Improving Experience Of Mental Health System Users Social Work Essay

To what extent does anti-psychiatry, critical psychopathology and station psychopathology better the experience for users of the Mental Health System? The mental wellness system has been to a great extent criticised since the 1960 ‘s anti-psychiatry motion began. It is in changeless argument over the pros and cons of how the service users may hold suffered or benefited from governmental alterations within the Mental Health System. The concern for service user public assistance pothers between the ‘Anti-psychiatry theoretical account and ‘Medical Model ‘ . Service users ‘ have entree to intervention but this is frequently dependent upon right diagnosing and referral from the GP. Treatments are varied depending on the badness of what symptoms are being experienced and these factors may find whether drugs or therapies such as EMDR may be the manner frontward. Following intervention the service users remain to construe their experiences of the mental wellness system otherwise and many of them struggle to understand the biomedical theoretical account and happen it limited and unhelpful ( Faulkner and Layzell 2000: Rose, 2001 ) .

In peculiar, the upset today named ‘Post traumatic emphasis upset ‘ ( PTSD ) officially known as ‘shell daze ‘ , has been classified by the ‘national institute of mental wellness ‘ as an anxiousness based status end point of a traumatic event ( American Psychiatric association, 2000 ) . Symptoms of the status involve flashbacks, depression, and guilt and so forth all explained in the diagnostic and statistical manual 2000. PTSD is a normal reaction to an unnatural state of affairs ( R.D Laing, The divided-self ) .

A debatable diagnostic class during the anti-psychiatry motion led to American Vietnam war veterans whom suffered with PTSD to be penalised and refused intervention. This was due to the unwellness being unrecognised as a medical status. The statistical manual of diagnosings in the 1960 ‘s did non see to recognize PTSD but did grok that people were under emphasis. It did non see so called emphasis to hold a broad scope of symptoms and hence some service users were unable to claim aid for post-war agony ( Scott, 1993 ) . Despite the reverses the American psychiatric association worked to put PSTD in to the manual and did so by 1980, from this emerged PTSD inserted into the DSM-III. ( American Psychiatric association, 1980 )

However, PTSD did non make the manual until 1980 despite the manual of mental upsets being first published in 1952. Over the old ages, the diagnostic and statistical manual was reformed six times in 1952, 1968, 1980, 1987, and 1994 and in conclusion was published in the twelvemonth 2000. It is now known as DSM-IV-TR harmonizing to the American psychiatric association ( 2000 ) .

In the United Kingdom prior to the 1960 ‘s, individuals with mental unwellnesss were frowned upon and locked off in refuges as they were non accepted by society or allowed to incorporate into it ( Foucault, 1971 ) . The anti-psychiatry position proverb people with mental unwellness non as ailment but as being misfits in society and for that ground they were locked off ( Szasz, 1960 ) . However, it was non until the release of the mental wellness intervention act 1930 that intervention was made voluntary.

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This alteration provided freedom of pick and allowed the service user to want aid from the system. This basically meant the service user could voluntarily acknowledge them self to a psychiatric infirmary opposed to being forced. However, coercive intervention is still enforced in some instances of service users even today and this can be rather a distressing experience. Even though critical psychopathology remains in argument over coercion, sometimes it is a necessity whereby users pose as a menace to staff or themselves. It is really common for those with PTSD to endure intense feelings of guilt or depression that can take to self -destructed behaviors harmonizing to the current DSM-IV-TR manual. Even today, harmonizing to the Mental Health Act 1983 the figure of patients held against their will has increased over the past 10 old ages ( Department of Health, 2001 ) .

The anti- psychopathology argument lies chiefly between two thoughts, foremost that psychiatric diagnosings of upsets are obscure, go forthing chance to knock through scientific sentiments and readings. Second, the anti-psychiatry point of position insists that new-fangled interventions are doing more injury than good.

The anti-psychiatrist Thomas Szasz suggested that mental wellness was a myth and he stated mental unwellnesss are emotional disturbances better termed as ‘problems with life ‘ ( Szasz, 1960 ) . He stressed the point that medical specialty is non needfully the reply to jobs with life because drugs cause more harm than good. However Szasz is in favor of psychotherapeutics and suggests this is the lone manner service users can be helped.

It appears the anti-psychiatry motion has brought frontward the construct and labelling of PTSD. It has provided freedom of pick to the service users enabling and altering a negative experience into a positive. The service user had shifted from being a victim of the mental wellness system and been given power and autonomy. It has tackled some of the stigma and favoritism environing mental wellness issues in Britain.

The critical psychopathology argument argues that modern psychopathology is excessively dependent upon the ‘medical theoretical account ‘ . It focuses on diagnostic determinations instead than therapies or other attacks. They argue the categorization of PTSD is non clear and appraisal does non see single and societal factors. Scientific random control tests are besides focused on excessively much and the grounds of these tests are biased.

David Ingleby refers and delves into the ‘Politics of Mental Health ‘ and acknowledged the venue of attention had moved from establishment to society ( Ingleby, 1981 ) . He insisted that cardinal jobs still remained and his conceptual analysis questioned whether rationalist psychological science had intent, indifferent positions or value free thoughts. He argues the determinations made to recognize who is enduring PTSD, are planted in our common sense apprehensions of lunacy. However subsequently in 1986 it was recognised that employability and the societal lives of the service users had besides been a distressing factor for the authorities. This waking up of societal world encouraged a new context for psychopathology and the Mental Health Act 1959 brought the development of community attention. This alteration allowed service users the rights to be treated from place and encouraged the reform of societal attitudes. This change in authorities policy aimed to solidify the dealingss between the medical and societal attention bureaus ( Rose, 1986 ) .

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In the instance of PTSD, a common scenario for service users may be the experience of sing the GP, being misdiagnosed and wrongly prescribed drugs. Furthermore the GP frequently will non hold the clip or specializer accomplishments to measure the societal or single factors that are doing the PTSD. However, this error can be made due to the broad scope of symptoms that are now present in the DSM-IV-TR manual. Further rhenium -instating the point made by critical psychopathology that categorization of PTSD is non clear. One other possibility is the GP may name a patient who has PTSD with depression and prescribe drugs instantly without measuring the patient accurately. It could be that environmental background or societal jobs are lending to the degree of PTSD of the service user or even doing it. In this instance, drugs would non be every bit successful as a alteration of environment and therapy. To some extent, service users are accessible to the usage of therapy and drugs, nevertheless the delay for therapy can frequently be thwarting and the prescription of drugs tend to hide the job instead than cover with it. Harmonizing to a study from The Mental Health Foundation, service users felt insecure in the infirmary environment and felt their rights were non explained to them in a manner they could grok. This suggested room for betterment whereby the experience of the service user was concerned. However, despite this 73 % of service users with mental wellness jobs concluded there overall attention to be good ( Mental Health Foundation, 2009 ) . From this study countries that became evident for betterment for the experience of service users were: more clip to discourse intervention with head-shrinkers: rights to be explained in a simplified mode guaranting service users have understood to the full ; to hold determinations and engagement in programs for intervention and attention ; more speaking therapy and security to guarantee the feeling of safety for the service user.

One common manner of measuring the service users ‘ experience of the mental wellness system and bettering it is via questionnaires and concentrate groups. The limelight on patient pick and sentiment has become really much a new manner of understanding how to better the experience of the service user. It has become clear that patients concern much about the quality and interaction with their head-shrinker ( Ford et al, 2003 ) .

In the instance of PTSD, a natural class for recovery and the oncoming of symptoms may take any sum of clip for service users to retrieve. Evidence had shown that 17 % of adult females after an incident of colza 17 old ages on still had symptoms of PTSD ( Kilpatrick, Saunders, Veronen, Best & A ; Von, 1987 ) . Sometimes people show symptoms 40 or 50 old ages subsequently, after World War II individuals can be found to be enduring from PTSD.

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Treatment from an anti- psychopathology position relied chiefly on curative methods merely and not medical attacks as a means to command symptoms of PTSD. Since the unkind yearss of electroconvulsive therapy, therapy has become more humanist and effectual. It was believed that daze therapy ( ECT ) would scare those with mental wellness issues back to their senses. However since this clip therapies have advanced to better the experience of the service user. Critical Psychiatry argues the categorization of PTSD is ill-defined, nevertheless it has been argued that PTSD has ever been

The station psychopathology argument argues the aptitude of engineering and scientific discipline deciding human and societal jobs is deteriorating. It challenges the medical theoretical account in new ways and insists psychopathology must see past modernist political orientation. It proposes psychopathology must prosecute with the service users and recent governmental processs. It highlights cultural and societal conditions and puts moralss in front of engineering and strives to diminish medical control through coercive interventions. The station modern position allows physicians to redefine their duties and functions ( Bracken and Thomas, 2001 ) .

The postmodern position culls modernist political orientation and has lost it faith in scientific discipline and engineering. It proposes psychopathology must travel forward and better its accomplishments of the modern epoch. Whilst making a new trade between the service users and wellness professionals. This new postmodern epoch has brought around the construct of ‘the rise of the well informed patient ‘ harmonizing to Muir Gray ( Bracken and Thomas, 2001 ) .

Outside the mental wellness system there are many charities such as ‘Mind ‘ or ‘The mental Health Foundation ‘ . These charities work to assist better the experiences of anyone enduring from mental unwellness. In the instance of PTSD, there are plentifulness of aid lines available to speak about PTSD without being judged. The charities are in some manner extremely good in comparing to the NHS. Talk clip through the phone is limitless whereas therapies available are far more clip constrained and there are normally waiting lists. Harmonizing to the NHS guidance section statistics from 2002 show that 73.6 % of GP ‘s have entree to counselors. In add-on, there are non many counselors who specialise in the field of PTSD ; nevertheless the figure of referrals to reding by psychiatric physicians has increased ( Department of wellness, 2004 )

Treatments are available in the NHS for PTSD and are chiefly speaking therapies. However one of the most recent therapies is Eye Movement Desensitisation and Reprocessing therapy ( EMDR ) ( Shapiro, 1995 ) . It has been specifically designed with PTSD patients in head and is seen as a eccentric method because it has no peculiar principle to endorse up its success. However the efficiency of EMDR does assist some people to better and retrieve quicker from PTSD. The procedure affecting systematic rapid oculus motion may better the experience of remembering traumatic events by doing it more of a endurable experience. Possibly this is due to the oculus motion which could be seen as a distracter that makes it easier for the person to expose themselves to a traumatic memory.