Mental health articles

OF mental health care and mentally ill

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Development of community mental health nursing

Closure of the large mental hospitals and their replacement by smaller units attached to local district hospitals, and the development of day hospitals and community-care facilities had a marked impact on the practice of mental health nursing from the 1960s. May and Moore (1963) describe the work of two (later four) nurses seconded from Warlingham […]

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Mental health nursing – consultation, facilitation, advocacy

Mental health nurses need grounding and information in order to question practice, to contribute to decision making in multi-disciplinary teams, and to draw on research-based knowledge in the delivery of care and the development of mental health services. It is hoped that much of this chapter contributes to meeting such needs. Thus, how ‘grounded’ nurses […]

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Mental health – concepts, paradigms, elements

There are, no doubt, as many definitions of mental health as there are readers of this book. Although some authors offer definitions of mental health, they are inevitably subjective, partial and, at worst, simplistic – Making It Happen defines mental health as ‘thinking, feeling and physical health and well-being’ and the relationship between the three […]

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What is holistic health

The roots of the English word for health, in Old English and Old High German, link it to wholeness and healing: ‘etymologically speaking … to be healthy is to be whole or holy, which clearly embraces both spiritual and physical features rather than merely the latter’. The grammar of health, then, is one that implies […]

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User perspectives on mental disorders

Thus far, we have proposed a four-quadrant schema for understanding human experience and have described disordered human experience in terms of classification systems, incidence data and symptomatology. They objectify human experience into codified systems of description, including numbers. So, having proposed a four-quadrant integration we have subsequently planted our feet firmly in only one! Well, […]

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Prevalence and symptomatology of mental disorders

Prevalence, expressed as a percentage, refers to the number of people with a particular disorder within a given population. Incidence, on the other hand, also expressed as a percentage, refers to the number of new cases that arise within a given population in a given time period. Actual estimates of prevalence and incidence of mental […]

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Ethnicity and mental disorder

The flow of people across continents, which is an increasingly common feature of modern life, provides a clear example of how social forces can affect a person’s mental health. Many of these people will have fled unimaginable psychological and physical pain in an attempt to find respite and asylum. This group is particularly vulnerable to […]

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Gender and mental disorder

The literature consistently reports fewer women to be in receipt of specialist mental health services than men. Though this may reflect a lower prevalence of mental disorder among women, evidence suggests that the phenomenon is a marker for the diagnostic practices and expectations of practitioners, which are different for men than for women. For example, […]

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Models of mental disorder-The social model

The social model is concerned with the influence of social forces as the causes or precipitants of mental disorder. While the psychodynamic model is principally concerned with the individual and their personal relations, the social model focuses on the person in the context of their society as a whole. Evidence that social forces are central […]

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Models of mental disorder-The cognitive model

Put simply, the cognitive model posits that people interpret their thoughts, which in turn are the main determinants of behaviour. This stands in sharp contrast to the behavioural or disease models, which do not accommodate the cognitive mechanisms involved in behaviour and illness. For the cognitive therapist primacy is given to errors or biases in […]

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