Friday, April 19, 2013

Six Mental Health Myths Debunked: A possible Cracked Pitch, but not likely.

There’s a much all-too-common stigma around mental health: In a day and age where men are skydiving from outer space, a pope can just up and quit, and crazy ass scientists from Australia are cloning an extinct species of frog—yeah that’s right, you heard me correctly; Jurassic Park can and will happen—there is still stigma and misconceptions about mental health, what it truly means versus what we, as the general public, believe it to be.
http://www.huffingtonpost.com/2013/03/19/extinct-frog-cloned-mouth-birth_n_2901152.html)




Back from the dead, bitch!"






 











 




1) Mental Illness is a sign of weakness.

An all-too-common misconception the public and even those suffering from a mental illness believe is that psychological afflictions and disorders are a sign of weakness, and if you were just man enough you’d be able to overcome it.













In your best Arnold Impression: "Depression is for pussies."

http://www.tumblr.com/tagged/mr.%20olympia

Here are the facts:

First, there is significant body of literature that strongly suggests a genetic component to every disorder. How do researchers determine this? They examine studies of monozygotic and dizygotic twins—that is, they ask what is the likelihood a twin will have the psychological disorder if the other twin already has it; or they look at the elevated risk an offspring will be subjected to if a parent or parents suffer from the psychological disorder; adoption studies are the last method, which determine ones elevated risk when separated from parent or parents who have the disorder.

http://www.personalityresearch.org/papers/haimowitz.html

For example, research on schizophrenia has suggested there is a 50-75% probability that, with regards to monozygotic twins, if one sibling had it, the other would, and when both parents had schizophrenia, there was around a 30-40% probability the child would develop the disorder http://www.schizophrenia.com/research/hereditygen.htm

This heritability is similar for other disorders like Bipolar, Major Depressive Disorder, and Generalized Anxiety Disorder. The point? You can’t control your genes. People blame themselves for suffering from something they can’t control, like believing it was your fault they made another transformers movie. It isn’t. And don’t worry: we all have to suffer with that crap.
http://www.ncbi.nlm.nih.gov/pubmed/8956681;

Mental illness isn’t like diabetes, a broken bone, or cancer: there isn’t a test for mental illness, and you can’t see it, which causes individuals to see the psychological difficulties they experience as character flaws rather than symptoms or patterns of behavior that can be treated through therapy and medication. An interesting finding: in attempting to predict what will lead to chronic posttraumatic stress disorder, researchers discovered that individuals who believed their psychological affliction was a sign of weakness had poorer outcomes. Thus, the mere perception that one’s psychological suffering as weakness impedes future well-being (Ehlers, A., & Clark, D. M. (2006). Predictors of chronic posttraumatic stress disorder: Trauma memories and appraisals. In B. O. Rothbaum (Ed.), Pathological anxiety: Emotional processing in etiology and treatment (pp. 39– 55). New York: Guilford Press).

Now, many individuals will say there are environmental influences that play a role—and that we can control them. Not likely. In individuals who have developed, say, Borderline Personality Disorder, there was a very good chance that they were physically or sexually abused as a child.


http://www.bpddemystified.com/what-is-bpd/causes

http://www.dbtselfhelp.com/html/borderline_personality_disorde.html
http://www.hakomiinstitute.com/Forum/Issue19-21/4Linda%20Baird,%20Childhood%20Trauma2.pdf


Fun right? Here are a few other nuggets about how much control we have: lead poisoning while in your mother’s womb can lead to an increased risk for schizophrenia; let’s not forget individuals who experience a traumatic event and develop PTSD; and, would you believe it, there are actually theories on the evolutionary imperative for developing depression.

http://www.scientificamerican.com/article.cfm?id=depressions-evolutionary

What does Darwin have to say about that?




















"That's my shit. Now will you excuse me, I have to shave my beard: I think there is a finch hiding under it."

http://commons.wikimedia.org/wiki/Charles_Darwin


2) People suffering from mental illness are violent in nature.

 

The media destroys the truth, especially when it comes to mental health. The school shooting in Connecticut, the Denver, Colorado movie theater massacre, and Columbine, are all prime examples. Everyone wants to know why. What could make someone do such a thing? And what do they assume? Mental illness. He was deranged. He was schizophrenic. He had Bipolar Disorder or was slightly autistic.


The truth: People suffering from mental illness are more likely to be victims than perpetrators. According to Hiday et al. (1999), “People with severe mental illnesses, schizophrenia, bipolar disorder or psychosis, are 2 ½ times more likely to be attacked, raped, or mugged than the general population. This is reiterated by the Institute of Medicine (2006) when they state that although there appears to be a link between mental illness and violence, “the small contribution of people with mental illnesses to overall rates of violence is small, and further, the magnitude of the relationship is greatly exaggerated in the minds of the general population” (Hiday, V. A. (2006). Putting Community Risk in Perspective: a Look at Correlations, Causes and Controls. International Journal of Law and Psychiatry, 29, 316-331.

 

Institute of Medicine, Improving the Quality of Health Care for Mental and Substance-Use Conditions. Washington, DC: Institute of Medicine, 2006.

 

Television, movies, and the media love to attribute the crimes committed by individuals to mental illness because it’s an easy explanation; there could be other factors, but the general public doesn’t see this,  and what you’re left with is people believing every schizophrenic is ready to unload on them with a shotgun.

 

3) Psychologists are all old men with long grey beards and a couch.

 

Seems a somewhat trite myth when compared to the aforementioned ones above. But let’s be honest: who doesn’t think of psychologists as some old cooks with big coke bottle glasses and a beard that looks like a baby koala died on their chin?

 


 

 
“…I don’t know what the fuck is wrong with you. And what the hell is on my face?”

 

Coke bottle glasses aside, Gandalf fits the prototype pretty well.

 

This myth developed due probably to Freud and his ostentatious beard. When the general public thinks of psychology, they almost immediately jump to Freud and that classic image of him with his pipe, glasses, and, of course, the dead baby koala beard.

 

The truth: Men are, in fact, the minority in the field of psychology. According to the American Psychological Association, the percentage of men in the field dropped from 70% to 30% from 1975 to 2008, kudos to women for breaking down the gender gap. Developmental, Clinical, Counseling, Family, and Social Psychology are all dominated by women—guys only make up about 30% or less in those fields. Also, psychology, as a whole, is a fairly young profession, which means this Gandalf stereotype has to go.

 

So where are the men? Unfortunately, the women haven’t broken all the way through the glass ceiling yet. With decreased pay still a major issue for the liberation of women and academia being a less “family-friendly” environment, men still dominate much of the faculty positions within the United States. Sad but true.

 

4) People suffering from mental illness will never recover and live a happy life.

 

This may be putting the myth lightly because some people believe that all mentally ill patients should be put in psychiatric institutions. Individuals believe this, in part, because of what they see on television and in the media, but also because—as I’ve mentioned earlier—not realizing that, for the majority of disorders, they are symptoms, not character flaws, not lack of willpower, but symptoms. And symptoms can be treated.

 

The truth…

 

The majority of mental disorders are not chronic: Depression can be alleviated; alcohol dependence can be overcome; phobias can be dealt with and the anxiety accompanying them will fade to a level that makes daily living a breeze. However, this is not to say that all symptoms will disappear: Schizophrenia must be treated with medication and therapy in an endless cycle; individuals suffering from personality disorders struggle but through therapy can learn to improve their lives. Nevertheless, they can cope. There are support groups, specialized programs, medications, and group and individual therapy programs that people can enlist into in order to aid them in their daily lives. The point: people suffering from mental illness are not in a coma; they have wives/husbands, children, and jobs just like everybody else.  I mean, come on, could you lock Carrie Fisher up in a mental institution? Princess Leia? She suffered from Bipolar Disorder ((Stroff Marano, Hara. "Getting Better vs. Staying Well" Psychology Today. May 21, 2007. http://www.psychologytoday.com/articles/200302/getting-better-vs-staying-well).

 



           

…Yeah, I don’t think so.

 

5) Therapy is laying on a couch and just talking…

 

This is another myth that somehow has been perpetuated through the years, probably due to Freud again; to the general public, he’s the most well known figure because of his controversial subconscious theories on motivation and behavior.

 

The lying on the couch and talking phenomenon is synonymous with psychoanalysis: the patient lays on the couch and free associates—meaning, he or she talks about whatever comes to mind, no matter what the topic. Nowadays, it’s hard to find a therapist that will do such a method.

 

The truth…

 

Clients and therapists have a working relationship: the client doesn’t just talk, but together, the therapist and client develop treatment goals they want to accomplish and steps to get there; also, in the majority, if not in all forms of therapy, there involves homework the therapist assigns the client outside of session together. The theory behind this: the therapist only sees the client one hour a week; the other 167 hours out of the week are outside the therapy room. But the most important concept the general public should learn is that therapy is now tailored for specific problems—that is, certain therapies aid individuals better than others, depending on the psychological problem one is experiencing. Cognitive-behavioral therapy does well at treating anxiety and depression; Dialectical-behavior therapy excels at treating Borderline Personality Disorder; and Exposure therapies do wonders for individuals who have experienced traumatic events (Kliem, S., Kröger, C. & Kossfelder, J. (2010). (2010). Dialectical behavior therapy for borderline personality disorder: A meta-analysis using mixed-effects modeling. Journal of Consulting and Clinical Psychology, 78, 936-951.

 

Driessen E, Hollon SD (September 2010). "Cognitive behavioral therapy for mood disorders: efficacy, moderators and mediators". Psychiatr. Clin. North Am. 33 (3): 537–55

 

Hofmann SG, Smits JAJ (2008). "Cognitive-behavioral therapy for adult anxiety disorders: A meta-analysis of randomized placebo-controlled trials". Journal of Clinical Psychiatry 69 (4): 621–632

 

Eftekhari, A.; Stines, L.R. & Zoellner, L.A. (2006). Do You Need To Talk About It? Prolonged Exposure for the Treatment of Chronic PTSD. The Behavior Analyst Today, 7(1), 70–83).

 


6) Psychologists and Psychiatrists are synonymous

 



 

Whether your interested in going into psychology, working with a mental health provider, or watching reruns of “Frasier” late at night with a bag of potato chips and a bottle of beer, it’s important to know the difference between psychologists and psychiatrists. The myth behind this one is that the general public believes they do roughly the same thing—they don’t, nor do they have similar backgrounds.

 

The truth…

 

Psychologists and Psychiatrists differ on the type and level of education: Psychiatrists receive their medical degree (M.D.) while psychologists receive their Doctor of Philosophy degree (Ph.D.) or Doctor of Psychology degree (Psy.D.) Oddly enough, the length of schooling between the M.D. and the Doctorate degrees are not much different. For medical students, you go through four years of medical school, a one year internship, and usually three years of residency before you’re a certified M.D. As for psychologists, doctoral programs take at least five to seven years to complete and that doesn’t include a post-doctoral fellowship and obtaining licensure. Psychologists are mainly trained in the assessment, treatment, and therapeutic techniques for psychological disorders, while Psychiatrists receive similar training but focus on it from a medical perspective such as understanding what medications to prescribe for specific psychological disorders. This leads to the major difference between psychiatrists and psychologists: psychologists can’t prescribe medication. Currently, grants are being proposed to change that in a number of states, but there appears to be stringent requirements to allow psychologists to do so.

 

More references about Stigma:

 


 



 

 


 

 

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