupational prestige attainment in life and
level of wealth
-the studies compared private and public mental hospitals and incorporated the
remaining population - ✔✔Why has there been a substantial difference between the
results of mental health studies conducted before the 1950's and those published
%
later?
-prevalence of mental disorder in general population is greater among lower
socioeconomic groups and in cities
-mental disorders are concentrated in major urban centers among the less educated
and less affluent
-3 best indicators of true prevalence are social class, urban rural location, and gender -
✔✔Discuss the conclusions from the classic study on the true prevalence of mental
illness by social class
-people with highest SES upper class show best overall health while the nest level of
upper middle class shows next best health and so on
-Education is the strongest single predictor of good health including mental health
-NCS indicate the lifetime prevalence of mental illness in the US is high and it is not
certain that this is indeed the case - ✔✔What do the results of the ECS and NCS tell
us about the relationship between social class and mental illness today?
, - ✔✔Societal reaction
-suggests that members of the lower class are subjected to greater adversity and
stress as a result of a deprived life situation and have to cope with this deprivation with
fewer resources
-it may be that the higher level of stress generated by lower class living conditions
more readily triggers genetic predispositions toward mental disorder
-stress affects the emotional stability of the poor more severely than it does the upper
class - ✔✔social causation
-there is more mental disorder in the lower class because mentally ill persons tend to
drift downward in the social structure or mentally healthy individuals in the lower class
tend to be upwardly mobile thus leaving behind residue of mentally ill persons.
-social selection hyp might be better to explain the social class schizo relationship and
social causation hyp might be more useful in explaining the relationship with
depression and substance use disorder - ✔✔Social selection
1. Autonomy v conformity
%
2. Internal/external symptoms
3. Fatalism - ✔✔3 Features of social class socialization that may contribute to social
class differences in mental health
- ✔✔How does psychiatric treatment differ by social class
Women: internalize feelings by turning them inward on themselves resulting in more
anxiety and depression. they are also more prone to anxiety and depressive disorders
and those condtions are more controlled with psychotropic drugs and are less
threatening to society thereby allowing patients with those disorders to have a higher
probability of being treated on an outpatient basis
Men: are more likely to be hospitalized in public facilities because mental disorder in
males is seen as more serious, threatening and disabling. Men externalize their
distresses through greater substance use/addictive and personality disorders. -
✔✔Difference in type of treatment of mental disorder for men and women
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