The Distinction Between Mental And Physical Illness

Conditions that now would be regarded as ‘mental illnesses’, such as mania, melancholia and hysteria, have figured in classifications of disease since the time of Hippocrates, and for over 2000 years were treated by physicians with much the same range of potions, medicaments and attempts to correct humoral imbalance as they employed for other more obviously medical disorders. Although Plato attributed some forms of madness to the Gods, and meduieval theologians like Thomas Aquinas attributed hallucinations and insanity to demons and other supernatural influences, from the Renaissance to the second half of the 18th century melancholia and other forms of insanity were generally regarded as bodily illnesses, not differing in any fundamental way from other diseases. When the mid-18th century belle lettriste Lady Mary Wortley Montagu commented that “madness is as much a corporeal distemper as the gout or asthma”, ...

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Complementary & Alternative Medicine for Mental Health

This outline is a comparative research-based approach to that question. While some activities, like exercise, are good for everyone who is physically able to do them and have no uncontrollable side effects, most decisions about CAM treatment options, and especially the decisions faced by people coping with serious mental health conditions, involve trade-offs. Nonetheless, 40% or more of Americans treat themselves with CAM without professional supervision, often without disclosing it to their psychiatrist or primary care provider. Moreover, many patients who use CAM remedies also take prescription antidepressants, risking potentially dangerous adverse herb/drug interactions. While most natural psychotropics are generally safe, they are not risk free, and the common public misconception that natural products are inherently safe has been refuted by predictions and reports of toxic reactions from these agents, which may be due to intrinsic toxicity, ,, or interaction with other herbs or drugs...

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Labeling You a Mental Health Patient

I am advocating that we rethink the whole field of psychology. As we embark on rethinking what we mean by normal, what we mean by mental health, and what we mean by psychotherapy, a first step is removing the labels that we give to people who look for help with their "mental health problems" or who are sent for help for those "problems."

All "mental health disorder" labels ought to be rethought. They flow from a specious, incoherent definition of "mental disorder" and amount to little more than the affixing of fancy-sounding disorder labels to bundles of putative "symptoms." In addition-and the subject of this article-the very naming of the person who walks into the office of a "mental health provider" ought to be rethought. Is that person really a "patient"?

Right now those people are known as either "patients" or "clients." I'll tackle the problems associated with...

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Mental Health Courts Resource Guide

Court-based problem-solving initiatives seek to address the growing number of mentally ill defendants that have entered the criminal justice system by focusing on the immediate pressures that have led to the development of the mental health court strategy, as well as the challenging applications for this therapeutically oriented judicial approach.

Links to related online resources are listed below. Non-digitized publications may be borrowed from the NCSC Library; call numbers are provided.

Mental Health Court Performance Measures (MHCPM). MHCPM is a set of 14 performance measures that offers court managers and administrators a tool to monitor the performance of mental health courts.

Developing a Mental Health Court: An Interdisciplinary Curriculum. The National Center for State Courts partnered with Council of State Governments to develop this free curriculum for courts wishing to develop a mental health court.

Waters, Nicole L. State Standards: Building Better Mental Health Courts. (2015). As formal mental health courts (MHCs) enter their third decade in existence, policymakers...

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The Impact of Mental Illness Stigma on Seeking and Participating in Mental Health Care

Court-based problem-solving initiatives seek to address the growing number of mentally ill defendants that have entered the criminal justice system by focusing on the immediate pressures that have led to the development of the mental health court strategy, as well as the challenging applications for this therapeutically oriented judicial approach.

Links to related online resources are listed below. Non-digitized publications may be borrowed from the NCSC Library; call numbers are provided.

Mental Health Court Performance Measures (MHCPM). MHCPM is a set of 14 performance measures that offers court managers and administrators a tool to monitor the performance of mental health courts.

Developing a Mental Health Court: An Interdisciplinary Curriculum. The National Center for State Courts partnered with Council of State Governments to develop this free curriculum for courts wishing to develop a mental health court.

Waters, Nicole L. State Standards: Building Better Mental Health Courts. (2015). As formal mental health courts (MHCs) enter their third decade in existence, policymakers...

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Urbanization and Mental Health

Urbanization, defined as the increase in the number of cities and urban population, is not only a demographic movement but also includes, social, economic and psychological changes that constitute the demographic movement. It is a process that leads to the growth of cities due to industrialization and economic development (M. Tayfun Turan, Aslı Besirl 2008). The rapid increase in urban population worldwide is one among the important global health issues of the 21st century. According to the projections of the United Nations Population Division, by 2030, more people in the developing world will live in urban than rural areas; by 2050, two-thirds of its population is likely to be urban. The scenario in India is also affected by this trend. In India approximately 28% of the India’s population lives in cities and this is expected to increase to 41% by the year 2020 (UN World Urbanization Prospects 2008).

Urbanization brings with it a...

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Mental Health Grantmaking

In the paper “What Do We Really Know About Foundations' Funding of Mental Health?” Ruth Tebbets Rousseau and Andrew D. Hyman present findings from their brief scan of quantitative data from the Foundation Center and qualitative information from foundation leaders. The authors note that grantmaking for mental health continues to decline as a proportion of health funding through 2006, with the top ten grantmakers in this area providing nearly 50% of grant dollars.

How can the mental health community and funders address this decline in giving, and identify areas to focus on? As mentioned in our last blog post, the nonprofit sector is gravitating toward integrated systems to assess nonprofit impact at the field level, and these approaches may help discover successful mental health programs and priority areas where more funding can be directed to.

In addition, Brousseau and Hyman note that since mental health is often an aspect of broader program areas, tracking and anal

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The Challenge to Mental Health and the Law, Part 1 Psychoanalysis and Psychotherapy

The Facts and the Future

The basic thesis of the psychoanalytic psychiatrist, and I am still one, is that in order to understand where you are going, you have to understand where you have been. Therefore, let me begin by giving you a very brief developmental history of law and psychiatry. Of course, like all psychoanalytic history, this one is constructed from the peculiar point of view of the analyst and you should feel free to impute to me counter transference, repression, denial, reaction formation, projection and egocentricity.

My history begins with the decade of the 1950s, when psychiatry and, particularly, psychoanalysis had reached the peak of their power and influence in the United States. It was acceptable even for judges to announce that they had been psychoanalyzed. Two such federal judges stood out: Judge Jerome Frank and Judge David Bazelon. Frank is less well known to psychiatrists...

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Position Statement 22: Involuntary Mental Health Treatment

Policy

Mental Health America (MHA) believes that effective protection of human rights and the best hope for recovery from mental illness comes from access to voluntary mental health treatment and services that are comprehensive, community-based, recovery-oriented and culturally and linguistically competent. It is essential that the rights of persons with mental health conditions to make decisions concerning their treatment be respected. MHA urges states to adopt laws that reflect the paramount value of maximizing the dignity, autonomy and self-determination of persons affected by mental health conditions. Voluntary admissions to treatment and services should be made more truly voluntary, and the use of advance directives should be implemented.

MHA believes that involuntary treatment should only occur as a last resort and should be limited to instances where persons pose a serious risk of physical harm to themselves or others in the near future and to circumstances when no less...

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Mental Health and Substance Use Disorder Parity

The Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 requires health insurers and group health plans to provide the same level of benefits for mental and/or substance use treatment and services that they do for medical/surgical care. MHPAEA was expanded to ensure that qualified plans offered on the Health Insurance Marketplace cover many behavioral health treatments and services.

Introduction

The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) is a federal law that generally prevents group health plans and health insurance issuers that provide mental health or substance use disorder (MH/SUD) benefits from imposing less favorable benefit limitations on those benefits than on medical/surgical benefits.

See Also: The Mental Health Parity and Addiction Equity Act (MHPAEA)

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Mental Retardation and Mental Illness

It’s one of my pet peeves. “He’s having behaviors,” says the new teacher. Argh! I hate that phrase. Of course he’s “having behaviors.” We all have behaviors. When we stop having behaviors, we’re dead. What she means, of course, is that her student is behaving in ways that are difficult, challenging, and unacceptable to her. She wants a behavior plan. She wants to get rid of the difficult behaviors. I want more information. Can we talk?

I think it’s a holdover from the old days. As recently as only thirty years ago, many people in the field thought that people with mental retardation could not have a mental illness. Some people even thought that people with mental retardation didn’t have feelings like the rest of us, or didn’t want to relate to other people, or were too “retarded” to make sense of things.

 It’s interesting and humbling to realize that when people...

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Federal Disability Program Induces Child Drugging In Low-income Families

NewsTarget) A $10 billion federal disability program gives low-income parents a strong financial incentive to have their children diagnosed with behavioral disorders and prescribed powerful psychotropic drugs. This is the core finding of a recent Boston Globe in-depth investigation.

Congress created Supplemental Security Income (SSI) in 1974 to aid the aged, blind and severely physically disabled, such as children with cerebral palsy and Down syndrome. Yet per the Globe, half of today's SSI recipients are children diagnosed with mental disorders such as ADHD and bipolar. But to qualify, those children really need to be on prescription drugs. Per the SSI associate commissioner's own words, "medication helps confirm a diagnosis."

In 1990 only 8 percent of children received SSI funds for behavioral issues; by 2009, that percentage had soared to 53 percent. Shockingly, children under 5 form the fastest-growing segment of this steep trend.

The article's author, Patricia Wen, reports this has, "created, for...

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Professional Athlete Disability Insurance – Petersen …

Whether participating in a team sport or an individual sport, Professional Athletes’ careers expose themselves to countless possible injuries, and illnesses. A minor disability may become career-ending for a professional athlete. With the risk so high, most insurers will not underwrite disability insurance plans for athletes. Petersen International Underwriters provides high limit coverage for professional athletes to financially protect against temporary and/or permanent disabilities. Each sport has unique underwriting challenges as incomes may come from a variety of sources including team contracts, signing bonuses, endorsements and purse winnings. Each sport commands unique contract features including guaranteed income to a player. Some contracts are fully guaranteed while others allow the team to waive the contract as they see fit. A variety of flexible solutions are available to protect a professional athlete’s.

Types of Coverage

Draft Protection

Young athletes have pursued lifelong commitments to reach the big leagues in their respective sports. Before a...

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Manipulating Disability, Accommodation, And Outcomes: Peer Perceptions Of Accommodation Unfairness

Abstract

The Americans with Disabilities Act requires that some disabilities be accommodated to provide equal opportunity for workers with disabilities. However, if accommodations are seen as unfair, coworkers may refuse to cooperate with the accommodation recipient or may cause other problematic outcomes for that person or the organization, thereby jeopardizing the goals of the ADA. A study was conducted to determine how perceptions of unfairness were related to type of accommodation, disability, and possible task outcomes. The study results indicated that there were perceptions of unfairness when persons with disabilities were accommodated, particularly when the accommodation was viewed as reducing the inputs of the persons receiving it and when the accommodated person subsequently won the task. As expected, the interaction between receiving a useful accommodation and having the accommodated person subsequently win was also significant in producing even greater perceptions of unfairness.

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PERSPECTIVES: The Reservation Wages of Social Security Disability Insurance Beneficiaries

Background

In the economics literature, the term "reservation wage" has been used with two different meanings. In the job search literature, the term refers to the lowest wage a person would accept if the person has to pay a positive sum to gain another job offer from a wage distribution (Mortensen 1986). In the labor supply literature (Killingsworth 1983), it has been used as the lowest wage at which a person will work, which has also been referred to as the "asking wage." In this article, the reservation wage is not used within the context of the job search literature given that most DI beneficiaries do not search for jobs (Hennessey and Muller 1994). Instead, the reservation wage is used in the same sense as that of the labor supply literature, as detailed below.

In the standard labor leisure choice model of the labor supply literature, individuals,,,

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To Combat Disability Hate Crime, We Must Understand Why People Commit It

After the Equality and Human Rights Commission 2011 report on disability hate crime, Hidden in Plain Sight, the government agreed to publish perpetrator analysis. Yet despite repeated requests it has not. So the Disability Hate Crime Network, a voluntary group campaigning against the crime, carried out a small, online survey of 100 disabled people last month to ask them more about the perpetrators of hate crimes. We asked about the gender, race and age of the attackers, location of the incident, whether the attacker acted alone or in a group, and about perceived motivation.

More than half of respondents (57%) said they were attacked on the street, and one-fifth on public transport. A quarter of incidents occurred at home. Other people were attacked in pubs and shops, with some mentioning social media. Perpetrators were overwhelmingly white.

Around half (49%) of all attacks were group based...

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