Exam code: 8182
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Define mental health.
Mental health refers to an individual’s psychological and emotional wellbeing, their ability to function and cope with everyday life, and their feelings about themselves.

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Name five common mental health disorders.
Anxiety, depression, OCD, ADHD and schizophrenia.
Mental disorders were initially treated in the UK, and most Western individualistic cultures, using the model, which uses drugs such as antidepressants.
Mental disorders were initially treated in the UK, and most Western individualistic cultures, using the biomedical model, which uses drugs such as antidepressants.
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Define mental health.
Mental health refers to an individual’s psychological and emotional wellbeing, their ability to function and cope with everyday life, and their feelings about themselves.
Name five common mental health disorders.
Anxiety, depression, OCD, ADHD and schizophrenia.
Mental disorders were initially treated in the UK, and most Western individualistic cultures, using the model, which uses drugs such as antidepressants.
Mental disorders were initially treated in the UK, and most Western individualistic cultures, using the biomedical model, which uses drugs such as antidepressants.
Why is it a mistake to treat ‘mental health’ as meaning the same as ‘mental illness’?
Mental health refers simply to the state of a person’s health relating to their mind rather than their body. You can be in good or poor mental health, in the same way you can be in good or poor physical health.
Who proposed a model of ideal mental health, and how many characteristics does it contain?
Marie Jahoda, who suggested six characteristics an individual should display if they have ideal mental health.
Define positive attitudes towards the self (Jahoda).
High self-esteem and a strong sense of identity.
Define self-actualisation (Jahoda).
Personal growth, and achieving the goals you set for yourself.
In Jahoda’s model, is the ability to act independently and self-regulate.
In Jahoda’s model, autonomy is the ability to act independently and self-regulate.
Define resistance to stress (Jahoda).
Being able to cope with and withstand stressful situations.
What does Jahoda mean by an accurate perception of reality?
Having a realistic, undistorted view of the world.
True or False?
Environmental mastery means avoiding demanding environments wherever possible.
False.
Environmental mastery is being able to adapt to and meet the demands of different situations.
Define social stigma in relation to mental health.
Social stigma is the negative stereotyping and expectations that others have of those who have a mental illness, e.g. depression or schizophrenia.
Why is a stigma described as being like a label?
It marks someone out as being ‘different’ in socially undesirable ways, e.g. dangerous or unpredictable — which makes it very difficult to lead a normal life, as the label may impede their job prospects and relationships.
True or False?
The term ‘mental health problem’ carries the same negative stigma as out-dated terms such as ‘lunatic’ or ‘mentally ill’.
False.
The term ‘mental health problem’ does not impose the same negative stigma as those out-dated terms.
Define culture bias.
Culture bias is the assumption that one culture above all others provides a template for ‘normality’; that other cultures are viewed as inferior or abnormal if they do not fit this model; and that members of such ‘inferior’ cultures may be treated negatively or unfairly.
What is one key issue with the biomedical model of mental health?
It ignores social factors such as culture.
What did McLeod report about schizophrenia diagnosis in the UK and USA?
More people from African-Caribbean backgrounds are diagnosed with schizophrenia in the UK and USA than are Caucasian people.
Guarnaccia et al. found that people from Puerto Rico may respond to stress with fainting fits and heart palpitations, but that these symptoms are frequently misdiagnosed as by clinicians from the USA.
Guarnaccia et al. found that people from Puerto Rico may respond to stress with fainting fits and heart palpitations, but that these symptoms are frequently misdiagnosed as panic attacks or anxiety disorders by clinicians from the USA.
True or False?
Culture bias is more likely to affect people from individualistic cultures.
False.
Culture bias is more likely to affect people from collectivist cultures.
Give two reasons why culture bias is more likely to affect people from collectivist cultures.
They are more likely to be guided by culture-bound concepts of mental health; and they are more likely to use traditional forms of treatment rather than adhering to the biomedical model — e.g. in Haiti, voodoo is used as a treatment for a range of physical and mental illnesses.
Define modern living.
Modern living refers to how society functions in the twenty-first century — e.g. economic, political and cultural changes, advances in technology such as social media, and people living in more populated areas such as cities.
Name four stressors that make poverty a major risk factor for mental illness.
Any four of: poor nutrition; money worries; unhealthy living conditions (e.g. damp); a polluted environment; and lack of opportunity, e.g. in education and employment.
Why is social isolation increasingly common?
People move to larger cities, lose contact with friends and family, and live their lives online rather than in the flesh.
An ageing population brings an increased risk of people suffering from , experiencing loneliness and becoming prone to depression.
An ageing population brings an increased risk of people suffering from dementia, experiencing loneliness and becoming prone to depression.
True or False?
Depression and schizophrenia have both risen rapidly in diagnosis over time.
False.
There has been a rapid rise in depression, whereas schizophrenia has increased at a more stable rate.
Give two reasons why increased diagnosis is not always due to more people experiencing mental health problems.
Changes in symptoms and classifications may result in more individuals meeting the criteria for diagnosis; and mental health problems have become less of a stigma in some cultures, meaning more individuals are seeking treatment.
From when did the view that mental health problems are caused by biological or psychological factors become prominent?
From the 19th century onwards, developing further throughout the 20th century — when treatments such as drugs and psychoanalysis became common.
Classification systems such as the were developed as psychiatry grew.
Classification systems such as the International Classification of Diseases (ICD) were developed as psychiatry grew.
Name the biological discoveries that were linked to mental health problems.
Genetics, an imbalance in neurochemistry, and abnormalities in brain structure.
Which discoveries in cognitive psychology were linked to mental health problems?
Faulty information processing and irrational thoughts.
Which model is now widely used to diagnose mental health problems?
The biopsychosocial model, particularly in Western countries — with the biomedical model now appearing outdated.
How might becoming very focused on themselves damage a depressed person’s relationships?
They may find it difficult to understand what other people are feeling — which damages relationships, since successful communication depends on both people understanding each other.
How might family members be affected by an individual’s mental health problems?
They may experience stress as a result of caring for or living with an individual with poor mental health.
Why are arguments and conflict more likely in romantic or intimate relationships?
Because of increasing relationship pressure points — e.g. issues with money, erratic behaviour and unpredictable mood.
How might colleagues respond to someone with a mental health problem?
They may find it difficult to cope with the situation, and so may distance themselves from the person.
Give two ways a parent’s mental health problems may affect their children.
The children may have to take on the role of their parent’s carer; and they may be placed into care if the parent is deemed incapable of providing a safe and stable environment.
A common symptom of depression is a loss of , and so individuals may isolate themselves from others.
A common symptom of depression is a loss of motivation or interest, and so individuals may isolate themselves from others.
True or False?
Isolating yourself affects only the individual, not their relationships with others.
False.
Isolation may result in friends and family feeling excluded, which damages the relationship further.
Define coping with everyday life.
Coping with everyday life is a characteristic of good mental health — being able to manage daily tasks and take care of the self through good personal hygiene, regular eating habits, attending work or school, and socialising with others.
Give three everyday tasks someone with mental health problems may struggle with.
Personal hygiene (e.g. not showering frequently); taking care of the home (e.g. household chores); and ignoring bills and other financial issues.
Name four consequences of increased absences from work.
A reduction in income; job loss; lack of contact with colleagues; and limiting future opportunities for employment, promotion etc.
Define the bi-directional relationship between mental health and physical well-being.
Each impacts the other — high anxiety may increase someone’s risk of developing a physical illness such as a cold, while a physical ailment such as a broken leg may limit someone’s usual activities and lead to them becoming depressed.
Name three side effects of the antipsychotic clozapine.
Dizziness, weight gain and sleepiness.
Give three ways depression may directly affect physical functioning.
Loss of appetite, difficulty sleeping, and low energy.
Stress produces the hormone , which reduces the functioning of the body’s defence mechanism, the immune system.
Stress produces the hormone cortisol, which reduces the functioning of the body’s defence mechanism, the immune system.
True or False?
Individuals may experience stress because of the cost of medication and the time taken to attend health services for treatment.
True.
Both the cost of medication and the time taken attending health services for treatment can themselves be sources of stress.
Name three forms of social care needed as diagnosis of mental health problems increases.
A demand for healthcare, including mental health services (e.g. the NHS); social housing for people whose mental health problems prevent them from working regularly; and benefit payments to cover the costs of housing, food, transport and medication.
Social care can provide a for people who are unable to fully support themselves.
Social care can provide a lifeline for people who are unable to fully support themselves.
Define how a social care system helps people become more self-sufficient.
It can help people learn to care for themselves, including new social and work skills, so that they feel less isolated and more competent.
True or False?
The note argues that because human beings are social animals, those who are vulnerable because of mental health problems should be cared for.
True.
Human beings are social animals, so it makes sense that those in need or who are vulnerable because of mental health problems should be cared for.
Which town is given as an example of a community taking personal responsibility for people with mental health problems?
Geel in Belgium, where residents have taken people with mental illness into their own homes as carers for centuries — instead of always expecting the state to provide that care.
Define self-medicating.
Self-medicating is using alcohol or drugs as a way of relieving pain and distress — which can itself become problematic.
How might the abuse of alcohol or drugs increase crime rates?
The abuse of alcohol or drugs may result in violent and anti-social behaviour when mixed with mental health problems.
How might social isolation contribute to increased crime rates?
Isolated people have no one to check and notice their behaviour.
What did Walsh et al. find about mental health problems and the risk of violence?
That patients with mental health problems had an increased risk of violence — as much as four times greater than those without mental health problems.
True or False?
Fazel and Grann found that most violent crimes are linked to mental health problems.
False.
They found that only 1 in 20 violent crimes were actually linked to mental health problems — despite the common belief that crime is strongly linked to mental illness.
What do these two findings taken together suggest?
That although individuals with mental health problems may be at greater personal risk of violence, they contribute to only a small proportion of violent crime overall.
Are people with a mental illness more likely to be the victims or the perpetrators of crime?
They are more likely to be the victims of crime than the perpetrators.
The McCrone report suggests that the direct cost of mental health in England is about a year — roughly the same as is spent on education.
The McCrone report suggests that the direct cost of mental health in England is about £22 billion a year — roughly the same as is spent on education.
True or False?
The McCrone report’s figure for the cost of mental health includes indirect costs such as the criminal justice system and lost employment.
False.
The figure includes spending on health and social care, but does not include indirect costs such as the impact on the criminal justice system and lost employment.
How do mental health problems contribute to slower economic growth?
Through increased costs — more health professionals means more cost in terms of salaries, alongside higher demands on services like health and social care.
Define the impact of mental health absences on the workforce.
Days absent from work mean lower productivity, increased costs finding temporary cover for the absent worker, and more stress on existing staff — alongside an increased demand on the benefits system from unemployment.
An increase in the cost of is linked to increased crime rates.
An increase in the cost of policing is linked to increased crime rates.
What did the McCrone report recommend about research into treatments?
That more research be directed towards drug treatments for mental health problems, since these are a far less expensive method of treatment than psychological therapies such as CBT and counselling — which in turn has implications for what patients are likely to be prescribed.
What does an ageing population mean for future costs?
Future care for dementia sufferers is a foregone conclusion, which is extremely costly.
Unemployment brings an increased demand on the benefits system and a lower .
Unemployment brings an increased demand on the benefits system and a lower productive workforce.
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