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Effectiveness of the biomedical model
What is the medical model and how does it impact on practice
Effectiveness of the biomedical model
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As a whole, the medical model is widely used as a cause-and-treatment style process for diagnosing mental illnesses. Often times, it operates by means of a psychiatrist conducting a clinical interview, observing the behavior of the patient, searching through medical records for any other pertinent information, and administering psychometric tests. By use of the medical model, following a diagnosis after all of the steps are completed, a psychiatrist will, “prescribe treatment such as drugs, psychosurgery or electroconvulsive therapy. However, since the 1970s psychiatrists have predominantly treated mental illnesses using drugs”1. Although the medical model can efficiently be applied to psychology, there still remain flaws that decrease its …show more content…
For example, through utilizing the medical model, it has been found that the several of the underlying causes of schizophrenia are biological. First, an individual may be genetically predisposed to having the mental disorder. Second, there is the dopamine hypothesis, which McLeod summarizes how it claims, “that elevated levels of dopamine are related to symptoms of schizophrenia”1. Lastly, psychiatrists have also observed abnormal structural differences in the frontal and pre-frontal cortexes of the brains of those with have schizophrenia. Furthermore, the medical model has proven to be effective through its use of prescribing drugs. In the case of schizophrenia, patients can be prescribed one of a variety of drugs, such as typical antipsychotics, such as chlorpromazine, which in certain brain regions, block dopamine receptors, less typical antipsychotics, such as pimozide, which are not prescribed as often, or atypical antipsychotics, such as risperidone, which can black serotonin receptors. Taking into consideration the variety of symptoms and triggers that are possible in the case of schizophrenia, drug treatments have worked relatively efficiently. By means of the medical model and prescription drugs, patients who suffer from certain mental illnesses can receive a rather quick and inexpensive treatment. Particularly with schizophrenia, the drugs prescribed to patients have …show more content…
Generally speaking, the prescription drug industry is often times seen as too much of an ultimate and finite answer to treating mental illness. However, mental illness is often a constant struggle for the person diagnosed, and obsessively prescribing drugs can lead relapse or addiction, which becomes more evident when Siegfried explains how, “Studies of community samples have reported a wide range of rates of substance use disorders in the severely mentally ill, from 13.2% to 45%”2. In addition, during a study conducted by Fowler, Carr, Carter, and Lewin in the Hunter Area Health Service, one hundred and ninety-four outpatients, who had already been diagnosed with schizophrenia, were observed in search of substance abuse and dependence. Siegfried explains how the four researchers found that, “The 6-month and lifetime prevalence rates of substance abuse or dependence were 26.8% and 59.8%, respectively, with alcohol, cannabis, and amphetamines the most commonly abused substances”2. Therefore, the addictive results that can come out of the use of the medical model are prevalent and serve as one the foundations as to why it should not be considered as a fully legitimate and reasonable application to
A physician has an unenviable position; he is closest to man approaching a god-like stature. And despite the demise of 'doctor knows best', we still need to trust his diagnosis-something that is increasingly difficult in a world where information is widely available, and Google substitutes for a doctor. In the case of psychiatry the issue of trust is amplified since diagnosis is based on a patient's expressed thoughts and overt behaviours rather than solely on biological phenomena. And these thoughts and behaviours are influenced by the patient's environment-a mix of his social, cultural and technological experiences.
The disorder which is being treated is actually strengthened to the point of a serious mental illness. Similarly, in today’s society, medical and psychological advice may have the same effect. Medical technology and practice have progressed considerably since the time of the “Yellow Wallpaper.” This is not to say that today’s physicians are infallible. Perhaps some of today’s treatments are the “Yellow Wallpaper” of the future.
Madness: A History, a film by the Films Media Group, is the final installment of a five part series, Kill or Cure: A History of Medical Treatment. It presents a history of the medical science community and it’s relationship with those who suffer from mental illness. The program uses original manuscripts, photos, testimonials, and video footage from medical archives, detailing the historical progression of doctors and scientists’ understanding and treatment of mental illness. The film compares and contrasts the techniques utilized today, with the methods of the past. The film offers an often grim and disturbing recounting of the road we’ve taken from madness to illness.
In today’s society, a lot of emphasis is placed on administering drugs and medicating people with psychological issues; however, most of these ailments and issues have the ability be treated through the use of talk therapy rather than medication. Americans are particularly guilty of over medicating when it comes to our more common mental health diagnosis such as, ADHD, depression, and anxiety. We as a society expect things to be done at the snap of a finger; in our advancement of science, we have been able to discover ways of offering the results we want quickly, inexpensively, and with little effort. Unfortunately, although the use of medications, also known as psychoactive drugs, occasionally remove the symptoms, but they do little to remove the causes of these mental health issues. In addition, to the lack of solution that the use of psychoactive drugs offer, they can also have unwanted and dangerous side effects. These can include simple physical irritants such as dry mouth and head aches, and can range up to dependency and substance abuse, and in some cases even death. Moreover, there are cases of inappropriate prescribing, where doctors are authorizing the use of medications that don’t work or are not pertinent to the issue the patient is experiencing. Furthermore, some of these doctors are issuing these medications without subjecting the patient to a proper mental health evaluation by a psychological professional.
Kaplan, H. I., Sadock, B. J., & Grebb, J. A. (1994). Synopsis of psychiatry: behavioral sciences,
According to (Barlow, 2001), Schizophrenia is a psychological or mental disorder that makes the patient recognize real things and to have abnormal social behavior. Schizophrenia is characterized by symptoms such as confused thinking, hallucinations, false beliefs, demotivation, reduced social interaction and emotional expressions (Linkov, 2008). Diagnosis of this disorder is done through observation of patient’s behavior, and previously reported experiences (Mothersill, 2007). In this paper, therefore, my primary goal is to discuss Schizophrenia and how this condition is diagnosed and treated.
According to Gamble and Brennan (2000), the effectiveness of medication for schizophrenia to relieve patients from psychotic symptoms is limited. Although patients have adequate medication, some received little or no benefit from it and almost half of them still experience psychotic symptoms. They are also more likely to suffer relapse (Gamble and Brennan, 2000). Furthermore, Valmaggia, et al. (2005) found that 50% of patients who fully adhere to anti-psychotic medication regimes still have ongoing positi...
When patients are labeled with a mental illness they start to believe they actually have that illness. In more severe cases, misdiagnosis can result in the patient’s death or simply taking their own life. According to Dr. Mercola “Diagnostic errors are just one type of error that occurs in the medical field, and you might be surprised at just how common errors occur. While the 1999 IOM report blamed 98,000 deaths a year on hospital errors, a 2013 study in the Journal of Patient Safety projected that medical errors now account for 210,000 to 440,000 US deaths annually”. To better understand the severity of misdiagnosis, imagine a close family member getting diagnosed with a mental disorder that he or she doesn’t have and from that they decide to take their own life due to unnecessary treatment that is harmful to their
Classical antipsychotic treatments are commonly used to treat schizophrenic patients with major positive symptoms of schizophrenia, such as Thorazine, Haldol, and Stelazine (Gleitman et al., 2011). Antipsychotic treatments are usually administered with a variety of psychosocial treatments including social skills training, vocational rehabilitation, supported employment, family therapy, or individual therapy (Barlow & Durand, 2014). This is to reduce relapse and help the patient improve their skills in deficits and comply in consuming the
...ected over another because it has less chance of damaging a diseased liver, worsening a heart condition, or affecting a patient’s high blood pressure. For all the benefits that anti-psychotic drugs provide, clearly they are far from ideal. Some patients will show marked improvement with drugs, while others might be helped only a little, if at all. Ideally, drugs soon will be developed to treat successfully the whole range os schizophrenia symptoms. Roughly one third of schizophrenic patients make a complete recovery and have no further recurrence, one third have recurrent episodes of the illness, and one third deteriorate into chronic schizophrenia with severe disability (Kass, 206).
Doward, J. (2013), Medicine's big new battleground: does mental illness really exist? The Observer 12 May.
New drugs are being made in order to address the issue of undesirable and intolerable side effects of conventional antipsychotic drugs. Works Cited Comer, R. J. & Co., Inc. (2011). Fundamentals of abnormal psychology. New York, NY. Worth Publishers Nasar, S. (2001).A beautiful mind: the life of mathematical genius and Nobel laureate John Nash.
Central Idea: Prescription drugs can cause serious mental and physical health problems if they are taken incorrectly or abused.
Substance abuse complicates almost every aspect of care for the person with a mental disorder. When drugs enter the brain, they can interrupt the work and actually change how the brain performs its jobs; these changes are what lead to compulsive drug use. Drug abuse plays a major role when concerning mental health. It is very difficult for these individuals to engage in treatment. Diagnosis for a treatment is difficult because it takes time to disengage the interacting effects of substance abuse and the mental illness. It may also be difficult for substance abusers to be accommodated at home and it may not be tolerated in the community of residents of rehabilitation programs. The author states, that they end up losing their support systems and suffer frequent relapses and hospitalizations (Agnes B. Hatfield, 1993).
Mental illness, today we are surround by a broad array of types of mental illnesses and new discoveries in this field every day. Up till the mid 1800’s there was no speak of personality disorder, in fact there was only two type of mental illness recognized. Those two illnesses as defined by Dr. Sam Vaknin (2010), “”delirium” or “manial”- were depression (melancholy), psychoses, and delusions.” It was later in 1835 when J. C. Pritchard the British Physician working at Bristol Infirmary Hospital published his work titled “Treatise on Insanity and Other Disorder of the Mind” this opened the door to the world of personality disorder. There were many story and changes to his theories and mental illness and it was then when Henry Maudsley in 1885 put theses theories to work and applied to a patient. This form of mental illness has since grown into the many different types of personality disorder that we know today. Like the evolution of the illness itself there has been a significant change in the way this illness is diagnosed and treated.